Volume 28, Issue 2 (Avicenna Journal of Clinical Medicine-Summer 2021)                   Avicenna J Clin Med 2021, 28(2): 126-133 | Back to browse issues page

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Tavakoli Saleh S, Ebrahimi M E. Effectivenes of Acceptance-Commitment Therapy on the Resillience and Psycological Well-being of Female Patients with Multiple Sclerosis in Hamadan, Iran. Avicenna J Clin Med 2021; 28 (2) :126-133
URL: http://sjh.umsha.ac.ir/article-1-2253-en.html
Effectivenes of Acceptance-Commitment Therapy on the Resillience and Psycological Well-being of Female Patients with Multiple Sclerosis in Hamadan, Iran
Shahin Tavakoli Saleh1 , Mohammad Esmail Ebrahimi 2
1- MA in Family Counselling, Department of Psychology, Faculty of Humanities, Hamadan Branch, Islamic Azad University, Hamadan, Iran
2- Assistant Professor, Department of Psychology, Faculty of Humanities, Hamadan Branch, Islamic Azad University, Hamadan, Iran , Mse58_2007@yahoo.com
Abstract:   (1963 Views)
Background and Objective: Multiple Sclerosis (MS) is a chronic and progressive disease of the central nervous system that severely affects the individuals' physical health and psychological well-being. This study aimed to investigate the effect of acceptance-commitment therapy on the resilience and psychological well-being of women with MS in Hamadan Province, Iran.
Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with a control group. The statistical population consisted of women with MS in Hamadan, Iran. In total, 40 women were randomly selected and randomly divided into two groups of intervention and control (20 cases per group). The intervention group participated in eight 90-min sessions of virtual acceptance-commitment group therapy (one session per week). On the other hand, the control group received no intervention. The resilience and psychological well-being of the both groups were measured before and after the intervention using Connor-Davidson Resilience Scale and Ryff Scale of Psychological Well-Being, followed by analysis of covariance. Regression analysis and Pearson correlation coefficient were used after ensuring that the statistical assumptions were met.
Results: The mean values of resilience in the intervention and control groups at pretest were obtained at 43.33±3.16 and 43.80±3.53 (P>0.05), and the corresponding values were determined at 53.13±2.85 and 43.47±4.05 (P<0.05) at the posttest, respectively. Furthermore, the mean values of the psychological well-being in the intervention and control groups at pretest were calculated at 119.38±7.59 and 94.07±7.36 (P>0.05), and the corresponding values were 163.67±10.96 and 94.97±9.63 (P<0.05) at the posttest, respectively. This indicated a significant difference between the intervention and control groups.
Conclusion: The results showed that the acceptance-commitment therapy increased the resilience and psychological well-being of the patients with MS.
Keywords: Multiple Sclerosis, Psychological Well-being, Resilience, Therapy
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Type of Study: Original | Subject: Clinical Psychology
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References
1. Türk Börü Ü, Bölük C, Taşdemir M, Gezer T, Serim VA. Air pollution, a possible risk factor for multiple sclerosis. Acta Neurol Scand. 2020;141(5):431-7. PMID: 31954069 DOI: 10.1111/ane.13223
2. Ruprecht K. The role of Epstein-Barr virus in the etiology of multiple sclerosis: a current review. Exp Rev Clin Immunol. 2020;16(12):1143–57. PMID: 33152255 DOI: 10.1080/1744666X.2021.1847642
3. Yamout BI, Alroughani R. Multiple sclerosis. Semin Neurol. 2018;38(2):212–25. PMID: 29791948 DOI: 10.1055/s-0038-1649502
4. Finklestein M, Pagorek-Eshel S, Laufer A. Adolescents’ individual resilience and its association with security threats, anxiety and family resilience. J Fam Stud. 2020;16:1-7. DOI: 10.1080/13229400.2020.1778504
5. Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and commitment therapy (ACT) to reduce depression: a systematic review and meta-analysis. J Affect Disord. 2020;260:728–37. PMID: 31563072 DOI: 10.1016/j.jad.2019.09.040
6. Galiana L, Tomás JM, Fernández I, Oliver A. Predicting well-being among the elderly: the role of coping strategies. Front Psychol. 2020;11:616. PMID: 32318005 DOI: 10.3389/fpsyg.2020.00616
7. Killgore WDS, Taylor EC, Cloonan SA, Dailey NS. Psychological resilience during the COVID-19 lockdown. Psychiatry Res. 2020;219:113216. PMID: 32544705 DOI: 10.1016/j.psychres.2020.113216
8. Badahdah AM, Khamis F, Al Mahyijari N. The psychological well-being of physicians during COVID-19 outbreak in Oman. Psychiatry Res. 2020;289:113053. PMID: 32388173 DOI: 10.1016/j.psychres.2020.113053
9. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol. 1989;57(6):1069.
10. Ryan RM, Deci EL. Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemp Educ Psychol. 2020;61:101860. DOI: 10.1016/j.cedpsych.2020.101860
11. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. London: Guilford Press; 2011.
