ACT WS for the parents with PDD children Shinji Tani Etuko Kawai & Kotomi Kitamura 12/07/2011ACBs IX...
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Transcript of ACT WS for the parents with PDD children Shinji Tani Etuko Kawai & Kotomi Kitamura 12/07/2011ACBs IX...
ACT WS for the parents with PDD childrenShinji Tani
Etuko Kawai &
Kotomi Kitamura
12/07/2011ACBs IX Parma, Shinji Tani
1
Background
Not focuse on parent’s mental health• Many program focused on skill
training
Dropped out and Burned out from the skill training
12/07/2011ACBs IX Parma, Shinji Tani
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Background (continued)
Restrict one’s behaviors
Avoid enjoying own life, social
relationships
Work with children more and
more
Sense of guilty,
responsibility
12/07/2011ACBs IX Parma, Shinji Tani
3
Work shop
Psycho-educational
Peer-supportive
Experiential
12/07/2011ACBs IX Parma, Shinji Tani
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Purpose
to show the effectiveness of the ACT workshop for
parents having PDD children
12/07/2011ACBs IX Parma, Shinji Tani
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Procedures
Recruit
• 27 parents (including two father)
• Not be under psychiatric treatment
Group• Divided into three
groups
WS • 4.5 hour ×2 (weekly)
12/07/2011ACBs IX Parma, Shinji Tani
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WS contents
Features of language
How do you work with your mind?
Try to keep the distance from mind
What do you stand for your life?
12/07/2011ACBs IX Parma, Shinji Tani
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Metaphor & Exercises
Please see a handout.
acceptance
defusionself ascontext
contactthepresentmoment/perspective taking
committed action
value
Creativehopelessness ○ ○
The shrinkingroom metaphor ○ ○
What's are thenumber?(modified)
○ ○
Reason givingexercise (original) ○
Blanded bagmetaphor (Tani,2008)
○
Do you love me?metaphor (Tani,2008)
○
Struggling inquicksand ○
Mmagic vinemetaphor(from"Harry Potter")
○
The hungry Tiger ○Your SufferingInventory
○
Incense stickmetaphor (Tani,2010)
○ ○
The passengers onthe Bus metaphor ○
Be where you are ○ ○Chinese handcuffsmetaphor(modified)
○
Eat mindfully ○ ○Taking your mindfor a walkexercise
○ ○
The mind trainexercise ○ ○
Funeral exercise(what's do youwant your life tostand for?)
○ ○
Value compass(Dahl &Lundgren, 2006)
○ ○
Exercise & Metaphor
Process
12/07/2011ACBs IX Parma, Shinji Tani
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Variables
outcome
BDI-II
GHQ-28
process
JIBT-R
LOC
AAQ-II
12/07/2011ACBs IX Parma, Shinji Tani
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design
Pre1
(three weeks before)
Pre2
(a week before)
Post
(a week after)
Follow-up
(three months after)
WS
12/07/2011ACBs IX Parma, Shinji Tani
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Results
pre1-pre2 pre1-post1 pre1- FU
AAQ-Ⅱ LOC
JIBT-R self-expectation
dependency avoidance external-helplessness
internal-helplessness
BDI-Ⅱ ** **GHQ-28 ** **
12/07/2011ACBs IX Parma, Shinji Tani
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Results BDI-II
pre1 pre2 post1 FU0.00
5.00
10.00
15.00
20.00
25.00
30.00
****
12/07/2011ACBs IX Parma, Shinji Tani
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Results GHQ-28
pre1 pre2 post1 FU0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
20.00
**
**
12/07/2011ACBs IX Parma, Shinji Tani
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Results effects size
Calculated by http://www.mizumot.com/stats/effectsize.xls
pre1-post1 pre1-FUBDI 0.76 0.78GHQ 0.67 0.61
AAQ-Ⅱ 0.31 0.22
Effectsize
r
Effect size .10 Small .30 Medium .50 Large
12/07/2011ACBs IX Parma, Shinji Tani
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Conclusions
The WS was effective
The contents of thought were not to have changed
Uncertain whether the WS contribute to promote acceptance and value-based life
12/07/2011ACBs IX Parma, Shinji Tani
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