The Efficacy of Acceptance and Commitment Therapy on Psychological Capital and Emotion Regulation of Students with Suicidal Ideation
Farzin Bagheri-Sheykhangafshe 1
Arina Kiani 2
Vahid Savabi-Niri 3
Nasim Aghdasi 4
Zeynab Bourbour 5
1 Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
2 Department of Psychology, Faculty of Literature and Humanities, University of Kurdistan, Kurdistan, Iran
3 Department of Psychology, Islamic Azad University of Ardabil Branch, Ardabil, Iran
4 Department of Counseling, Bojnourd University, Bojnourd, Iran
5 Department of Psychology, Islamic Azad University, Garmsar Branch, Semnan, Iran
10.30491/ijbs.2022.335463.1779
Introduction: Suicidal ideation, like self-reported suicidal ideation, ranges from a vague, influential desire to die to complete suicidal ideation. For this purpose, the present study was conducted to investigate the effectiveness of acceptance and commitment therapy on psychological capital and emotion regulation of students with suicidal ideation.
Method: The present study was quasi-experimental with a pretest-posttest design and a control group. The statistical population of the study included students of Guilan University in 2021. Among them, 30 students were selected by the available sampling method and were then randomly assigned to experimental and control groups. Suicide Thought (Beck et al., 1988), Psychological Capital (Luthans et al., 2007), and Emotion Regulation (Gross and John, 2003) questionnaires were used to collect information. Acceptance and commitment group therapy was performed on experimental groups during eight sessions of two hours per week. Finally, the obtained data were analyzed using a multivariate analysis of covariance.
Results: According to findings, acceptance and commitment therapy significantly increases self-esteem, optimism, resilience, self-efficacy, cognitive reappraisal and expressive suppression in students with suicidal ideation (P<0/005).
Conclusion: According to the results of the present study, acceptance and commitment therapy can increase psychological health by improving psychological capital and emotion regulation in people with suicidal ideation. Therefore, this type of intervention is recommended to reduce suicidal thoughts.
Emotion Regulation
Batterham PJ, Ftanou M, Pirkis J, Brewer JL, Mackinnon AJ, Beautrais A, et al. A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological assessment. 2015;27(2):501. DOI: 10.1037/pas0000053
McNeil J, Ellis SJ, Eccles FJ. Suicide in trans populations: A systematic review of prevalence and correlates. Psychology of Sexual Orientation and Gender Diversity. 2017;4(3):341. https://doi.org/10.1037/sgd0000235
Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, et al. Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological bulletin. 2017;143(2):187. DOI:10.1037/bul0000084
Rossom RC, Coleman KJ, Ahmedani BK, Beck A, Johnson E, Oliver M, et al. Suicidal ideation reported on the PHQ9 and risk of suicidal behavior across age groups. Journal of affective disorders. 2017;215:77-84. https://doi.org/10.1016/j.jad.2017.03.037
Mortier P, Cuijpers P, Kiekens G, Auerbach R, Demyttenaere K, Green J, et al. The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis. Psychological medicine. 2018;48(4):554-65. DOI: 10.1017/S0033291717002215
Bakhtar M, Rezaeian M. The prevalence of suicide thoughts and attempted suicide plus their risk factors among Iranian students: a systematic review study. Journal of Rafsanjan University of Medical Sciences. 2017;15(11):1061-76.
Zhang R, Ewalds-Kvist BM, Li D, Jiang J. Chinese students' satisfaction with life relative to psychological capital and mediated by purpose in life. Current Psychology. 2019;38(1):260-71. DOI:10.1007/s12144-018-9849-z
Noviati NP. Psychological capital, technology and media usage, student engagement, and performance academic: empirical study on university students. Advanced Science Letters. 2018;24(7):5389-94. DOI: https://doi.org/10.1166/asl.2018.11741
Ahmed U, Umrani WA, Qureshi MA, Samad A. Examining the links between teachers support, academic efficacy, academic resilience, and student engagement in Bahrain. International Journal of Advanced and Applied Sciences. 2018;5(9):39-46. https://doi.org/10.21833/ijaas.2018.09.008
Anderson K, Kochan F, Kensler LA, Reames EH. Academic optimism, enabling structures, and student achievement: Delving into relationships. Journal of school leadership. 2018;28(4):434-61. https://doi.org/10.1177/105268461802800401
Ates A, Ünal A. The Relationship between Teacher Academic Optimism and Student Academic Achievement: A Meta-Analysis. Psycho-Educational Research Reviews. 2021;10(2):284-97. https://orcid.org/0000-0002-1825-0097
Mayes E, Holdsworth R. Learning from contemporary student activism: Towards a curriculum of fervent concern and critical hope. Curriculum Perspectives. 2020;40(1):99-103. doi: 10.1007/s41297-019-00094-0.
