Clinical Psychology
Noora Shahmiri; Javanshir Asadi; leila sadat Azizi ziabari; Hasan Abdollahzadeh
Abstract
IntroductionThe present study was conducted with the aim of investigating the effectiveness of Acceptance and Commitment Therapy on Social physique anxiety, impulsive behaviors, and emotional self-regulation of obese people. The statistical population of the research consisted of all obese women living ...
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IntroductionThe present study was conducted with the aim of investigating the effectiveness of Acceptance and Commitment Therapy on Social physique anxiety, impulsive behaviors, and emotional self-regulation of obese people. The statistical population of the research consisted of all obese women living in Tehran in 2022. Recent studies show that obesity has reached epidemic proportions in recent years and its prevalence is still increasing. Obesity is often associated with many physical diseases such as type 2 diabetes, cardiovascular diseases, high blood pressure, premature birth, and arthritis, as well as social and economic harms such as problems in interpersonal communication, reduced productivity, and hope. It comes with life and health care costs. Although weight causes physical, social, and economic problems, it can have a significant effect on creating psychological problems; Especially in today's age, when there is a different view of obesity and body, and these conditions, in turn, cause physical and social anxiety in people with obesity in social situations. Physical-social anxiety is a special form of social anxiety that is defined as the fear of negative evaluation or rejection by others because of one's physical appearance. A person suffering from physical-social anxiety does not feel comfortable with his body and body in social situations and is worried that others will judge his appearance or have a negative evaluation about his appearance. On the other hand, in people with obesity, due to their physical condition and fear of social evaluations, this condition, in addition to being anxiety-provoking, can reduce the patient's tolerance threshold, which is one of the important and fundamental factors in increased impulsivity. MethodThe research method is quasi-experimental with pre-test-post-test design and follow-up (one month) with control group and random assignment of subjects. To measure the research variables, social physique anxiety scale (SPA) by Hart et al. (1989), the impulsivity questionnaire (BIS-11) by Barrett et al. (2004) and the emotional self-regulation scale by Hoffman and Kashdan (2010) were used. First, 30 people were selected by convenience sampling method and were randomly assigned to experimental and control groups (15 people each). Then, the experimental group received Acceptance and Commitment Therapy during 8 therapy sessions, one session of 90 minutes per week. Both groups were measured in three stages: pre-test, post-test and one-month follow-up. The data were analyzed by multivariate variance analysis using SPSS-22 software.ResultsThe findings of the research showed that Acceptance and Commitment Therapy was effective on social physique anxiety, impulsive behaviors, and emotional self-regulation in obese women (p=0/.5). This effectiveness was sustained in the follow-up period. Also, the findings of the research show that the treatment based on acceptance and commitment has led to the reduction of impulsive behaviors and improvement of emotional self-regulation in people with obesity. Individuals who struggle with problems with emotional self-regulation, delayed gratification, and poor impulse control are more likely to eat high-fat foods when they are available. In fact, overeating appears to temporarily reduce negative emotions. The reduction of impulsive behaviors and, consequently, the improvement of emotional self-regulation skills following treatment based on acceptance and commitment can be attributed to the three components of acceptance, attention to clients' values, and mindfulness in therapy based on acceptance and commitment. Acceptance as an adaptive emotion regulation strategy does not mean changing the experienced emotions.DiscussionAcceptance and Commitment Therapy can be used as an effective intervention to reduce social people. anxiety and impulsive behaviors and improve emotional self-regulation in obese people. Based on the results of statistical analysis, the research hypothesis is confirmed. The findings show that the treatment based on acceptance and commitment has been effective in reducing the physical-social anxiety of people with obesity.
Nasim Soltanian; Isaac Rahimian Boogar; Siavash Talepasand
Abstract
Aim: Non-pharmacological treatment models are offered to the diabetics to better manage their diabetes and blood sugar. This study compared two popular treatments which are evidenced to have an acceptable effect on diabetes. The purpose of this study was to compare the effectiveness of acceptance and ...
