[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Indexing Sources::
Editorial Board::
Executive Members::
Articles Archive::
Instruction to Authors::
Peer-Review::
Contact Us::
Site Facilities::
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.

Happy Persian New Year (Nowruz)


:: Volume 19, Issue 4 (12-2017) ::
J Gorgan Univ Med Sci 2017, 19(4): 38-45 Back to browse issues page
Efficacy of combined treatment based on acceptance and commitment in treatment of women with generalized anxiety disorder
Majid Mahmoud Alilou1 , Touraj Hashemi Nosratabad1 , Faeze Sohrabi 2
1- Professor, Department of Psychology, School of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran
2- Psychologist, Department of Psychology, School of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran , sohrabi_faeze@yahoo.com
Abstract:   (7381 Views)
Background and Objective: General anxiety disorder is one of the chronic disorders in the general population and population with clinical symptoms. This study was conducted to evaluate the efficacy of combined treatment based on acceptance and commitment in the treatment of women with generalized anxiety.
Methods: This multi-faceted, single-subject interventional study was performed on four women with generalized anxiety disorder whom were refered to psychiatric center in Iran. The subjects were selected through targeted clinical sampling by structured diagnostic and clinical interviews based on DSM-V mental disorder diagnostic and diagnostic guidelines. The efficacy of the treatment protocol in three stages (baseline, 12 sessions and 6 week follow up) was assessed using the GAD-7 questionnaire, the Penn State worry questionnaire (PSWQ), and the general scale of anxiety severity and pain (OASIS).
Results: Reduction of symptoms of general anxiety disorder, anxiety, anxiety and performance impairment in patients with generalized anxiety disorder were significant (P<0.05).
Conclusion: Combination therapy based on admission and commitment and coping techniques is effective in the treatment of generalized anxiety disorder in women.
Keywords: Generalized Anxiety Disorder, Acceptance and Commitment-Based Treatment, Confrontation
Full-Text [PDF 314 kb] [English Abstract]   (12909 Downloads) |   |   Abstract (HTML)  (644 Views)  
Type of Study: Original Articles | Subject: Clinical Psychology
References
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Fifth Edition. Arlington, VA, American Psychiatric Association, 2013; pp: 189- 235. http://dx.doi.org/10.1176/appi.books.9780890425596.x00preface
2. Durham RC. Treatment of generalized anxiety disorder. Psychiatry. 2007; 6(5): 183-87. doi.org/10.1016/j.mppsy.2007.03.003
3. Fisher P. The efficacy of psychological treatment for generalized anxiety disorder. In: GCL Davey A. Wells. (Eds.). Worry and its psychological disorder. New York: Wiley. 2007; pp: 356-77. doi:10.1002/9780470713143.ch20
4. Vowles KE, Thompson M. Acceptance and commitment thrapy for chronic pain. In: Mc Cracken, L. M, (ed). Mindfulness and acceptance in behavioral medicine: Current theory and practice. 2nd ed. Oakland: New Harbinger Press. 2011; pp: 31-60.
5. Levin M, Hayes SC. Is acceptance and commitment therapy superior to established treatment comparisons? Psychother Psychosom. 2009; 78(6): 380. doi:10.1159/000235979
6. Clarke S, Kingston J, James K, Bolderston H, Remington B. Acceptance and commitment therapy group for treatment-resistant participants: A randomized controlled trial. J Contextual Behav Sci. 2014; 3: 179-88. doi.org/10.1016/j.jcbs.2014.04.005
7. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006 Jan; 44(1): 1-25. doi:10.1016/j.brat.2005.06.006
8. Pourfaraj Omran, M. The effectiveness of acceptance and commitment group therapy in social phobia of students. Knowledge and Health. 2011; 6(2): 1-5. doi.org/10.1234/knh.v6i2.100
9. Szkodny LE, Newman MG, Goldfried MR. Clinical experiences in conducting empirically supported treatments for generalized anxiety disorder. Behav Ther. 2014 Jan; 45(1): 7-20. doi:10.1016/j.beth.2013.09.009
