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Showing 35 results for Acceptance and Commitment Therapy

مريم حر, اصغر آقايي, احمد عابدي, عباس عطاري,
Volume 11, Issue 2 (5-2013)
Abstract

Aim and Background: The purpose of this study was to determine the effect of treatment based on acceptance and commitment therapy (ACT) on depression and mental health in patients with diabetes. Methods and Materials: Experimental research method was used in this study. Statistical population consisted of diabetic patients from diabetes center in Isfahan, Iran. A total of 30 patients were randomly selected and assigned to either experimental or control groups. Beck Depression Inventory (BDI II) was completed before and after the intervention. Experimental group received 8 training sessions of ACT, with 120 minutes duration, in Diabetes Charitable Center of Isfahan. The control group received no training at all. Findings: Results showed that ACT significantly increased scores on the BDI II compared to the control group (P < 0.001). Conclusions: ACT may be considered to be an effective intervention approach for treating depression in diabetic patients.
راضیه ایزدی, حمید طاهر نشاط دوست, کریم عسگری, محمدرضا عابدی,
Volume 12, Issue 1 (4-2014)
Abstract

Aim and Background: Recently, “Third wave” behavioral and cognitive interventions have received extensive attention between researchers.To evaluation of the efficacy of one of these treatments, Acceptance and Commitment Therapy (ACT), This Study compares this treatment with Cognitive - Behavioral Therapy (CBT) in Obsessive- Compulsive Disorder (OCD).   methods and Materials: In this study a quasi- experimental design with pre - posttest was used. Implementation of this study was from February 2011 to October 2012 in the Parse`s center of Psychiatry and Psychology.The experimental groups were Acceptance and Commitment Therapy (n =13) and Cognitive-Behavior Therapy (n =13). Both groups received 10 two-hour treatment sessions once a week. In control group 12 patients participated (wait list). In order to assess the severity of OCD, psychological flexibility and depression, Yale Brown Obsessive- compulsive scale (YBOCS), Acceptance and Action Questionnaire (AAQ) and Beck Depression Inventory (BDI) were used. Data were analyzed using Multiple Analysis of Covariance in SPSS. Finding: Comparison of the treatment groups suggested that there was significant difference between ACT and wait list groups in all scales and this difference maintains in follow up (P=0.01). In addition, comparison of CBT group with wait list in posttest indicates that there was signifficant difference between two groups, except of psychological flexibility variabele, and these results maintain in follow up too (P=0.01). In post test, two groups show significant difference only in Acceptance and Action Questionnaire (P= 0.05) not in reduction of OCD symptoms and depression. ACT was more effective in increase of psychological flexibility and this superiority maintains in follow up (P= 0.01). Conclusions: Based on the results of this study, both Acceptance and Commitment Therapy and Cognitive-Behavior Therapy, made significant changes in OCD symptoms. So, current study provides an empirical support for Acceptance and Commitment Therapy in treatment of OCD.
سعيده فنايي, ايلناز سجاديان,
Volume 14, Issue 2 (12-2016)
Abstract

Aim and Background: Experiential avoidance is a behavior pattern that increases binge eating among overweight and obese individuals. The objective of this study was to investigate the efficacy of acceptance and commitment therapy (ACT) on experiential avoidance among overweight and obese individuals in Isfahan, Iran. Methods and Materials: The present quasi-experimental research was conducted with a pretest-posttest, double-blind, and multicenter design with control group. The statistical population of the study consisted of all overweight and obese individuals a body mass index (BMI) of more than 25 referring to nutrition and diet therapy clinics in the winter of 2015. From among them, 40 individuals were selected through convenience sampling based on the study criteria and were randomly assigned to the experimental and control groups (each group = 20 individuals). Both groups completed the Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQW) designed by Lillis and Hayes, at pretest, posttest, and follow-up stages (45 days after the intervention). The reliability of the AAQW was calculated using Cronbach&#039;s alpha coefficient (&alpha; = 0.91) and its content validity was confirmed by experts. The experimental group received 8 60-minute sessions of ACT. The control group, however, received no intervention. Data were analyzed using ANCOVA in SPSS software. Findings: There was a significant decrease in experiential avoidance among the experimental group participants (P < 0.05). Moreover, this effect was maintained until the follow-up stage. Conclusions: According to the results, ACT can be considered as an efficient intervention for the reduction of experiential avoidance in overweight and obese individuals. The reduction in experiential avoidance results in the increasing of psychological flexibility in these individuals. Therefore, ACT can be used in conjunction with other weight control interventions.
غلامرضا منشئي, مجيد زارعي, حامد جعفري ولداني,
Volume 14, Issue 2 (12-2016)
Abstract

