scholarly journals Effectiveness of Acceptance and Commitment Therapy on Hypochondriasis and Psychosocial Adjustment in Divorced Women

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.

2018 ◽  
Vol 6 (2) ◽  
pp. 410-415 ◽  
Author(s):  
Mostafa Heydari ◽  
Saideh Masafi ◽  
Mehdi Jafari ◽  
Seyed Hassan Saadat ◽  
Shima Shahyad

AIM: Considering the key role of human resources as the main operator of organisations, the present research aimed to determine the effectiveness of acceptance and commitment therapy for anxiety and depression of Razi Psychiatric Center staff.MATERIALS AND METHODS: This research follows a quasi-experimental type with pre-test, post-test plans, and control group. Accordingly, 30 people were selected through volunteered sampling among Razi Psychiatric Center staff. Then, they were randomly placed into two groups of 15 (experimental and control) and evaluated using research tools. Research tools consisted of Beck Anxiety and Depression Inventories whose reliability and validity have been confirmed in several studies. Research data were analysed using the analysis of covariance (ANCOVA).Results: The statistical analysis confirmed the difference in the components of anxiety and depression in the experimental group, which had received acceptance and commitment therapy compared to the group that had not received any therapy in this regard (control group) (p < 0.05).CONCLUSION: Acceptance and commitment therapy reduces anxiety and depression.


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.


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.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Amiri ◽  
Parvin Ehteshamzadeh ◽  
Fariba Hafezi ◽  
Mohammad Reza Borna

Background: Cognitive-attentional syndrome (CAS) is one of the primary constructs of depression, the treatment of which is highly challenging because of its high prevalence and the emergence of symptoms such as feelings of sadness, emptiness, and hopelessness. Objectives: The present study aimed to investigate the effectiveness of behavioral activation (BA) and acceptance and commitment therapy (ACT) in CAS in patients with depression. Methods: This quasi-experimental research utilized a pretest, posttest, and two-month follow-up design with a control group. The study population comprised 260 patients with a diagnosis of depression who referred to the psychological centers of Ahvaz in 2019. The sample consisted of 45 patients with depression selected by convenience sampling. We randomly divided the participants into two experimental groups (BA and ACT) and a control group (n = 15 per group). The research instrument included the cognitive-attentional syndrome (CAS-1) questionnaire. Data were analyzed using SPSS version 24.0 with descriptive and inferential statistics, such as mean, standard deviation, and multivariate analysis of covariance (MANCOVA). Results: In terms of CAS and its components, there was a significant difference between the experimental and control groups in the posttest and follow-up phases (P = 0.0001). Besides, ACT and BA significantly reduced CAS and its components in the posttest phase (P = 0.0001). However, the effectiveness of BA in decreasing CAS and its components remained during the follow-up phase. Furthermore, the results showed that ACT was more effective in reducing attention to threat and metacognitive beliefs during the posttest phase. Conclusions: According to research findings, both BA and ACT are efficient therapies in reducing CAS in patients with depression. Thus, both approaches can be used to strengthen treatment interventions to reduce CAS in patients with depression.


Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi

Introduction: Hypochondriasis is a psychological disorder that affects divorced women's quality of life and mental health. The aim of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondria and cognitive emotion regulation among divorced Women in Tehran. Methods: The method was experimental with a pre-test, post-test design, and a control group. In the present study, the research population includes divorced women who have been affected by divorce-related psychological problems and were referred to Tehran consultation centers in 2018. In this study, The sample consisted of 30 divorced women selected by purposive sampling and randomly divided into experimental and control groups (n= 15 each). The research tools included the Health Anxiety Inventory (HAI) and the Cognitive Emotion Regulation Questionnaire (CERQ). The ACT intervention was performed on the experimental group for ten 90-minute sessions. Pearson's correlation coefficient, Levene's test, Shapiro-Wilk test, and multivariate analysis of covariance (MANCOVA) were used to analyze the data. The significance level of the study was considered to be α=0.05. Results: The mean and standard deviation (SD) of hypochondria post-test scores in the experimental and control groups were 35.13±1.92 and 37.33±3.07, respectively. The results indicated that ACT decreased hypochondria in the women (P=0.04). Also, the intervention effectively increased positive emotion regulation in the women (P=0.01). Conclusion: In addition to decreasing anxiety and increasing emotion regulation ability under difficult situations, ACT can increase social and psychological adaptability. Also, ACT can effectively decrease interactive and stress and anxiety in divorced women.


2121 ◽  
Vol 7 (1) ◽  
pp. 55-64
Author(s):  
Elham Eghrari ◽  
◽  
Mohammad Hossein Bayazi ◽  
Ali Reza Rajayi ◽  
◽  
...  

Background: Diabetes mellitus is a widely diffused chronic condition that affects several aspects of patients’ lives. The patient’s life in this condition depends on diabetes management ability. Therefore, this study aimed to compare the effects of Acceptance and Commitment Therapy (ACT) and Emotion Regulation Training (ERT) on the diabetes empowerment of patients with type 2 diabetes. Methods: This was a quasi-experimental study with a pre-test, post-test-follow-up and a control group design. Of the statistical population of patients referring to the Diabetes Prevention and Control Center of Mashhad Province, Iran, 45 subjects were recruited by convenience sampling method; they were randomly assigned into three groups of ACT, ERT, and control (n=15/group). The study subjects were assessed using the Diabetes Empowerment Scale (F-DES-28) in the pre-test stage, after the intervention, and 3 months later. The obtained data were analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS V. 22. Results: Both provided interventions presented a significant effect on the empowerment of the research subjects, compared to the controls (P<0.001). The effectiveness of ACT on the diabetes empowerment of patients was significantly higher than that of the ERT group (P=0.04). Conclusion: It is recommended to use ACT and ERT to empower patients with type 2 diabetes.


2019 ◽  
Vol 21 (6) ◽  
pp. 271-275
Author(s):  
Mahnaz Ghatreh Samani ◽  
Mahmoud Najafi ◽  
Issac Rahimian Bouger

Background and aims: Chronic pain is a common health problem that affects various aspects of life. Acceptance and commitment therapy (ACT) seems to be helpful in improving the quality of life and pain catastrophizing in patients with chronic pain. The purpose of this study was to compare the efficacy of ACT and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain. Methods: The subjects were 75 women suffering from chronic pain who were considered for physiotherapy. They were randomly divided into 3 groups including ACT, physiotherapy, and control groups. The control group consisted of 25 patients who were on the waiting list for physiotherapy. The first group participated in 8 sessions of ACT, the second group attended 10 sessions of physiotherapy, and the control group received no treatment. The Pain Catastrophizing Scale (PCS) developed by Sullivan et al and the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire were used in this study. Results: The results showed that the quality of life in the ACT group was significantly higher than that in the physiotherapy group and control group (P<0.001). Moreover, there was no significant difference between the ACT and physiotherapy groups in reducing pain catastrophizing (P>0.05), while this difference was significant between the ACT and control groups (P<0.001). Conclusion: In general, ACT leads to a reduction in pain catastrophizing and an increase in the quality of life of patients with chronic pain. Therefore, beside the current therapy like physiotherapy, ACT can be used as another therapeutic choice for patients with chronic pain.


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.


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.


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