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This randomized controlled trial aimed to examine the effects of Acceptance and Commitment Therapy (ACT)-based psychoeducation program on psychological resilience, stress management, and caregiver burden in caregivers of individuals with mental disorders. Participants were randomly assigned to either the intervention or control group. The intervention group received ACT-based psychoeducation while the control group received no intervention.
H1-1: The mean psychological resilience scores of caregivers in the intervention group who received the ACT-based psychoeducation program are significantly higher compared to caregivers in the control group.
H1-2: The mean stress management scores of caregivers in the intervention group who received the ACT-based psychoeducation program are significantly higher compared to caregivers in the control group.
H1-3: The mean caregiver burden scores of caregivers in the intervention group who received the ACT-based psychoeducation program are significantly lower compared to caregivers in the control group.
H1-4: The effects of the ACT-based psychoeducation program on psychological resilience, stress management, and caregiver burden differ significantly between caregivers of individuals diagnosed with schizophrenia and caregivers of individuals diagnosed with bipolar disorder.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Schizophrenia - Intervention Group | Experimental | Caregivers of individuals diagnosed with schizophrenia who participated in the ACT-based psychoeducation program |
|
| Schizophrenia - Control Group (No intervention) | No Intervention | Caregivers of individuals with schizophrenia who received no intervention. | |
| Bipolar Disorder - Intervention Group | Experimental | Caregivers of individuals with bipolar disorder who received ACT-based psychoeducation. |
|
| Bipolar Disorder - Control Group | No Intervention | Caregivers of individuals with bipolar disorder who received no intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACT-Based Psychoeducation Program | Behavioral | ACT-based psychoeducation program delivered to caregivers of individuals with mental disorders (schizophrenia and bipolar disorder). The program was based on Acceptance and Commitment Therapy principles and consisted of 8 sessions. It aimed to improve psychological resilience, stress management, and reduce caregiver burden. Sessions were conducted in group format. |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological Resilience | Measured with the Psychological Resilience Scale for Adults at baseline, post-intervention, and at 2-month follow-up | Baseline, post-intervention (8 weeks), and 2-month follow-up |
| Stress Management | Measured with the Stress Coping Styles Scale at baseline, post-intervention, and at 2-month follow-up | Baseline, post-intervention (8 weeks), and 2-month follow-up |
| Caregiver Burden | Measured with the Caregiver Burden Scale at baseline, post-intervention, and at 2-month follow-up | Baseline, post-intervention (8 weeks), and 2-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological Flexibility | Measured with the Acceptance and Action Questionnaire-II (AAQ-II) at baseline, post-intervention, and at 2-month follow-up | Baseline, post-intervention (8 weeks), and 2-month follow-up |
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Inclusion Criteria:
Aged 18 years or older Being a first-degree caregiver of an individual with severe mental disorder followed at a CMHC or outpatient clinic Turkish-speaking and at least primary school graduate No communication problems and open to cooperation Not having participated in any ACT-based or similar psychoeducation program in the last 6 months No alcohol/substance use disorder No psychiatric diagnosis Having regularly attended the intervention sessions -
Exclusion Criteria:Not meeting the inclusion criteria
-
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kahramanmaras Necip Fazil City Hospital, Psychiatry Outpatient Clinic and Community Mental Health Center | Kahramanmaraş | Turkey (Türkiye) |
Individual participant data will not be shared as this is a doctoral dissertation study conducted at a single institution.
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| ID | Term |
|---|---|
| D000084802 | Caregiver Burden |
| D001523 | Mental Disorders |
| D012559 | Schizophrenia |
| D001714 | Bipolar Disorder |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
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|
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |