Abdalkarim ghaneay; Masoud Shahbazi; Amin Koraei
Abstract
Introduction
This study aimed to determine the effectiveness of the combined treatment of acceptance and commitment and cognitive-behavioral (ACT-CBT) on the temptation to use and prevent relapse in addicts representing Dezful addiction treatment centers.
Method
The present study is a quasi-experimental ...
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Introduction
This study aimed to determine the effectiveness of the combined treatment of acceptance and commitment and cognitive-behavioral (ACT-CBT) on the temptation to use and prevent relapse in addicts representing Dezful addiction treatment centers.
Method
The present study is a quasi-experimental study with a pre-test and post-test design and a control and follow-up group. The statistical population of this study included all self-reported addicts to Dezful addiction treatment centers. To conduct the research, the first two Dezful addiction treatment centers were selected and the research plan was justified for the managers of the centers, and they announced their readiness to cooperate in conducting the research. Using the random sampling method, 30 self-reported addicts of these centers (15 people in each center) were selected and after performing the pre-test, based on the obtained scores, into two homogeneous groups (15 people tested and 15 witnesses) were divided. Then a meeting was held to explain the goals of the research and to attract their participation and obtain their informed consent to participate in the research. Inclusion criteria include willingness and satisfaction to participate in the study, masculinity, no acute or chronic psychological and psychiatric disorders, non-participation in parallel treatment during the study, and exit criteria include non-cooperation, non-performance of homework provided In sessions and absences there were more than two sessions in treatment sessions. The experimental and control groups answered the tempting beliefs questionnaire and the return prediction scale in the pre-test stage. Then, the experimental group was trained by an experienced therapist (with 10 years of experience in training and treatment) in 10 sessions of 60 minutes (one session per week) based on the protocol of integrated cognitive-behavioral therapy and acceptance and commitment. The control group did not receive any treatment during this period. At the end of the treatment sessions, the experimental and control groups answered the tempting beliefs questionnaire and the return prediction scale again in the post-test and follow-up stages (two months later). To analyze the data, in this research, the following statistical methods have been used using SPSS-20 software:1) Descriptive statistics such as frequency table and percentage and column chart, mean and standard deviation; 2) Inferential statistics including Leon test, Kolmogorov-Smirnov test, independent t-test and ANCOVA analysis of covariance. In addition, for all hypotheses, a significance level of a= 0.05 has been considered.
Results
The results showed that the combination of acceptance, commitment, and cognitive-behavioral therapy had a significant effect on reducing the temptation to use and preventing relapse (desire and likelihood of use) in self-reported addicts in the experimental group compared to the control group. These results also remained in the follow-up phase.
Conclusion
The results showed that the combination therapy of acceptance and cognitive-behavioral commitment is an effective strategy to reduce the temptation to use and prevent recurrence in self-reported addicts and can be used as an effective treatment.
Fakhr al-Sadat Siadat; Amin Koraei; Masoud Shahbazi; Zahra Dashbozorgi
Abstract
Aim: Considering the effects of hidden communication aggression and its consequences on the couple's relations, reducing it can diminish its consequences. The present study aimed to examine the model of direct and indirect effects of self-esteem and communication skills on sexual satisfaction with ...
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Aim: Considering the effects of hidden communication aggression and its consequences on the couple's relations, reducing it can diminish its consequences. The present study aimed to examine the model of direct and indirect effects of self-esteem and communication skills on sexual satisfaction with mediating role of hidden aggression dimensions of spouses in female nurses of public and private hospitals in Shiraz city. Methods: The study sample consisted of 310 female nurses selected through the two-stage random cluster sampling method. The research method was correlational, and the research tools were the Self-Esteem Scale (SES), the Marital Social-Skills Inventory (MSSI), the Hidden Communication Aggression Scale (HCAS), and the Sexual Satisfaction Scale for Women (SSSW). Data analysis was done using Pearson's correlation coefficient and structural equation modeling. Results: The results showed that there was a significant relationship in the direct paths of self-esteem to the social image sabotage, self-esteem to emotional withdrawal, communication skills to emotional withdrawal, self-esteem to sexual satisfaction, communication skills to sexual satisfaction, social image sabotage to sexual satisfaction, and emotional withdrawal to sexual satisfaction, but the relation of communication skills to the social image sabotage was not significant (P=0.41). Also, the mediating role of emotional withdrawal was significant between self-esteem and sexual satisfaction (P=0.006, b=0.038) and between communication skills and sexual satisfaction (P=0.006, b=-0.062) at P<0.05. But the mediating role of the social image sabotage variable was not significant between communication skills and sexual satisfaction (P=0.20, b=0.027) and between self-esteem and sexual satisfaction (p=0.06, b=-0.034). Conclusion: Researchers interested in this field are suggested to examine the effect of home violence and especially covert violence in other psychological variables so that the results of this type of violence in married life can be better recognized. The results of this research on self-esteem showed that people with high self-esteem have higher quality and satisfaction in their relationships and married life. Thus, those responsible for the education and upbringing of people since childhood (family, teachers, counselors, etc.) should attempt to increase this spirit in people and make the increase of this spirit in the individual a priority of their work
