The Effectiveness of Acceptance and Commitment Therapy in Impulsivity of Patients with Depression
International Journal of Applied Behavioral Sciences,
Vol. 4 No. 4 (2017),
15 January 2019
,
Page 57-68
https://doi.org/10.22037/ijabs.v4i4.19022
Abstract
Introduction: Impulsivity is one of the main cores of bipolar disorder and the maintenance factor of depressive symptoms in patients with major depressive disorder. The aim of this study was to assess the effectiveness of the acceptance and commitment therapy in impulsivity of patients with bipolar I disorder and major depression disorder.
Method: The study design was quasi-experimental. The study population included all patients with bipolar I disorder and major depression disorder that have been referred to the public and private treatment centers of Zanjan; among those, 12 patients with bipolar I disorder and 12 patients with major depression disorder were selected based on psychiatric diagnosis and on the criteria of DSM-IV. Also by Composite International Diagnostic Interview (CIDI) and according to the inclusion criteria and convenient sampling, all patients received 8 sessions of 90 minutes treatment based on acceptance and commitment therapy. All Patients were assessed three times (before treatment, mid-treatment and end of treatment) using the Impulsivity Questionnaire (Barrat et al, 1977). Data were analyzed by ANOVA with repeated measure test.
Results: The results of data analysis indicated the effectiveness of acceptance and commitment therapy in decreasing impulsivity (F (66, 3) =115/7; P<0/001, ETA=0/84) and the components of attention/cognitive impulsivity (p<0/001), motor impulsivity (p<0/001), and non-planning (p<0/001) in both groups of patients with bipolar disorder-I and major depression disorder.
Conclusion: Acceptance and commitment therapy decreases the impulsivity of patients with bipolar disorder and major depression disorder by increasing awareness, psychological acceptance, emotional isolation, management of emotions, reducing ineffective control and use of problem-solving.
- acceptance and commitment therapy
- impulsivity
- bipolar disorder I
- major depression disorder
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References
Hasani J, & Rasti A. Cognitive estimation in patients with schizophrenia, major depression disorder and normal individuals. Daneshvar Medicine Journal, 2013; 20(105): 1-11.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. 2013
Jiménez F, Velasco F, Salin-Pascual R, Hernández JA, Velasco M, Criales JL, &Nicolini H. A patient with a resistant major depression disorder treated with deep brain stimulation in the inferior thalamic peduncle. Neurosurgery, 2005; 57(3): 585-593.
Dumais A, Lesage AD, Alda M, Rouleau G, Dumont M, Chawky N. ... &Turecki G. Risk factors for suicide completion in major depression: a case-control study of impulsive and aggressive behaviors in men. American Journal of Psychiatry, 2005; 162(11): 2116-2124.
Brodsky BS, Oquendo M, Ellis SP, Haas GL, Malone KM, & Mann JJ. The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. American Journal of Psychiatry, 2001;158(11): 1871-1877.
Victor SE, Johnson SL, &Gotlib IH. Quality of life and impulsivity in bipolar disorder. Bipolar Disorders, 2011; 13(3): 303-309.
Strakowski SM, Fleck DE, DelBello MP, Adler CM, Shear PK, Kotwal R, & Arndt S. Impulsivity across the course of bipolar disorder. Bipolar Disorders, 2010; 12(3): 285-297.
Swann AC. Mechanisms of impulsivity in bipolar disorder and related illness. Epidemiologia e PsichiatriaSociale, 2010; 19(02): 120-130.
Swann AC, Lijffijt M, Lane SD, Steinberg JL, & Moeller FG. Increased trait‐like impulsivity and course of illness in bipolar disorder. Bipolar Disorders, 2009; 11(3): 280-288.
Swann AC, Gerard Moeller F, Steinberg JL, Schneider L, Barratt ES, & Dougherty DM. Manic symptoms and impulsivity during bipolar depressive episodes. Bipolar Disorders, 2007; 9(3): 206-212.
Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, & Swann AC. Psychiatric aspects of impulsivity. American Journal of Psychiatry,2001; 158 (11): 1783-1793.
Arianakia E, &Hasani J. Impulsivity and cognitive emotion regulation strategies in patient with bipolar and major depressive disorder. Advances in Cognitive Science, 2014; 16(2): 1-10.
Swann AC, Dougherty DM, Pazzaglia PJ, Pham M, Steinberg JL, & Moeller FG. Increased impulsivity associated with severity of suicide attempt history in patients with bipolar disorder. American Journal of Psychiatry, 2005; 162(9): 1680-1687.
Lewis M, Scott J, &Frangou S. Impulsivity, personality and bipolar disorder. European Psychiatry, 2009; 24(7): 464-469.
Swann AC, Pazzaglia P, Nicholls A, Dougherty DM, & Moeller FG. Impulsivity and phase of illness in bipolar disorder. Journal of Affective Disorders, 2003; 73(1): 105-111.
Frangou S, Donaldson S, Hadjulis M, Landau S, & Goldstein LH. The Maudsley Bipolar Disorder Project: executive dysfunction in bipolar disorder I and its clinical correlates. Biological Psychiatry, 2005; 58(11): 859-864.
Peluso MAM, Hatch JP, Glahn DC, Monkul ES, Sanches M, NajtP, ...&Soares JC. Trait impulsivity in patients with mood disorders. Journal of Affective Disorders, 2007; 100(1): 227-231.
Bellani M, Hatch JP, Nicoletti MA, Ertola AE, Zunta-Soares G, Swann AC, ... &Soares JC. Does anxiety increase impulsivity in patients with bipolar disorder or major depressive disorder?. Journal of Psychiatric Research, 2012; 46(5): 616-621.
Schreiber LRN, Grant JE, &Odlaug BL. Emotion regulation and impulsivity in young adults.Journal of Psychiatric Research, 2012; 46: 651-58.
Nejati V, Maleki G. The relationship between impulsive and reflective problem solving behavior. Zahedan J Res Med Sci (ZJRMS), 2012; 14(1): 76-81.
Najt P, Perez J, Sanches M, Peluso MAM, Glahn D, &Soares JC. Impulsivity and bipolar disorder. European Neuropsychopharmacology, 2007; 17(5): 313-320.
Zargar F, Mohammadi A, Omidi A, &Bagherian-SararoudiR.The third wave of behavior therapy with an emphasis on psychotherapy based on acceptance and commitment. JournalofStudies in Clinical Psychology,2015, 5(18); 1-14.
Bohlmeijer ET, Fledderus M, Rokx TAJJ, &Pieterse ME. Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 2011; 49(1): 62-67.
Forman EM, Herbert JD, Moitra E, Yeomans PD, & Geller PA. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression.Behavior Modification, 2007; 31(6): 772-799.
Arch JJ, Eifert GH, Davies C, Vilardaga JCP, Rose RD, &Craske MG. Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 2012; 80(5): 750.
Arch JJ, Wolitzky-Taylor KB, Eifert GH, &Craske MG. Longitudinal treatment mediation of traditional cognitive behavioral therapy and acceptance and commitment therapy for anxiety disorders. Behaviour Research and Therapy, 2012; 50(7): 469-478.
Hayes SC, Strosahl KD, & Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press. 2011
White R, Gumley A, McTaggart J, Rattrie L, McConville D, Cleare S, & Mitchell G. A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis. Behaviour Research and Therapy, 2001; 49(12): 901-907.
Hor M, Aghaei A, Abedi A &Attari A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res BehavSci, 2013; 11(2): 121-128.
Kaviani H, Hatami N, &Javaheri F. The impact of mindfulness-based cognitive therapy (MBCT) on mental health and quality of life in a sub-clinically depressed population. Archives of Psychiatry and Psychotherapy, 2012; 1: 21-28.
