Designing indigenous model of Acceptance and Commitment Therapy (ACT) and checking the effect in post-traumatic stress disorder (PTSD)

Subject Areas : Educational

Peyman Dousti ¹ ( Department of Psychology, Tehran North Branch, Islamic Azad University, Tehran, Iran. )
Javad Khalatbari ² ( Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran )
Ahmad Baseri ³ ( Member of the faculty of Imam Hossein University, Tehran, Iran. )
Bahram Parvin Gonabadi ⁴ ( Department of Persian Literature, Tehran North Branch, Islamic Azad University, Tehran, Iran. )

Received: 2019-09-29 Accepted : 2019-11-10 Published : 2024-09-25

Keywords: Acceptance and Commitment Therapy, Indigenous psychological treatment, Posttraumatic Stress Disorder.,

Abstract :

This study design an indigenous model for Acceptance and Commitment Therapy (ACT), then check the effect of this model in PTSD. The qualitative section used of Braun & Clarke (2006) the method of thematic analysis. The quantitative part was experimental pilot pretest-posttest study with control group. Statistical population included all individuals who referred to a Psychological Clinic in the period from September 2018 to Des 2018, which 200 individuals were invited through call. In order to evaluation, both DSM-5 and Posttraumatic Stress Disorder (Berislin, Lonner & Thorndike, 1973) were used. Afterward, 28 individuals selected voluntarily and randomly divided into two groups. The experimental group subjected to 8 sessions of 120-minute treatment of indigenous model of Acceptance and Commitment Therapy (ACT). To identify the themes of Acceptance & Commitment Therapy and Posttraumatic Stress Disorder, were referred to relevant scientific texts and specialists in these fields. After identifying treatment themes, experts in Persian literature were referred to identify existing themes (poems) related to the other themes (treatment themes and PTSD). In order to analyze the data in qualitative section the thematic analysis were used and in the quantitative part Descriptive Statistics & Analysis of Covariance were used. The findings indicated that the indigenous model has effect on PTSD (P<0.5).

References:

