Terapi Kelompok Berbasis ACT untuk Meningkatkan Kesejahteraan Psikologis pada Dewasa Muda dengan Riwayat ACE

Rhajiv Nur Ilham, Ina Saraswati

Abstract


Kekerasan terhadap anak merupakan masalah yang umum terjadi di lingkungan rumah tangga di seluruh dunia, termasuk di Indonesia. Masalah ini telah menjadi isu kesehatan mental komunitas yang mengkhawatirkan dan memerlukan perhatian khusus. Kekerasan pada anak seringkali menyebabkan trauma berkepanjangan dan berpotensi menurunkan kesejahteraan psikologis individu di masa dewasa. Rendahnya kesejahteraan psikologis tersebut dapat mempengaruhi kemampuan individu untuk berfungsi secara optimal dalam kehidupan sehari-hari dan dapat meningkatkan risiko individu mengalami berbagai masalah psikologis. Penelitian ini bertujuan untuk menguji efektivitas terapi kelompok berbasis Acceptance and Commitment Therapy (ACT) untuk meningkatkan kesejahteraan psikologis individu dewasa muda yang memiliki riwayat trauma masa kecil. Penelitian ini menggunakan metode kuasi-eksperimental, melibatkan 10 partisipan (n laki-laki = 4; n perempuan = 6) yang memiliki riwayat Adverse Childhood Experiences (ACE) dalam berbagai bentuk. Hasil penelitian menunjukkan bahwa terapi kelompok dengan pendekatan ACT mampu meningkatkan kesejahteraan psikologis partisipan dengan riwayat ACE secara signifikan (p < 0,05). Temuan ini dapat menjadi acuan bagi para praktisi kesehatan mental dalam merancang intervensi yang efektif bagi individu dengan riwayat trauma masa kecil.


Keywords


Acceptance and Commitment Therapy; Adverse Childhood Experiences; Dewasa Muda; Kesejahteraan Psikologis; Terapi Kelompok.

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References


Anda, R. F., Butchart, A., Felitti, V. J., & Brown, D. W. (2010). Building a Framework for Global Surveillance of the Public Health Implications of Adverse Childhood Experiences. American Journal of Preventive Medicine, 39(1), 93–98. https://doi.org/10.1016/j.amepre.2010.03.015

Assaz, D. A., Roche, B., Kanter, J. W., & Oshiro, C. K. B. (2018). Cognitive Defusion in Acceptance and Commitment Therapy: What Are the Basic Processes of Change? The Psychological Record, 68(4), 405–418. https://doi.org/10.1007/s40732-017-0254-z

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

Boullier, M., & Blair, M. (2018). Adverse childhood experiences. Paediatrics and Child Health, 28(3), 132–137. https://doi.org/10.1016/j.paed.2017.12.008

Butler, L. D., Maguin, E., & Carello, J. (2018). Retraumatization Mediates the Effect of Adverse Childhood Experiences on Clinical Training-Related Secondary Traumatic Stress Symptoms. Journal of Trauma & Dissociation, 19(1), 25–38. https://doi.org/10.1080/15299732.2017.1304488

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, 107–120. https://doi.org/10.1016/j.jad.2019.11.154

Eilenberg, T., Fink, P., Jensen, J. S., Rief, W., & Frostholm, L. (2016). Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychological Medicine, 46(1), 103–115. https://doi.org/10.1017/S0033291715001579

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, 181–192. https://doi.org/10.1016/j.jcbs.2020.09.009

Gravetter, F. J., & Forzano, L.-Ann. B. (2018). Research Methods for the Behavioral Sciences (6th ed.). Cengage Learning.

Hajad, V., Liyana, C. I., Ikhsan, I., & Adela, F. P. (2023). Neglected children: Whose responsibility? Politics of protection of neglected children in Aceh Province Indonesia. Masyarakat, Kebudayaan Dan Politik, 36(2), 302–315. https://doi.org/10.20473/mkp.V36I22023.302-315

Harris, R. (2009). ACT Made Simple: A Quick-Start Guide to ACT Basics and Beyond. New Harbinger Publications.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. Guilford Press.

Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. The Lancet Public Health, 2(8), 356–366.

Klussman, K., Curtin, N., Langer, J., & Nichols, A. L. (2020). Examining the effect of mindfulness on well-being: self-connection as a mediator. Journal of Pacific Rim Psychology, 14. https://doi.org/10.1017/prp.2019.29

Krafft, J., Klimczak, K. S., & Levin, M. E. (2022). Effects of Cognitive Restructuring and Defusion for Coping with Difficult Thoughts in a Predominantly White Female College Student Sample. Cognitive Therapy and Research, 46(1), 86–94. https://doi.org/10.1007/s10608-021-10242-4

Larsson, A., Hooper, N., Osborne, L. A., Bennett, P., & McHugh, L. (2016). Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope With Negative Thoughts. Behavior Modification, 40(3), 452–482. https://doi.org/10.1177/0145445515621488

Madigan, S., Deneault, A., Racine, N., Park, J., Thiemann, R., Zhu, J., Dimitropoulos, G., Williamson, T., Fearon, P., Cénat, J. M., McDonald, S., Devereux, C., & Neville, R. D. (2023). Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies. World Psychiatry, 22(3), 463–471. https://doi.org/10.1002/wps.21122

Sriami, & Purwoko, B. (2018). Studi Kepustakaan Mengenai Landasan Teori dan Praktik Acceptance and Commitment Therapy (ACT). Universitas Negeri Surabaya.

Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640–648. https://doi.org/10.1016/S0140-6736(13)61489-0

Trivedi, M. H., & Greer, T. L. (2014). Cognitive dysfunction in unipolar depression: Implications for treatment. Journal of Affective Disorders, 152–154, 19–27. https://doi.org/10.1016/j.jad.2013.09.012

Twohig, M. P., & Levin, M. E. (2017). Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression. Psychiatric Clinics of North America, 40(4), 751–770. https://doi.org/10.1016/j.psc.2017.08.009

Wersebe, H., Lieb, R., Meyer, A. H., Hofer, P., & Gloster, A. T. (2018). The link between stress, well-being, and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention. International Journal of Clinical and Health Psychology, 18(1), 60–68. https://doi.org/10.1016/j.ijchp.2017.09.002

Zhao, B., Wang, Q., Wang, L., Chen, J., Yin, T., Zhang, J., Cheng, X., & Hou, R. (2023). Effect of acceptance and commitment therapy for depressive disorders: a meta-analysis. Annals of General Psychiatry, 22(1), 34. https://doi.org/10.1186/s12991-023-00462-1

Zollars, I., Poirier, T. I., & Pailden, J. (2019). Effects of mindfulness meditation on mindfulness, mental well-being, and perceived stress. Currents in Pharmacy Teaching and Learning, 11(10), 1022–1028. https://doi.org/10.1016/j.cptl.2019.06.005




DOI: https://doi.org/10.51849/j-p3k.v5i3.523

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