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.
Family Psychology
Maryam Moshtaghi; Mohammad Javad Asghari Ebrahimabad; Mohammad Reza Saffarian Toosi; Hamid Nejat
Abstract
The family is the main institution of a society and the relations of its members, especially couples, are of special importance. A good relationship between couples will bring more satisfaction fewer conflicts and a higher quality of married life (Hoseini Beheshtian & Attar, 2020). Various factors, ...
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The family is the main institution of a society and the relations of its members, especially couples, are of special importance. A good relationship between couples will bring more satisfaction fewer conflicts and a higher quality of married life (Hoseini Beheshtian & Attar, 2020). Various factors, including the lack of internal cohesion, affect the spouses' relationship and cause much damage to the family (Akbari et al. 2022). The sense of coherence helps manage marital conflicts and improves the marital relationship (Oei et al. 2021). Another factor that can affect couples' relationships is self-control. There is evidence that high levels of self-control are associated with constructive interpersonal behaviors that improve relationship quality and reduce conflict (Cheung et al. 2022).One treatment approach is Acceptance and Commitment Therapy (ACT), which has been evaluated in more than 900 randomized trials (Hayes, 2022). In Iran, few studies conducted on the effectiveness of Acceptance and Commitment Therapy on the sense of coherence (Derakhshanjan et al. 2023; Rostami et al. 2023), and self-control (Babakhani, 2020). Also, Solution-Oriented Therapy is another psychological therapy that emphasizes the capabilities and abilities of people to create solutions (Ayar & Sabancioğullari, 2022) Few studies have been conducted on the effectiveness of solution therapy conducted in terms of the sense of coherence (Pourdel et al. 2021; Ismakhani Akbarinejad & Ebrahimi Sadr, 2022), and self-control (Mir Hashemi & Najafi, 2014). Also, it should be noted that there has been no research on the effectiveness and comparison of acceptance and commitment-based therapy and solution-oriented therapy, specifically on self-control and internal cohesion in the subject of women with marital conflict. Considering the negative consequences of conflicts on the individual lives of couples and their children, the necessity of dealing with treatments that target marital conflicts is felt. Therefore, this study aims to investigate the effect of group therapy based on acceptance and commitment and solution-oriented therapy on the self-control and internal cohesion of women with marital conflicts.Method:The present study was a semi-experimental method and a pre-test-post-test-one-month follow-up design was used with the control group. The statistical population of this research included women with marital conflict referring to Ravan Plus Clinic in Mashhad in 2023. Among them, 45 women were selected purposefully and voluntarily and then randomly assigned into two experimental groups and one control group (15 subjects per group). To collect the data, the Internal Coherence Questionnaire (ICQ), Self-Control Tangney Questionnaire (SCQ), and Marital Conflict Questionnaire (MCQ). After explanations were given to the participants about the conditions of the research and the objectives of the study, the first group received the solution-focused therapy the second group received acceptance and commitment-based therapy (ACT), and the third group as a control group received no treatment during this time. Each group meeting was held once a week for 90 minutes in two months. Questionnaires were completed in three phases: pre-test, post-test, and one-month follow-up by three groups. To analyze the data, repeated measures analysis was used.Results:Findings showed that Acceptance and commitment therapy and Solution-focused (brief) therapy were effective as compared with the control group in terms of self-control and internal cohesion (P<0.001). The results also showed that there was no significant difference between the two experimental groups in terms of self-control and internal cohesion (P>0.05).Discussion:In sum, Acceptance and commitment therapy and Solution-focused (brief) therapy were effective in increasing the internal coherence and self-control of women with marital conflicts. It is suggested that future researches be conducted on couples to investigate the effectiveness of treatment on men as well. To increase the generalizability of the results, it is suggested that this research be carried out in different populations (divorced women, etc.).
Psychotherapy
Esmail Soleimani; Marzieh Amirimanesh; ali esazadeghan
Abstract
IntroductionIn recent years, the rate of body dissatisfaction in adolescents has been reported to be very high and between 71.1 and 81%, and teenage girls report this problem more than boys. One of the problems associated with body dissatisfaction is psychological distress. Research has shown that body ...
