Cerebral palsy is one of the most common causes of motor disability in children which causes many psychological problems in them. Because these children need the constant care and support of their parents, they create many stresses and problems for all family members, especially the mother. The purpose of this study was to determine the effectiveness of acceptance and commitment based therapy on psychological distress and negative automatic thoughts in mothers of children with cerebral palsy.
This was a quasi-experimental study with pretest-posttest and follow-up with control group. The statistical population consisted of all mothers of children with cerebral palsy in Dorud city in the academic year of 2017. Sample size in this study consisted of 30 mothers from the mentioned papulation who were selected by convenient sampling method and were randomly divided into experimental and control groups. Data collection tools included Brief Symptom Inventory (Derogatis, 2000) and Automatic Thoughts Questionnaire (Hollon & Kendall, 1980). Acceptance and commitment based therapy was given to the experimental group for 8 sessions of 90 minutes. Data were analyzed using repeated measures analysis of variance.
The results showed that acceptance and commitment based therapy had a significant effect on decreasing the dimensions of psychological distress (somatization, depression, and anxiety) and negative automatic thoughts (amount of thoughts and beliefs about thoughts) (p <0.05). The effect size for the dimensions of psychological distress were 0.66, 0.56, and 0.71, respectively, and for the dimensions of negative automatic thoughts were 0.58 and 0.73, respectively
The results of this study emphasize the usefulness of acceptance and commitment therapy in reducing psychological distress and negative thoughts in mothers of children with cerebral palsy, so this training can be used as an effective method of reducing Psychological problems and improve the mental health of mothers with children with cerebral palsy.
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