commitment therapy (act)

The current study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on self-criticism and pessimistic marital expectations in neurotic perfectionist girls.

The research population consisted of neurotic perfectionist girls visiting counseling centers in Ahvaz in 2022. The participants were a sample of 5 girls selected using purposive sampling with a minimum cut-off score of 145 in the Neurotic Perfectionism Questionnaire (NPQ). In this research, a single-case quasi-experimental design, specifically a type of concurrent multiple baseline designs, was used. The Acceptance and Commitment Therapy (ACT) was implemented in eleven 90-minute sessions. The participants completed the Levels of Self-Criticism Scale (LSCS) and the Marital Expectation Scale.

The data were collected in three baseline, intervention, and three-month follow-up phases and analyzed using the Reliable Change Index (RCI), recovery percentage, and visual inspection. The analysis of the recovery percentage showed that the participants' Self-Criticism (21.42) and Pessimistic Marital Expectations (18.23) improved in the intervention phase, and their Self-Criticism (51.68) and Pessimistic Marital Expectations (24.86) improved in the follow-up phase. Moreover, the Reliable Change Index of both variables in the post-treatment and follow-up phases was significant (z = 1.96, α = 0.05).

Therefore, Acceptance and Commitment Therapy reduces self-criticism and pessimistic marital expectations by increasing psychological flexibility.

The aim of the present study was to compare the effectiveness of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on Hatfield's love model in heterosexual and unequal couples.

The present research method was a semi-experimental type, which was conducted as a pre-test, post-test, with a control group and a 1-month follow-up. The statistical population of the research included all the couples who referred to the welfare counseling and social emergency centers of Torbat Jam city. Among the statistical population, using the purposeful and available sampling method and based on the score of the Passionate Love Questionnaire by Hatfield and Rapson (1993) in the pre-test, 24 couples (24 men and 24 women) who met the entry and exit criteria were selected to The title of the selected sample, and were randomly replaced in 3 groups of 8 couples (8 men and 8 women) A, B and C (2 experimental groups and one control group) that group A received cognitive behavioral therapy, group B received acceptance and commitment therapy and Group C was the control group that did not receive treatment. In order to analyze the research data, multivariate covariance analysis and post hoc tests such as Benferroni were used.

Data were analyzed with SPSS-22 software. The results showed that both groups of cognitive behavioral therapy (CBT) and acceptance and commitment based therapy (ACT) were effective on Hatfield's love model in unequal couples. But this difference was not significant in Hatfield's love model. Therefore, these two methods can be used to improve marital relations.

Therefore, both cognitive behavioral therapy and therapy based on acceptance and commitment can be used to increase love and marital satisfaction between couples.

The present study was conducted to investigate the efficacy of ACT (Acceptance and Commitment Therapy) on the perceived stress and enhancing a sense of coherence among individuals diagnosed with ulcerative colitis. A quasi-experimental design comprising a pre-test, post-test, control group, and a two-month follow-up period was utilized for the study. The statistical cohort comprised all patients diagnosed with ulcerative colitis who were referred to the Digestion and Liver Research Center during  the autumn and winter of 2019-20, under the supervision of Alzahra Hospital. A total of 25 patients who were diagnosed with ulcerative colitis were chosen using a purposive sampling method and assigned at random to either the experimental or control group. Over the course of two months, the experimental group participated in ten ACT sessions, each lasting seventy-five minutes. The applied questionnaires utilized in this study comprised the Perceived Stress Scale (PSS) and Sense of Coherence Questionnaire (SCQ). The data obtained from the study were subjected to analysis using mixed ANOVA via SPSS-23. Patients with ulcerative colitis (p<0.001) experience a significant reduction in perceived tension and sense of coherence, as indicated by the findings. According to the findings, it can be concluded that ACT has the potential to serve as a successful intervention to decrease perceived stress and improvement of sense of coherence among individuals diagnosed with ulcerative colitis. This is achieved through the utilization of six primary processes: acceptance, diffusion, context as self, relationship with the present moment, values, and committed activities.

