scholarly journals The Efficacy of Acceptance and Commitment Therapy on Psychological Resilience in Women with Substance Use Disorder

Author(s):  
Leyla Najafi ◽  
Ali Arab

Background: Drug addiction, defined as a chronic brain disease, leads to worse physical and psychological status that has the most damaging effect on the family system. Objectives: This study investigated the effect of acceptance and commitment therapy (ACT) on psychological resilience in drug abuser women. Methods: This semi-trial study was done by a pre-test/post-test and the control group. The statistical population of this study was drug abuser women who were hospitalized in addiction treatment camps in Zahedan and were detoxified. The single-stage cluster was sampling method; twenty-seven females were randomly divided into the trial (n = 13) and control groups (n = 14). The Connor‐Davidson resilience scale (CD‐RISC) was used as questionnaire. The data were analyzed by multivariate covariance analysis. Results: There was a significant change in the interpersonal competence, negative affective tolerance, and spiritual effects in the post-test in the experimental group compared with the control group. According to the Eta coefficients report, the most effective issue was the perception of individual competence with the effect and difference equal to 34% in post-test scores, which was the effect of ACT. Conclusions: It appears that acceptance and commitment therapy (ACT) may be an effective intervention in improving psychological resilience in drug abuser women. Accordingly, it is suggested that therapists should use ACT to significantly promote psychological resilience along with medical treatments for drug abuser women that need critical care of their psychological functioning.

Author(s):  
Parisa Amini ◽  
Reza Karami Nejad

 Introduction: Unsupervised Women always face very serious challenges in life. These problems can affect different aspects of their lives. The aim of this study was to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) on self-compassion and marital boredom in Unsupervised Women. Methods: The research was quasi-experimental with pre-test, post-test with control group. The statistical population consisted of Unsupervised Women under the Cover of NGOs of Tehran and the sample consisted of 30 women (15 individual in control and 15 individual in Experiment group) according to education level and age. The participants randomly assigned to experimental and control groups. The research instrument were Penance Marital Burning Scale and Raes, Pommier, Neff, & Van Gucht self—compassion scale. After the pre-test, the experimental group received 8 sessions of ACT, while the control group received no intervention. At the end of intervention post-test was performed. The results were analyzed by ANCOVA at the level of 0.05 using SPSS 20 software. Results: Based on the results of the research, A significant difference was found between the two groups regarding their Marital Burning (P < 0.001, F=401.28) and increased self-compassion intervention (P < 0.001, F=457.52) before and after intervention. The effect size was 0.9 for Marital Burning and 0.3 for self-compassion. Conclusion: According to the findings of the study, ACT can be used to decrease Marital Burning and increase self-compassion in unsupervised Women. ACT leads to psychological flexibility and commitment to perform actions that may lead to a fulfilling, rich and meaningful life, so it can be used as an effective intervention to decrease Marital Burning and increase self-compassion.


2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi

Background: Divorce is one of the most stressful life events leading to increased susceptibility to diseases and mood disorders such as hypochondriasis. Objectives: The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondriasis and psychosocial adjustment in divorced women in Tehran. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population in this study consisted of divorced women suffering from divorce-induced psychological distress who visited counseling centers in Tehran in 2018. The sample consisted of 30 divorced women selected by convenience sampling method. The participants were randomly divided into experimental and control groups (n = 15 per group), and the pretest was performed for the experimental and control groups before the intervention program. The experimental group underwent ten sessions of ACT (90-minute sessions per week), and the control group did not receive any treatment. The research instruments included the Health Anxiety Inventory (HAI) and the Psychosocial Adjustment to Illness Scale (PAIS). The Shapiro-Wilk test, Levene test, Pearson correlation coefficient, and analysis of covariance (ANCOVA) were used to analyze the data. Results: The results indicated that the ACT-based intervention significantly reduced hypochondriasis in divorced women (P = 0.043). In addition, ACT improved the psychosocial adjustment in these women (P = 0.0001). Conclusions: This intervention decreased anxiety under difficult conditions and also improved psychosocial adjustment in divorced women. Therefore, ACT can be used as an effective approach in reducing social and interactional problems and also anxiety in divorced women.


Background: The gastrointestinal tract, as one of the most important organs of the body, has its own diseases that involved many people. Therefore, the present study seeks to investigate the effectiveness acceptance and commitment therapy based on cognitive-emotional regulation and cognitive flexibility among gastrointestinal patients. Materials and Methods: The research method was quasi-experimental with pretest-posttest design with control group was unbalanced and the statistical population of this study was all gastrointestinal patients in Sari who referred to Imam Khomeini Hospital in 2020 and its sample included 30 people (15 people for the experimental group and 15 people for the control group), who were selected using the available sampling method. Then, the members of the experimental group were treated for 8 sessions based on acceptance and commitment and the control group did not receive any treatment. Research instruments included the Cognitive-Emotional Regulation Questionnaire (Garnowski et al, 2001) and Cognitive Flexibility (Dena and Venedrwal, 2010). And the statistical method of this research was multivariate analysis of covariance. Results: The results of multivariable covariance analysis showed that acceptance and commitment therapy was effective on cognitive-emotional regulation and cognitive flexibility and significantly improved cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients. Conclusion: According to the research findings, acceptance and commitment therapy can be used as an effective method to promote cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients.


