Volume 31, Issue 2 (Avicenna Journal of Clinical Medicine-Summer 2024)
Avicenna J Clin Med 2024, 31(2): 116-122 |
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Ghazanfari H, Dabaghi P, Bakhshizadeh M, Pirdehghan A. Effectiveness of Acceptance and Commitment Therapy on Psychological Symptoms in Vitiligo Patients. Avicenna J Clin Med 2024; 31 (2) :116-122
URL: http://sjh.umsha.ac.ir/article-1-3013-en.html
URL: http://sjh.umsha.ac.ir/article-1-3013-en.html
1- Department of Clinical Psychology, School of Medicine, Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran 2 , ghazanfari.hadi67@gmail.com
2- Department of Clinical Psychology, AJA University of Medical Science, Tehran, Iran
3- Department of Clinical Psychology, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
4- Department of Community Medicine, School of Medicine, Research Center for Health Sciences, Health Sciences and& Technology Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Clinical Psychology, AJA University of Medical Science, Tehran, Iran
3- Department of Clinical Psychology, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
4- Department of Community Medicine, School of Medicine, Research Center for Health Sciences, Health Sciences and& Technology Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (546 Views)
Background and Objective: Vitiligo is a chronic skin disease. Considering that this disease affects a person's appearance, psychological symptoms, such as depression, isolation, and low self-confidence, are very common in these patients. The present study aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on psychological symptoms of patients with vitiligo disease.
Materials and Methods: The present study employed a quasi-experimental design featuring a pre-test, post-test, and unequal control group. The statistical population of the research comprised soldiers and other military personnel with vitiligo who were serving in military centers of the armed forces in Tehran in 2020. The experimental group (n=11) received ACT, and the control group (n=13) did not receive any intervention. The subjects completed the questionnaires before and after the intervention. The analysis of covariance was used to analyze the data.
Results: The results indicated that ACT improved depression, quality of life, and acceptance, and reduced experiential avoidance in vitiligo patients. No significant difference was observed in anxiety or mindfulness between the two groups. The effect size indicated that the differences between the groups were moderate.
Conclusion: ACT is an evidence-based treatment for vitiligo patients, and psychologists can use this treatment to improve the quality of life and reduce the psychological symptoms of these patients.
Materials and Methods: The present study employed a quasi-experimental design featuring a pre-test, post-test, and unequal control group. The statistical population of the research comprised soldiers and other military personnel with vitiligo who were serving in military centers of the armed forces in Tehran in 2020. The experimental group (n=11) received ACT, and the control group (n=13) did not receive any intervention. The subjects completed the questionnaires before and after the intervention. The analysis of covariance was used to analyze the data.
Results: The results indicated that ACT improved depression, quality of life, and acceptance, and reduced experiential avoidance in vitiligo patients. No significant difference was observed in anxiety or mindfulness between the two groups. The effect size indicated that the differences between the groups were moderate.
Conclusion: ACT is an evidence-based treatment for vitiligo patients, and psychologists can use this treatment to improve the quality of life and reduce the psychological symptoms of these patients.
Type of Study: Original |
Subject:
Clinical Psychology
Extended Abstract [HTML 33 KB] (36 Download)
References
1. Mohmoud ZM, Elsayed SS, Ahmed FM. Psychosocial status and quality of life among vitiligo patients. Benha Journal of Applied Sciences. 2023;8(4):67-79. Link
2. Elbuluk N, Ezzedine K. Quality of Life, Burden of Disease, Co-morbidities, and Systemic Effects in Vitiligo Patients. Dermatologic clinics. 2017; 35 (2):117-28. DOI: 10.1016/j.det.2016.11.002
3. Thomson J. Defining the psychological comorbidity in vitiligo: systematically casting the net wide. British Journal of Dermatology. 2018; 178(4):826-26. Link
4. Ahmed A, Steed L, Burden‐Teh E, Shah R, Sanyal S, Tour S, Dowey S, Whitton M, Batchelor JM, Bewley AP. Identifying key components for a psychological intervention for people with vitiligo–a quantitative and qualitative study in the United Kingdom using web‐based questionnaires of people with vitiligo and healthcare professionals. J Eur Acad Dermatol Venereol. 2018; 32(12):2275-83. DOI: 10.1111/jdv.15168
5. Berk LE. Development through the lifespan. Sage Publications. 2022. Link
6. Papadopoulos L, Bor R, Legg C. Coping with the disfiguring effects of vitiligo: a preliminary investigation into the effects of cognitive‐behavioural therapy. British Journal of Medical Psychology.1999; 72(3):385-96. DOI: 10.1348/000711299160077
7. Rakitzi S. Clinical Psychology and Cognitive Behavioral Psychotherapy: Recovery in Mental Health. Springer Nature. 2023. Link
8. Fernandez E, Salem D, Swift JK, Ramtahal N. Meta-analysis of dropout from cognitive behavioral therapy: Magnitude, timing, and moderators. Journal of consulting and clinical psychology. 2015; 83(6):1108. Link
9. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford press.2011. Link
10. Hayes SC, Pierson H. Acceptance and commitment therapy. Encyclopedia of cognitive behavior therapy. 2005:1-4. DOI: 10.1007/0-306-48581-8_1
11. Beck AT, Epstein N, Brown G, Steer R. Beck anxiety inventory. Journal of consulting and clinical psychology. 1993;60(3):532-42. DOI: 10.1207/s15327752jpa6003_10
12. Fata L, Birashk B, Atefvahid M K, Dabson K S. Meaning Assignment Structures/ Schema, Emotional States and Cognitive Processing of Emotional Information: Comparing Two Conceptual Frameworks. IJPCP. 2005; 11 (3) :312-26. Link