Akbari, H., & Shafiabadi, A. (2013). The Development of a Treatment Protocol by Consciousness Raising Based on the Activation of Islamic- Spiritual Schemas and Comparing Its Effectiveness with the Process-Experiential /Emotion-Focused Therapy on Decreasing the Social Anxiety of University Students. Counseling Culture and Psycotherapy, 4(14), 1-22. [Persian]
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorder (Revised 5 ed). Washington: American Psychiatric Association.
Anaghe, A., & Kolahdooz, E. (2010). Study of Human Nostalgia in Poems of Molana Jalalodin Mohammad Balkhi. Research on Mystical Literature, 4(3), 161-188. [Persian]
Attride-Stirling, J. (2001), “Thematic Networks: An Analytic Tool for Qualitative Research”, Qualitative Research, Vol. 1, No. 3, Pp. 385-405.
Behrouz, B. (2015). The Effectiveness of Group-Based Acceptance and Commitment Therapy on Post-Traumatic Stress Disorder, Coping Styles, and Self-Efficacy in Girls with Abnormal Grief. Journal of Clinical Psychology, 7(4), 81-92.
Berry, S., Crowe, T. P., Deane, F. P., Billingham, M.; Bhagerutty, Y. (2012). Growth and Empowerment for Indigenous Australians in Substance Abuse Treatment. International Journal of Mental Health and Addiction, v10 n6 p970-983.
Berislin, R., Lonner, W., Thorndike, R. (1973). Cross-Cultural research methods. Newyork: Wiley.
Bosch, C., Mentz, E., Reitsma, G. (2019). Integrating Cooperative Learning into the Combined Blended Learning Design Model: Implications for Students' Intrinsic Motivation. International Journal of Mobile and Blended Learning, v11 n1 Article 5 p58-73.
Braun, V., Clarke, V. (2006), “Using thematic analysis in psychology”, Qualitative Research in Psychology, Vol. 3, No. 2, Pp. 77-101.
Cameron, A., Palm, K., & Follette, V. (2010). Reaction to stressful life events: What predicts symptom severity? Journal of Anxiety Disorders, 24, 645-649.
Charmaz, K., Henwood, K. (2008). Grounded theory. In willing, Carla. Stainton-rogers, wendy. (eds). The sage handbook of qualitative research in psychology. California, London, new delhi: sage publication inc. pp. 240-260.
Codd, R. T., Twohig, M. P., Crosby, J. M., & Enno, A. (2011). Treatment of three anxiety disorder cases with acceptance and commitment therapy in a private practice. Journal of Cognitive Psychotherapy: An International Quarterly, 25, 203-217.
Constantine, M., Myers, L., Kindaichi, M., Moore, J. (2004). Exploring Indigenous Mental Health Practices: The Roles of Healers and Helpers in Promoting Well-Being in People of Color. Counseling and Values, v48 n2 p110.
Ding, Y., Kuo, Y., Van Dyke, D. (2008). School Psychology in China (PRC), Hong Kong and Taiwan: A Cross-Regional Perspective. School Psychology International, v29 n5 p529-548.
Dousti, P. (2017). Psychological intervention in post-traumatic stress disorder based on ACT. Hegmatane Comprehensive Publications: Hamadan. [Persian]
Dousti, P., Ghodrati, G., Ebrahimi, ME. (2019). Guide of group psychotherapy Based on Acceptance and Commitment Therapy (ACT). Faragir hegmataneh: hamedan.
Ebrahimzadeh Pezeshki, R., Jalilian, N., & Mirfakhredini, S. H. (2014). Modeling factors affecting the control and reduction of damages out of an earthquake by applying interpretive structural modeling approach. Emergency Management, 3(1), 65-77. [Persian]
Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Effective treatments for PTSD: Practice guidelines from the International Society of Traumatic Stress Studies (2nd ed.). New York, NY: Guilford Press.
Goudarzi, M. (2002). Checking the reliability and validity of the Mississippi Post Traumatic Stress Disorder Scale (ASHL). Journal of Psychology. 7(2). pp. 153-178.
Gynther, K. (2016). Design Framework for an Adaptive MOOC Enhanced by Blended Learning: Supplementary Training and Personalized Learning for Teacher Professional Development . Electronic Journal of e-Learning, v14 n1. p15-30 2016.
Harris, R. (2013). Getting Unstuck in ACT. New Harbinger.
Hayes, S. C. Strosahl, K.D. Wilson, K.G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change. New York: Guilford Press.
Hess, J. (2015). Unsettling Binary Thinking: Tracing an Analytic Trajectory of the Place of Indigenous Musical Knowledge in the Academy. Action, Criticism, and Theory for Music Education, v14 n2 p54-84.
Hedayati, M. (2012). The Localization of "Counseling and Guidance" Field of Study Based on a Religious, Literary, and Scientific Approach. Sociological Cultural Studies, 2(2), 135-158. [Persian]
Houkamau, C., Sibley, C. (2011). Maori Cultural Efficacy and Subjective Wellbeing: A Psychological Model and Research Agenda. Social Indicators Research, v103 n3 p379-398.
