The Effects of Acceptance and Commitment Therapy (ACT) on Depression in TB-HIV Co-infection Patients
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Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.
Methods:This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.
Results: The majority of respondents were male (66.1%). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50%). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0.00).
Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.
A-Tjak, J.G., Davis, M.L., Morina, N., Powers, M.B., Smits, J.A.J., & Emmelkamp, P.M.G. (2015). A Meta Analysis of the Efficacy of Acceptance and Commitment Therapy for Clinically Relevant Mental and Physical Health Problems. Psychotherapy and Psychosomatics, 84, 30–36. https://doi.org/10.1159/000365764
Bai, Z., Luo, S., Zhang, L., Wu, S., & Chi, I. (2020). Acceptance and Commitment Therapy (ACT) to Reduce Depression: A Systematic Review and Meta-analysis. Journal of Affective Disorders, 260(May 2019), 728–737. https://doi.org/10.1016/j.jad.2019.09.040
Bhatia, M.S., & Munjal, S. (2014). Prevalence of depression in people living with HIV/AIDS undergoing art and factors associated with it. Journal of Clinical and Diagnostic Research, 8(10), 1–4. https://doi.org/10.7860/JCDR/2014/7725.4927
Bohlmeijer, E.T., Fledderus, M., Rokx, T. A.J.J., & Pieterse, M.E. (2011). Efficacy of an Early Intervention Based on Acceptance and Commitment Therapy for Adults with Depressive Symptomatology : Evaluation in a Randomized Controlled Trial. Behaviour Research and Therapy, 49(1), 62–67. https://doi.org/https://doi.org/10.1016/j.brat.2010.10.003
Bramwell, K., & Richardson, T. (2018). Improvements in Depression and Mental Health After Acceptance and Commitment Therapy are Related to Changes in Defusion and Values-Based Action. Journal of Contemporary Psychotherapy, 48(1), 9–14. https://doi.org/10.1007/s10879-017-9367-6
Bruchfeld, J., Correia-Neves, M., & Kallenius, G. (2015). Tuberculosis and HIV Coinfection. Cold Spring Harbor Perspectives in Medicine, 5(7), 1–15. https://doi.org/10.1101/cshperspect.a017871
Deribew, A., Deribe, K., Reda, A.A., Tesfaye, M., Hailmichael, Y., & Maja, T. (2013). Do common mental disorders decline over time in TB/HIV co-infected and HIV patients without TB who are on antiretroviral treatment? BMC Psychiatry, 13(1), 1. https://doi.org/10.1186/1471-244X-13-174
Far, S.T., Gharraee, B., Birashk, B., & Habibi, M. (2017). Effectiveness of acceptance and commitment therapy and cognitive therapy in patients with major depressive disorder. Iranian Journal of Psychiatry and Behavioral Sciences, 11(4). https://doi.org/10.5812/ijpbs.3459
Farb, N., Anderson, A., Rayindran, A., Hawley, L., Irving, J., Mancuso, E,... Segal, Z.V. (2018). Prevention of relapse/recurrence in major depressive disorder with either mindfulness-based cognitive therapy or cognitive therapy. Journal of Consulting and Clinical Psychology, 86(2), 200–204. https://doi.org/https://doi.org/10/1037/ccp0000266
Gebrezgiabher, B.B., Abraha, T.H., Hailu, E., Siyum, H., Mebrahtu, G., Gidey, B.,... Angesom, T. (2019). Depression among Adult HIV/AIDS Patients Attending ART Clinics at Aksum Town, Aksum, Ethiopia: A Cross-Sectional Study. Depression Research and Treatment, 2019. https://doi.org/10.1155/2019/3250431
Hayes, S., & Waltz, T. (2010). Acceptance and Commitment Theraphy In Cognitive Behavioral Therapy in Clinical Practice. The Guilford Press.
