Efficacy of Acceptance and Commitment Therapy on Psychological Health and Inflexibility among Mothers of Children with Cerebral Palsy

Damilola Adepeju Olayinka-Aliu

Abstract


Caregiving may be a burden to the Psychological Health (PH) of mothers of children with Cerebral Palsy (CP). However, little attention is given to psychotherapeutic intervention in managing mothers caring for such children in Nigeria. This study, therefore, investigated the efficacy of Acceptance and Commitment Therapy (ACT) among mothers of children with CP accessing therapeutic outpatient services at Federal Psychiatric Hospital (FPH) Lagos, Nigeria. This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selected through volunteered sampling among mothers of children with CP accessing therapeutic outpatient services at child/adolescent unit of Federal Psychiatric Hospital. Then, they were randomly placed into two groups of 20 (experimental and control) each and evaluated using research tools. Research tools consisted of Acceptance and Action Questionnaire (AAQ-II) and Cerebral Palsy Psychological Health Scale (CPPHS) whose reliability and validity have been confirmed in previous studies. Research data were analysed using the analysis of covariance (ANCOVA). The statistical analysis confirmed the difference in the components of psychological health and acceptance level/psychological flexibility in the experimental group, which had received acceptance and commitment therapy compared to the group that had not received any therapy in this regard (control group) (p<.05). The ACT had significant effect on Psychological Health {F (1.36) =7.94} after controlling for severity of illness and parental knowledge. Participants in experimental group improved in their Psychological Health when compared with those in control group {t(38) = 3.20}. Acceptance level/ psychological flexibility of the mothers improved after intervention with a decrease in pretest mean score (= 31.60) to posttest mean score (= 24.10). Acceptance and commitment therapy improves psychological health


Keywords


acceptance and commitment therapy; cerebral palsy; psychological flexibility; psychological health

References


Arch, J., Eifert, G. H., Davies, C., Vilardaga, J. P., Rose, R. D., & Craske, M. G. (2012). Randomized Clinical trial of Cognitive Behavioural Therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750-765.

Azeem, W. A., Dogar, I. A., Shah, S., Cheema, M. A., & Asmat, A. (2013). Anxiety and depression among parents of children with intellectual Disability in Pakistan. Journal of Canadian Academy of Child and Adolescent Psychiatry. 22(4), 290-295.

Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the re-hospitalisation of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70 (5), 1129‐1139.

Begum, M. O., & Ona, M. O. (2010). Comparative study to evaluate the psychological status of mothers of children with cerebral palsy and mothers of normal children. India Journal of Occupational Therapy, 42 (2), 3-9.

Bethay, J. S., Wilson, K. G., Schnetzer, L.W., Nassar, S. L., & Bordieri, M. J. (2013). A controlled pilot evaluation of acceptance and commitment training for intellectual disability staff. Mindfulness, 4(2), 133-121.

Bohlmeijer, E. T., Fledderus, M., Rokx, T. A., & Pieterse, M. E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults’ depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49, 62‐67.

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Acceptance and action questionnaire and variations. Behaviour Therapy, 42(4), 676-688.

Daniel, J., Okefienam, E., Ugorji, T., Agbasi, P., Onyido, D., Odoh, I., Fakorede, S. & Egbujo, S. (2021). Challenges faced by Nigerian parents with disabled children in caring for them. Open Journal of Social Sciences, 9, 201-212. http://dx.doi.org/10.4236/jss.2021.910015.

Eberl, A., Lang, S., & Seebaß, K. (2017). The impact of informal care and employment on the mental health of the caregiver. Sozialer Fortschritt, 66(1), 77-96.

Flaxman, P. E., & Bond, F. W. (2010). A randomized worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 43, 816‐820.

Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled: effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behaviour Modification, 31(6), 772‐799.

Fredriksen-Goldsen, K. I., & Scharlach, A. E. 2001. Families and work. New directions in the 21st century. Oxford University Press.

Geere, J. L., Gona, J., Omondi, F. O., Kifalu, M. K., Newton, C. R., & Hartley, S. (2012). Caring for children with physical disability in Kenya: potential links between caregiving and carers' physical health. Child Care Health Development, 39(3), 381-92. http://dx.doi.org/10.1111/j.1365-2214.2012. 01398.x

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., & McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. Psychological Record, 54(4), 553-578.

Heydari, M., Masafi, S., Jafari, M., Saadat, S. H., & Shahyad, S. (2018). Effectiveness of Acceptance and Commitment Therapy on Anxiety and Depression of Razi Psychiatric Center Staff. Open access Macedonian journal of medical sciences, 6(2), 410–415. https://doi.org/10.3889/oamjms.2018.064

Hulbert-Williams, N. J., Storey, L., & Wilson, K. G. (2015). Psychological interventions for patients with cancer: Psychological flexibility and the potential utility of acceptance and commitment therapy. European Journal of Cancer Care, 24(1), 15-27. Retrieved from http://dx.doi.org/10.1111/ecc.12223

Landy, L. N., Schneider, R. L., & Arch, J. J. (2015). Acceptance and commitment therapy for the treatment of anxiety disorders: A concise review. Current Opinion in Psychology, 2, 70-74.

McCracken, L. M., & Vowles, K. E. (2014). Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress. American Psychology Journal, 69, 178-187.

Moosa-Tayob, S., Risenga, P. R. (2022). Challenges of caregivers providing care to children with disabilities at non-governmental organisations in Tshwane townships, South Africa. African Journal of Disability, 28,11: 930. http://dx.doi.org/10.4102/ajod. v11i0.930.

Olayinka-Aliu, D. A. (2016). Development and Validation of a Scale to Measure Psychological Health among Informal Caregivers of Children with Intellectual Disability. (in press)

Palisano, R., Rosenbaum, P., Bartlett, D., & Livingston, M. (2007). Gross motor function classification system. Developmental Medicine and Child Neurology, 39, 214-223.

Shilpa, K. A., Anjul, A & Hemar, M. (2014). Measurement of parental knowledge of cerebral palsy. International Journal of Pediatrics, 2014 (2014), 573698-573702.

Wilson, K. G., Sandoz, E. K., Kitchens, J., Roberts, M. (2010). The valued living questionnaire: Defining and measuring valued action within a behavioural framework. The Psychological Record, 60(2), 249-272.

Witt, W. P., Riley, A. W., & Coiro, M. J. (2003). Childhood functional status, family stressors and psychosocial adjustment among school-aged children with disabilities. Pediatric Adolescent Medicine, 157 (7): 687-695.

World Health Organisattion. (2003). Investing in mental health. Geneva: World Health Organisation.


Full Text: PDF

DOI: 10.15408/tazkiya.v10i2.23175

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.