Efficacy of Acceptance and Commitment Therapy on Impulsivity and Suicidality Among Clients With Bipolar Disorders
Psychiatric nurses face a huge challenge in predicting and preventing suicide behaviour in their patients with bipolar disorders, but it may also be one of the most accurate measures of how well their clinical care is working. In addition to, high impulsivity scores are associated with increased overall functional impairment, a higher number of episodes with early onset, and a higher number of past suicide attempts, as well as increased substance intake. Thus, this study aimed at evaluating the efficacy acceptance and commitment therapy on impulsivity and suicidality among bipolar clients.
Clients who engaged in acceptance and commitment therapy had less impulsivity than the control group.
Clients who engaged in acceptance and commitment therapy had less suicidality than the control group.
|Condition or Disease||Intervention/Treatment||Phase|
Arms and Interventions
|Active Comparator: patients with bipolar disorder who will partaicpmg in acceptance and commitment therapy
patients with bipolar disorder who will participate in acceptance and commitment therapy
Behavioral: acceptance and commitment therapy
ACT attempts to encourage psychological flexibility, acceptance of one's own experiences, and dedication to behaviours that are consistent with one's own values. ACT therapies focus on six key processes to improve psychological flexibility: engagement with the present moment, acceptance, defusion, self as context, values clarification, and committed action.
|Placebo Comparator: patients with bipolar disorder who will be under routine hospital care
patients with bipolar disorder who will be under routine hospital care
Other: routine hospital care
the patients with bipolar disorders who receive routine pharmacological treatment
Primary Outcome Measures
- Impulsivity [up to 16 weeks]
This questionnaire has 20 items that assess five aspects of impulsivity: positive eagerness, negative urgency, lack of perseverance, lack of premeditation, and sensation seeking. Each of the five aspects is evaluated using four items on a four-point Likert scales with anchors 1 (=Strongly agree) and 4 (=Strongly disagree). An elevated prevalence of impulsivity is reflected in higher scores.To create the Arabic S-UPPS-P, investigators had a professional translator translate the original S-UPPS-P's items from English into Arabic, and then back-translated into Arabic.
- Suicide Ideation [up to 16 weeks]
BSSI is a 19-item scale that assesses the presence and intensity of suicidal thoughts in the week before examination. Each item is rated on an ordinal scale of 0 to 2, and the total score ranges from 0 to 38. Individuals respond to the first five things that are excerpted. If an individual replies positively to the fifth item (scores 1 and 2), he or she answers the remaining items; otherwise, the questionnaire is finished. There was no cut-off point utilised to classify the scores. As a result, for data analysis, investigators used overall scale scores.The more score increased, the more the client vulnerable to suicide.
Clients had to be at least 18 years old
able to converse intelligibly and meaningfully
read and write
have an illness that hadn't lasted more than 10 years to assure the client's functionality
ready to take part in the study.
Clients who demonstrated psychotic symptoms
attended another group sessions
were intoxicated or under the influence of alcohol
had any comorbidity were excluded from this study
Contacts and Locations
|1||Faculty of Nursing||Alexandria||Egypt||002|
Sponsors and Collaborators
- Alexandria University
Study Documents (Full-Text)None provided.
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- Bteich G, Berbiche D, Khazaal Y. Validation of the short Arabic UPPS-P Impulsive Behavior Scale. BMC Psychiatry. 2017 Jul 6;17(1):244. doi: 10.1186/s12888-017-1407-y.
- Pankowski S, Adler M, Andersson G, Lindefors N, Svanborg C. Group acceptance and commitment therapy (ACT) for bipolar disorder and co-existing anxiety - an open pilot study. Cogn Behav Ther. 2017 Mar;46(2):114-128. doi: 10.1080/16506073.2016.1231218. Epub 2016 Sep 19.
- Shahed, H., Ghadam, H., Taghva, A., Ebrahimi, M. R., Donyavi, V., & Ghasemzadeh, M. R. (2020). Effectiveness of Acceptance and Commitment Therapy in Reducing Symptoms of Anxiety , Depression , and Suicidal Ideation in Iranian Veterans Referred to a Military Psychiatric Hospital.
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