Effect of Acceptance and Commitment Therapy on Family Resilience in Parents of Children with First Diagnosis of Epilepsy

HU Shengnan; ZHANG Liuyi; XIE Jianhui; WU Mengyu; HE Huiwen; XU Li

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Journal of Hunan Normal University(Medical Science) ›› 2024, Vol. 21 ›› Issue (6) : 119-124.

Effect of Acceptance and Commitment Therapy on Family Resilience in Parents of Children with First Diagnosis of Epilepsy

HU Shengnan^1,2, ZHANG Liuyi¹, XIE Jianhui², WU Mengyu¹, HE Huiwen², XU Li²

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Abstract

Objective To explore the effect of acceptance and commitment therapy (ACT) in the family resilience among parents of children with first diagnosis of epilepsy. Methods A total of 85 children with epilepsy diagnosed for the first time in the Department of Neurology of the hospital from May 2022 to August 2022 were selected and randomly divided into control group and intervention group according to random number table method. The control group (n=43) received routine care, and the intervention group (n=42) received acceptance and commitment therapy (ACT) on the basis of routine care. The intervention lasted for 4 weeks. The scores of family resilience, anxiety, depression and care burden were compared between the two groups before intervention,4 weeks after intervention and 12 weeks after intervention. Results Before the intervention (T0), there was no significant difference in the scores of family resilience, anxiety, depression and care burden in two groups.However, at 4 weeks after the intervention (T1), the family resilience score of the intervention group (111.46±6.584) was higher than that of the control group (93.71±8.107). The anxiety score in the intervention group (9.20±0.715) was lower than that in the control group (14.32±2.652). The depression score in the intervention group (11.68±1.474) was lower than that in the control group (16.37±2.898), and the differences were statistically significant. The care burden score of the intervention group (47.85±12.312) was lower than that of the control group (53.21±15.037), and the difference was not statistically significant. After 12 weeks of intervention, the family resilience score of the intervention group (112.76±5.957) was higher than that of the control group (95.58±7.314). The ACT intervention group showed lower scores in anxiety symptoms (7.88±0.640 vs 14.05±2.536) compared to the control group. The depression score in the intervention group (11.68±1.474) was lower than that in the control group (16.37±2.898), and the care burden score in the intervention group (46.10±11.970) was lower than that in the control group (52.50±14.197), with statistical significance. Conclusion Acceptance and commitment therapy can improve the family resilience of the parents of children with epilepsy, while also reducing the levels of their anxiety, depression and caring burden.

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epilepsy / children / parents / family resilience / acceptance and commitment therapy

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HU Shengnan, ZHANG Liuyi, XIE Jianhui, WU Mengyu, HE Huiwen, XU Li. Effect of Acceptance and Commitment Therapy on Family Resilience in Parents of Children with First Diagnosis of Epilepsy[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(6): 119-124

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