Diabetes is one of the chronic diseases in the world. Economic growth, development of urban life, change in lifestyle, obesity and weight gain and decrease in activity of people are of special importance in the occurrence of diabetes. The present study was conducted with the aim of the effectiveness of acceptance and commitment therapy (ACT) on dyslexia, concern about body image and negative spontaneous thoughts in patients with diabetes in Gorgan city.

The research method was quasi-experimental with a pre-test-post-test design with two experimental groups and a control group. The statistical population of this research included female patients aged 20 to 40 with type 2 diabetes who referred to Deziani Diabetes Clinic in Gorgan city in the summer quarter of 2011, their number was about 300. In the following, 30 patients were screened with Bagby et al.'s aphasia questionnaires (1994), Littleton's (2005) body image concerns, and Kendall and Hallon's (1980) negative spontaneous thoughts using purposive sampling as samples. were selected, and were randomly divided into two experimental (15 people) and control (15 people) groups. The subjects of the experimental group underwent acceptance and commitment therapy for 8 sessions (one 90-minute session per week for two months), and the control group did not receive any treatment. At the end of the treatment sessions, the subjects of both groups answered the mentioned questionnaires again as a post-test. Data analysis in this research was done using SPSS version 20 statistical software in two descriptive and inferential sections (MANCOVA multivariate covariance analysis test).

The results of data analysis showed that Acceptance and Commitment Therapy (ACT) reduced Alexithymia and its components (difficulty in recognizing emotions, difficulty in describing emotions, externally oriented thinking), body image concerns and Its components (dissatisfaction and shame of the person with his appearance, interference in social functioning), negative spontaneous thoughts and its components (individual incompatibility and desire to change, negative self-concepts / negative expectations, low self-esteem, helplessness) in the subjects of the experimental group in The post-test stage was done.

It can be concluded that ACT is effective on alexithymia, concern about body image and negative spontaneous thoughts in patients with diabetes

Breast cancer is the most common disease and the second cause of death in women, which has many physical and psychological complications, and anxiety is one of them. Today, with the advancement of psychology, there are various ways to reduce stress and anxiety, especially for diseases such as cancer. Among these methods is treatment based on acceptance and commitment.

The purpose of this research was to evaluate the effectiveness of acceptance and commitment therapy (ACT) on disease perception, self-care behaviors and treatment adherence in female patients with breast cancer.

The current research design is a quasi-experimental pre-test-post-test type with a control group and follow-up. The statistical population of the research includes all female patients with breast cancer aged 25 to 45 who were referred to the oncology department of Imam Hossein Hospital in the second half of 2018, 40 of whom were selected through purposive sampling along with screening and based on Cohen's table, using The effect size and power of the test was selected as sample people, these people were replaced in two experimental and control groups using a random method. The experimental group underwent Acceptance and Commitment Therapy (ACT). In order to collect research data, a long-form disease perception questionnaire, a Madanlo treatment adherence questionnaire, and a self-care ability questionnaire were used.

The results of analysis of variance with repeated measurements showed that acceptance and commitment-based treatment (ACT) was effective on the perception, adherence to treatment, and self-care ability of female breast cancer patients, and this effect was stable in the follow-up phase.

According to the findings of this research, it can be said that acceptance and commitment therapy (ACT) as an effective intervention can be effective on the perception, adherence to treatment, and self-care ability of female patients with breast cancer. Therefore, the use of psychological services in parallel with the process of treating people with breast cancer is necessary for faster treatment.

