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Saman Nonahal; shahram mohammadkhani; Jafar Hasani; mehdi akbari
Abstract
Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. ...
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Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. Method: The cultural adaptation study was conducted in five stages: Protocol Translation, Information Gathering, Preliminary Adaptation, Preliminary Test, and Final Adaptation. In stage 2, three professionals specializing in third-wave behavior therapy, one nutritionist, and one bodybuilding coach participated. In stage 4, five individuals with obesity were involved, and, in stage 5, seven professionals in third-wave behavior therapy participated. Data were analyzed quantitatively (mean and content validity index) and qualitatively. Results: A protocol consisting of 12 sessions was developed, assigning two sessions to each of the six steps of the acceptance and commitment therapy matrix. The adapted protocol differed from the original protocol in terms of metaphors, exercises, and materials. We added three metaphors: The Compass, the Noticing Muscle, and the Monsters on the Bus. Additionally, Matrix cards were introduced, including Goals & Directions, The Magic Wand, Who Is Important, Important, Stuff That Shows Up, Behavior, Toward Moves, Toward & Away, Surfing The Waves, Am I Important, Choosing My Life, Psychological Flexibility, Noticing Muscle, Practice, Stuck Loops, Monster Tug-Of-War, Don't Think of It, Don't Feel It, The 2 Rules, Dead Person's Goals, Hooks, Catch & Release, Verbal Aikido, U-Turn, Monsters on the Bus, Two Friends, Texting My Future Self. We also included four worksheets: The Compass, Who or What Is Important, Two Friends, and Texting My Future Self. Excluded items were The Hooky Words Game and Sorting Five-Senses and Inner Experience. The Monster Tug-Of-War metaphor was used instead of the Man in The Hole metaphor; for an experiential exploration of controlling thoughts, the term “pink elephant” was used instead of “purple unicorn;” the new version of the Verbal Aikido Worksheet was used instead of the existing one; and the Two Friend metaphor was replaced with the Mother Cat Exercise. Furthermore, a short video about physical aikido was added, and the perspective-taking dialogue shifted from verbal format to writing format. The content validity index for each session in the adapted protocol, as well as for the entire adapted protocol, was excellent. Conclusion: The study provides valuable insights into the use of the acceptance and commitment therapy matrix in the Iranian population with obesity. It underscores the importance of considering cultural nuances during intervention design.
khadijeh fooladvand; salman zarei
Abstract
Objective: Infertility led to personal and social problems among women. The present study was carried out with the aim of evaluating the effectiveness of acceptance and commitment therapy (ACT) on cognitive emotion regulation strategies, body image and resilience of infertile women. Method: The method ...
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Objective: Infertility led to personal and social problems among women. The present study was carried out with the aim of evaluating the effectiveness of acceptance and commitment therapy (ACT) on cognitive emotion regulation strategies, body image and resilience of infertile women. Method: The method of the current study being quasi-experimental, was with pretest-posttest design with control group. The statistical population of the study included all infertile women who had referred to Ghadir Hospital of Shiraz in 2019. Using purposeful sampling method, a total of 30 infertile women were selected and were randomly categorized as experimental and control groups. In the pre-test and post-test stages, Resilience Scale, Cognitive Emotion Regulation Questionnaire and the body Image Concern Inventory were conducted. After performing the pretest, the experimental group received ACT for 8 sessions of 60 minutes and the control group did not receive any intervention. Data were analyzed using multivariate analysis of covariance with SPSS-22 software. Findings: The results showed that by controlling the effect of pre-test, there was a significant difference between the mean post-test of the two groups in the variables of adaptive emotion regulation strategies (F=18.173), maladaptive emotion regulation strategies (F=16.163), body image (F=17.593) and resilience (F=16.826) at the level P = 0.01. Conclusion: According to the results of this study, we can make use of ACT for the improvement of emotion regulation strategies, body image and resilience of infertile women.
Mohsen Akbarian; Fatemeh Mohammadi shir mahalleh; Ahmad Borjali; Hamidreza Hassanabadi; Shahla Abolghasemi
Abstract
Objective: The prevalence of fibromyalgia in women and comorbid psychological disorders such as anxiety and sleep disorders lead to disruption of physical therapy and reduced function of patients' healthy lives. The Purpose of this study was to investigate the effect of acceptance and commitment group ...
