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Kajbaf Mohammad Bagher; Moslem Siahpoush monfared
Abstract
Objective: The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on perceived stress, cognitive flexibility, and psychological functioning among patients with asthma. Asthma is not only a chronic respiratory condition but also a disorder that exerts a profound ...
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Objective: The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on perceived stress, cognitive flexibility, and psychological functioning among patients with asthma. Asthma is not only a chronic respiratory condition but also a disorder that exerts a profound psychological burden on individuals, often leading to heightened stress, maladaptive coping strategies, and diminished quality of life. Therefore, addressing psychological aspects alongside medical treatment is of paramount importance. Method: This research employed a quasi-experimental design with pre-test and post-test assessments and a control group. The study population comprised asthma patients who attended specialized asthma and allergy clinics in Khoramabad during 2022. Using purposive sampling, 30 eligible participants were selected based on specific inclusion and exclusion criteria. The inclusion criteria required having a confirmed asthma diagnosis within the past year, being between 20 and 45 years of age, willingness and ability to regularly attend therapeutic sessions, and sufficient literacy to respond to questionnaires. Exclusion criteria included absence from more than two therapeutic sessions, lack of cooperation, unwillingness to continue participation, comorbid medical or psychological conditions, substance abuse, or incomplete responses to research instruments. Participants were randomly assigned into two equal groups (n = 15 per group). The experimental group received eight structured sessions of group-based ACT, while the control group continued to receive only routine medical treatment. Data were collected using three standardized self-report measures: the Perceived Stress Scale (PSS), the Cognitive Flexibility Inventory (CFI), and the Depression-Anxiety-Stress Scale (DASS-21). Pre-test questionnaires were administered to both groups before the intervention, and post-tests were administered after completion of the therapeutic sessions. Statistical analyses were conducted using descriptive indicators, paired and independent t-tests, as well as multivariate analysis of covariance (MANCOVA) via SPSS version 26. Results: The average age of participants was 39.76 ± 11.05 years in the experimental group and 39.66 ± 9.74 years in the control group. The results of paired-sample t-tests indicated that, following the ACT intervention, participants in the experimental group experienced statistically significant improvements in perceived stress, cognitive flexibility, and psychological functioning (P<0.05). In contrast, no significant changes were observed within the control group. Furthermore, independent t-test results confirmed that there were no significant differences between the two groups in pre-test scores, ensuring initial homogeneity. Assumptions of normality and equality of variances were also met, as confirmed by the Kolmogorov-Smirnov and Levene’s tests (P>0.05). MANCOVA results revealed significant between-group differences in the post-test phase, favoring the experimental group, with an effect size (Eta squared) of 0.66. This suggests that approximately 66% of the observed changes in outcome measures were attributable to the ACT intervention. Conclusion: The findings demonstrate that Acceptance and Commitment Therapy is an effective psychological intervention for asthma patients. By reducing perceived stress and enhancing cognitive flexibility, ACT contributes to improved psychological functioning and overall well-being. These results underscore the importance of integrating psychological therapies such as ACT into comprehensive asthma management programs, thereby addressing both physical and psychological dimensions of the illness. Future research is recommended to replicate these findings with larger samples and to explore the long-term effects of ACT in chronic respiratory conditions.
F
zahra ghanbari
Abstract
Objective: Dyspepsia causes psychological problems and chronic pain in people. To solve these problems, interventions such as cognitive therapy based on mindfulness are needed. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on cognitive ...
