Acceptance and commitment therapy (ACT) counseling as non-suicidal self-injury (NSSI) intervention for students
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Published: September 30, 2023
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Page: 167-176
Abstract
Non-Suicidal Self-Injury (NSSI) behavior is carried out as an effort to avoid thought, feeling, somatic sensation or other internal experiences that are uncomfortable or troublesome. The intervention carried out using Acceptance and Commitment Therapy (ACT) to increase psychological flexibility targeted at avoiding experiences or tendencies to avoid unwanted thoughts or emotions. This research aims to provide NSSI behavioral intervention which is carried out using the Acceptance and Commitment Therapy (ACT) as an effort to change positive behavior through a process of acceptance, attention and behavior change. The population in this research is students of SMAN 1 Bogor and the sample was taken using purposive sampling technique with the characteristics of conducting NSSI for 1 year, so three people are selected as samples who have met the criteria. This research is designed using single subject research with the ABA model and analyzed using inferential statistics. By using the Difficulties in Emotion Regulation (DERS) instrument, the results obtained in the baseline phase (A1) are an average score of 99.6; intervention phase (B) obtained an average score of 80.9; and at baseline (A2) an average score of 63.8 is obtained. This means that there is a decrease in the graph of NSSI behavior at each intervention session using ACT. This research provides information that using (ACT) can reduce NSSI behavior in students.Keywords
- Acceptance and Commitment Therapy (ACT)
- Non-Suicidal Self-Injury (NSSI).
References
- A-Tjak, J. G. L., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30–36. https://doi.org/10.1159/000365764
- Adila, M., Borualogo, I. S., & Nawangsih, E. (2019). PENGARUH COGNITVE BEHAVIOR THERAPY TERHADAP PENINGKATKAN REGULASI EMOSI PADA INDIVIDU PELAKU NSSI (NON-SUICIDAL SELF INJURY). SCHEMA (Journal of Psychological Research), 5(2), 97–107.
- Arinda, O. D., & Mansoer, W. W. D. (2021). NSSI (Nonsuicidal Self-Injury) pada Dewasa Muda di Jakarta: Studi fenomenologi interpretatif. Jurnal Psikologi Ulayat, 8(1), 123–147. https://doi.org/10.24854/jpu150
- Bai, Z., Luo, S., Zhang, L., Wu, S., & Chi, I. (2020). Acceptance and Commitment Therapy (ACT) to reduce depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 728–737. https://doi.org/10.1016/j.jad.2019.09.040
- Coto-Lesmes, R., Fernández-Rodríguez, C., & González-Fernández, S. (2020). Acceptance and Commitment Therapy in group format for anxiety and depression. A systematic review. Journal of Affective Disorders, 263(December 2019), 107–120. https://doi.org/10.1016/j.jad.2019.11.154
- Favazza, A. R. (2012). Nonsuicidal self-injury: How categorization guides treatment Understanding. Current Psychiatry, 11(3), 21–26.
- Ferreira, M. G., Mariano, L. I., Rezende, J. V. de, Caramelli, P., & Kishita, N. (2022). Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. Journal of Affective Disorders, 309, 297–308. https://doi.org/10.1016/j.jad.2022.04.134
- Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084
- Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18(March), 181–192. https://doi.org/10.1016/j.jcbs.2020.09.009
- Gould, R. L., Wetherell, J. L., Kimona, K., Serfaty, M. A., Jones, R., Graham, C. D., Lawrence, V., Livingston, G., Wilkinson, P., Walters, K., Le Novere, M., Leroi, I., Barber, R., Lee, E., Cook, J., Wuthrich, V. M., & Howard, R. J. (2021). Acceptance and commitment therapy for late-life treatment-resistant generalised anxiety disorder: A feasibility study. Age and Ageing, 50(5), 1751–1761. https://doi.org/10.1093/ageing/afab059
- Gravetter, F. J., & Forzano, L.-A. B. (2012). Research Methods for the Behavioral Sciences, 4th edition. Wadsworth, Cengage Learning.
- Hasking, P., Whitlock, J., Voon, D., & Rose, A. (2016). A cognitive-emotional model of NSSI: using emotion regulation and cognitive processes to explain why people self-injure. Cognition and Emotion, 1–14. https://doi.org/10.1080/02699931.2016.1241219
- Hawton, K., Witt, K. G., Taylor Salisbury, T. L., Arensman, E., Gunnell, D., Townsend, E., van Heeringen, K., & Hazell, P. (2015). Interventions for self-harm in children and adolescents. Cochrane Database of Systematic Reviews, 12. https://doi.org/10.1002/14651858.CD012013
- Komarati, S. M., Motlagh, F. Z., & Pirani, Z. (2023). Comparison of the efficacy of acceptance and commitment therapy (ACT) and mindfulness therapy on emotions control of adolescents with self-injury behaviors. Journal of Psychological Science, 21(120). https://doi.org/10.52547/JPS.21.120.2469
- Kostić, J., Žikić, O., Stankovic, M., & Nikolić, G. (2019). Nonsuicidal self-injury among adolescents in south-east Serbia. International Journal of Pediatrics and Adolescent Medicine, 6(4), 131–134. https://doi.org/10.1016/j.ijpam.2019.06.002
- Lenz, A. S., Soler, I. G., Dell’Aquilla, J., & Uribe, P. M. (2017). Translation and cross-cultural adaptation of assessments for use in counseling research. Measurement and Evaluation in Counseling and Development, 50(4), 224–231. https://doi.org/10.1080/07481756.2017.1320947
- Liu, H., Liu, N., Chong, S. T., Boon Yau, E. K., & Ahmad Badayai, A. R. (2023). Effects of acceptance and commitment therapy on cognitive function: A systematic review. Heliyon, 9(3), e14057. https://doi.org/10.1016/j.heliyon.2023.e14057
- Mahtani, S., Melvin, G. A., & Hasking, P. (2017). Shame Proneness, Shame Coping, and Functions of Nonsuicidal Self-Injury (NSSI) Among Emerging Adults: A Developmental Analysis. Emerging Adulthood, XX(x), 1–13. https://doi.org/10.1177/2167696817711350
- Makarti, P., & Yudiarso, A. (2022). Studi Metaanalisis: Efektivitas Acceptance and Commitment Therapy (ACT) untuk Menurunkan Depresi. Jurnal Ilmiah Psikologi Mind Set, 13(2), 89–100.
