接纳与承诺疗法在减轻复杂性悲伤症状、新冠疾病焦虑以及改善因新冠疫情死亡者幸存者生活质量方面的有效性。
The effectiveness of acceptance and commitment therapy in reducing the symptoms of complicated grief, corona disease anxiety, and improving the quality of life in the survivors of the deceased due to COVID-19.
作者信息
Alkasir Emad, Masjedi-Arani Abbas, Bakhtiyari Maryam, Isfeedvajani Mohsen S
机构信息
Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, Faculty of Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
出版信息
J Educ Health Promot. 2024 Oct 28;13:406. doi: 10.4103/jehp.jehp_1372_23. eCollection 2024.
BACKGROUND
COVID-19 is an infectious disease that has threatened the physical and mental health of people and in many cases leads to death. The present study investigated the effectiveness of acceptance and commitment therapy (ACT) in reducing the symptoms of complicated grief, and corona disease anxiety, and improving the quality of life in the survivors of the deceased due to COVID-19.
MATERIALS AND METHODS
The research method was an experimental design with pre-test, post-test, and follow-up with a control group and random assignment to the intervention and the control groups. Thirty-eight people who met the study criteria were selected as a sample and assigned to the two intervention and control groups using a simple randomization method (19 people in each group). Measures included the complex grief scale, the coronavirus anxiety scale, and the short form of the World Health Organization quality of life scale. Then, mixed analysis of variance was used to compare the average variables between the two groups. Also, the independent -test was used to compare the mean quantitative outcomes between the two groups.
RESULTS
The results showed that there were significant changes over time between the experimental and control groups (with a small effect coefficient) in complicated grief symptoms ( < 0.05), corona disease anxiety ( = 0.001), and quality of life ( = 0.001). Also, the results of all three variables showed that there were significant differences between pre-test and post-test ( < 0.05) and between pre-test and follow-up ( value < 0.05), but the difference between post-test and follow-up was insignificant.
CONCLUSIONS
ACT has significant effects on reducing the symptoms of complicated grief and corona disease anxiety as well as on improving the quality of life in the survivors of the deceased due to COVID-19.
背景
新型冠状病毒肺炎（COVID - 19）是一种威胁人们身心健康且在许多情况下会导致死亡的传染病。本研究调查了接纳与承诺疗法（ACT）在减轻复杂性悲伤症状、冠状病毒病焦虑以及改善因COVID - 19死亡者幸存者生活质量方面的有效性。
材料与方法
研究方法为实验设计，包括前测、后测和随访，设有对照组，并随机分配到干预组和对照组。选取38名符合研究标准的人员作为样本，采用简单随机化方法将其分配到两个干预组和对照组（每组19人）。测量指标包括复杂性悲伤量表、冠状病毒焦虑量表以及世界卫生组织生活质量量表简表。然后，使用混合方差分析比较两组之间的平均变量。此外，使用独立样本t检验比较两组之间的平均定量结果。
结果
结果显示，实验组和对照组在复杂性悲伤症状（P < 0.05）、冠状病毒病焦虑（P = 0.001）和生活质量（P = 0.001）方面随时间有显著变化（效应系数较小）。此外，所有三个变量的结果显示，前测和后测之间（P < 0.05）以及前测和随访之间（P值 < 0.05）存在显著差异，但后测和随访之间的差异不显著。
结论
接纳与承诺疗法对减轻复杂性悲伤症状、冠状病毒病焦虑以及改善因COVID - 19死亡者幸存者的生活质量有显著效果。
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