行为激活疗法与接纳与承诺疗法对患有脑瘫儿童的母亲的抑郁及沉思的疗效：作为促进健康的一种手段
Effectiveness of behavioral activation therapy and acceptance and commitment therapy on depression and rumination as a tool for health promotion on mothers with cerebral palsy children.
作者信息
Alirahmi Mostafa, Aibod Sehat, Azizifar Akbar, Kikhavani Sattar
机构信息
Department of Psychology, Faculty of Human Sciences, Islamic Azad University, Ilam Branch, Ilam, Iran.
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
出版信息
J Educ Health Promot. 2023 Aug 31;12:290. doi: 10.4103/jehp.jehp_1552_22. eCollection 2023.
BACKGROUND
Since in most families, mothers are more responsible for taking care of children and they have more responsibility than fathers for monitoring the child; taking care of a disabled child can have a more negative effect on the psychological state of mothers. The purpose of the present study is to investigate the effectiveness of behavioral activation therapy (BAT) and acceptance and commitment therapy (ACT) on depression and rumination on mothers with children with cerebral palsy in the city of Ilam.
MATERIALS AND METHODS
The design of this research was pretest and post-test quasi-experimental with a control group. The research sample was 60 mothers who referred to occupational therapy centers in the city of Ilam in 2022, who were randomly divided into two experimental groups (N = 40 for each) and a control group (N = 20). One of the experimental groups, received behavioral activation group therapy method; and the other received the group therapy method based on acceptance and commitment for eight sessions lasted for 90 minutes in week. Data were collected using the Beck depression questionnaire (BDI-II) and the rumination questionnaire in two stages before the intervention and after the intervention. In this research, covariance analysis was used for data analysis.
RESULTS
The results of covariance analysis showed that behavioral activation therapy and acceptance and commitment-based therapy reduced depression ( < 0.01) and rumination ( < 0.01), and the two experimental groups were compared with the control group in the post-test phase.
CONCLUSION
It seems that behavioral activation therapy and acceptance and commitment therapy are effective in reducing depression and rumination in the subjects of the present study. Therefore, these treatments are suggested as complementary treatments along with drug treatments to improve psychological symptoms.
背景
在大多数家庭中，母亲在照顾孩子方面承担着更多责任，并且在监督孩子方面比父亲负有更多责任；照顾残疾儿童可能会对母亲的心理状态产生更大的负面影响。本研究的目的是调查行为激活疗法（BAT）和接纳与承诺疗法（ACT）对伊拉姆市患有脑瘫儿童的母亲的抑郁和沉思的疗效。
材料与方法
本研究设计为带有对照组的前测和后测准实验。研究样本为2022年转诊至伊拉姆市职业治疗中心的60名母亲，她们被随机分为两个实验组（每组N = 40）和一个对照组（N = 20）。其中一个实验组接受行为激活团体治疗方法；另一个接受基于接纳与承诺的团体治疗方法，为期8周，每周90分钟。在干预前和干预后两个阶段使用贝克抑郁问卷（BDI-II）和沉思问卷收集数据。本研究采用协方差分析进行数据分析。
结果
协方差分析结果显示，行为激活疗法和基于接纳与承诺的疗法降低了抑郁（<0.01）和沉思（<0.01），并且在测试后阶段将两个实验组与对照组进行了比较。
结论
行为激活疗法和接纳与承诺疗法似乎对本研究对象的抑郁和沉思有疗效。因此，建议将这些治疗方法作为辅助治疗与药物治疗一起使用，以改善心理症状。
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