Author(s):  
Shiler Karimi ◽  
Fardin Moradimanesh ◽  
Parviz Asgari ◽  
Saieed Bakhtiyarpour

One of the proposed psychological treatments in hemodialysis patients is acceptance and commitment therapy. The acceptance and commitment therapy focuses on psychological flexibility and this occurs when a person consciously accepts his or her thoughts and feelings and shows a behavior consistent with his or her personal values. As chronic kidney failure causes many psychological problems for patients, which can affect their various aspects of life and significantly reduce their quality of life and as acceptance and commitment therapy has provided promising results in helping patients with severe and chronic conditions to cope with their psychological, physical, social, family and economic problems and given the important role of the variable of illness perception in this regard, the present study was conducted to evaluate the effect of acceptance and commitment therapy on illness perception of patients. The statistical population of this study included hemodialysis patients in the dialysis ward of Bouali Marivan Hospital from 22-11-2018 to 22/11/2012. The number of subjects in each of the experimental and control groups was 15. The experimental group received acceptance and commitment therapy at 8 sessions and the control group received no therapy. The data were collected using Illness Perception Questionnaire-Revised (IPQ-R). Data were analyzed by SPSS software using descriptive statistics and covariance analysis. The results of the study showed that acceptance and commitment therapy (ACT) was effective on illness perception, consequences of the illness perception, illness personal control perception, illness treatment control perception, concern and emotional responses perception in dialysis patients. However, acceptance and commitment therapy (ACT) did not affect the illness timeline perception, identity of the illness perception and the illness recognition in dialysis patients.


2020 ◽  
Vol 18 (4) ◽  
pp. 445-454
Author(s):  
Jalal Younesi ◽  
◽  
Javad Kazemi ◽  
Asghar Dadkhah ◽  
Akbar Biglarian ◽  
...  

Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological problems in these patients. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The study population included all patients with MS from Iran’s MS Association in Tehran City, Iran. The study sample included 30 patients (n=15/group) who were selected by purposive sampling technique and according to the study inclusion and exclusion criteria. The study participants were randomly assigned to the experimental and control groups. After obtaining necessary permissions and informed consent, a pre-test was initially performed. The instruments used in this study were ‎the 29-item Antonovsky’s Sense of Coherence Scale; the 29-item Julian Rotter’s Locus of Control Scale, and the 21-item Tedeschi and Calhoun’s Posttraumatic Growth scale. Several studies supported the reliability and validity of these scales. The experimental group received 8 sessions (once a week, each session: 1.5 h) of group Acceptance and Commitment Therapy (ACT). However, the control group received no intervention. After the intervention, according to the instructions, the post-test was performed. Data analysis was conducted using SPSS V. 21. Multivariate Analysis of Covariance (MANCOVA) was performed to examine between-group differences data. Results: The study findings indicated that ACT was effective on the SoC; however, it had no significant effect on the LoC and PTG (P=0.05). Discussion: Participation in ACT sessions could enhance the SoC of patients with MS. Accordingly, it can be improved by accepting and enhancing these patients’ commitment to change through psychotherapy approach and increasing their SoC.


2020 ◽  
Vol 26 (2) ◽  
pp. 142-153
Author(s):  
Alireza Armani Kian ◽  
◽  
Bahram Rostami ◽  
Seyyede Elnaz Moosavi ◽  
Mehdi Maghbooli ◽  
...  

Objectives: Procrastination and academic failure are factors that are on the rise among medical universities and threaten the educational system. Therefore, it is necessary to identify interventions that can reduce these factors. The present study aimed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) on academic procrastination in Medical Sciences students of Zanjan University, Zanjan City, Iran. Methods: This study was a quasi-experimental study with a pre-test & post-test design and case and control groups. The statistical population was all students with academic failure who were referred to the University Counseling Office during the academic year 1996-7, out of whom 38 were enrolled in the study considering the inclusion criteria and academic procrastination score. The study data were collected using the standard Solomon’s and Rothlobom questionnaire. Students’ academic performance was also measured by their semester grade point average. Covariance analysis and analysis of covariance were used for data analysis in SPSS V. 24. Results: The mean academic procrastination was significantly different between the two groups at the post-test (P<0.05). Group F was statistically significant in academic procrastination equal to 257.553 (P<0.05), so the effectiveness of ACT on academic procrastination and its components was confirmed. Concerning academic performance, the F of the group factor was equal to 9.59 and at the level of P<0.05 which was statistically significant. Conclusion: The results show the effectiveness of ACT on student’s procrastination and academic failure.


