Effect of acceptance and commitment therapy on rehabilitation patients with spinal cord injury
DOI: 212 Downloads 4147 Views
Author(s)
Abstract
This study aimed to explore the differences between the effectiveness of using a combination of rehabilitation and acceptance commitment therapy (ACT), and rehabilitation therapy alone for the treatment of spinal cord injury (SCI). The newly admitted patients with spinal cord injury whose post-traumatic stress disorder (PTSD) score was higher than 38 points were randomly categorized into the treatment group and control group, with 30 patients in each group. One group underwent ACT and rehabilitation treatment, while the other underwent rehabilitation treatment only. PTSD and functional independence measure (FIM) scores were evaluated. Changes in scores were compared between the two groups before, one month, two months, and three months after treatment. The total PTSD score in SCI patients who were treated with ACT was significantly different before and after treatment (P<0.05). Total FIM scores were also significantly different before and after treatment (P<0.05). The FIM score in the treatment group was significantly higher than that in the control group after 2 and 3 months of treatment (P<0.05). The combination of rehabilitation therapy and ACT could immediately reduce stress levels and significantly improve impaired function, lifelong self-care ability, and the impact of rehabilitation therapy.
Keywords
Acceptance commitment therapy, Spinal cord injury, Motor function, Stress level, Rehabilitation therapy
Cite this paper
Gang-Huang, Bin Lai Lin, Jian Hui Hu, Fu Hua Qiu, Wen Ya Zhang, Zhi Liang Zhang, Hong Fan, Min Lu, Jiang Bo Li,
Effect of acceptance and commitment therapy on rehabilitation patients with spinal cord injury
, SCIREA Journal of Clinical Medicine.
Volume 5, Issue 4, August 2020 | PP. 66-75.
References
[ 1 ] | Sara.J.Cuccurullo.MD,”Physical Medicine and Rehabilitation Board Review”,Musculoskeletal Medicine,vol.10,pp.551-553,2016. |
[ 2 ] | J.Li,M.Yang,D.Yang et al,”Experts Consensus on ‘Assessment, Treatment and Rehabilitation of Traumatic Spinal Cord Injury’",Theory and Practice of Rehabilitation in China,vol.23,no.3,pp.274-287,2017. |
[ 3 ] | Pupo.MC,Jorge.MR,Schoedl.AF et al.”The accuracy of the Clinician-Administered PTSD Scale(CAPS) to identify PTSD cases in victims of urban violence”,Phychiat Res,vol.185,pp.157-160,2011. |
[ 4 ] | Heather.M.Flett,Jude.J. Delparte,Carol.Y. Scovil et al.”Determining pressure injury risk on admission to inpatient spinal cord injury rehabilitation: A comparison of the Functional Independence Measure, Spinal Cord Injury Pressure Ulcer Scale, and Braden scale”, Archives of Physical Medicine and Rehabilitation,vol.100,no.10,pp.1881-1887,2019. |
[ 5 ] | Pellatt.GC,”Perceptions of the nursing role in spinal cord injury rehabilitation”, British Journal of Nursing,vol.12,no.5,pp.292-299,2003. |
[ 6 ] | Hugues.B.PhD,Michel.L.MSc,Kathleen.E.PhD et al.”Walking after spinal cord injury: Evaluation, treatment, and functional recovery”,Physical Medicine and Rehabilitation,vol.80,no.2,pp225-235,1999. |
[ 7 ] | Dijkers.M.P, Zanca.J.M,”Factors Complicating Treatment Sessions in Spinal Cord Injury Rehabilitation: Nature, Frequency, and Consequences”,The American Congress of Rehabilitation Medicine,vol.10,pp.11–15,2011. |
[ 8 ] | Russ.Harris,”Act Made Simple: An Easy-to-Read Primer on Acceptance and Commitment Therapy”,New Harbinger,vol.11,no.5,pp.54-60,2009. |
[ 9 ] | G. Gosman-Hedström, E. Svensson,”Parallel reliability of the Functional Independence Measure and the Barthel ADL index”,Disability and rehabilitation,vol.6,no.7,pp.702-715,2009 |
[ 10 ] | J.B.Li,”Analysis of Morita Psychotherapy”, Peking University Medical Press,vol.8,pp.86-91,2019. |
[ 11 ] | Y.Chen,Z.H.Zhu, ”Summarize of Acceptance commitment therapy for post-traumatic stress disorder”,Chinese Journal of Clinical Psychology,vol.26,no.1,pp.205-208,2018. |
[ 12 ] | Jared.F. Roush,Sarah.L.Brown,Sean.M.Mitchell et al. “Experiential avoidance, cognitive fusion, and suicide ideation among psychiatric inpatients: The role of thwarted interpersonal needs”, Psychotherapy Research Volume,vol.11,no.4,pp.1-10,2019. |
[ 13 ] | Hong.I,Yoonjeong.L,Han.H et al.”Application of the Korean Version of the Modified Barthel Index: Development of a key form for use in Clinical Practice”,Hong Kong journal of occupational therapy,vol.7,no.6,pp.39-46,2017. |