Integrating nature into acceptance and commitment therapy for anxiety and comorbid medical diagnosis: Two case studies

摘要: The effectiveness of integrating nature-based interventions into acceptance and commitment therapy (ACT) for individuals with anxiety comorbid medical diagnosis was examined. Participants experienced a 5-minute exercise before every session were asked to spend at least 15 minutes in nature day between sessions. These integrated an adapted eight-week protocol ACT. Relying on quasi-experimental single subject design involving two participants from the Pacific Northwest, this study found clinically significant changes anxiety, mindfulness, experiential avoidance participant one but non-significant change these areas two. Although general health not be post-treatment both participants, it 3-month follow-up one. Common journal themes included increased sense calmness present moment awareness insight. Limitations absence control group, untested protocol, restricted generalizability, use self-report measures. This first combination intervention ACT treat population. potential using supported. Future research is needed test whether true difference exists treatment component alone through randomly-controlled study. Also, future should compare effects PTSD versus GAD, as well its impact without diagnosis. Other could explore ways maximize help overcome barriers spending time nature. Further investigate more extensive long-term effects. Degree Type Dissertation Rights Terms work posted CommonKnowledge. Comments Library Use: LIH dissertation available CommonKnowledge: http://commons.pacificu.edu/spp/1121 Copyright terms If you have downloaded document directly web or CommonKnowledge, see “Rights” section previous page use. received interlibrary loan/document delivery service, following apply: held by author(s). You may download print any portion personal only, that allowed fair (Title 17, §107 U.S.C.). Except use, your borrowing library reproduce, remix, republish, post, transmit, distribute document, thereof, permission copyright owner. [Note: licensed under Creative Commons license (see page) which allows broader usage rights, governed license.] Inquiries regarding further materials addressed to: CommonKnowledge Rights, University Library, 2043 College Way, Forest Grove, OR 97116, (503) 352-7209. Email inquiries directed to:. copyright@pacificu.edu INTEGRATING NATURE INTO ACCEPTANCE AND COMMITMENT THERAPY FOR ANXIETY COMORBID MEDICAL DIAGNOSIS: TWO CASE STUDIES A DISSERTATION SUBMITTED TO THE FACULTY OF SCHOOL PROFESSIONAL PSYCHOLOGY PACIFIC UNIVERSITY HILLSBORO, OREGON BY KEITH M. INGULLI IN PARTIAL FULFILLMENT REQUIREMENTS DEGREE DOCTOR JUNE, 5, 2014 APPROVED COMMITTEE: Michael Christopher, PhD, Chair Paul Michael, Reader PROFESSOR DEAN: Christiane Brems, Dean