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Objective: The prevalence of fibromyalgia in women and comorbid psychological disorders such as anxiety and sleep disorders lead to disruption of physical therapy and reduced function of patients' healthy lives. The Purpose of this study was to investigate the effect of acceptance and commitment group therapy on anxiety, sleep and pain intensity in patients with fibromyalgia. Method: In this semi-experimental study with a pre-test, post-test and quarterly follow-up plan, 34 patients with fibromyalgia were selected by available sampling in 2018 at Bu Ali Hospital in Tehran and randomly assigned to two groups of 20 experimental and control (waiting list). Through 8 sessions, acceptance and commitment group therapy training was performed for experimental group. At the same time, the control group did not receive any intervention. Participants answered Beck Anxiety Questionnaire, McGill Pain, and Choline Spy Sleep Disorders before and after training. Analysis of covariance and repeated measures were used to analyze the data. Findings: The results of analysis of covariance and repeated measures showed that acceptance and commitment group therapy have a significant effect on reducing the symptoms of anxiety, sleep and pain intensity in patients with fibromyalgia (p-value <0.001). Conclusion: The results of the present study showed that acceptance and commitment therapy by creating and developing acceptance and psychological flexibility, can reduce patients' psychological damage and lead to a reduction in pain, sleep disorders and anxiety.
Forough Abbasi; fardin moradimaesh; Farah Naderi; saeed Bakhtiar Pour
Abstract
Objective: Asthma is a major problem in most parts of the world is still diagnosed and treated as a global health problem and many people die every year. The purpose of this study was to the effectiveness of acceptance and commitment therapy on perceived stress and illness perception in asthmatic individuals. ...
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Objective: Asthma is a major problem in most parts of the world is still diagnosed and treated as a global health problem and many people die every year. The purpose of this study was to the effectiveness of acceptance and commitment therapy on perceived stress and illness perception in asthmatic individuals. Method: The statistical population of this study included all asthmatic individuals who referred to asthma and allergy clinics in Bushehr in year 2019, 40 of them were selected voluntarily and randomly assigned to experimental group and control group (each group of 20 person). To collect data Cohen, Kamarck, and Mermelstein’s perceived stress (1983) questionnaire and Mouss-Morris et. al.’s illness perception (2002) were used. This quasi experimental study was conducted with a pretest-posttest design with control group. The experimental group underwent acceptance and commitment therapy but the control group received no treatments. Data were analysed using covariance analysis. Findings: The results showed that acceptance and commitment therapy was effective to decrease perceived stress and increase illness perception in asthmatic individuals (p < .05). Conclusion: According to the results, this treatment can be used to decrease perceived stress and increase illness perception in asthmatic individuals. And help them to decrease their tentions.
Seyed Morteza Mousavi; Afsaneh Khajevand Khoshli; Javanshir Asadi; Hasan Abdollahzadeh
Abstract
Objective: The present research was conducted by the aim of comparing the effectiveness of compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT) on self-compassion and quality of life among women with Systemic Lupus Erythematosus (SLE). Method: The present research was semi-experimental ...
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Objective: The present research was conducted by the aim of comparing the effectiveness of compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT) on self-compassion and quality of life among women with Systemic Lupus Erythematosus (SLE). Method: The present research was semi-experimental in which a pretest-posttest and follow-up with control group design was used. The research population included all the female patients with Systemic Lupus Erythematosus referring to the Rheumatology clinic of Imam Khomeini Hospital and Tooba clinic of Sari city, Iran, in the first half of 2019. The study sample included 60 patients who were selected by available sampling method and, then, were assigned into two experiment groups and one control group through random assignment method. All the three groups were assessed by using the Neff’s Self-Compassion Scale (2003) and the World Health Organization’s Quality of Life Questionnaire (1998) in pretest, posttest, and follow-up stages. The first and the second experiment groups respectively received the ACT and CFT interventions in eight 120-minute session in groups. Findings: Results indicated that the ACT and CFT methods have been effective on improving self-compassion and quality of life in the posttest and follow-up stages (p < 0.01). Findings affirmed that the effectiveness of CFT on improving self-compassion was greater. No significant difference was observed between the both interventions on the quality of life variable (p<0.01). Conclusion: Based on the obtained results, psychologists and health practitioners are recommended to use these two therapeutic models for reducing the psychological problems of patients with SLE.
Ali Mohammad Rezaie
Abstract
Objective: Lupus is a disease that is causing anxiety in a person causes anxiety and tension in response to threatening conditions. The purpose of this study was to evaluate the effectiveness of acceptance and commitment based therapy, compassion based therapy and combination therapy on anxiety and Dysfunctional ...
