Effectiveness of Acceptance and Commitment Therapy on Academic Procrastination, Resilience, and Depression in Students with Attention Deficit Hyperactivity Disorder (ADHD)

Document Type : Original article

Authors

1 PhD. student of Psychology of Education, Faculty of Humanities and Education,Tabriz Branch, Islamic Azad University, Tabriz, Iran

2 Professor of Educational Psychology, Faculty of Humanities and Education, Tabriz Branch, Islamic Azad University, Tabriz, Iran

3 Assistant Professor, Department of Educational Psychology, Faculty of Humanities and Education, Tabriz Branch, Islamic Azad University, Tabriz, Iran

Abstract

Background and Aims: Acceptance and Commitment Therapy is one of the third generation behavioral therapies in the treatment of childhood and adolescent disorders that has recently received much attention. However, its effectiveness, especially among adolescents with Attention Deficit Hyperactivity Disorder (ADHD), with problems such as procrastination, swings and depression, has not been much noticed. The aim of present study was to investigate effectiveness of acceptance and commitment therapy on academic procrastination, resilience, and depression in students withADHD.
Materials and Methods: To this aim, in a pretest-posttest with control group quasi-experimental study, 28 students were selected purposively and randomly divided into experiment or control groups (13 in ACT group and 15 in control group). Conners rating scale, Beck Depression Inventory (BDI-II, Beck, 1996), Solomon students and academic procrastination version Roth Bloom (1984 ), and Conner- Davidson Resilience scale (CD-RISC, Beck,1996) were completed before interventions by all participants and then participants of experiment group individually received a 10-session ACT intervention, while control group received no intervention. After completing the intervention, once more, the instruments were administered.
Results: The results of Covaraince analysis showed that in the three variables of academic procrastination, resilience, and depression, after controlling the covariate variable (pre-test scores) there were significant differences among the two groups (depression: f=14/81; p < 0/001; resilience: f=9/84; p < 0/001; academic procrastination: f=15/15; p < 0/001).
Conclusion: According to the results, ACT is an effective and promising intervention on academic procrastination, resilience, and depression in students with Attention Deficit Hyperactivity Disorder(ADHD)