Wicksell RK, Olsson GL, & Hayes SC. Mediators of change in acceptance and commitment therapy for pediatric chronic pain. Pain, 2011; 152(12): 2792-2801.
Hofmann SG, Sawyer AT, Witt AA, & Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 2010; 78(2): 169.
Hayes SC, Strosahl KD, & Wilson KG. Acceptance and commitment therapy. New York: Guilford Press. 1999
Hayes SC, Luoma JB, Bond FW, Masuda A, & Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25.
Amini H, Alaghband-rad J, Sharifi V, et al. Validity of a Farsi translation of the composite international diagnostic interview (CIDI) to diagnose schizophrenia and bipolar disorder. JTUMS, 2006; 64 (8): 31-42.
DavariAshtiani R, Alagheband-rad H, Amini H, et al. Reliability of Farsi version of the comprehensive international diagnostic interview (CIDI) to diagnose schizophrenia and bipolar disorder. Cognitive Sci, 2004; (1 & 2): 1-9.
Patton JH,& Stanford MS. Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 1995; 51(6): 768-774.
Barratt E, Stanford MS, Kent TA, &Felthous A. Neuropsychological and cognitive psychophysiology substrates of impulsive aggression. Biologic Psychiatry, 2004; 41: 1045-61.
Swann AC, Bjork JM, Moeller FG, & Dougherty DM. Two models of impulsivity: relationship to personality traits and psychopathology.BiologicalPsychiatry, 2002; 51(12): 988-994.
Ekhtiari H, Safaei H, EsmaeeliJavid G, Atefvahid M, Edalati H &Mokri A .Reliability and Validity of Persian Versions of Eysenck, Barratt, Dickman and Zuckerman Questionnaires in Assessing Risky and Impulsive Behaviors. Iranian Journal of Psychiatry and Clinical Psychology, 2008; 14(3): 326-336.
Swann AC, Steinberg JL, Lijffijt M, & Moeller FG. Impulsivity: differential relationship to depression and mania in bipolar disorder. Journal of Affective Disorders, 2008; 106(3): 241-248.
Taylor CT, Hirshfeld-Becker DR, Ostacher MJ, Chow CW, LeBeau RT, Pollack MH, ... & Simon NM. Anxiety is associated with impulsivity in bipolar disorder. Journal of Anxiety Disorders, 2008; 22(5): 868-876.
Torres IJ, Boudreau VG, &Yatham LN. Neuropsychological functioning in euthymic bipolar disorder: a meta‐analysis. ActaPsychiatricaScandinavica, 2007; 116(s434): 17-26.
Oquendo MA, Friend JM, Halberstam B, Brodsky BS, Burke AK, Grunebaum MF, ... & Mann JJ. Association of comorbid posttraumatic stress disorder and major depression with greater risk for suicidal behavior. American Journal of Psychiatry, 2003; 160(3): 580-582.
Oquendo MA, Galfalvy H, Russo S, Ellis SP, Grunebaum MF, Burke A, & Mann JJ. Prospective study of clinical predictors of suicidal acts after a major depressive episode in patients with major depressive disorder or bipolar disorder. American Journal of Psychiatry, 2004; 161(8): 1433-1441.
Oquendo M, Brent DA, Birmaher B, Greenhill L, Kolko D, Stanley B, ... & Mann JJ. Posttraumatic stress disorder comorbid with major depression: factors mediating the association with suicidal behavior. American Journal of Psychiatry, 2005; 162(3): 560-566.
Baghooli H. Effectiveness of Acceptance and Commitment Therapy in reducing the severity of symptoms and improving the quality of life in patients with obsessive-compulsive disorder. Clinical Psychology doctoral thesis, University of Rehabilitation Sciences and Social Welfare. Iran
Kathleen Holmes M, Bearden CE, Barguil M, Fonseca M, SerapMonkul E, Nery FG, ... &Glahn DC. Conceptualizing impulsivity and risk taking in bipolar disorder: importance of history of alcohol abuse. Bipolar Disorders, 2009; 11(1): 33-40.
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