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Objective: Lupus is a disease that is causing anxiety in a person causes anxiety and tension in response to threatening conditions. The purpose of this study was to evaluate the effectiveness of acceptance and commitment based therapy, compassion based therapy and combination therapy on anxiety and Dysfunctional attitudes in patients with systemic lupus. Method: This is a quasi-experimental study with pre-test, post-test with a control group. The statistical population of this study included all patients with systemic lupus treated in Shiraz hospitals, who Using a available sampling method, 80 individuals were selected and randomly divided into four groups including20 individauls. One group was selected as control group and the other3 as experimental group. The instruments used in this study included Zong Anxiety Scale (1970), and Weisman and Beck (1978) dysfunctional attitudes questionnaire. Findings: Data collected using repeated measures analysis of variance showed that this treatment had a significant effect on systemic lupus in post-test and follow-up stages (F=6/53, p<0/001). Also, the effect of combination therapy in this study was significant (F=207/47,p≤/0005). Conclusion: According to the findings of the present study, acceptance, commitment and compassion training packages can be used to improve anxiety and dysfunctional attitudes in patients with lupus
Hiva Mahmoodi; zahra karbalaee bagheri
Abstract
Objective: Cancer crises cause imbalance of mind and body, but most of the time for the patient is a feeling of despair and hopelessness. The purpose of this study was to evaluate the effectiveness of acceptance and commitment therapy on the hope and belief in a just world in patients with breast cancer. ...
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Objective: Cancer crises cause imbalance of mind and body, but most of the time for the patient is a feeling of despair and hopelessness. The purpose of this study was to evaluate the effectiveness of acceptance and commitment therapy on the hope and belief in a just world in patients with breast cancer. Method: The quasi-experimental research method was pretest-posttest design with control group. The population of the study included all women with breast cancer in Tehran. 40 of them were selected by convenience sampling. They were then randomly assigned to the control and experimental groups. The data collection tools included Adel Robin and Pplawprenham (2003) Belief in World Question and Herth Life Expectancy Questionnaire. Data were analyzed using multivariate analysis of covariance. Findings: The results showed a steady increase in the scores of the Hope and Belief in a Fair World Scale for Patients with Breast Cancer, indicating the effectiveness of acceptance and commitment therapy in increasing these variables. Conclusion: Disappointment plays a predisposing, accelerating, and persistent role in cancer, and acceptance and commitment therapy can play an important role as adjunctive and rehabilitative therapies alongside medical treatments.
Kiumars Arjmand Ghujur; Majid Mahmood-Aliloo; Zeynab khanjani; abbas bakhshipour
Abstract
Objective: Today, substance abuse has become one of the major problems in societies and has become more prevalent among young people.The aim of this study is to appointment of acceptance and commitment therapy (ACT) effectiveness in reduction of craving and lapse in methamphetamine addict patients. Method: ...
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Objective: Today, substance abuse has become one of the major problems in societies and has become more prevalent among young people.The aim of this study is to appointment of acceptance and commitment therapy (ACT) effectiveness in reduction of craving and lapse in methamphetamine addict patients. Method: In this study had been used single-case experimental design in kind of multiple-baseline design in asynchronous manner. Three of male methamphetamine addict patients choose that had come to Welfare Organization and to the Addiction Withdrawal Center in Takab Township by diagnostic interview and structured clinical interview and with purposeful sampling method. The study tools had been used such as Structured Clinical interview (SCID), demographic characteristic questionnaire, urine test, Relapse Prediction Scale (RPS) and Individual Therapy Protocol (ACT).the achieved results considered by methods of visual inspection, reliable change index (RCI), change percentage formula, clinical significance change and operational measurement. Findings: Achieved data showed that acceptance and commitment therapy in treatment's targets intensity reduction (craving and lapse) statistically is in level of (P<0.05), clinically and significance operational measurement. Conclusion: Acceptance and commitment therapy (ACT) is effective in intensity reduction of craving and lapse in methamphetamine addict patients. Given that the therapeutic approach increases psychological flexibility in patients, it can be used to treat methamphetamine dependence.
Mahsa Naghavi; Esmail Asadpour; Abdolraheem Kasaee
Abstract
Objective: The main aim of present study was to determine the effectiveness of group counselling based on Acceptance and Commitment Therapy on increasing psychological flexibility and marital intimacy in infertile women. Method: This study was a semi-experimental with pre-test and post-test design and ...
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Objective: The main aim of present study was to determine the effectiveness of group counselling based on Acceptance and Commitment Therapy on increasing psychological flexibility and marital intimacy in infertile women. Method: This study was a semi-experimental with pre-test and post-test design and control group. The Statistical population of this research includes all the infertile women who referrd to Omid Infertility Center in Tehran. 50 infertile women were selected by convenience sampling method from the statistical population. Then 30 infertile women were chosen by simple random sampling and were assigned to the intervention and controle group. Then both groups were evaluated using Bagarozzi Marital Intimacy Questionnaire (2001) and Bond Acceptance and Action Questionnaire (2011) in posttest. The data were analyzed by MANCOVA method. Findings: Statistical data analysis illustrated Group Counselling based on Acceptance and Commitment Therapy that amounts of Psychological flexibility and marital intimacy were significantly increased in experimental than control group (P<0/05). Conclusion: The results of this study indicate that group counseling based on acceptance and commitment therapy can be used as an effective psychological intervention on the psychological flexibility and marital intimacy of Infertile Women.
