{"title":"Acceptance and commitment therapy for psychological flexibility, hope and depression among people living with HIV/AIDS: a randomized controlled trial","authors":"Run Wang, Xianhong Li","doi":"10.1016/j.ijregi.2024.100544","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>People living with HIV/AIDS (PLWHA) are vulnerable to mental health problems. Mental health problems among PLWHA adversely impact HIV treatment outcomes and lower their quality of life. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) for hope, psychological flexibility and depression among PLWHA.</div></div><div><h3>Material and Methods</h3><div>Seventy HIV-infected patients with mild to moderate depressive symptoms were recruited from Designated AIDS Hospital in Changsha City and randomly assigned (1:1) to intervention groups (7 sessions) or control groups (7 sessions). The control group had access to 7 sessions of one-on-one conventional health education about HIV; those in the intervention group were provided with 7 sessions of psychological counseling based on Acceptance and Commitment during 3 months.</div></div><div><h3>Results</h3><div>The AAQ-II score was lower in the intervention group than in the control group, and the difference was not statistically significant (OR=1.409, 95% CI: 0.075-26.418, P=0.819). Compared with baseline, the AAQ-II scores of the patients in the intervention group showed a decreasing trend over time, and there was a significant decrease in the AAQ-II scores at the end of the 1st month of intervention and at the end of the 3rd month of intervention, and the difference was statistically significant (P<0.05). The intervention group scored higher levels of hope than the control group, and the difference was not statistically significant (OR=0.319, 95% CI: 0.047-2.155, P=0.241). The depression scores in the intervention group were lower than those in the control group, and the difference was not statistically significant (OR=4.055, 95% CI: 0.308-53.366, P=0.287).</div></div><div><h3>Discussion</h3><div>Acceptance and Commitment Therapy can effectively enhance the psychological flexibility increase the level of hope and reduce depression symptom among PLWHA.</div></div>","PeriodicalId":73335,"journal":{"name":"IJID regions","volume":"14 ","pages":"Article 100544"},"PeriodicalIF":1.5000,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IJID regions","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772707624002133","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction
People living with HIV/AIDS (PLWHA) are vulnerable to mental health problems. Mental health problems among PLWHA adversely impact HIV treatment outcomes and lower their quality of life. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) for hope, psychological flexibility and depression among PLWHA.
Material and Methods
Seventy HIV-infected patients with mild to moderate depressive symptoms were recruited from Designated AIDS Hospital in Changsha City and randomly assigned (1:1) to intervention groups (7 sessions) or control groups (7 sessions). The control group had access to 7 sessions of one-on-one conventional health education about HIV; those in the intervention group were provided with 7 sessions of psychological counseling based on Acceptance and Commitment during 3 months.
Results
The AAQ-II score was lower in the intervention group than in the control group, and the difference was not statistically significant (OR=1.409, 95% CI: 0.075-26.418, P=0.819). Compared with baseline, the AAQ-II scores of the patients in the intervention group showed a decreasing trend over time, and there was a significant decrease in the AAQ-II scores at the end of the 1st month of intervention and at the end of the 3rd month of intervention, and the difference was statistically significant (P<0.05). The intervention group scored higher levels of hope than the control group, and the difference was not statistically significant (OR=0.319, 95% CI: 0.047-2.155, P=0.241). The depression scores in the intervention group were lower than those in the control group, and the difference was not statistically significant (OR=4.055, 95% CI: 0.308-53.366, P=0.287).
Discussion
Acceptance and Commitment Therapy can effectively enhance the psychological flexibility increase the level of hope and reduce depression symptom among PLWHA.
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