Aim and Background: Stress resulting from treatment in patients undergoing hemodialysis will cause psychological problems. Maladaptive schemas are important in the development of psychological problems and the effectiveness of acceptance and commitment therapy (ACT) on them has been approved. The aim of this study was to examine the effects of ACT on modification of early maladaptive schemas in patients undergoing hemodialysis in Isfahan, Iran, in 2015. Methods and Materials: This clinical trial was conducted with a control group. For the purpose of this study, 30 patients undergoing hemodialysis in Zahra Hospital in Isfahan were selected through convenience sampling and divided into control and experimental groups. The two groups were matched in terms of sex, education, and marital status. The data collection tool was the Young Schema Questionnaire-Short Form (YSQ-SF). A pretest was performed before the intervention, and posttest was conducted after 10 sessions (2 hours) of ACT. Findings: Repeated measures ANOVA showed that after the initial implementation of ACT sessions, a significant difference was observed in the experimental group in terms of maladaptive schemas. It was found that ACT was affective on the modification of early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, overvigilance and inhibition) in patients undergoing hemodialysis (P < 0.001). Conclusions: The findings indicate that ACT can be used to reduce early maladaptive schemas, and thus, psychological problems in patients undergoing hemodialysis.
محمد نریمانی, معصومه ملکی پیربازاری, نیلوفر میکائیلی, عباس ابوالقاسمی,
Volume 14, Issue 4 (2-2017)
Abstract

Aim and Background: The aim of the present study was to compare the efficacy of acceptance and commitment therapy (ACT) with exposure and response prevention (ERP) therapy in reducing the obsessions and compulsions of patients with obsessive-compulsive disorder (OCD). Methods and Materials: The present experimental study was conducted with a pretest-posttest design and a control group. The statistical population included all patients with OCD who were older than 18 years of age and referred to private counseling centers and urban and rural health centers in Rasht Province, Iran, in 2014. The statistical sample consisted of 45 patients with OCD selected from among those who referred to these centers. The subjects were randomly divided into experimental (ACT and ERP groups) and control groups. The experimental groups received 8 treatment sessions lasting 45 minutes. In order to assess the severity of obsession and compulsion, the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was utilized. Findings: There were significant differences among the three groups in terms of post-test scores of obsession and compulsion (P ≤ 0.010). The results of Tukey&#039;s test showed that the mean ACT and ERP scores of both experimental groups were significantly lower than that of the control group (P ≤ 0.050). Conclusions: According to the results of this study, ACT causes a greater reduction in the severity of obsessions and compulsion. Thus, mental health experts can use ACT as a therapeutic option.
مریم حریری, غلامرضا منشئی, حمید طاهر نشاط دوست, محمدرضا عابدی,
Volume 14, Issue 4 (2-2017)
Abstract

