Effects of acceptance and commitment therapy on psychological resilience and post-traumatic growth of convalescent patients with severe craniocerebral injury
Author(s): KONG Yu, LIU Wenhui, CHANG Tianying, Comprehensive ICU of the First Affiliated Hospital of Zhengzhou University
Pages: 1463-1468
Year: 2020 Issue: 10
Journal: China Journal of Health Psychology
Keyword: Acceptance and commitment therapy; Severe craniocerebral injury; Recovery period; Psychological resilience; Post-traumatic growth;
Abstract: Objective:To study the effects of acceptance and commitment therapy(ACT)on psychological resilience and post-traumatic growth in convalescent patients with severe craniocerebral injury.Methods:132 convalescent patients with severe craniocerebral injury treated in our hospital from March 2015 to February 2019 were randomly divided into control group(n = 66)and observation group(n=66).The control group received routine health education(twice a week,6 times),while the observation group received acceptance and commitment therapy(3 weeks).The scores of psychological resilience scale(CD-RISC),post-traumatic growth scale(PTGI),Zung self-rating depression scale(SDS),Zung self-rating anxiety scale(SAS),Karnofsky prognosis scale(KPS),activities of daily living(ADL)and life satisfaction scale(SWIS)were observed before and after intervention.Results:The scores of tenacity,optimism and self-improvement in CD-RISC after intervention in the observation group were significantly higher than those in the control group(t=14.774,7.282,2.773;P<0.05),and the scores of perception of life,personal strength,new possibility,relationship with others and self-transformation in the PTGI scale after intervention in the observation group were significantly higher than those in the control group(t=12.215,14.382,8.840,7.302,6.659;P<0.05).After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-9.050,-6.883;P<0.05),while the scores of KPS,ADL and SWIS in the observation group were significantly higher than those in the control group(t=6.794,3.194,2.440;P<0.05).Conclusion:ACT intervention can effectively improve the psychological resilience state,improve the post-traumatic growth level,improve the bad mood and improve the quality of life of convalescent patients with severe craniocerebral injury.
Pages: 1463-1468
Year: 2020 Issue: 10
Journal: China Journal of Health Psychology
Keyword: Acceptance and commitment therapy; Severe craniocerebral injury; Recovery period; Psychological resilience; Post-traumatic growth;
Abstract: Objective:To study the effects of acceptance and commitment therapy(ACT)on psychological resilience and post-traumatic growth in convalescent patients with severe craniocerebral injury.Methods:132 convalescent patients with severe craniocerebral injury treated in our hospital from March 2015 to February 2019 were randomly divided into control group(n = 66)and observation group(n=66).The control group received routine health education(twice a week,6 times),while the observation group received acceptance and commitment therapy(3 weeks).The scores of psychological resilience scale(CD-RISC),post-traumatic growth scale(PTGI),Zung self-rating depression scale(SDS),Zung self-rating anxiety scale(SAS),Karnofsky prognosis scale(KPS),activities of daily living(ADL)and life satisfaction scale(SWIS)were observed before and after intervention.Results:The scores of tenacity,optimism and self-improvement in CD-RISC after intervention in the observation group were significantly higher than those in the control group(t=14.774,7.282,2.773;P<0.05),and the scores of perception of life,personal strength,new possibility,relationship with others and self-transformation in the PTGI scale after intervention in the observation group were significantly higher than those in the control group(t=12.215,14.382,8.840,7.302,6.659;P<0.05).After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-9.050,-6.883;P<0.05),while the scores of KPS,ADL and SWIS in the observation group were significantly higher than those in the control group(t=6.794,3.194,2.440;P<0.05).Conclusion:ACT intervention can effectively improve the psychological resilience state,improve the post-traumatic growth level,improve the bad mood and improve the quality of life of convalescent patients with severe craniocerebral injury.
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