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Aim: Non-pharmacological treatment models are offered to the diabetics to better manage their diabetes and blood sugar. This study compared two popular treatments which are evidenced to have an acceptable effect on diabetes. The purpose of this study was to compare the effectiveness of acceptance and commitment therapy (ACT) and health-promoting lifestyle intervention or diabetes self-management program (DSMP) in the management of HbA1c.Methods: A total of 60 patients referred to Tehran Diabetes Treatment centers were selected by convenience sampling and were assigned to three 20-member groups. The first group received ACT intervention, the second group received DSMP intervention, and the third group did not receive any intervention. All the three groups received relevant medications during the study. They were examined for glycated hemoglobin in the three phases of before the intervention, after the intervention and follow-up using blood tests. The data were analyzed using descriptive statistics and mixed-design analysis of varianceResults:. The results showed that both ACT and DSMP methods were effective in improving the Management of Glycated Hemoglobin Levels in Type 2 Diabetes (F=5.835, P value<0.005). In addition, the effectiveness was sustained until the follow-up phase (F=26.274, P value<0.001). However, the comparison of the two treatments showed that ACT was more effective than DSMP in post-test and follow-up phases (F=10.902, P value<0.001).Conclusion:. It seems that along with pharmacological treatments, ACT could be significantly effective in the management of glycated hemoglobin levels. Glycated hemoglobin levels were better managed with the lifestyle modification by ACT than DSMP
Amin Azizi; Abdolhassan Farhangi; Reza Hosseinpour
Abstract
Introduction
In any society, students are considered human assets. In addition, the second period of secondary school is one of the most important periods of education, in which students face special biological, social, and psychological conditions, and many mental and physical pressures and adaptation ...
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Introduction
In any society, students are considered human assets. In addition, the second period of secondary school is one of the most important periods of education, in which students face special biological, social, and psychological conditions, and many mental and physical pressures and adaptation problems are a special feature of this period. Target this study aimed to compare the effectiveness of acceptance and Acceptance Commitment Therapy (ACT) and Mindfulness-Based Stress Reduction Therapy (MBSR) on academic belief, emotional regulation, and academic adjustment in male high school students in Ilam.
Method
The current research is a type of clinical trial and experimental type with a pre-test and post-test design with a control group. The statistical population of this research includes all male students of the second secondary level of Ilam city in the academic year of 2019. that by one-stage cluster random sampling method, three high schools were randomly selected from among all boys' high schools in Ilam city, then 45 students were selected as sample members from among the students studying in these high schools and were completely randomly selected in three Acceptance and commitment-based therapy (ACT), mindfulness-based stress reduction therapy (MBSR) and control group were divided. Each group had 15 members. First, a pre-test was taken from all three groups, then for the experimental groups, related training programs were implemented in groups and 1 session per week. While the control group did not receive any training, a post-test was taken from all three groups after the completion of the training sessions. It should be explained that due to the spread of the coronavirus and absenteeism in schools, all educational sessions were conducted in virtual space and the tests were designed electronically and made available to the participants. Research instruments include Walland et al. (1992) Academic Belief Questionnaire, Gross and John's Emotional Regulation Questionnaire (2003), Jerusalem Academic Self-Efficacy Questionnaire (1986), Clark Academic Adjustment Scale (1976), and Hayes Acceptance and Commitment Therapy (ACT). The mindset was the stress reduction (MBSR) of Kabbalah. The research data were analyzed by SPSS-21 software at the descriptive level by frequency, percentage, mean, and standard deviation indices and at the inferential level by multivariate analysis of covariance and the Bonferroni test.
Results
Results showed that there was a significant difference between the experimental groups and the control group in terms of dependent variables (academic belief, emotional regula, tion and academic adjustment) (P <0.001). There is also a significant difference between acceptance and commitment therapy and mindfulness-based stress reduction therapy in terms of effectiveness on emotional regulation (P <0.001).
Discussion
According to the results of this study, both acceptance and commitment-based therapies and mindfulness-based stress reduction therapies increase academic confidence, cognitive reassessment, and academic adjustment, as well as reduce emotional inhibition in students. Acceptance and commitment- based therapy also increase cognitive reassessment and reduce emotional inhibition more than mindfulness-based stress reduction therapy.
