Effectiveness of Acceptance Commitment Therapy (ACT) in Social Anxiety Disorder: Application of a Longitudinal Method for Evaluation of Mediation Role of Acceptance, Cognitive Fusion and Values

IF 1 Q4 NEUROSCIENCES

Basic and Clinical Neuroscience Pub Date : 2023-07-01 DOI:10.32598/bcn.2021.2785.1

Esmail Soltani, Seyed Abdolmajid Bahrainian, Ali Farhoudian, Abbas Masjedi Arani, Latif Gachkar

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Abstract

Introduction: The aim of the present study was to examine the effectiveness of acceptance and commitment therapy (ACT) on symptom severity, fear of negative evaluation, quality of life (QoL), and the mediating role of acceptance, cognitive fusion, and value among patients with social anxiety disorder (SAD). Methods: Thirty patients diagnosed with SAD were randomized in the intervention (n=15) or waiting list groups (n=15). The social phobia and Anxiety inventory (SPAI), brief fear of negative evaluation scale (BFNE), World Health Organization quality of life (WHOQoL) scale, social anxiety-acceptance and action questionnaire (SA-AAQ), cognitive fusion questionnaire (CFQ), and valued living questionnaire (VLQ) were administered before, immediately after, and at a one-month follow-up. Repeated measurement design was used in the intervention group to investigate the changes of mediation and outcomes variables in the pre-test, during treatment, and post-test. Twenty-four patients completed the study. Data were analyzed using one-way analysis of covariance (ANCOVA), multivariate analysis of covariance (MANCOVA), and repeated measurements. Results: There were significant differences between the intervention and waiting list groups in the severity of symptoms (P=0.001), fear of negative evaluation (P=0.002), and QoL (P=0.03), as well as in terms of specific measures of SA-AAQ (P=0.001), cognitive fusion (P=0.001), an important section of VLQ (P=0.001). Repeated measurement results showed that acceptance and action of social anxiety and cognitive fusion had a mediating role in the severity of social anxiety, fear of negative evaluation, and QoL. Conclusion: The results indicated the effectiveness of ACT for SAD and highlighted the mediator role of social anxiety, acceptance and action, and cognitive fusion in the severity of SAD.

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接纳承诺治疗在社交焦虑障碍中的有效性:应用纵向方法评价接纳、认知融合和价值观的中介作用

摘要本研究旨在探讨接纳与承诺治疗(ACT)对社交焦虑障碍(SAD)患者症状严重程度、负面评价恐惧、生活质量的影响，以及接纳、认知融合和价值的中介作用。方法:30例确诊为SAD的患者随机分为干预组(n=15)和等候组(n=15)。随访前、随访后、随访1个月分别采用社交恐惧焦虑量表(SPAI)、短暂恐惧负面评价量表(BFNE)、世界卫生组织生活质量量表(WHOQoL)、社交焦虑接受与行动问卷(SA-AAQ)、认知融合问卷(CFQ)、生活价值问卷(VLQ)。干预组采用重复测量设计，考察前测、治疗中、后测中中介变量和结局变量的变化情况。24名患者完成了这项研究。数据分析采用单因素协方差分析(ANCOVA)、多因素协方差分析(MANCOVA)和重复测量。结果:干预组与等候组在症状严重程度(P=0.001)、对负面评价的恐惧(P=0.002)、生活质量(P=0.03)以及在VLQ的重要部分SA-AAQ的具体测量(P=0.001)、认知融合(P=0.001) (P=0.001)方面存在显著差异。重复测量结果显示，社交焦虑的接受、行动和认知融合对社交焦虑严重程度、负面评价恐惧和生活质量有中介作用。结论:表明ACT对SAD的治疗效果，并突出了社交焦虑、接受与行动、认知融合对SAD严重程度的中介作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Basic and Clinical Neuroscience NEUROSCIENCES-

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

4 weeks

期刊介绍： BCN is an international multidisciplinary journal that publishes editorials, original full-length research articles, short communications, reviews, methodological papers, commentaries, perspectives and “news and reports” in the broad fields of developmental, molecular, cellular, system, computational, behavioral, cognitive, and clinical neuroscience. No area in the neural related sciences is excluded from consideration, although priority is given to studies that provide applied insights into the functioning of the nervous system. BCN aims to advance our understanding of organization and function of the nervous system in health and disease, thereby improving the diagnosis and treatment of neural-related disorders. Manuscripts submitted to BCN should describe novel results generated by experiments that were guided by clearly defined aims or hypotheses. BCN aims to provide serious ties in interdisciplinary communication, accessibility to a broad readership inside Iran and the region and also in all other international academic sites, effective peer review process, and independence from all possible non-scientific interests. BCN also tries to empower national, regional and international collaborative networks in the field of neuroscience in Iran, Middle East, Central Asia and North Africa and to be the voice of the Iranian and regional neuroscience community in the world of neuroscientists. In this way, the journal encourages submission of editorials, review papers, commentaries, methodological notes and perspectives that address this scope.