- Pentzien, C. (2019). A Pilot Acceptance and Commitment Therapy Intervention to Reduce the Negative Effects of Sexual Objectification Among College Women. https://etd.ohiolink.edu/apexprod/rws_etd/send_file/send?accession=bgsu1560020773927712&disposition=inline
- Plener, P. L., Kaess, M., Schmahl, C., Pollak, S., Fegert, J. M., & Brown, R. C. (2018). Non-suicidal self-injury in adolescents. Deutsches Arzteblatt International, 115, 23–30. https://doi.org/10.3238/arztebl.2018.0023
- Qiao, C., Lin, J., Huang, J., Zhou, L., Huang, Y., Shang, Y., Zhang, Q., Xie, J., & Hu, C. (2024). An exploration of the association between family functioning and nonsuicidal self-injury among Chinese adolescents with mood disorders. The European Journal of Psychiatry, 38(1), 1–8. https://doi.org/10.1016/j.ejpsy.2023.100226
- Razzaque, R. (2012). An acceptance and commitment therapy based protocol for the management of acute self-harm and violence in severe mental illness. Journal of Psychiatric Intensive Care, 9(2), 72–76. https://doi.org/10.1017/S1742646412000258
- S. Hayes, K. Strosahl, K. Wilson, (2012). Acceptance and Commitment Therapy: the Process and Practice of Mindful Change, second ed., Guilford Publications, United States
- Somaini, G., Kingston, J., & Taylor, M. D. (2023). Web-based Acceptance and Commitment Therapy (ACT) for adults with type 1 diabetes: A single case experimental design (SCED). Journal of Contextual Behavioral Science, 29(May), 33–45. https://doi.org/10.1016/j.jcbs.2023.06.001
- Stenhoff, A., Steadman, L., Nevitt, S., Benson, L., & White, R. G. (2020). Journal of Contextual Behavioral Science Acceptance and commitment therapy and subjective wellbeing : A systematic review and meta-analyses of randomised controlled trials in adults. Journal of Contextual Behavioral Science, 18, 256–272. https://doi.org/10.1016/j.jcbs.2020.08.008
- Tighe, J., Nicholas, J., Shand, F., & Christensen, H. (2018). Efficacy of acceptance and commitment therapy in reducing suicidal ideation and deliberate self-harm: Systematic review. JMIR Mental Health, 5(2), 1–12. https://doi.org/10.2196/10732
- Toth, S. L., & Cicchetti, D. (2013). A Developmental Psychopathology Perspective on Child Maltreatment. Child Maltreatment, 18(3), 135–139. https://doi.org/10.1177/1077559513500380
- Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016). Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cognitive Behaviour Therapy, 45(1), 5–31. https://doi.org/10.1080/16506073.2015.1098724
- Widodo, S. A., Kustantini, K., Kuncoro, K. S., & Alghadari, F. (2021). Single Subject Research: Alternatif Penelitian Pendidikan Matematika di Masa New Normal. Journal of Instructional Mathematics, 2(2), 78–89. https://doi.org/10.37640/jim.v2i2.1040
- Xu, P., Hao, X., Luo, D., Lai, M., Sun, X., & Xu, J. (2023). Problematic internet gaming and non-suicidal self-injury in Chinese adolescents: Moderating and mediating roles of anxiety. Comprehensive Psychiatry, 125(July), 152398. https://doi.org/10.1016/j.comppsych.2023.152398
- Yu, W. Q., Li, S. Q., Xiao, W., Li, X., Wang, R., Liu, J., Zhang, S., & Wan, Y. (2023). Childhood maltreatment and non-suicidal self-injury among Chinese college students: The moderating roles of social phobia and perceived family economic status. Child Abuse and Neglect, 139, 1–11. https://doi.org/10.1016/j.chiabu.2023.106113
- Zhou, H., Luo, Y.-H., Shi, L.--juan, & Gong, J. (2023). Exploring psychological and psychosocial correlates of non-suicidal self-injury and suicide in college students using network analysis. Journal of Affective Disorders, 336, 120–125. https://doi.org/10.1016/j.jad.2023.05.089