Aim and Background: The purpose of the present study was to compare the effect of cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and pharmacotherapy on severity of trichotillomania (TTM) symptoms. Methods and Materials: The participants consisted of 8 women and 1 man of over 16 years of age with TTM. The subjects were chosen through convenience sampling and randomly divided into 3 groups of equal size (CBT, ACT, and pharmacotherapy groups). The present single-subject study was conducted using the A-B design. The baseline consisted of 3 sessions, and the intervention consisted of 10 weekly sessions of CBT and ACT once a week for 60 minutes and 10 pharmacotherapy sessions once every 2 weeks. One month after the intervention, the subjects participated in 3 follow-up sessions (once a month). Massachusetts General Hospital Hairpulling Scale (MGH-HPS) was used to collect data. Findings: The findings of this study were analyzed based on visual analysis and descriptive statistical indicators. The results demonstrated that CBT and ACT were, respectively, more effective on the reduction of TTM symptoms severity and pharmacotherapy was the least effective. Conclusions: Considering the effectiveness of CBT and ACT on severity of TTM symptoms, the use of these therapies to reduce TTM symptoms is recommended.
منصوره نيکو گفتار, رویا خانعلی‌لو,
Volume 15, Issue 1 (4-2017)
Abstract

Aim and Background: The aim of this study was to compare the efficacy of cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) in reducing depression symptoms in patients with multiple sclerosis (MS). Methods and Materials: This experimental study was conducted with pretest-posttest design and control group. From among female patients with MS who referred to the MS Society in 2015 with depression symptoms, a sample of 45 individuals was selected. The subjects were randomly divided into 3 groups of CBT, ACT, and control (n = 15). Therapy sessions consisted of 8 sessions, each session was held for 45 minutes. Data were collected using the Beck Depression Inventory (BDI) and were analyzed using ANCOVA in SPSS software. Findings: The results showed that CBT and ACT were both effective in reducing depression symptoms in patients with MS (P < 0.001), but CBT was more effective compared to ACT. Conclusions: The results showed that CBT and ACT are effective methods of reducing depression in patients with MS. Due to the higher efficacy of CBT, it has been suggested as the preferential treatment for the reduction of depression symptoms in patients with MS.
امينه سادات طباطبايي, ايلناز سجاديان, مسعود معتمدي,
Volume 15, Issue 1 (4-2017)
Abstract

Aim and Background: Healthy sexual function is a sign of physical and mental health and creates a mutual sense of pleasure among couples. Due to the importance of women's sexual and psychological processes, the aim of this study was to assess the effectiveness of acceptance and commitment therapy (ACT) on sexual function, sexual self-consciousness, and sexual assertiveness in women of 20-50 years of age in Isfahan, Iran. Methods and Materials: This study was conducted with pretest-posttest and 1 month follow-up. The study subjects were 20 married women who referred to women’s parturition and psychiatric clinics in Isfahan and had been diagnosed with sexual dysfunction based on the Diagnostic and Statistical Manual of Mental Disorders-5 th edition (DSM-5) in the spring of 2015. The subjects were assigned to two groups (n = 10). The experimental group received 10 sessions (each session lasted 45 minutes) of ACT and the control group did not receive any intervention. The data collection tools consisted of a demographic questionnaire, the Female Sexual Function Index (FSFI) (Rosen et al.), Sexual Self-Consciousness Scale (SSCS) (van Lankveld et al.), and Hurlbert Index of Sexual Assertiveness (HISA). Findings: ACT was effective on improvement of sexual function, sexual self-consciousness, and sexual assertiveness (P < 0.05). Conclusions: According to the results, ACT can be used for improvement of sexual function, sexual self-consciousness, and sexual assertiveness.
Mohaddeseh Norozi, Fatemeh Zargar, Hosein Akbari,
Volume 15, Issue 2 (7-2017)
Abstract

Aim and Background: Acceptance and commitment therapy (ACT) is a novel method for resolving interpersonal problems. The aim of the present study was to determine the effectiveness of ACT on interpersonal problems and experiential avoidance among female students with interpersonal problems. Methods and Materials: In this convenience clinical trial, the study population consisted of all female students in the Islamic Azad University of Gorgan, Iran, in the fields of nursing, midwifery, laboratory sciences, management, law, accounting, and architecture. The participants consisted of 66 individuals selected via purposive sampling. The study population was randomly categorized into intervention (ACT group) and control groups. The intervention consisted of 10 90-minute ACT sessions, which were held by a trained clinical psychologist according to a study by McKay, Lev, and Skeen (2012). The data collection tools included two short-form questionnaires, i.e., the Inventory of Interpersonal Problems (IIP-32) and Acceptance and Action questionnaire (AAQ-II). Pretest and posttest scores were analyzed using ANCOVA Findings: After controlling of pretest scores, a significant difference was observed between the groups in terms of the average scores of interpersonal problems (P < 0.001) and experiential avoidance (P < 0.001) in the posttest. Conclusions: Based on the findings, ACT can be effective on improvement of interpersonal problems and experiential avoidance.
مصطفی عرب ورنوسفادرانی, مریم‌ فاتحی‌زاده, فاطمه بهرامی, رضوان ‌السادات جزایری, امراله ابراهیمی,
Volume 15, Issue 3 (10-2017)
Abstract