13. Beck AT, Steer RA, Brown GK. Beck depression inventory. New York: Harcourt Brace Jovanovich; 1987.
14. Amir M, Marcelo F, Herrman H, Lomachenkov A, Lucas R, Patrick D, LIDO Group. Reliability, validity and reproducibility of the WHOQOL. BREF in six countries. Qual Life Res. 2000; 9(3):320. Link
15. Nejat S, Montazeri A, Holakoue K, Mohammad K, Majdzadeh M. Quality of Life of Tehran's Population by WHOQOL-BREF questionnaire in 2005. Hakim Res J.2007; 10 (3) :1-8. Link
16. Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, Polusny MA, Dykstra TA, Batten SV, Bergan J, Stewart SH. Measuring experiential avoidance: A preliminary test of a working model. Psychol Rec. 2004; 54:553-78. DOI: 10.1007/BF03395492
17. Zargar F, Farid AA, Atef-Vahid MK, Afshar H, Omidi A. Comparing the effectiveness of acceptance-based behavior therapy and applied relaxation on acceptance of internal experiences, engagement in valued actions and quality of life in generalized anxiety disorder. J Res Med Sci. 2013; 18(2):118. PMID: 23914213
18. Brown KW, Ryan RM. Mindful attention awareness scale. Journal of Personality and Social Psychology. 2003. DOI: 10.1037/t04259-000
19. Manavipour D, Baghdasarianc A, Sakhlo SK. Psychometric properties of the mindfulness inventory. Journal of Industrial/Organization Psychology. 2014; 4:49-56. Link
20. Beck JS. Cognitive behavior therapy: Basics and beyond. Guilford Publications. 2020. Link
21. Montgomery K, Thompson AR. The potential role of mindfulness in psychosocial support for dermatology patients. Clinics in Dermatology. 2018; 36(6):743-7. DOI: 10.1016/j.clindermatol.2018.08.010
22. Shahmoradi Z, Khaleghipour S, Masjedi M. Comparing effectiveness of “Schema Therapy” and “Mindfulness-Based Cognitive Therapy” on maladaptive schemas and general health in patients with Vitiligo. Journal of Health Promotion Management. 2019; 7(6):42-52. Link
23. Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science. 2020; 18:181-92. DOI: 10.1016/j.jcbs.2020.09.009
24. Bennett R, Oliver J. Acceptance and commitment therapy: 100 key points and techniques. Routledge. 2019. DOI: 10.4324/9781351056144
25. Zakiei A, Khazaie H, Rostampour M, Lemola S, Esmaeili M, Dürsteler K, Brühl AB, Sadeghi-Bahmani D, Brand S. Acceptance and commitment therapy (ACT) improves sleep quality, experiential avoidance, and emotion regulation in individuals with insomnia—results from a randomized interventional study. Life. 2021; 11(2):133. DOI: 10.3390/life11020133
26. Dehghani M, Saf AD, Vosoughi A, Tebbenouri G, Zarnagh HG. Effectiveness of the mindfulness-acceptance-commitment-based approach on athletic performance and sports competition anxiety: A randomized clinical trial. Electro physician. 2018; 10(5):6749. PMID: 29997757 DOI: 10.19082/6749
27. Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatric clinics. 2017; 40(4):751-70. DOI: 10.1016/j.psc.2017.08.009
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