The present study was an attempt to compare the effects of acceptance and commitment therapy and mindfulness-based cognitive therapy on the intolerance of uncertainty of women affected by infidelity. The present study was conducted using a quasi-experimental method of pre-test-post-test with a control group and a three-month follow-up. The statistical population of the present study consisted of all the women affected by the infidelity of their husbands who were referred to the family counseling centers in Karaj from the beginning of October to the middle of December 2022. Among these women, 45 people were selected as a sample and were placed in two experimental groups and one control group. The first and second experimental groups received acceptance and commitment therapy (ACT) and mindfulness-based cognitive therapy (MBCT), respectively, during 8 sessions. The tool of the study was the Intolerance of Uncertainty Scale (IUS) (Friston et al., 1994. The results of the mixed variance analysis showed a significant difference between the groups in the post-test and follow-up stages (P<0/0001). Both interventional methods reduced intolerance of uncertainty and their effectiveness lasted over time. Also, no significant difference was found between the effects of the two ways (P<0/0001). In general, the results of this study showed that both interventional methods were influential in the intolerance of uncertainty of women affected by infidelity.

The purpose of this research is to compare the effectiveness of group counseling with acceptance based on commitment and cognitive therapy based on mindfulness, self-compassion, and family resilience of mothers of children in education.

This research was semi-experimental with a pre-test and post-test with a control group and a follow-up period of 5 months. Sampling was done by simple random sampling. From the list of the statistical population of mothers of exceptionally educated students in the two cities of Mallard and Shahryar in the year (1401-1400), (36) people were selected using random numbers and in two experimental groups of cognitive therapy based on mindfulness and therapy based on Acceptance and commitment and a control group were included. Self-compassion(Neff, 2003) and family resilience (Sixbey, 2005) questionnaires were used as research tools. The method of data analysis was covariance analysis to compare means. The software (SPSS 22) was used for data analysis.

The results showed that both methods, therapy based on acceptance and commitment and cognitive therapy based on mindfulness in the way of group counseling, have an effect on increasing self-compassion and family resilience of mothers of educated children.The effect of acceptance and commitment therapy on increasing self-compassion (59.6%) and mindfulness-based cognitive therapy (27.9%) was compared to the control group. (P<0.001 and F=106.891) and the effect of acceptance and commitment therapy on increasing resilience (81.5%) and cognitive therapy based on mindfulness (45.9%) compared to the control group. (P<0.001 and F=106.891.

According to the findings of this research, it is possible to use the method of group counseling, therapy based on acceptance and commitment, and cognitive therapy based on mindfulness to increase self-compassion and family resilience.

The purpose of this paper is to investigate the efficacy of Acceptance and Commitment Therapy (ACT) on the life quality and resilience of those recuperated from Covid-19. The research method was quasi-experimental with pre-test, post-test, control group and three-month follow-up period design. The statistical population of the study included those recuperated from Covid-19 with the record of hospitalization in the city of Bandar Abbas in the winter of 2020. Twenty-seven recovered people from Covid-19 were selected via the snowball method and randomly 13 of them were accommodated into experimental (7 males and 6 females) and 14 of them were accommodated into control groups (6 males and 8 females). The experimental group received ACT during two-and-a-half months (in 10 sessions). The applied questionnaires in this study included resilience questionnaire and life quality scale. The data from the study were analyzed through mixed ANOVA via SPSS-23 statistical software. The results showed that ACT has been effective on the life quality (F=38.75; Eta=0.61; P<0001) and resilience (F=39.90; Eta=0.62; P<0001) of recovered Covid-19 patients with the record of hospitalization in a way that it succeeded in improving their life quality and resilience. According to the findings of the present study, ACT can be used as an efficient method to improve the life quality and resilience of those recovered from Covid-19 through employing six main processes of acceptance, fusion, observer self, relationship with the present time, value and committed action.

The meaning of life in women supervisors under the auspices of the Imam Khomeini Relief Foundation is important due to their special circumstances .The purpose of the present study was to compare the effectiveness of two approaches based on acceptance and commitment therapy (ACT) and reality therapy based 0n the life of female-headed households under the auspices of the Relief Committee.