Aim and Background: The aim of present study was investigating the efficacy of acceptance and commitment therapy (ACT) for couples on marital adjustment in men with bipolar II Disorder. Methods and Materials: Participants (3 couples) were selected using purposeful sampling. Nonconcurrent multiple baseline experimental single subject study was used as the method. The efficacy of couples’ ACT protocol was carried out in three phases of intervention (baseline, 12-session treatment and 3-month follow-up) by using dyadic adjustment scale (DAS). Data were analyzed by visuals analysis and percentage of non-overlapping data (PND) and percentage of overlapping data (POD) strategies. Findings: There was a significant difference between the mean values of the baseline and intervention scores. The effectiveness of couples-based ACT in men with bipolar II disorder was validated to improve the marital adjustment. Conclusions: ACT for couples can improve the marital adjustment in men with bipolar II disorder and decrease the rate of divorce.
مريم حدادی, اصغر آقايی,
Volume 15, Issue 3 (10-2017)
Abstract

Aim and Background: While Parents affect other members of the family, children also have effects on their parents with their own personal, behavioral and growth characteristics reciprocally. The behavioral disorder of one of the children, such as attention deficit hyperactivity disorder (ADHD), is usually conceived as a stressful element which can affect all aspects of family, including the relationship between mothers and their spouses. The aim of this study was to survey of stress management group training effectiveness, using acceptance and commitment therapy (ACT) method, on the relationship between mothers of ADHD children and their spouses. Methods and Materials: The research method was quasi-experimental, pre-test, post-test and 9-month follow-up with control group. The population of the research was included all mothers of children with ADHD in Esfahan who referred to clinics and psychologists offices in 2013. Thirty mothers which had highest score of stress in relationship with spouse from parenting stress index (PSI) were selected and assigned into two groups of test and control. Eight 90-minute sessions of acceptance and commitment stress management training was performed for the test group, while the control group had no intervention. PSI subscale of relationship with spouse from parent characteristics was used in order to review the hypothesis of the study, which was completed before and after intervention by mothers. Data were analyzed by covariance statistical methods using SPSS software. Findings: There was a considerable difference between scores of pre-test and post-test of the test group in comparison with control group (P = 0.001), reflecting the improvement of relationship with spouses in mothers. Conclusions: ACT-based stress management group training could improve the relationship between the mothers of ADHD children and their spouses.
مهران روزبهی, علی محمد رضایی, آزاده علیپور دولت‌آباد,
Volume 15, Issue 3 (10-2017)
Abstract

Aim and Background: Addiction and its unpleasant consequences are one of the most important public health problems worldwide. Initial maladaptive schemas are related to addiction. The purpose of this study was to compare the effectiveness of admission and commitment therapy (ACT) and schema therapy on early maladaptive schemas in addicted people. Methods and Materials: The research method was pre-test, post-test experimental study with control group. The statistical population included 1500 people. A sample of 60 people was selected and randomly assigned to 3 groups, one control group (n = 20), and two experimental groups (n = 20, each). Young schema questionnaire short form (YSQ-SF) was used to measure early maladaptive schemas. The experimental groups participated in 12 sessions of the treatment group weekly for two 90-minute sessions. Descriptive statistics including mean and standard deviation, and inferential statistics were analyzed using covariance analysis, homogeneity and uniformity tests of variance and post hoc test. Findings: ACT and schema therapy were effective on the components of early maladaptive schemas. Conclusions: The group-based ACT and schema therapy have been able to reduce early maladaptive schemas and can be used in the treatment of patients with this disorder.
احمد منصوري, نعیما کروژده,
Volume 15, Issue 3 (10-2017)
Abstract