Jalali, D., Aghaei, A., Talebi, H., & Mazaheri, M. A. (2015). Comparing the Effectiveness of Natived Mindfulness Based Cognitive Training (MBCT) and Cognitive – Behavioral Training on Dysfunctional Attitudes and Job Affects in Employees. Research in Cognitive and Behavioral Sciences, 5(1), 1-20.[Persian]
Kanani K, Hadi S, Tayebi N. (2015), The effectiveness of acceptance and commitment therapy on treating the adolescents with post-traumatic stress disorder after road accidents in the province of Isfahan. Iranian Journal of Rehabilitation research in nursing; 1 (2): 22-32. [Persian]
Keane, T., Caddell, J., Taylor, K. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three Studies in Reliability and Validity. Journal of Consulting and Clinical Psychology. 56(1):85-90.
King, N., & Horrocks, C. (2010), Interviews in qualitative research, London: Sage.
Leffler, E. (2012). Replacing the Sofa with the Spotlight: Interrogating the Therapeutic Value of Personal Testimony within Community-Based Theatre. Research in Drama Education, v17 n3 p347-353.
Leung, S., Chen, P. (2009). Counseling Psychology in Chinese Communities in Asia: Indigenous, Multicultural, and Cross-Cultural Considerations. Counseling Psychologist, v37 n7 p944-966.
Meissel, K., Rubie-Davies, C. (2016). Cultural Invariance of Goal Orientation and Self-Efficacy in New Zealand: Relations with Achievement. British Journal of Educational Psychology, v86 n1 p92-111.
Mevissen, L., Didden, R., Korzilius, H., de Jongh, Ad. (2017). Eye Movement Desensitisation and Reprocessing Therapy for Posttraumatic Stress Disorder in a Child and an Adolescent with Mild to Borderline Intellectual Disability: A Multiple Baseline across Subjects Study. Journal of Applied Research in Intellectual Disabilities. v30 suppl. p34-41.
Mokmeli, Z. (2012). Development of a comprehensive psychological treatment with indigenous orientation and comparing its effectiveness with cognitive behavioral therapy on the symptoms and indicators of improvement in obsessive-compulsive disorder patients. PhD dissertation in psychology. University of Isfahan: Isfahan. [Persian]
Namey, E., Guest, G., Thairu, L. & Johnson, L. (2007), “Data Reduction Techniques for Large Qualitative Data Sets”, In Guest G. & MacQueen K. M. (Eds.), Handbook For Team-Based Qualitative Research (Pp. 137-162), United Kingdom: AltaMira Press.
Orsillo, S. M., & Batten, S. V. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior Modification, 29(1), 95-129.
Parent, A. (2017). Visioning as an Integral Element to Understanding Indigenous Learners' Transition to University. Canadian Journal of Higher Education, v47 n1 p153-170.
Patton, M. Q. (1990), Qualitative evaluation and research methods, Thousand Oaks, CA: Sage.
Payne, S. (2007). Grounded Theory. In coyle, Adrian (eds). Washington DC: sage.
Radpour, H., Shahi Sadrabadi, F. (2015). Localization of humanities (with emphasis on psychology) in Iran. The second national conference on sustainable development in educational sciences and psychology. Social and cultural studies, Soroush Hikmat Mortazavi Islamic Studies and Research Center, Mehr Arvand Institute of Higher Education, Center for Sustainable Development Solutions, Tehran. [Persian]
Razavi Sadati, S., Makundi, B., Pasha, R., Hosseini, S. (2018). The effectiveness of Acceptance and Commitment Therapy on thought control strategy and quality of life in PTSD people caused by war. Iranian Journal of War and Public Health. 10(3). pp. 115-120. [Persian]
Sachser, C., Keller, F., Goldbeck, L. (2017). Complex PTSD as Proposed for ICD-11: Validation of a New Disorder in Children and Adolescents and Their Response to Trauma-Focused Cognitive Behavioral Therapy. Journal of Child Psychology and Psychiatry, v58 n2. p160-168.
Sam Aram, A. (2011). Examining the application of social work theories and their localization. The first scientific conference on social welfare of Iran: Tehran. [Persian]
Samsam Shariat, S. M., Neshatdoost, H. T., Kalantari, M., & Arizi Samani, S. H. (2017). Indrgenous treatment for chronic depression. Cultural Psychology, 1(1), 52-84. [Persian]
Shipherd, J. C., & Beck, J. G. (2005). The role of thought suppression in posttraumatic stress disorder. Behavior Therapy, 36, 277-287.
Thomson, P., Jaque, S. (2016). Visiting the Muses: Creativity, Coping, and PTSD in Talented Dancer and Athletes. American Journal of Play, v8 n3 p363-378.
Twohig, M. P. (2009). Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice, 16, 243-252.
Woidneck Kieffe, M. (2013). Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress among Adolescents. Ph.D Theses. Utah State University.