Wolverton CC, Hollier BNG, Lanier PA. The impact of computer self efficacy on student engagement and group satisfaction in online business courses. Electronic Journal of e-Learning. 2020;18(2):pp175‑88-pp‑88. https://doi.org/10.34190/EJEL.20.18.2.006
Gao Q, Wang Y, Shi J, Liang X, Sun Y, Zhang Q, et al. The mediating role of psychological capital between occupational stress and suicidal ideation. Zhonghua yu Fang yi xue za zhi [Chinese Journal of Preventive Medicine]. 2020;54(11):1207-12. DOI: 10.21203/rs.3.rs-1253240/v1
Preston A, Rew L, Young CC. A Systematic Scoping Review of Psychological Capital Related to Mental Health in Youth. The Journal of School Nursing. 2021:10598405211060415. DOI: 10.1177/10598405211060415
Hatkevich C, Penner F, Sharp C. Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients. Psychiatry research. 2019;271:230-8. https://doi.org/10.1016/j.psychres.2018.11.038
Neacsiu AD, Fang CM, Rodriguez M, Rosenthal MZ. Suicidal behavior and problems with emotion regulation. Suicide and Life‐Threatening Behavior. 2018;48(1):52-74. https://doi.org/10.1111/sltb.12335
Albanese BJ, Macatee RJ, Stanley IH, Bauer BW, Capron DW, Bernat E, et al. Differentiating suicide attempts and suicidal ideation using neural markers of emotion regulation. Journal of Affective Disorders. 2019;257:536-50. https://doi.org/10.1016/j.jad.2019.07.014
Brausch AM, Woods SE. Emotion regulation deficits and nonsuicidal self‐injury prospectively predict suicide ideation in adolescents. Suicide and Life‐Threatening Behavior. 2019;49(3):868-80. https://doi.org/10.1111/sltb.12478
Colmenero-Navarrete L, García-Sancho E, Salguero JM. Relationship between emotion regulation and suicide ideation and attempt in adults and adolescents: a systematic review. Archives of suicide research. 2021:1-34. https://doi.org/10.1080/13811118.2021.1999872
Swee G, Shochet I, Cockshaw W, Hides L. Emotion regulation as a risk factor for suicide ideation among adolescents and young adults: the mediating role of belongingness. Journal of youth and adolescence. 2020;49(11):2265-74. DOI: 10.1007/s10964-020-01301-2
Quintana-Orts C, Mérida-López S, Rey L, Neto F, Extremera N. Untangling the emotional intelligence-suicidal ideation connection: The role of cognitive emotion regulation strategies in adolescents. Journal of clinical medicine. 2020;9(10):3116. https://doi.org/10.3390/jcm9103116
Baer MM, Spitzen TL, Richmond JR, Tull MT, Gratz KL. Associations of interpersonal and intrapersonal emotion regulation strategies to suicidal ideation and suicide attempts. Journal of Contextual Behavioral Science. 2022;24:1-9. https://doi.org/10.1016/j.jcbs.2022.02.003
Walser RD, Garvert DW, Karlin BE, Trockel M, Ryu DM, Taylor CB. Effectiveness of Acceptance and Commitment Therapy in treating depression and suicidal ideation in Veterans. Behaviour research and therapy. 2015;74:25-31. https://doi.org/10.1016/j.brat.2015.08.012
Tighe J, Nicholas J, Shand F, Christensen H. Efficacy of acceptance and commitment therapy in reducing suicidal ideation and deliberate self-harm: systematic review. JMIR mental health. 2018;5(2):e10732. DOI: 10.2196/10732
Barnes SM, Borges LM, Smith GP, Walser RD, Forster JE, Bahraini NH. Acceptance and Commitment Therapy to Promote Recovery from suicidal crises: A Randomized Controlled Acceptability and Feasibility Trial of ACT for life. Journal of Contextual Behavioral Science. 2021;20:35-45. https://doi.org/10.1016/j.jcbs.2021.02.003
Ducasse D, Jaussent I, Arpon-Brand V, Vienot M, Laglaoui C, Béziat S, et al. Acceptance and commitment therapy for the management of suicidal patients: a randomized controlled trial. Psychotherapy and psychosomatics. 2018;87(4):211-22. DOI: 10.1159/000488715
Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91.