2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zohreh Hashemi ◽  
Sanaz Einy ◽  
Matineh Ebadi

Background: The comorbidity of substance use, mood disorders, and anxiety has been proven in various studies, leading to many clinical implications. Objectives: This study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in depression and anxiety in individuals with substance use disorder. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The statistical population consisted of all people with substance abuse in Urmia in 2019, including 220 subjects. The sample consisted of 50 individuals with substance use disorders selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group was trained in eight sessions, each lasting 90 min, based on the ACT protocol by Hayes et al. (2004), while the control group did not receive any intervention. The data were obtained using the Beck Depression Inventory and Beck Anxiety Inventory. Pretest and posttest were performed in both groups. The collected data were analyzed by multivariate analysis of covariance (MANCOVA) using SPSS23 software. Results: The results showed that after controlling for the pretest effects, a significant difference was observed between the mean posttest scores of the two groups in both depression and anxiety (P < 0.05). Conclusions: Acceptance and commitment therapy is an appropriate strategy to effectively improve depression and anxiety in people with substance use disorder.


Author(s):  
Mohammad Oraki ◽  
Hossein Zare ◽  
Ali Hosseinzadeh Ghasemabad

Introduction: The present study was conducted with the aim of acceptance and commitment therapy (ACT) on treatment adherence in people with non-alcoholic fatty liver disease (NAFLD). Methods: This study was a quasi-experimental design with an experimental group and a control group with pre-test, post-test and two-month follow-up. This study was conducted in 2019 in Tehran in the statistical population of people with NAFLD diagnosis. In this study, 30 individuals with NAFLD were purposefully selected and they were randomly assigned to two groups and received a pre-test. Then, the experimental group underwent group intervention of acceptance and commitment therapy during two months of ten sessions while the control group had received the typical routine interventions from medical centers. The Morisky Medication Adherence Scale (Moriski et al., 2008) was conducted in the all of three stages of measurement. In order to analyze the data, repeated measures analysis of variance test with SPSS-16 software was used. Results: The trend of changes in the intervention group compared to the control group in the measurement stages in the treatment adherence to the treatment (F= 4.243, P=0.03) was significantly different (P <0.05) and about 15% of the differences observed in this variable is due to group membership (intervention). To compare these changes over time, Benfron's subtest was used. The difference between pre-test with post-test and follow-up were only significant in the intervention group (P <0.05). Conclusion: Acceptance and commitment-based therapy increases treatment adherence. Therefore, it is suggested that this method be used to increase treatment adherence in people with non-alcoholic fatty liver.


2019 ◽  
Vol 12 (4) ◽  
pp. 39-51
Author(s):  
Sheida Jabalameli ◽  
Leila Ghasemi

Introduction: The effects of breast cancer and mastectomy on sexuality, an important aspect of personality, emphasize the need for psychological treatments. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on sexual desire in breast cancer patients after mastectomy. Methods: This was a semiexperimental study with an experimental and a control group with a pretest-posttest design. The statistical population included all women with breast cancer in the Isfahan province who had come to Alla charity center in 2017. A sample of 26 women with breast cancer was selected through available sampling and assigned randomly to two groups of 13 subjects each. The experimental group received ACT over 8 sessions and the control group remained on the waiting list until the end of the study. The measurement tool was the Hurlbert Index of Sexual Desire administered before and after the intervention. Data were analyzed with SPSS 16 using an analysis of covariance test. Results: There was a significant difference in the mean scores on sexual desire between the two groups (F = 7.99, p = 0.014). The mean score on sexual desire improved from 0.85 to 1.23 in the treatment group, but there was no change in the control group (1.17 in the pretest vs 1.16 in the posttest). In general, ACT was effective in improving sexual desire in patients (p < 0.05, effect size: 0.48). Conclusion: In general, according to the findings of this research, ACT seems to be effective in improving psychological problems in women with breast cancer.


2018 ◽  
Vol 5 (4) ◽  
pp. 158-163
Author(s):  
Sara Haghighat ◽  
Alireza Mohammadi

Background: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on reducing mood symptoms in patients with substance abuse. Methods: The current research was a semi-experimental study with pre-test and post-test with a control group. The participants consisted of all people with substance abuse referred to drug abuse treatment centers in district 4 and 8 of Tehran city in 2016-2017. In this way, 45 subjects selected by purposeful sampling method and randomly divided into 2 groups of experimental and one control group (15 persons for each group). Then, the Mood Disorder Questionnaire and Depression Inventory took from the subjects of each group. CBT and ACT performed in 8 sessions of 90 minutes in 2 experimental groups and control group were also without any training program. After completing the training, the post-test performed for all three groups. Data analysis was done by using the covariance analysis (MANCOVA) and using SPSS-21 software. Results: The findings showed that CBT and ACT were effective in reducing mood syndrome in patients with substance abuse (P<00.001). Moreover, there were no significant differences between the effectiveness of the CBT and ACT on the reduction of mood syndrome in patients with substance abuse. Conclusion: Considering the effect of CBT and ACT on the reduction of mood syndrome among patients with substance abuse, it is worth considering the role of these 2 treatments as one of the educational and therapeutic strategies for substance abuse


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