Brief group‐based acceptance and commitment therapy for stroke survivors

Majumdar, Sarah; Morris, Reg

doi:10.1111/bjc.12198

Cited by 67 publications

(65 citation statements)

References 76 publications

(92 reference statements)

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“…Positive expectancies such as general self-efficacy and hope are associated with greater psychological flexibility as well as less experiential avoidance and anxiety sensitivity (Ciarrochi, Sahdra, Marshall, Parker, & Horwath, 2014;Ruiz, 2014;Wicksell et al, 2012). A number of studies indicate that hope and general self-efficacy increase among populations with illnesses who have completed ACT (Ghasemi, Dehghan, Farnia, Tatari, & Alikhani, 2016;Majumdar & Morris, 2019;Wicksell et al, 2012). In addition, greater selfefficacy for coping by effectively regulating emotions is associated with acceptance of negative emotions and less emotion suppression (Kivity, Tamir, & Huppert, 2016).…”

Section: Discussionmentioning

confidence: 99%

Hope, optimism, self‐efficacy, and posttraumatic stress disorder: A meta‐analytic review of the protective effects of positive expectancies

2019

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Objective The present meta‐analysis consolidated research examining how positive expectancies (e.g., hope, self‐efficacy, and optimism) may protect against the development of posttraumatic stress disorder (PTSD). Method Articles were identified by searching PILOTS, PsycINFO, PubMed, and ProQuest Dissertations and Theses databases. Results Aggregated results from 154 studies indicated that positive expectancies were associated with lower levels of PTSD symptoms. This relationship was stronger for coping‐specific self‐efficacy (k = 38, r = −.49; −.54 to −.43) and hope (k = 20, r = −.34; −.39 to −.28) compared with general self‐efficacy (k = 45, r = −.25; −.30 to −.20) and optimism (k = 59, r = −.29; −.33 to −.25) when examining cross‐sectional studies, and results were consistent in prospective studies. Age and gender did not moderate the cross‐sectional relationships. Conclusions These findings indicate that positive expectancies predict post‐trauma resilience. Future research should identify moderators and examine positive expectancies as mechanisms of change in therapy.

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Section: Discussionmentioning

confidence: 99%

Hope, optimism, self‐efficacy, and posttraumatic stress disorder: A meta‐analytic review of the protective effects of positive expectancies

2019

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“…However, novel psychological interventions are emerging that may be worthy of consideration. For example, acceptance and commitment therapy (Majumdar & Morris, 2019) is a psychological intervention that focuses on promoting acceptance and pursuit of a valued life, whilst acknowledging physical limitations and psychological distress. Positive psychology based interventions (Cullen et al, 2018) may enhance wellbeing by increasing experiences of pleasure, engagement and meaning by focusing on character strengths such as gratitude, optimism, hope and personal growth.…”

Section: Discussionmentioning

confidence: 99%

Goal attainment, adjustment and disengagement in the first year after stroke: A qualitative study

Scobbie

Brady

Duncan

et al. 2020

Neuropsychological Rehabilitation

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Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor's experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors' to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the GAP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The GAP framework can support these different pathways to goal attainment.

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“…To our knowledge, no large RCTs have been conducted investigating the effectiveness of ACT for anxiety and depressive symptoms following TBI or stroke. However, earlier studies have shown promising results [29–31]. The aim of the proposed study is to investigate the clinical and cost effectiveness of an upcoming cognitive behavioural therapy, ACT, for anxiety and depressive symptoms following ABI.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, there is some evidence that people who developed depressive or anxiety symptoms after ABI can benefit from ACT. Majumdar and Morris [29] performed a randomized controlled trial (RCT) in which an ACT group-intervention of four weekly didactic PowerPoint sessions was compared to treatment as usual in stroke survivors. They found that people in the ACT intervention showed a significant reduction in depression and increased hopefulness and self-rated health.…”

Section: Introductionmentioning

confidence: 99%

The BrainACT study: acceptance and commitment therapy for depressive and anxiety symptoms following acquired brain injury: study protocol for a randomized controlled trial

Rauwenhoff

Peeters

Bol

et al. 2019

Trials

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BackgroundFollowing an acquired brain injury, individuals frequently experience anxiety and/or depressive symptoms. However, current treatments for these symptoms are not very effective. A promising treatment is acceptance and commitment therapy (ACT), which is a third-wave behavioural therapy. The primary goal of this therapy is not to reduce symptoms, but to improve psychological flexibility and general well-being, which may be accompanied by a reduction in symptom severity. The aim of this study is to investigate the effectiveness of an adapted ACT intervention (BrainACT) in people with acquired brain injury who experience anxiety and/or depressive symptoms.MethodsThe study is a multicenter, randomized, controlled, two-arm parallel trial. In total, 94 patients who survive a stroke or traumatic brain injury will be randomized into an ACT or control (i.e. psycho-education and relaxation) intervention. The primary outcome measures are the Hospital Anxiety and Depression Scale and the Depression Anxiety Stress Scale. Outcomes will be assessed by trained assessors, blinded to treatment condition, pre-treatment, during treatment, post-treatment, and at 7 and 12 months.DiscussionThis study will contribute to the existing knowledge on how to treat psychological distress following acquired brain injury. If effective, BrainACT could be implemented in clinical practice and potentially help a large number of patients with acquired brain injury.Trial registrationDutch Trial Register, NL691, NTR 7111. Registered on 26 March 2018. https://www.trialregister.nl/trial/6916.

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Brief group‐based acceptance and commitment therapy for stroke survivors

Cited by 67 publications

References 76 publications

Hope, optimism, self‐efficacy, and posttraumatic stress disorder: A meta‐analytic review of the protective effects of positive expectancies

Hope, optimism, self‐efficacy, and posttraumatic stress disorder: A meta‐analytic review of the protective effects of positive expectancies

Goal attainment, adjustment and disengagement in the first year after stroke: A qualitative study

The BrainACT study: acceptance and commitment therapy for depressive and anxiety symptoms following acquired brain injury: study protocol for a randomized controlled trial

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