Association WM. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310(20):2191-4. doi:10.1001/jama.2013.281053
Beck AT, Steer RA, Ranieri WF. Scale for suicide ideation: Psychometric properties of a self‐report version. Journal of clinical psychology. 1988;44(4):499-505. DOI: 10.1002/1097-4679(198807)44:4<499::aid-jclp2270440404>3.0.co;2-6
Anisi J, Fathi-Ashtiani A, Soltani Nejad A, Amiri M. Prevalence of suicidal ideation in soldiers and its associated factors. Journal Mil Med. 2006;8(2):113-8.
Luthans F, Youssef CM, Avolio BJ. Psychological capital: Developing the human competitive edge: Oxford university press Oxford; 2007.
Khosroshahi JB, Nosratabadi TH, Bayrami M. The relationship between psychological capital and personality traits with job satisfaction among librarians' in public libraries in Tabriz. Pajoohandeh Journal. 2013;17(6):313-9.
Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology. 2003;85(2):348.
Hosseini F, Khayyer M. Scrutinizing the role of cognitive appraisal in mediating parenting influences on students academic emotions and emotional regulation. Studies in Learning & Instruction. 2011;3(1):8-10. DOI: 10.1037/0022-3514.85.2.348
Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change: Guilford press; 2011.
Feng J, Li S, Chen H. Impacts of stress, self-efficacy, and optimism on suicide ideation among rehabilitation patients with acute pesticide poisoning. PloS one. 2015;10(2):e0118011. https://doi.org/10.1371/journal.pone.0118011
Clement DN, Wingate LR, Cole AB, O'keefe VM, Hollingsworth DW, Davidson CL, et al. The common factors of grit, hope, and optimism differentially influence suicide resilience. International journal of environmental research and public health. 2020;17(24):9588. https://doi.org/10.3390/ijerph17249588
Sher L. Resilience as a focus of suicide research and prevention. Acta Psychiatrica Scandinavica. 2019;140(2):169-80. https://doi.org/10.1111/acps.13059
Bagheri-Sheykhangafshe, F., Kiani, A., Savabi-Niri, V., Aghdasi, N., & Bourbour, Z. (2022). The Efficacy of Acceptance and Commitment Therapy on Psychological Capital and Emotion Regulation of Students with Suicidal Ideation. International Journal of Behavioral Sciences, 16(2), 96-102. doi: 10.30491/ijbs.2022.335463.1779
Farzin Bagheri-Sheykhangafshe; Arina Kiani; Vahid Savabi-Niri; Nasim Aghdasi; Zeynab Bourbour. "The Efficacy of Acceptance and Commitment Therapy on Psychological Capital and Emotion Regulation of Students with Suicidal Ideation". International Journal of Behavioral Sciences, 16, 2, 2022, 96-102. doi: 10.30491/ijbs.2022.335463.1779
Bagheri-Sheykhangafshe, F., Kiani, A., Savabi-Niri, V., Aghdasi, N., Bourbour, Z. (2022). 'The Efficacy of Acceptance and Commitment Therapy on Psychological Capital and Emotion Regulation of Students with Suicidal Ideation', International Journal of Behavioral Sciences, 16(2), pp. 96-102. doi: 10.30491/ijbs.2022.335463.1779
Bagheri-Sheykhangafshe, F., Kiani, A., Savabi-Niri, V., Aghdasi, N., Bourbour, Z. The Efficacy of Acceptance and Commitment Therapy on Psychological Capital and Emotion Regulation of Students with Suicidal Ideation. International Journal of Behavioral Sciences, 2022; 16(2): 96-102. doi: 10.30491/ijbs.2022.335463.1779