Aim and Background: Illness and disability in children is a major source of distress for parents, especially mothers. It frequently endangers their health and well-being. Therefore, the aim of present study was to investigate the effectiveness of the acceptance and commitment therapy (ACT) on the intolerance of uncertainty, worry and insomnia in mothers of children with autism spectrum disorder. Methods and Materials: In a quasi-experimental study, with pre and posttest and control groups, 16 mothers of children with autism spectrum disorder were selected by available sampling method and then randomly designed into two experimental and control groups. The experimental group participated in 8 sessions of ACT, while the control group was not in any treatment. The participants completed Penn-State worry questionnaire (PSWQ), intolerance of uncertainty scale (IUS) and insomnia severity index (ISI). Data were analyzed by SPSS software, using multivariate analysis of covariance (MANCOVA). Findings: Intolerance of uncertainty (P = 0.001), worry (P = 0.001) and insomnia (P = 0.001) average scores in the experimental group were significantly decreased in comparison with the control group at post-treatment. Conclusions: ACT might be an efficient way to decrease intolerance of uncertainty, worry and insomnia in mothers of children with autism spectrum disorder. Also, therapists can use this therapeutic approach for improving intolerance of uncertainty, worry and insomnia in mothers of children with autism spectrum disorder.
نگین صالحی, حمید طاهر نشاط‌دوست, حمید افشار,
Volume 16, Issue 1 (4-2018)
Abstract

Aim and Background: Comorbidity of psychological disorders is very common in patients with chronic pain, including patients with fibromyalgia; it is in a range of depression, anxiety, stress, disappointment, failure, and anger, and accompanied with psychological consequences such as sleep disturbances, disruptions in daily functions, and worries about the future. The purpose of this study was to evaluate the effectiveness of group-based acceptance and commitment therapy on depression, anxiety, and stress in women with fibromyalgia. Methods and Materials: This study was quasi-experimental study with pretest, posttest, and follow-up, and control group. Among the patients referring to medical centers affiliated to in Isfahan University of Medical Sciences, Iran, in 2016, 24 patients with fibromyalgia syndrome were selected through convenient sampling method, and randomly divided into two groups. The instrument of this study was a short form of Depression, Anxiety, and Psychological Stress Scale (DASS-21). The experimental group received the therapy based on acceptance and commitment during 8 sessions of 2 hours. The covariance analysis method was used to analyze the data. Findings: Acceptance and commitment therapy in women with fibromyalgia is more effective to control the symptoms of depression, anxiety, and stress, compared to the control group (P < 0.050). Moreover, the mean of 3 subscales of depression (P = 0.001), anxiety (P = 0.001), and stress (P = 0.006) decreased significantly in the experimental group in the posttest and follow-up stages compared to the pretest stage. Conclusions: Group therapy based on acceptance and commitment can reduce the psychological damage in patients and increase their life-richness, in spite of pain and illness, through the creation and development of acceptance and increasing value-based practices.
شکوه ابن‌نصیر, شهناز خالقی‌پور,
Volume 16, Issue 2 (7-2018)
Abstract