The designof the present studywas quasi-experimental with pre-test-post-test-follow-up and control group. The statistical population of the study was 153 women heads of households of Shabestareh city relief committee, out of which 30 people who had low scores in the meaning of Estger life test were selected by available sampling method and randomly divided into two experimental groups (based on admission and commitment therapy and reality therapy group). Mixed analysis of variance was performed to analyze the data .

According to the results obtained the approach based on acceptance and commitment therapy and reality therapy significantly increases the meaning of women's lives (P≤0.01). Also the comparison of the effectiveness of the two groups showed that there is no significant difference between the effectiveness of ACT therapy and reality therapy in terms of life of female-headed households. The results emphasize the importance and application of ACT therapeutic approach andreality therapy on the meaning of life and there is no significant difference between the effectiveness of the two approaches (P = 0.29).

The present study aimed to investigate the effectiveness of the reality-based acceptance and commitment therapy package and cognitive-behavioral therapy in improving procrastination and responsibility in adolescent girls.

The study was quasi-experimental with a pretest-posttest design, a control group, and a two-month follow-up. The statistical population consisted of all second-grade female students in District 5 of Isfahan in 2021. After screening with the academic burnout questionnaire, 45 adolescent girls were selected by the convenience sampling method and were randomly assigned to the experimental group of the reality-based acceptance and commitment therapy package (n=15), the experimental group of cognitive-behavioral therapy (n=15), and a control group (n=15). The experimental group received the researcher-made reality-based acceptance and commitment therapy package and another experimental group received cognitive-behavioral therapy for eight 90-minute sessions, and the control group did not receive any intervention. All three groups answered the Tuckman Procrastination Scale (TPS) (1991), and California Responsibility Scale (1951) at three stages, pre-test, post-test, and follow-up. Data were analyzed using the repeated-measures mixed-model analysis of variance (ANOVA).

The Reality-Based Acceptance and Commitment Therapy Package affected the scores of procrastination (F= 8.9, P=0.007) and responsibility (F=9.40, P=0.004); and cognitive-behavioral intervention affected the score of procrastination (F=5.51, P=0.024) and responsibility (F=9.11, P=0.005), and the effects were stable at the follow-up stage.

The research results suggest evidence that the researcher-made reality-based acceptance and commitment therapy package intervention and cognitive-behavioral therapy were appropriate methods to increase responsibility and reduce procrastination in adolescents.

The aim of this study was to compare the effectiveness of Bowenian family therapy and acceptance and commitment therapy on the difficulty in regulating the emotion of mothers with one child.

This was a descriptive quasi-experimental study with a pretest-posttest design with two experimental groups and a control group. The statistical population of the study included all mothers with only one child of preschool age in Kermanshah kindergartens in 2019. A total of 45 people were selected through convenience sampling and 15 people were randomly assigned to two experimental groups and one control group. Data were collected in the pretest-posttest stages with a scale of difficulty in emotion regulation (Grotz and Roemer, 2004). After pre-testing, members of the two experimental groups participated separately in eight 1.5-hour weekly sessions of Bowenian family therapy and acceptance and commitment therapy. Analysis of covariance and Bonferroni post-hoc test were used to analyze the data.

The results of analysis of covariance showed that the effect of Bowenian family therapy and the effect of acceptance and commitment based therapy on difficulty in emotion regulation in individuals is significant (P<0.05). Also, differences in the two treatment groups for the dimensions of emotional rejection, difficulty in performing behavior, difficulty in controlling impulse, lack of emotional awareness, limited access, and lack of clarity, respectively, the amount of F statistic; 4.771, 4.461, 3.524, 3.399 and 5.720 with significant levels were 0.026, 0.005, 0.011, 0.001, 0.003 and 0.009, respectively. The results of Bowenian test showed that due to the size of the differences, the effectiveness of acceptance-based and commitment-based therapy in combining with other interventions on the difficulty of emotion regulation and its related components was higher (P <0.05).

Psychologists, when faced with problems of mother-child interaction, evaluate the mother in terms of the level of cognitive emotion regulation and other psychological variables affecting emotion regulation and use effective treatment methods if there is a problem.

