ACT WS for the parents with PDD childrenShinji Tani

Etuko Kawai &

Kotomi Kitamura

12/07/2011ACBs IX Parma, Shinji Tani

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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

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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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Thank you.12/07/2011ACBs IX Parma, Shinji Tani

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atomddc@gmail.com