Aim and Background: The objective of the present study was investigating the effectiveness of acceptance and commitment therapy (ACT) on anxiety sensitivity and quality of life in patients with hypertension who suffer from avoidance personality traits. Methods and Materials: This research was a case study. The statistical population included all patients with primary hypertension who referred to healthcare centers of Isfahan, Iran, in 2016, and their arterial blood pressure was greater than 140/90 mmHg and their disease was confirmed by the physician. They had no history of heart disease and renal failure and according to the psychiatrist, based on Diagnostic and Statistical Manual of Mental Disorders-5 th Edition (DSM-5) and screening with Millon Clinical Multiaxial Inventory-III (MCMI-III) on A2 scale, avoidance personality trait was detected in them. Out of them, three patients were selected through targeted sampling. Two sessions were spent on the interview and baseline explaining, and then intervention for ACT treatment was performed in 8 sessions based on Hayes et al. model, which was done individually for 100 minutes, followed by a follow-up phase. The tools used in this study included Anxiety Sensitivity Index-Revised (ASI-R) and Quality of Life Questionnaire [36-item short-form health survey (SF-36)]. The indexes of process changes, effect size, and Cohen's coefficient were presented. Findings: ACT method reduced anxiety sensivity and increased the quality of life in patients with hypertension having avoidance personality trait. The effect size showed a significant effect for all three patients. Conclusions: ACT approach is effective on anxiety sensitivity and quality of life in patients with hypertension having avoidance personality trait.
Fatemeh Soltanzadeh-Jazi, Parisa nilforooshan, Mohammad Reza Abedi , Ahmad Sadeghi,
Volume 16, Issue 3 (1-2019)
Abstract

Aim and Backgrounds: The aim of the current study was investigation the effectiveness of Acceptance and Commitment Therapy (ACT) on career development of students with obsessive compulsive disorder. Materials & Methods: This is a quasi-experimental study with pretest-posttest-follow up design with control group. Thirty students were selected using convenience sampling and randomly divided to two experiment and control groups. Data was gathered by Career Development Questionnaire (CDI) and was analyzed using Repeated Measure ANOVA. Students in one experimental group received ACT in eight weekly sessions and the control group were in wait list. Findings: The results showed that there was significant difference between two groups in path career development (p<0.05). Conclusion : ACT can improve path career development of students with obsessive compulsive disorder.
Saeed Habibollahi, Ahmad Abedi, Farah Naderi, Mohammad Mahdi Mazaheri,
Volume 16, Issue 3 (1-2019)
Abstract

Aim and Background: Test anxiety is one of the most common anxieties in educational environments, which, in addition to negative effects on academic performance, can lead to a reduction in psychological well-being among students. Therefore, the purpose of this study was to investigate the effect of acceptance and commitment Therapy (ACT) on test anxiety and psychological well-being of high school students. Methods and Materials: This study was a semi experimental with a pre-test and post-test design and control group. The statistical population included all boy students in high school of Najaf Abad city in the school year 2013-2014. Sample size includes 60 students (each group 30 person) that were selected by multistep cluster sampling method. Both groups completed the Sarason's Test Anxiety Scale (TAS) and Reef's Psychological Well-Being Scale (PWBS) as pre-test and post-test. Data was analyzed by multivariate analysis of covariance (MONCOVA) method and using the SPSS software. Findings: The results of MONCOVA showed that there is a significant difference between post-test scores of experimental and control groups (p<0.001, F= 44.80 ) . In the other hand, ACT led to significant decrease test anxiety (F= 33.17, p<0.001 ) and significant increase psychological well-being (F= 27.26, p<0.001). Conclusions: The results showed ACT method is effective in decrease test anxiety and increase psychological well-being of students.
Maryam Farahanifar , Hasan Heidari , Hosein Davodi , Seyed Ali Aleyasin ,
Volume 17, Issue 1 (8-2019)
Abstract

Aim and Background: Systematic Motivational Counseling (SMC) and Acceptance and Commitment Therapy (ACT), with emphasis on motivational structure modification, and the acceptance of life’s problems, can improve conflict resolution styles of incompatible marital women. The purpose of this study was to compare the effectiveness of SMC and ACT on conflict resolution styles of incompatible marital women. Methods and Materials: The method of this study was semi-experimental method with pre-test and post-test design and three-month follow-up. The statistical population of the study consisted of all incompatible women who referred to counseling centers in Arak city in 2018. Therefore, 36 participants were selected and randomly assigned to two test groups and one control. Data were collected in the pre-test, post-test and follow-up stages with Rahim Organizational Conflict Inventory-II (ROCI-II). The experimental group members participated separately in 10 SMC sessions and 12 ACT sessions after running the pre-test. For data analysis, analysis of variance with repeated measures test were used. Findings: The results indicated that the effect of SMC and ACT on conflict resolution styles was significant and stable (p<0.05). Furthermore, there was significant difference between the effectiveness of SMC and ACT on avoidance and compromise styles (p<0.05). Conclusions: SMC and ACT interventions can be effective in improving the conflict resolution styles of incompatible marital women.
Safieh Abdollahi , Mohammad Hatami , Fardin Moradi Manesh, Parviz Asgari ,
Volume 17, Issue 4 (1-2020)
Abstract