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IntroductionIn recent years, the rate of body dissatisfaction in adolescents has been reported to be very high and between 71.1 and 81%, and teenage girls report this problem more than boys. One of the problems associated with body dissatisfaction is psychological distress. Research has shown that body dissatisfaction leads to psychological distress and has a positive relationship with anxiety and depression. Investigating the effectiveness of psychological intervention to reduce psychological distress related to body dissatisfaction in adolescents is important, and in this research, the effectiveness of time perspective therapy (TPT), acceptance and commitment therapy (ACT), and body-focused gratitude meditation (BFGM) on psychological distress in adolescent girls with body dissatisfaction have been investigated. According to previous research, the effectiveness of TPT has been confirmed in improving body dissatisfaction, depression and anxiety in adolescents. ACT has also been effective on body dissatisfaction and anxiety, depression and stress in adolescents. Also, BFGM has improved body satisfaction and reduced depression and anxiety among adolescents. Therefore, the main question of this research is "Is there a significant difference between the effectiveness of TPT, ACT and BFGM on body dissatisfaction and psychological distress of adolescent girls with body dissatisfaction?"MethodThe research method in this study was quasi-experimental with a pre-test-post-test, follpw-up design with a control group. The statistical population of this study consisted of adolescent girls aged 15 to 18 years in Rasht city in 2024 (N=920). Within two months of screening, 116 adolescnts had moderate to severe body dissatisfaction based on the body shape questionnaire (scores above 26). Among them, 72 adolescents had moderate to high scores in the subscales of depression (score higher than 7), anxiety (score higher than 6) and stress (score higher than 10). Among whom 69 adolescent girls agreed to participate in the research. They were randomly replaced in four groups: TPT (17 adolescents), ACT (17 adolescents), BFGM (17adolescents) and control group (18 adolescents). To collect data Body Shape Questionnaire and Depression, Anxiety, Stress Scale (DASS-21) was used. After sample dropout, 16 adolescents in each group remained for the final analysis. After the interventions, the data were analyzed using repeated measures with analysis of variance and SPSS-26 software.ResultsThe findings showed that TPT, ACT and BFGM had a significant effect on reducing body dissatisfaction and psychological distress. Also, in body dissatisfaction, the effect of BFGM was higher than TPT; However, no significant difference was observed between the effectiveness of TPT and ACT. In addition, the effect of TPT on psychological distress (depression, anxiety and stress) has been higher than ACT; However, no significant difference was observed between the effectiveness of ACT and BFGM on reducing psychological distress.DiscussionRegarding the effectiveness of TPT on reducing body dissatisfaction and psychological distress (depression, anxiety, and stress), it can be argued that this intervention makes people aware of their negative time perspectives and replace their negative time perspectives (negative past, present, and future) with positive time perspectives; Therefore, this intervention leads to a positive understanding of the body and most likely changes the concerns of adolescents with body dissatisfaction about their future and physical conditions. ACT also helps to accept subjective experiences and commitment of people to personal values and can help adolescents whose with high body dissatisfaction to accept negative feelings and thoughts towards themselves and their bodies. The BFGM intervention directly increases body self-esteem, because adolescents develop a more positive attitude toward their bodies by focusing on the positive features of their bodies, instead of focusing on flaws and shortcomings. This process can be especially effective for adolescents who suffer from body dissatisfaction. Based on the findings, it is suggested that child and adolescent therapists and counselors use TPT, ACT and BFGM to reduce body dissatisfaction and psychological distress of adolescents girls due to body dissatisfaction. In addition, to choose the best intervention method, it is necessary to pay attention to the difference in the effectiveness of these interventions on body dissatisfaction and psychological distress.
maryam setayesh; mohammad hatami; hassan ahmadi
Abstract
IntroductionOne of the diseases that can cause many physiological and psychological complications is coronary heart disease. According to the predictions of scientific societies, these diseases will be the main cause of death in different countries by 2030. According to the scientific findings published ...
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IntroductionOne of the diseases that can cause many physiological and psychological complications is coronary heart disease. According to the predictions of scientific societies, these diseases will be the main cause of death in different countries by 2030. According to the scientific findings published by the World Health Organization, it is predicted that 8.44% of deaths in Iran will be related to coronary heart disease by 2030. Coronary heart disease is a serious and rapidly growing disease. Coronary heart disease is one of the diseases that lead to increased mortality, lack of self-reliance, increased depression and anxiety in affected people. Several factors such as anxiety and depression, social stress, conflict and hostile behavior can lead to abnormal coronary contraction, increased coronary artery blockage, malignant heart rhythm irregularities and as a result, heart failure. The occurrence of psychological disorders such as depression and anxiety in patients with coronary heart disease causes them to experience less self-efficacy and self-care behaviors. Therefore, the present study was conducted to investigate the effectiveness of acceptance and commitment therapy on the self-efficacy perceived and self-care behaviors of people with coronary heart disease. MethodThe present study was quasi-experimental with a pretest, post-test, control group and two-month follow-up period design. The statistical population of this study included patients with coronary heart disease referred to the heart center of Madain Hospital in Tehran in the second half of 2020. The statistical population included patients with coronary heart disease referred to the heart center of Madayen Hospital in Tehran in the second half of 2020. 34 Patient with coronary heart disease were selected through a voluntary and purposive sampling method and randomly assigned to experimental and control groups (18 patients in the experimental group and 16 patients in the control group). The experimental group received ten seventy-five-minute sessions of acceptance and commitment therapy during One and a half months. The applied questionnaires in this study included the self-efficacy questionnaire (Sherer et al., 1982) and Self-Care Questionnaire (Galiana et al., 2015). The data from the study were analyzed through repeated Mixed ANOVA via SPSS23 statistical software. ResultsThe results showed that acceptance and commitment therapy have a significant effect on the self-efficacy and self-care behaviors of the cardiac people with coronary heart disease. In addition, the results showed that the effect of acceptance and commitment therapy was stable on the self-efficacy and self-care behaviors of the cardiac patients with coronary heart disease with a follow-up stage. After carefully examining the descriptive findings, it was found that acceptance and commitment therapy increase the self-efficacy and self-care behaviors of the cardiac people with coronary heart disease in the post-test and follow-up stages. ConclusionAccording to the findings of the present study, it can be concluded that acceptance and commitment therapy can be used as an efficient intervention to improve the self-efficacy and self-care behaviors of the people with coronary heart disease through employing techniques such as six main processes, including psychological acceptance, context self, communication with the present time, values and committed action.
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.