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. Public Health, 15. https://doi.org/10.3889/oamjms.2018.064
Karyotaki, E. (2018). Internet Based Interventions for People wih HIV and Depression. Lanset, 5(9), 474 475. https://doi.org/10.1016/S2352-3018(18)30172-3
Kim, J.L., Cho, J., Park, S., & Park, E.C. (2015). Depression symptom and professional mental health service use. BMC Psychiatry, 15(1), 1–12. https://doi.org/10.1186/s12888-015-0646-z
Larson, H., Moverman, H., Saito, S., Frederix, K., Pitt, B., Maime, M., & Howard, A.A. (2017). Depressive Symptoms and Hazardous/Harmful Alcohol Use are Prevalent and Correlate with Stigma among TB-HIV Patients in Lesotho. Physiology & Behavior, 176(1), 139–148. https://doi.org/10.1016/j.physbeh.2017.03.040
Lofgren, S.M., Nakasujja, N., & Boulware, D.R. (2018). Systematic Review of Interventions for Depression for People Living with HIV in Africa. AIDS and Behavior, 22(1), 1–8. https://doi.org/10.1007/s10461-017-1906-3
Maartens, G., Ceum, C., & Lewin, S.R. (2014). HIV Infection: Epidemiology, Pathogenesis, Treatment, and Prevention. Lanset, 384, 2014 258-271. https://doi.org/10.1016/S0140-6736(14)60164-1
Mohamadian, F., Bagheri, M., Hashemi, M.S., & Komeili Sani, H. (2018). The Effects of Cognitive Behavioral Therapy on Depression and Anxiety among Patients with Thalassemia: a Randomized Controlled Trial. Journal of Caring Sciences, 7(4), 219–224. https://doi.org/10.15171/jcs.2018.033
Mohammadi, F., Fard, F.D., & Heidari, H. (2014). Effectiveness of Logo Therapy in Hope of Life in The Women Depression. Social and Behavioral Sciences, 159, 643 – 646. https://doi.org/10.1016/j.sbspro.2014.12.440
Montgomery,K.L., Kim, J, S., & FranklinC. (2011). Acceptance and Commitment Therapy: for Physiological and Psychological Illness. National Association of Social Worker.
Nasronudin. (2012). HIV & AIDS. Pendekatan Biologi Molekuler, Klinis dan Sosial. Airlangga University Press.
Rauwenhoff, J., Peeters, F., Bol, Y., & Van Heugten, C. (2019). The Brain ACT study : acceptance and commitment therapy for depressive and anxiety symptoms following acquired brain injury : study protocol for a randomized controlled trial. BMC, 20(773), 1–10. https://doi.org/10.1186/s13063-019-3952-9
Syndrome, M., Maghsoudi, Z., Razavi, Z., Razavi, M., & Javadi, M. (2019). Efficacy Of Acceptance And Commitment Therapy For Emotional Distress In The Elderly With Type 2 Diabetes : A Randomized Controlled Trial. Dovepress, 12, 2137–2143. https://doi.org/10.2147/DMSO.S221245
Todd, J.V., Cole, S.R., Pence, B.W., Lesko, C.R., Bacchetti, P., Cohen, M. H., & Adimora, A.A. (2017). Effects of Antiretroviral Therapy and Depressive Symptoms on All-Cause Mortality Among HIV-Infected Women. American Journal of Epidemiology, 185, 869–878. https://doi.org/10.1093/aje/kww192
Tran, B.X., Ho, R.C.M., Ho, C.S.H., Latkin, C.A., Phan, H.T., Ha, G.H.H., ... Zhang, M.W.B. (2019). Depression among Patients with HIV/AIDS: Research Development and Effective Interventions. Environment Research Public Health, 16, 1–15. https://doi.org/10.3390/ijerph16101772 w
Twohig, M. (2012). Acceptance and Commitment Therapy. Cognitive and Behavioral Practice, 19, 499–507. https://doi.org/10.1016/j.cbpra.2012.04.003
UNAIDS. (2019). Global HIV & AIDS Statistics. Www.Unaids.Org. https://www.unaids.org/en/resources/fact-sheet
Uthman, O.A., Magidson, J.F., Safren, S.A., & Nachega, J.B. (2014). Depression and Adherence to Antiretroviral Therapy in Low-, Middle- and High-Income Countries: A Systematic Review and Meta-Analysis. Current HIV/AIDS Reports, 11, 291–307. https://doi.org/10.1007/s11904-014-0220-1
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