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
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Hasan Abdollahzadeh; Yosef Kabirinasab
Abstract
Objective: Mastectomy surgery is basic foundation of treatment in patients with breast cancer that could cause damage to matrimony. Accordingly, the purpose of this study was the Effectiveness of acceptance and commitment therapy on internalized shame and Sexual self-esteem of women with ...
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Objective: Mastectomy surgery is basic foundation of treatment in patients with breast cancer that could cause damage to matrimony. Accordingly, the purpose of this study was the Effectiveness of acceptance and commitment therapy on internalized shame and Sexual self-esteem of women with breast cancer after mastectomy surgery. Method: This quasi-experimental study was a pretest-posttest with control group. The research population was women residing in Behshahr city with breast cancer after mastectomy surgery that had been treating in specialized clinics in Behshahr and Sari cities. 30 women under consideration entry and exit criteria to study randomly assigned into two groups of 15people experimental and control with convenience Method. The experimental group was exposed to therapy based on acceptance and commitment in ten sessions of 90 minutes but control group did not receive treatment. Standard Cook's Internalized Shame Inventory and Schwarz sexual self- esteem were used to collect data. Data were analyzed by using SPSS21 software and multivariate covariance analysis.Result: The results of multivariate covariance analysis showed that therapy on acceptance and commitment has had positive impact on some components of internalized shame including shyness and self-esteem also the intervention has had positive impact on some components of sexual self-esteem like experience and skill , attractiveness, control , moral judgment and adaptiveness.Conclusion: therapy based on acceptance and commitment has caused to increase sexual self-esteem and reduce internalized shame. The use of the intervention recommended improving mental health in women with breast cancer after mastectomy surgery
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Fatemeh Beheshtian; Hasan Ahady; Nila Akhondy; Adis kraskian Mojembari
Abstract
Objective: The purpose of this study was to the Comparison Effectiveness of Acceptance and Commitment Therapy and Stress Inoculation Trainingon Psychological capitalin Infertile women. Method: The research method was applied in terms of purpose and in terms of data collection, a quasi-experimental design ...
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Objective: The purpose of this study was to the Comparison Effectiveness of Acceptance and Commitment Therapy and Stress Inoculation Trainingon Psychological capitalin Infertile women. Method: The research method was applied in terms of purpose and in terms of data collection, a quasi-experimental design with pretest-posttest design with control group. The statistical population of this study included all infertile women of Kish Island. Using a available sampling method, 45 infertile women were considered as the sample size in two experimental groups (each group of 15) and control (15 subjects). The experimental groups underwent acceptance and commitment therapy (9 sessions 90 minutes) and Stress Inoculation Training(10 sessions 90 minutes), but the control group received no treatment. To collect data, the Luthans Psychological capitalQuestionnaire (2007) was used. Data analysis was performed using SPSS-v22 software in two sections: descriptive and inferential (covariance analysis).Result: The results showed that both of the interventions used in this study can significantly improve the psychological capital and its components (hope, optimism, self-efficacy and resiliency) in infertile women (p <0.05), But the Stress Inoculation Traininghas a greater impact on the improvement of psychological capital and its components.Conclusion: Based on the results of this study, acceptance and commitment therapy and stress inoculation trainingare effective interventions in increasing the psychological capital of infertile women But the effect of the Stress Inoculation Trainingrelief was greater.
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Mohamad Oraki; Atousa Mahdizadeh; Afsaneh Dortaj
Volume 7, Issue 26 , September 2018, , Pages 25-43
Abstract
Objective: The aim of this study was to compare the effectiveness of emotion regulation- focused cognitive-behavior therapy (CBT) and acceptance and commitment therapy (ACT) on backache symptoms, depression and life satisfaction in women suffering from chronic backache with comorbid major depressive ...
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Objective: The aim of this study was to compare the effectiveness of emotion regulation- focused cognitive-behavior therapy (CBT) and acceptance and commitment therapy (ACT) on backache symptoms, depression and life satisfaction in women suffering from chronic backache with comorbid major depressive disorder (MDD).Method: This study was a quasi-experimental research conducted in the form of pretest-posttest with control group. 30 women with chronic backache and comorbid MDD were selected and were included randomly in two experimental groups (n=20) and one control group (n=10). One experimental group received the emotion regulation-focused CBT and another experimental group received the ACT, with control group on a waiting list. Participants completed the McGill Pain Questionnaire, Beck Depression Inventory-II (BDI-II) and Life Satisfaction Questionnaire in the pretest and posttest. The data were analyzed using multi-variable covariance analysis.Results: The Emotion regulation-focused CBT and the ACT reduced backache symptoms and depression, and increased life satisfaction. Conclusion: the results showed no significant differences between the two therapies.
