A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities

Davison, Tanya E.; Eppingstall, Barbara Joan; Runci, Susannah Jane; O'Connor, Daniel William

doi:10.1080/13607863.2016.1156051

Cited by 44 publications

(23 citation statements)

References 33 publications

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“…Only two studies were found to specifically examine the GAI's psychometric properties with RACF residents, with one examining reliability, discriminant validity, sensitivity, and specificity (Gerolimatos et al, 2013), and one examining the GAI's predictive validity (Boddice et al, 2008) (Table 2). Gerolimatos et al (2013) found excellent internal consistency (α = 0.92), with Davison et al (2016) also finding high internal reliability in their sample of 41 residents (α = 0.89). To the authors' knowledge, the GAI's test-retest and inter-rater reliability in RACFs is unknown, but research in non-RACF samples have reported it to be excellent (test-retest after one week: r = 0.86-0.91; interrater reliability: r = 0.89-0.99; Pachana et al, 2007;Rozzini et al, 2009).…”

Section: N D D E P R E S S I O N S C a L Ea N X I Et Y S U B S C A L Ementioning

confidence: 92%

The assessment of anxiety in aged care residents: a systematic review of the psychometric properties of commonly used measures

Creighton

Davison

Kissane

2017

Int. Psychogeriatr.

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Section: N D D E P R E S S I O N S C a L Ea N X I Et Y S U B S C A L Ementioning

confidence: 92%

The assessment of anxiety in aged care residents: a systematic review of the psychometric properties of commonly used measures

Creighton

Davison

Kissane

2017

Int. Psychogeriatr.

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“…Depression among elderly people has been investigated in a few studies. A 12-session ACT intervention was offered to elderly adults living in long-term care, and depression measures showed significant decreases for the ACT group compared to waiting-list controls with maintenance of outcomes at the 3-month follow-up (Davison, Eppingstall, Runci, & O'Connor, 2017). Karlin et al (2013) compared younger and older veterans receiving an ACT for depression intervention (model and overall outcomes presented in Walser et al (2013).…”

Section: Face-to-face Acceptance-and Value-based Interventions For Dementioning

confidence: 99%

What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depressive symptoms

Kohtala

Muotka

Lappalainen

2017

Journal of Contextual Behavioral Science

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The main objective of this study was to investigate a brief 4-session intervention based on a theoretical framework of acceptance and commitment therapy (ACT), and to explore its short-and long-term effectiveness among individuals reporting depressive symptoms. Additionally, the research aimed at further exploring the elements of psychological flexibility and mindfulness associated with improvements in depressive symptoms. The dissertation comprises three studies. Study I investigated the effectiveness of the brief intervention compared to a waiting-list control group. In total, 57 participants were randomized into either the ACT intervention (n = 28) or the waiting-list control (WLC; n = 29) group, the WLC participants receiving the same intervention later. Additionally, both groups were combined at the 6-month follow-up assessment to gather evidence on the short-term outcomes of the intervention. Study II further explored the effects of the brief intervention by extending the follow-up period to five years. Of the original sample, 60% (n = 35) attended the 5-year follow-up measurement. Study III examined the associations of depressive symptoms with psychological flexibility and mindfulness skills with a subgroup of 33 participants. In Studies I and II, reductions in depressive symptoms were detected after the intervention and the outcomes were maintained across the 5-year follow-up period. Significant improvements were also found in other measures and in psychological flexibility during the treatment period with similarly maintained long-term outcomes. The crosssectional results from Study III showed that higher levels of depressive symptoms at baseline were associated with higher levels of observing and lower levels of psychological flexibility, accepting without judgment and acting with awareness. The findings on treatment-related and long-term changes in depressive symptoms suggest that non-judgmental acceptance was an important factor in the brief intervention. In sum, this study supports the use of the brief 4-hour ACT-based intervention for low mood and emphasizes the importance of developing non-judgmental when treating symptoms of depression.

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“…[ 16 17 18 ] ACT treatment involves six core processes (acceptance, cognitive defusion, self-as-context, being present, value, committed action), and acceptance, cognitive defusion, self-as-context, and being present belong to the acceptance and mindfulness process. ACT is becoming an increasingly popular approach that has been applied widely to treat anxiety,[ 19 ] depression,[ 20 ] diabetes mellitus,[ 21 ] chronic pain,[ 22 ] cancer,[ 23 ] and obesity. [ 24 ] The process goal of ACT in those treatments is to enhance the psychological flexibility of participants and finally to achieve better health status.…”

Section: Introductionmentioning

confidence: 99%

Psychological flexibility of nurses in a cancer hospital: Preliminary validation of a chinese version of the work-related acceptance and action questionnaire

Liu

et al. 2018

Asia-Pacific Journal of Oncology Nursing

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Objective:To translate the English work-related acceptance and action questionnaire (WAAQ), make cross-cultural adaptations, and examine its psychometric properties when used by Chinese oncology nurses.Methods:After translation, the psychometric properties of the Chinese WAAQ were analyzed among 417 nurses, and content validity was determined by six experts.Results:Item-level content validity index (CVI) values were between 0.83 and 1.00; scale-level CVI/universal agreement (S-CVI/UA) and S-CVI/average were 0.86 and 0.98, respectively, which implicated a good content validity. The correlation of the Chinese WAAQ with AAQ-II (rs = −0.247, P < 0.001) suggested criterion validity, and those with General Health Questionnaire-12 (−0.250, <0.001) and general self-efficacy scale (0.491, <0.001) and Utrecht work engagement scale (UWES) (0.439, <0.001) suggested convergent validity. Exploratory factor analysis identified a seven-item, one-factor structure of WAAQ. The Chinese version of WAAQ had high internal consistency (Cronbach's α = 0.920), with an item-total correlation coefficient of 0.702–0.828 (P < 0.05), split-half reliability of 0.933, and test-retest reliability of 0.772.Conclusions:The Chinese WAAQ is a reliable and valid tool for assessing psychological flexibility in Chinese oncology nurses.

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A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities

Abstract: This preliminary trial suggests that ACT shows promise as a therapeutic approach to address symptoms of depression in long-term care.

Cited by 44 publications

References 33 publications

The assessment of anxiety in aged care residents: a systematic review of the psychometric properties of commonly used measures

The assessment of anxiety in aged care residents: a systematic review of the psychometric properties of commonly used measures

What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depressive symptoms

Psychological flexibility of nurses in a cancer hospital: Preliminary validation of a chinese version of the work-related acceptance and action questionnaire

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