10. Hann KEJ, McCracken LM. A systematic review of randomized controlled trials of acceptance and commitment therapy for adults with chronic pain: Outcome domains, design quality, and efficacy. J Contextual Behav Sci. 2014; 3: 217-27. doi.org/10.1016/j.jcbs.2014.10.001
11. Meuret AE, Twohig MO, Rosenfield D, Hayes SC, Craske MG. Brief acceptance and commitment therapy and exposure for panic cisorder: A pilot study. Cognitive and Behavior Practice. 2012; 19(4): 606-18. http://dx.doi.org/10.1016/j.cbpra.2012.05.004
12. Andrews G, Creamer M, Crino R, Hunt C, Lampe L, Page A. The treatment of anxiety disorder, clinician guides and patient manuals. Cambridge University Press. 2003; p: 402.
13. Hoyer J, Beesdo K, Gloster AT, Runge J, Höfler M, Becker ES. Worry exposure versus applied relaxation in the treatment of generalized anxiety disorder. Psychother Psychosom. 2009; 78(2): 106-15. doi:10.1159/000201936
14. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May; 166(10): 1092-7. doi:10.1001/archinte.166.10.1092
15. Stöber J. Reliability and validity of two widely-used worry questionnaires: self-report and self-peer convergence. Personal Individ Differ. 1998; 24(6): 887-90. doi.org/10.1016/S0191-8869(97)00232-8
16. Norman SB, Cissell SH, Means-Christensen AJ, Stein MB. Development and validation of an overall anxiety severity and impairment scale (OASIS). Depress Anxiety. 2006; 23(4): 245-9. doi:10.1002/da.20182
17. Bakhshipour Roodsari A, Mahmood Aliloo M, Farnam A, Abdi A. Efficacy evaluation of unified trans diagnostic treatment in symptoms reduction of patients with generalized anxiety disorder and a comorbid emotional disorder. Journal of Psychology. 2014; 8(32): 41-74.
18. Naeinian M, Shaeiri M, Sharif M, Hadian M. To study reliability and validity for a brief measure for assessing generalized anxiety disorder (GAD-7). Journal of Clinical Phsychology and Personality (CPAP). 2011; 2(4): 41-50.
19. Dehshiri GHR, Golzari M, Borjali A, Sohrabi F. [Psychometrics particularity of Farsi version of Pennsylvania state worry questionnaire for college students]. Journal of Clinical Psychology. 2010; 1(4): 67-75. [Article in Persian]
20. Rector NA. Acceptance and commitment therapy: empirical considerations. Behav Ther. 2013 Jun; 44(2): 213-17. doi:10.1016/j.beth.2010.07.007
21. Clarke S, Kingston J, Holloway R, Wilson KG, Bolderston H, Remington B. Acceptance and commitment therapy for a heterogeneous group of treatment-resistant clients: a treatment development study. Cogn Behav Pract. 2012; 19(4): 560-72. doi.org/10.1016/j.cbpra.2012.03.001
22. Juarascio A, Shawa J, Forman EM, Timko CA, Herbert JD, Butryn ML, Lowe M. Acceptance and commitment therapy for eating disorders: clinical applications of a group treatment. J Contextual Behav Sci. 2013; 2(3-4): 85-94. doi.org/10.1016/j.jcbs.2013.08.001
23. Bluett EJ, Homan KJ, Morrison KL, Levin ME, Twohig MP. Acceptance and commitment therapy for anxiety and OCD spectrum disorders: an empirical review. J Anxiety Disord. 2014 Aug; 28(6): 612-24. doi:10.1016/j.janxdis.2014.06.008
24. Wetherell JL, Afari N, Ayers CR, Stoddard JA, Ruberg J, Sorrell JT, et al. Acceptance and commitment therapy for generalized anxiety disorder in older adults: a preliminaryreport. Behav Ther. 2011 Mar; 42(1): 127-34. doi:10.1016/j.beth.2010.07.002
25. Landy LN, Schneider RL, Arch JJ. Acceptance and commitment therapy for the treatment of anxiety disorders: a concise review. Current Opinion in Psychology. 2015; 2: 70-74. doi.org/10.1016/j.copsyc.2014.11.004
26. Ingram RE, Hayes A, Scott W. Empirically supported treatments: A critical analysis. In Snyder CR, Ingram RE (Eds.). Handbook of psychological change: Psychotherapy processes and practices for the 21st century. New York: Wiley. 2000; pp: 40-60.
Send email to the article author


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mahmoud Alilou M, Hashemi Nosratabad T, Sohrabi F. Efficacy of combined treatment based on acceptance and commitment in treatment of women with generalized anxiety disorder . J Gorgan Univ Med Sci 2017; 19 (4) :38-45
URL: http://goums.ac.ir/journal/article-1-3216-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 19, Issue 4 (12-2017) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.05 seconds with 38 queries by YEKTAWEB 4645