School of Psychology, Deakin University, Geelong, Melbourne, VIC, Australia.
School of Psychological Sciences, University of Tasmania, Churchill Avenue, Sandy Bay, Hobart, TAS, Australia.
J Clin Psychol Med Settings. 2024 Jun;31(2):245-257. doi: 10.1007/s10880-023-09999-5. Epub 2024 Feb 12.
The current study explored perspectives of those with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression on a hybrid acceptance and committment therapy (ACT) intervention, compared to an active control. This qualitative study was nested within a randomized controlled trial (RCT) where an experimental group received an 8-week blended delivery ACTforIBD intervention (four sessions telehealth, four sessions pre-recorded self-directed), while an active control group received a psychoeducation program of similar intensity. Semi-structured interviews were conducted post-intervention and at a 3-month follow-up. Themes were interpreted using reflexive thematic analysis. Twenty individuals participated; ten in each condition. Seven themes were constructed, including three shared themes between groups: I Am Worth Advocating For, Present Moment Is My Biggest Ally, and Ambivalence About Self-Directed Modules. Two themes were identified for the ACTforIBD group: Symptoms Are Going to Happen and Moving Toward Values while two themes identified from the ActiveControl group were: Reset and Refresh and It's Ok to Say No. Acceptance and values modules from ACTforIBD were perceived as useful in reducing psychological distress for those with IBD, while the ActiveControl group felt their program affirmed existing effective coping strategies. Access to external resources for self-directed modules and networking may increase engagement with content long term.
本研究探讨了炎症性肠病 (IBD) 合并焦虑和/或抑郁患者对混合接受和承诺疗法 (ACT) 干预的看法，与积极对照相比。这项定性研究嵌套在一项随机对照试验 (RCT) 中，实验组接受了 8 周的混合式交付 ACTforIBD 干预 (四次远程医疗，四次自我指导的预录)，而积极对照组则接受了类似强度的心理教育计划。在干预后和 3 个月随访时进行了半结构化访谈。使用反思性主题分析来解释主题。共有 20 人参加，每组 10 人。构建了七个主题，包括两组之间的三个共同主题：我值得倡导、此刻是我最大的盟友，以及对自我指导模块的矛盾心理。ACTforIBD 组确定了两个主题：症状会发生，而从积极对照组确定了两个主题：重置和刷新，以及说不没关系。ACTforIBD 的接受和价值观模块被认为有助于减轻 IBD 患者的心理困扰，而积极对照组则认为他们的方案肯定了现有的有效应对策略。自我指导模块和网络的外部资源的获取可能会增加对内容的长期参与度。