12. Kaviani Z, BakhtiarPoor S, Heidari A, Askary P, Eftekhar Z. The effect of treatment based on acceptance and commitment (ACT), on resiliency and dysfunctional attitudes of MS female patients in Tehran. Knowl Res Appl Psychol. 2020;21(1):84–92.
13. Ploughman M. Psychological resilience explains functional variability across people with multiple sclerosis. Mult Scler. 2021;27(4):504–6. PMID: 33332213 DOI: 10.1177/1352458520973633
14. Ploughman M, Downer MB, Pretty RW, Wallack EM, Amirkhanian S, Kirkland MC, et al. The impact of resilience on healthy aging with multiple sclerosis. Qual Life Res. 2020;29(10):2769-79. PMID: 32436112 DOI: 10.1007/s11136-020-02521-6
15. Nery-Hurwit M, Yun J, Ebbeck V. Examining the roles of self-compassion and resilience on health-related quality of life for individuals with Multiple Sclerosis. DisabilHealth J. 2018;11(2):256–61. PMID: 29089214 DOI: 10.1016/j.dhjo.2017.10.010
16. Pak R, Abdi R, chalbianloo G. Effectiveness of acceptance and commitment therapy (ACT) on disease acceptance and experiential avoidance in patients with multiple sclerosis (MS). Contemp Psychol. 2017;12(1):63-72.
17. Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: a study of the general population in China at the peak of its epidemic. Soc Sci Med. 2020;262:113261. PMID: 32758794 DOI: 10.1016/j.socscimed.2020.113261
18. Bernal-Manrique KN, García-Martín MB, Ruiz FJ. Effect of acceptance and commitment therapy in improving interpersonal skills in adolescents: a randomized waitlist control trial. J Context Behav Sci. 2020;17:86-94. DOI: 10.1016/j.jcbs.2020.06.008
19. Bass AD, Van Wijmeersch B, Mayer L, Mäurer M, Boster A, Mandel M, et al. Effect of multiple sclerosis on daily activities, emotional well-being, and relationships. Int J MS Care. 2020;22(4):158-64. PMID: 32863783 DOI: 10.7224/1537-2073.2018-087
20. Hayes SC, Strosahl KD, Bunting K, Twohig M, Wilson KG. What is acceptance and commitment therapy? A practical guide to acceptance and commitment therapy. Boston: Springer; 2004. P. 3–29.
21. Ghadampour E, Heidaryani L, Radmehr F. The effectiveness on acceptance and commitment group therapy based on cognitive flexibility and life satisfaction women with multiple sclerosis. Quart J Heal Psychol. 2018;8(29):153-67.
22. Davoodi M, Shameli L, Hadianfard H. The effectiveness of acceptance and commitment therapy on chronic fatigue syndrome and pain perception in people with multiple sclerosis. Iran J Psychiatry Clin Psychol. 2019;25(3):250-64.
23. Hanna M, Strober LB. Anxiety and depression in Multiple Sclerosis (MS): Antecedents, consequences, and differential impact on well-being and quality of life. Mult Scler Relat Disord. 2020;44:102261. PMID: 32585615 DOI: 10.1016/j.msard.2020.102261
24. Bassi M, Cilia S, Falautano M, Grobberio M, Negri L, Niccolai C, et al. The caring experience in multiple sclerosis: caregiving tasks, coping strategies and psychological well-being. Heal Soc Care Community. 2020;28(1):236-46. PMID: 31524966 DOI: 10.1111/hsc.12858
25. Safari Mousavi SS, Ghazanfari F, Mirderikvandi F. Effectiveness of acceptance and commitment therapy on death anxiety in women with multiple sclerosis in Khorramabad. J Clin Nurs Midwifery. 2019;7(4):234–41.
26. Levin ME, Haeger JA, Pierce BG, Twohig MP. Web-based acceptance and commitment therapy for mental health problems in college students: a randomized controlled trial. Behav Modif. 2017;41(1):141–62. PMID: 27440189 DOI: 10.1177/0145445516659645
27. Feliu-Soler A, Montesinos F, Gutiérrez-Martínez O, Scott W, McCracken LM, Luciano J V. Current status of acceptance and commitment therapy for chronic pain: a narrative review. J Pain Res. 2018;11:2145-59. PMID: 30323649 DOI: 10.2147/JPR.S144631
28. McClure JB, Bricker J, Mull K, Heffner JL. Comparative effectiveness of group-delivered acceptance and commitment therapy versus cognitive behavioral therapy for smoking cessation: a randomized controlled trial. Nicotine Tob Res. 2020;22(3):354–62. PMID: 30590810 DOI: 10.1093/ntr/nty268
29. Öst LG. The efficacy of acceptance and commitment therapy: an updated systematic review and meta-analysis. Behav Res Ther. 2014;61:105–21. PMID: 25193001 DOI: 10.1016/j.brat.2014.07.018
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