Psychology Department, Cardiff University, Cardiff, UK.
Neuropsychol Rehabil. 2020 Sep;30(8):1477-1496. doi: 10.1080/09602011.2019.1589531. Epub 2019 Mar 29.
Copious research on the utility of Acceptance and Commitment Therapy (ACT) in long-term conditions has demonstrated promising results. However, little research has been conducted on ACT within stroke, particularly studies that are qualitative in nature. The aim of this paper was to gain insight into stroke survivors' experiences of ACT and to explore what processes help facilitate adjustment in living with residual disability. Interviews with thirteen stroke survivors following their attendance at a stroke-adapted ACT group were analysed using a grounded theory approach. Stroke survivors varied in age, severity of stroke, limitations and duration since stroke. Interviews revealed a main difficulty of "accepting a changed reality" following stroke. Survivors' narratives regarding their experiences of ACT revealed insight into which processes helped facilitate movement towards accepting symptoms and a changed reality and into helpful and less helpful aspects of the intervention. Stroke survivors find ACT helpful in adjusting to stroke limitations. ACT appears to have potential as a psychological intervention for stroke survivors experiencing psychological distress. Amendments to the format of the intervention to enhance the impact of ACT impact are identified.
大量研究表明，接纳与承诺疗法（ACT）在慢性病中的应用具有广阔前景。然而，关于 ACT 在中风中的应用研究却很少，特别是定性研究。本文旨在深入了解中风幸存者对 ACT 的体验，并探讨哪些过程有助于促进他们适应残疾后的生活。采用扎根理论方法，对 13 名参加过适应中风的 ACT 小组的中风幸存者进行了访谈。研究结果表明，中风幸存者在年龄、中风严重程度、残疾程度和中风后时间等方面存在差异。访谈揭示了中风后“接受现实改变”的主要困难。幸存者对 ACT 经历的叙述揭示了哪些过程有助于他们接受症状和现实的改变，以及干预的有益和无益方面。中风幸存者发现 ACT 有助于他们适应中风带来的限制。ACT 似乎有潜力成为一种心理干预方法，用于治疗经历心理困扰的中风幸存者。研究确定了对干预措施进行调整以增强 ACT 效果的方法。