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Objective: Dyspepsia causes psychological problems and chronic pain in people. To solve these problems, interventions such as cognitive therapy based on mindfulness are needed. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on cognitive flexibility and chronic pain in dyspepsia patients. Method: The research method was semi-experimental with a pre-test-post-test design with a control group and a two-month follow-up phase. The statistical population of the study included all patients up to 50 years of age diagnosed with indigestion without ulcers in the specialized and sub-specialized clinic of Besat of city of Kerman in 2022. Among them, 30 people were selected as the sample of the study by available sampling method and were randomly assigned to two experimental groups (15 people) and control group (15 people). The people of the experimental group received cognitive therapy based on mindfulness in 8 sessions of 90 minutes in a group. The questionnaires used in this research include the Cognitive Flexibility Questionnaire of Dennis and Vanderwaal (2010) and the McGill Pain Questionnaire (2010). 2009). The research data was analyzed by mixed analysis of variance and Benferroni post hoc test by SPSS-24 software. Results: The results showed that the average scores of cognitive flexibility and its components, including: alternatives, control and exploitation, of people in the experimental group increased in the post-test and follow-up stages compared to the pre-test. Is. Also, the average scores of chronic pain and its components, including: physical-sensual, emotional-emotional and cognitive-evaluative, of the people of the experimental group in the post-test and follow-up phase have decreased compared to the pre-test (0.001) P < ). Pairwise comparison showed that there is a significant difference between the average scores of the pre-test, post-test and follow-up stages in the variables of cognitive flexibility and chronic pain and their components. This means that the cognitive therapy based on mindfulness has been able to significantly change the post-test scores and follow-up variables of cognitive flexibility and chronic pain, their components compared to the pre-test stage. Another finding of this table showed that there is no significant difference between the average scores of the post-exam stage and follow-up. This finding can be explained by the fact that the scores of variables of cognitive flexibility and chronic pain of their components in patients with dyspepsia, which had undergone a significant change in the post-test phase, were able to change this change during Keep the follow-up period. Conclusion: Cognitive therapy helps dyspepsia patients by changing their behaviors, feelings, attitudes and beliefs, replacing irrational beliefs and non-adaptive behaviors with realism, sense of efficacy and increased activity, thus increasing flexibility, help in cognition and reducing the intensity of pain. Cognitive therapy based on mindfulness was effective and efficient in increasing cognitive flexibility and reducing chronic pain in dyspepsia patients.
A
Hossein Zare; Azadeh Sabeti
Abstract
Objective: The aim of the present study was to predict complicated grief based on cognitive flexibility with the mediating role of cognitive regulation of emotion in survivors of the COVID-19.Method: This descriptive study was fundamental-applicative and correlation type with path analysis in terms of ...
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Objective: The aim of the present study was to predict complicated grief based on cognitive flexibility with the mediating role of cognitive regulation of emotion in survivors of the COVID-19.Method: This descriptive study was fundamental-applicative and correlation type with path analysis in terms of method. The statistical population included all the bereaved people who lost one of their close relatives or family members due to the corona virus since 2018 to 1400. Therefore 200 survivors and mourners formed the research sample.Three questionnaires included cognitive-emotional regulation by Garnevsky et al. (2009), cognitive flexibility by Dennis Vonderwall (2010), and grief experience by Barrett and Scott (1998) were used and completed online by the participants. SPSS-26 software was used to analyze statistical correlation relationships and Imus software version 24 was used to evaluate the achievement of the fitted model.Results: The results showed that the direct effect of cognitive flexibility with beta coefficient on compromised strategies is positive (Beta=0.655), and on uncompromised strategies (Beta=-0.628) and the experience of bereavement (Beta=-0.387) is negative and significant (P<01.1). Also, the direct effect of emotion-cognitive compromise strategies with the standard coefficient on bereavement experience (Beta=0.254) is positively significant and the adaptive cognitive strategies of emotion are negatively significant on the experience of bereavement (Beta=-0.327).The correlation coefficient between the variables showed that cognitive flexibility has a positive correlation with emotional cognitive strategies (r=0.66) and a negative correlation with bereavement experience (r=-0.75) and a negative correlation with non-compromised emotional cognitive strategies (P<0.1). In other words, as survivors' cognitive flexibility increases, their mourning decreases. Also, the experience of bereavement is more in the survivors who use non-compromised strategies of emotional cognition (r=0/66) and less in those who use compromised cognitive strategies of emotion (r=-0.71).The results of the Bootstrap test for indirect ways showed that the indirect way of cognitive flexibility to the experience of bereavement with the mediating role of cognitive regulation of uncompromising emotion has an effect size -0.14, as well as the indirect way of cognitive flexibility to the experience of bereavement with the mediating role of cognitive regulation of compromising emotion has an effect size-0.18, that is significant at the level of less than 0.05.Conclusion: Cognitive regulation of emotion has a mediating role between cognitive flexibility and bereavement experience of survivors. In general, the use of cognitive regulation of uncompromised emotion enhances the experience of bereavement and the use of cognitive regulation of compromised emotion reduces it. There is a significant negative relationship between cognitive flexibility and bereavement experience of corona survivors. There is a significant negative relationship between the dimensions of cognitive flexibility and the dimensions of uncompromising cognitive emotion regulation strategies of corona survivors. Also, cognitive flexibility has a significant effect on the complex grief of corona survivors through the mediating role of cognitive emotion regulation. In complicated grief caused by events such as Covid-19, various psychological and cognitive factors such as cognitive flexibility, cognitive regulation of emotion are involved, and psychotherapists, especially cognitive-behavioral therapists, should pay attention to these issues and focus on the positive factors influencing the reduction of complex bereavement and the treatment process.Due to the lack of funeral rituals and traditional mourning interactions which play an important role in facilitating the mourning process, the levels of resolving the painful emotions become more difficult. Greater flexibility will allow individuals to focus more on alternative ways of cognitive changes, therefore, in traumatic situations and psychological distress, they will have better control over their emotions.
Reza Afzali; Parvin Ehteshamzadeh; Parviz Asgari; Farah Naderi
Abstract
Objective: Eating disorder is a common disorder that has not received much psychological treatment. The purpose of this study was to investigate the effect of schema therapy on food craving، attentional bias to food، and cognitive flexibility in people with eating disorder. Method: This study was an ...
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Objective: Eating disorder is a common disorder that has not received much psychological treatment. The purpose of this study was to investigate the effect of schema therapy on food craving، attentional bias to food، and cognitive flexibility in people with eating disorder. Method: This study was an experimental study with pre-test and post-test with control group. The population of this study consisted of 40 persons with eating disorder who were purposefully selected using Gormal Eating Questionnaire and General Health Questionnaire and clinical interview based on DSM-5 criteria. Subjects were randomly divided into two experimental and control groups. Pre-test was performed using craving questionnaire، cognitive flexibility questionnaire and researcher-made attentional bias assessment tool. The intervention consisted of 10 sessions of schema therapy. Data were analyzed using SPSS 23 software and MANCOVA method. Findings: The results of this study showed that schema therapy had a significant effect on attentional bias، cognitive flexibility and food craving in people with overeating. The results remained stable at the 45-day follow-up after the posttest. Conclusion: Based on the results، it can be concluded that schema therapy can be used as an effective treatment method in people with binge eating disorder.
Malihe Abedzadeh Ymi; mahmood jajarmi; kaveh hojjat
Abstract
Objective: The theory of behavioral brain systems states that the level of activity of this system is associated with a wide range of emotional disorders, including depression and anxiety. The aim of this study was to investigate the depression of MS patients based on behavioral brain systems mediated ...
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Objective: The theory of behavioral brain systems states that the level of activity of this system is associated with a wide range of emotional disorders, including depression and anxiety. The aim of this study was to investigate the depression of MS patients based on behavioral brain systems mediated by cognitive flexibility, cognitive avoidance in the form of causal model. Method: This study was a correlational study using structural equation modeling.The statistical population includes all MS patients. They were from Mashhad and the samples were selected by available sampling method. The instruments used in this study included Beck Depression Inventory (1972), Carver & White (1994) Behavioral Brain Questionnaire, Dennis Wonderwall (2010) Cognitive Flexibility, and Sexton and Dagas (2004) Cognitive Avoidance Questionnaire. Structural modeling and Amos21 and SPSS21 software were used to analyze the data. Findings: The results showed that the activating behavioral brain system and cognitive flexibility have a negative and significant relationship with depression. Cognitive avoidance behavioral brain system has a positive and significant relationship with depression. Conclusion: The results show that the standardized indirect effect of activating behavioral system on depression is significant and the inhibitory system has cognitive avoidance on cognitive avoidance indirectly due to cognitive flexibility. Negative activator and inhibitory behavioral system can positively predict depression
mahbobeh karbalaie; kamran yazdanbakhsh; parvane karimi
Abstract
Objective: Cancer is life-threatening and a major challenge to the well-being of those affected.The purpose of this study was to predict psychological well-being based on emotion regulation strategies, cognitive flexibility and mindfulness in cancer patients. Method: The research design was correlational. ...
