Evaluation of mediators of change in the treatment of epilepsy with acceptance and commitment therapy
Evaluation of mediators of change in the treatment of epilepsy with acceptance and commitment therapy
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DOI：
10.1007/s10865-008-9151-x
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发表时间：
2008-06-01
影响因子：
3.1
通讯作者：
Hayes, Steven C.
中科院分区：
文献类型：
--
作者：
Lundgren, Tobias;Dahl, JoAnne;Hayes, Steven C.
本研究考察了改变的中介因素，解释了先前发表的一项关于接受和承诺治疗癫痫自我管理及其对生命限制的影响的研究结果。与注意安慰剂对照组相比，对27名南非穷人进行的9小时ACT方案包括癫痫发作管理方法被证明大大减少了癫痫发作并提高了明年的生活质量。一系列自举的非参数多中介检验表明，癫痫发作、生活质量和幸福感结果的前期和后续变化在一定程度上受到癫痫相关接受或输血、价值获得、面对障碍的坚持性或它们的组合的ACT过程测量的中介。这项研究的结果有助于理解癫痫患者的背景条件作用机制，并可能表明帮助人们过上重要的生活也可能有助于减少癫痫发作。
The present study examined the mediators of change accounting for outcomes of a previously published study on acceptance and commitment therapy for the self-management of epilepsy and its life restricting impact. Conducted with 27 poor South Africans, a 9-h ACT protocol that included seizure management methods was shown to greatly reduce epileptic seizures and to increase quality of life over the next year as compared to an attention placebo control. A series of bootstrapped non-parametric multiple mediator tests showed that pre to follow-up changes in: seizures, quality of life, and well-being outcomes were mediated to a degree by ACT process measures of epilepsy-related acceptance or defusion, values attainment, persistence in the face of barriers, or their combination. The results of this study contribute to the understanding of the contextual conditioning mechanisms at work for those suffering from epilepsy and may show that helping people live vital lives may also help to reduce seizures.