Keywords

Main Subjects


1. Biederman,J.&Faraone,S.V.(2000).attention deficit/hyperactivity disorder in adults:  an overview. Biel psychiatry, 1, 48(1), 9-20.##
2. Jennifer L, Vande V, Jian Ping H, Nicole D, Jameson KR.2014. Impact of the DSM-5 Attention-Deficit/Hyperactivity Disorder (ADHD) Age of Onset Criterion in the U.S. Adolescent Population. Journal of the American Academy of Child & Adolescent Psychiatry.; 53 (7): 736- 744. ##
3. Willcut, E. (2012) The Prevalence of DSM-IV Attention-Deficit/ Hyperactivity Disorder: A MetaAnalytic Review. Neurotherapeutics , 9, 490–499. ##
4. Brook, U., & Boaz, M. (2005). Attention deficit and learning disabilities (ADHD/LD) among high school pupils in Holon (Israel). Patient Education and Counseling, 58(2), 164-167. ##
5. Aman GM, Armstrong S, Buican B, Sillick T. Four-year follow up of children with low intelligence and ADHD: a replication. Research in developmental disabilities. 2002; 23(2):110-134. ##
6. Retz W, Freitage CM, Retz-Junginger P, Wenzler D, Schneider M, Kissling C, Thome J, & Rosler M. A functional serotonin transporter promoter gene polymorphism increase ADHD symptom in delinquents: Interaction with diverse childhood environment. Psychiatry Research. 2008; 185 (2):123-131. ##
7. Lahey BB, Pelham WE, Stein MA, Loney J, Trapani C, Nugent K, et al. Validity of DSM-IV attention-deficit/hyperactivity disorder for younger children. Journal of the American Academy of Child and Adolescent Psychiatry. 1998; 37 (7):695-702. ##
8. Alizadeh, mohammad. Attention deficit hyperactivity disorder. Tehran. Roshd.2005. ##
9. DuPaul, G., & Power, T. J. (2008). Improving school outcomes for students with ADHD: Using the right strategies in the context of the right relationships. ##
10. Harvey, J., & Delfabbro, P. H. (2004). Psychological resilience in disadvantaged youth: A critical overview. Australian Psychologist, 39(1), 3-13. ##
11. Garmezy N. Resilience and vulnerability to adverse developmental outcomes associate with poverty. American Behavioral Scientist. 2004; 34(5):416-430. ##
12. Ensberger W. Embarrassment in diagnostic process. Mental Retarded. 2010; 3(2):29 −31. ##
13. Cabrera N, Padilla AM, Entering and succeeding in the "culture of college. Journal of Behavioral Sciences. 2004; 26(2):152-175. ##
14. Schouwenburg, H. C., & Groenewoud, J. (2001). Study motivation under social temptation; effects of trait procrastination. Personality and Individual Differences, 30(2), 229-240. ##
15. Schraw, G., Wadkins, T., & Olafson, L. (2007). Doing the things we do:grounded theory of academic procrastination. Journal of Educational psychology, 99(1), 12. ##
16. Niermann, H., C. M., & Scheres, A. (2014). the relation between procrastination and symptoms of attention-deficit hyperactivity disorder (ADHD) in undergraduate students. International Journal of Methods in Psychiatric Research, 23 (4), 411-421. ##
17. Langberg, J. M., Epstein, J. N., & Graham, A. J. (2008). Organizational-skills interventions in the treatment of ADHD. Expert review of neurotherapeutics, 8(10), 1549-1561. ##
18. Scent, C. L., & Boes, S. R. (2014). Acceptance and commitment training: a brief intervention to reduce procrastination among college students. Journal of College Student Psychotherapy, 28(2), 144-156. ##
19. Mick E, Biederman J, Santangelo S, Wypij D. The influence of gender in the familial association between ADHD and major depression. J Nerv Ment Dis. 2003; 191(11):699-705. ##
20. Knouse, L. E., & Safren, S. A. (2010). Current status of cognitive behavioral therapy for adult attention-deficit hyperactivity disorder. Psychiatric Clinics, 33(3), 497-509. ##
21. Kohtala, A., Muotka, J., & Lappalainen, R. (2017). What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depressive symptoms. Journal of Contextual Behavioral Science, 6(2), 230-238. ##
22. Petts, R. A., Duenas, J. A., & Gaynor, S. T. (2017). Acceptance and Commitment Therapy for adolescent depression: Application with a diverse and predominantly socioeconomically disadvantaged sample. Journal of Contextual Behavioral Science, 6(2). ##
23. Schachter HM, Pham B, King J, Langford S, & Moher D. How efficacious and safe is short-acting methylphenidate for the treatment of attention-deficit hyperactivity disorder in children and adolescents? A meta-analysis. Canadian Medical Association Journal. 2001; 165:1475–1488. ##
24. Dallnic A, Smith SW, Brank EM, & Penfield RD. Classroom-based cognitive-behavioral intervention to prevent aggression: Efficiency and social validity. Journal of School Psychology. 2006; 44:123-139. ##
25. Hayes, S. C., Louma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, Processes and outcomes. Behaviour Research and Therapy, 44: 1-25. ##
26. Jowkar, B. Delavarpour, M. Relashanship between academic procrastination and goals of progress. The Journal of New Thoughts on Education, 2007; 3(3): 61-80. doi: 10.22051/jontoe.2007.312 ##
27. Connor KM, Davidson JR)2003(. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety. Sep;18(2):76-82. ##
28. Syamak samani, Bahram Jokar, Narges Sahragrad,(2007).Effects of Resilience on mental helth and life satisfaction, Iranian psychiatry and clinical psychology, 13(3), 290. ##
29. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. University of Pennsylvania Press. ##
30. Hassani F, Emamipour S, Mirzaei H.(2018). Effect of Acceptance and Commitment Group Therapy on Quality of Life and Resilience of Women With Breast Cancer. Archives of Breast Cancer. Aug 1:111-7. ##
31. Harris R. ACT with love, Oakland: New Horbinger publication, 2009. ##
32. Hayes SC, Strosahl KD, &Wilson KG. Acceptance and Commitment Therapy: the process and practice of mindful change (2 edition). New York: The Guilford Press, 2012. ##
33. Wang, S., Zhou, Y., Yu, S., Ran, L. W., Liu, X. P., & Chen, Y. F. (2017). Acceptance and commitment therapy and cognitive–behavioral therapy as treatments for academic procrastination: A randomized controlled group session. Research on Social Work Practice, 27(1), 48-58. ##
34. Chen, B. B., & Han, W. (2017). Ecological assets and academic procrastination among adolescents: the mediating role of commitment to learning. Frontiers in psychology, 8, 1971. ##
35. Hayes, S.C., & Wilson, K.G. (2003). Mindfulness: method and process. Clinical Psychology. Science and Practice, 10, 161-5. ##
36. Eckert, M., Ebert, D. D., Lehr, D., Sieland, B., & Berking, M. (2016). Overcome procrastination: enhancing emotion regulation skills reduce procrastination. Learning and Individual Differences, 52, 10-18. ##
37. Udell, C. J., Ruddy, J. L., & Procento, P. M. (2018). Effectiveness of acceptance and commitment therapy in increasing resilience and reducing attrition of injured US Navy recruits. Military medicine, 183(9-10), e603-e611. ##
38. Petts, R. A., Duenas, J. A., & Gaynor, S. T. (2017). Acceptance and Commitment Therapy for adolescent depression: Application with a diverse and predominantly socioeconomically disadvantaged sample. Journal of Contextual Behavioral Science, 6(2). ##
39. Kohtala, A., Muotka, J., & Lappalainen, R. (2017). What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depressive symptoms. Journal of Contextual Behavioral Science, 6(2), 230-238. ##
40. Simoni, Z. R. (2016). Do social skills mediate the relationship between /and depression. Sociological Spectrum, 36(2), 109-22. ##
Volume 9, Issue 4
January 2021
Pages 82-90
  • Receive Date: 23 November 2019
  • Revise Date: 15 December 2019
  • Accept Date: 18 December 2019
  • First Publish Date: 21 December 2020