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Objective: Cancer is life-threatening and a major challenge to the well-being of those affected.The purpose of this study was to predict psychological well-being based on emotion regulation strategies, cognitive flexibility and mindfulness in cancer patients. Method: The research design was correlational. The statistical population of the study was women with cancer referred to the Cancer Campaign, Institution, and Association in Tehran during the first three months of the year 119 people were selected using available sampling method. Participants responded voluntarily to the Cognitive Emotion Regulation Questionnaire (Gross & John, 2003), Cognitive Flexibility (Dennis & Vanderval, 2010), Mindfulness (Brown & Ryan, 2003), and Psychological Well-being (Reef, 1989). The data were analyzed by SPSS v.21 and Pearson correlation coefficient and stepwise multiple regression. Findings: The results showed that the variables of re-evaluation of emotion regulation, cognitive flexibility, and mindfulness were positively and significantly correlated with psychological well-being, and the relationship between the repressive component of emotion regulation with psychological well-being was negative and significant. Conclusion: Psychological well-being has positive effects on the mental health and endurance of cancer patients, as emotion regulation, cognitive flexibility, and mindfulness are associated with psychological well-being, so these factors are needed in treatment and consider patients and plan effective interventions in this area.
A
Mohammad Mehdi Pasandideh; Faraunak SaulekMahdee
Abstract
Objective: Gastrointestinal diseases is among the most important and common chronic non communicable diseases that imposes a lotof Economic and psychological burden on the society and health system. Regarding this the ...
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Objective: Gastrointestinal diseases is among the most important and common chronic non communicable diseases that imposes a lotof Economic and psychological burden on the society and health system. Regarding this the aim of present study was to compare perceived stress , emotion regulation strategies and Cognitive Flexibility in Gastrointestinal patients and Normal individuals. Method: The present study was a comparative study and Statistical population in this study includes all Gastrointestinal patients in the gastroenterology private clinics of Bandar Anzali during the period of April & May in 2018 and their fellows that among Them ,184 people , 92 patients & 92 fellows ,were selected in the available sample method and completed the questionnaire of personal information perceived stress of cohen and et al (1983), the emotion regulation strategies of Gross & john (2003) and Dennis & Vander Wal ( 2010) Cognitive Flexibility responde. Results: The results of multivariate analysis of variance showed that there was a significant difference between the 2 groups in perceived stress components, Cognitive Flexibility & perceived controllability (subscales of Cognitive Flexibility).Conclusion: Based on the results of this study , consideration of related psychological dimensions. Gastrointestinal diseases especially stress and Cognitive Flexibility , are of great importance.
ezatollah ghadampour; leila heidaryani; farnaz radmehr
Volume 8, Issue 29 , June 2019, , Pages 153-167
Abstract
Introduction: The aim on present study was to evaluate the effectiveness of acceptance and commitment group therapy on cognitive flexibility and life satisfaction women with multiple sclerosis. Methods: The present study design was method experimental included with pretest-posttest and follow-up with ...
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Introduction: The aim on present study was to evaluate the effectiveness of acceptance and commitment group therapy on cognitive flexibility and life satisfaction women with multiple sclerosis. Methods: The present study design was method experimental included with pretest-posttest and follow-up with control group which was performed on 30 women with multiple sclerosis, who were randomly assigned into two groups of experimental and control group. Intervention acceptance and commitment therapy during 8 sessions, 90-minute, two sessions a week for the experimental group, while control group received no the intervention. After finishing session, posttest and three months after intervention follow-up was administrated to experimental and control group. Analysis of raw data using descriptive and inferential and tests, including analysis of covariance was performed. Results: The results revealed that the acceptance and commitment therapy had a significant positive effect on increase cognitive flexibility and life satisfaction (P
