Acceptance and Commitment Therapy on Depression of Pulmonary Tuberculosis Patient: An Intervention Based on the Health Belief Model
Open accessAbstract
Introduction: Depression is a psychological disorder often experienced by patients undergoing tuberculosis treatment. The purpose of this study was to determine the effect of acceptance and commitment therapy based on the health belief model on the depression of pulmonary tuberculosis patients. Methods: This research used a quantitative quasi-experiment design with pre-posttest control group design. There were 56 respondents in this study selected using consecutive sampling among the Primary Healthcare Center in Sidoarjo district. The independent variables were acceptance and commitment therapy based on the health belief model. The dependent variable was depression. Measurement of depression used the Beck Depression inventory II questionnaire. Analysis of the data in this study used the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: The results showed that the treatment group p=0.000 (p<0.05) and control group p=0.000 (p<0.05), but the delta of the treatment group higher than the control group (delta: -9.79). There were differences in depression values obtained between the treatment group and the control group p=0.001 (p<0.05). Conclusion: Acceptance and commitment therapy based on the health belief model given four sessions for 30-45 minutes each session can lower depression level in pulmonary tuberculosis patients rather than a single intervention of health education. This intervention can be used by nurses to help pulmonary tuberculosis patients overcome psychological problems during treatment.
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Cites
Acceptance and commitment therapy: model, processes and outcomes
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“The results showed that more female patients with pulmonary tuberculosis were depressed than male patients, which was in line with Rizvi, (2016), women are more prone to experience depression than men (Kehbila et al., 2016).”
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“In line with research by Walser et al. (2015), acceptance and commitment therapy can reduce depression and suicidal”
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“In line with research by Walser et al. (2015), acceptance and commitment therapy can reduce depression and suicidal ideas, while, in research by Pots et al. (2016), acceptance and commitment therapy can reduce symptoms of depression, although with a different method based on telehealth.”
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“In line with research by Walser et al. (2015), acceptance and commitment therapy can reduce depression and suicidal ideas, while, in research by Pots et al. (2016), acceptance and commitment therapy can reduce symptoms of depression, although with a different method based on telehealth.”
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“This is in line with research (Dasa et al., 2019) finding that early diagnosis of tuberculosis and drug side effects increase the prevalence of depression in patients with pulmonary tuberculosis.”
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“The results showed that more female patients with pulmonary tuberculosis were depressed than male patients, which was in line with Rizvi, (2016), women are more prone to experience depression than men (Kehbila et al., 2016).”
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“Four sessions of Acceptance and Commitment Therapy (ACT), based on the Health Belief Model was used by Sari et al.28 ACT resulted in significant improvement in depression as measured by Beck Depression Inventory (BDI) (mean BDI in intervention group 5.96 SD 1.45 compared to the mean BDI of 7.86 SD 3.05 in control grou…”
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- Authors
- Sari, G. M., Amin, M., & Hidayati, L.
- Affiliations
- Universitas Airlangga (ID)
- Venue
- INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC)
- Published
- 2020-06-03
- Volume
- 5
- Issue
- 2
- Pages
- 107
- ISSN
- 2527-8800 (ISSN-L)
- 2527-8819
- OpenAlex
- W3033187084
- Cited by
- 4
- References
- 19
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2021: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) (publishedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- acceptance and commitment therapy, Health Belief Model, depression, pulmonary tuberculosis, psychological intervention, health education, nursing interventions, Beck Depression Inventory-II
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