Aim and Background: Diabetes is a factor of many physical and psychological disorders. Nowadays, the concept of adherence in diseases be attention and has been developed due to changing the illness pattern from acute to chronic, changing its ideology from cure to prevention, limited economical resource and shortening the Duration of hospitalization of patients. In order to, the aim of this study was to survey of effectiveness of acceptance and commitment therapy on health related beliefs among patients with type 2 diabetes.

Methods and Materials: research method was semi experimental with pretest, posttest and control group design. From patients with type 2 diabetes who referred to Assaluyeh health centers, 30 subjects were selected purposely and were assigned in control and experimental groups randomly (15 subjects each group). To collect the data the Health Beliefs Questionnaire (HBQ) was used. The data analyzed using MANCOVA.

Findings: Results of data analyzing showed that acceptance and commitment therapy on health related beliefs of patients with diabetes type 2 is effective (p<.05).

Conclusions: Results of the research showed that acceptance and commitment therapy is effective on health related beliefs. Theoretical and practical considerations of the results showed that the ACT as an effective therapy for patients with type 2 diabetes in medical centers could be applied.


Elham Sadat Binandeh , Naser Seraj Khorami , Parviz Asgari , Ghader Feizi , Bahareh Tahani ,
Volume 17, Issue 4 (1-2020)
Abstract

Aim and Background: Dental anxiety is one of the important reasons for people to avoid dental care. The exacerbation of symptoms can be due to difficulty in cognitive emotion regulation; therefore, treatment is needed to improve cognitive emotion regulation and to reduce symptoms; Therefore, the purpose of the present study was to determine the effectiveness of acceptance and commitment based therapy on cognitive emotion regulation and severity of symptoms in Dental Anxiety Patients.

Methods and Materials: A clinical trial study was performed on patients with dental anxiety. Thirty-two patients were randomly assigned to the experimental and control groups. The experimental group participated in 10 weekly sessions of 90 minutes for two and a half months under acceptance and commitment based on the Hayes model presented. The control group was on the waiting list. Dental Anxiety Questionnaire (DAI) and Cognitive Emotion Regulation Questionnaire were used to evaluate the dependent variables and the questionnaire (SCL-90-R) and pulse oximeter were used as screening tools. Data were analyzed by repeated measures ANOVA using SPSS software.

Findings: According to the results, the mean and standard deviation of dental anxiety in the pretest of the experimental group was 121.3 ± 10.5 which were upgraded to post-test and follow-up respectively 89.1 ± 7.8 and 87.9 ± 8.1 which was statistically significant (P<0.0001). Also the mean and standard deviation of positive cognitive adjustment in the pretest of the experimental group was 41.12 ± 5.40 which were upgraded to post-test and follow-up respectively 46.81 ± 5.75 and 47.37 ± 5.80 which was statistically significant (P<0.0001). Mean and standard deviation of negative cognitive adjustment in pretest of experimental group was 30.37 ± 3.51 which were upgraded to post-test and follow-up respectively 34.37 ± 4.22 and 35.31 ± 3.87 which was statistically significant (P<0.0001). In addition, the difference between dental anxiety scores, positive cognitive emotion regulation strategies, and negative cognitive emotion regulation strategies in the three stages of pre-test, post-test and follow-up in the whole study sample and the difference scores of these variables in the three stages of the study were significant in the two groups (p<0.0001).

Conclusion: Acceptance and commitment therapy is a promising intervention to improve cognitive emotion regulation and reduce the severity of symptoms of dental anxiety patients.



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