The aim of the current study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on Anxiety and Self-efficacy of children among children with anxiety. 

 The statistical population consisted of all children diagnose with anxiety in Ahvaz. The research sample consisted of 3 children that were selected according to the results of the Child Anxiety Related Emotional Disorders (SCARED) , using purposeful sampling method. In this research, a single-case experimental design, type of non-concurrent multiple baseline designs was used. To evaluate the anxiety, Child Anxiety Related Emotional Disorders (SCARED) and self-Efficacy - Children's Self-Efficacy Scale were used. The data was collected in three phases of baseline, during intervention, and one month follow-up. 

 The findings indicate that the subjects in the treatment phase experienced improvement in anxiety (30/96) and self-efficacy (28/13), and in the follow-up in regards to anxiety (38/44) and self-efficacy (32/25). The change index was indicative of meaningful changes (z=1/95 α=0.05). 

Therefore, the research findings illustrated that Acceptance and Commitment Therapy reduces anxiety and increases children's self-efficacy by increasing psychological flexibility and reducing dysfunctional reactions.

The present study aimed to compare the effectiveness of rational emotive behavior therapy (REBT), and acceptance and commitment therapy (ACT) in improving self-care behaviors (nutritional behaviors, physical activity, blood sugar control, foot care, and medication adherence) in people with type 2 diabetes. The study was quasi-experimental with a pretest-posttest design, two experimental groups, a control group, and the follow-up stage. The statistical population consisted of all female patients with type 2 diabetes with a record in Parsian Clinic in Eslamshahr in 2019. Among them, 45 women were selected using the convenience sampling method and were randomly assigned to two experimental groups (15 per group), and a control group (n=15). The experimental group received acceptance and commitment therapy by Hayes et al. (2004), and the rational emotive behavior therapy (REBT) by Ellis (1999) in eight 60-minute sessions, and the control group was placed on a waiting list. The research tool included the diabetes self-care behavior questionnaire (Tubert and Glasgow, 1994) that was used at three stages, pre-test, post-test, and follow-up. Data were analyzed using repeated-measures analysis of variance. Both interventions could significantly improve self-care behaviors (nutritional behaviors, physical activity, blood sugar control, foot care, and medication adherence) in patients with type 2 diabetes (P<0.05), but the acceptance and commitment therapy intervention had a greater effect on self-care behaviors in patients with type 2 diabetes. Furthermore, there was not any significant difference at the posttest follow-up stage (p<0.05), indicating the stability of intervention changes. Based on the results, acceptance and commitment therapy, and rational emotive behavior therapy (REBT) had effective interventions in increasing self-care behaviors in patients with diabetes.

The aim of this study was to compare the effectiveness of acceptance, commitment and reality therapy based on self-care behaviors in female patients with breast cancer.

The design of the present study was a quasi-experimental group of three groups of pre-test-post-test with control group and with follow-up. The present study population was female patients with breast cancer aged 25 to 45 years who referred to the oncology ward of Imam Hossein Hospital in Tehran in the second half of 1398. In this study, three experimental groups were used, the number of people in each group was 20. The method was as follows: the first experimental group, the treatment protocol based on acceptance and commitment, and the second experimental group, the reality therapy intervention, were performed in eight sessions of 90 minutes. But the control group did not receive any intervention. Mixed analysis of variance was used to analyze the data.

Finally, in examining the effectiveness of acceptance, commitment and reality therapy approaches, it was found that there is a difference between the effectiveness of acceptance and commitment therapy and reality therapy on self-care behaviors in female patients with breast cancer. In other words, reality therapy has a greater effect on increasing self-care behaviors in female patients with breast cancer than acceptance and commitment therapy.

Considering the effect of reality therapy approach on increasing self-care behaviors in female patients with breast cancer, the need for more attention and application of this approach and thus increasing the likelihood of self-care in patients is felt more than before.

The aim of this study was to compare the effectiveness of Bowenian family therapy and acceptance and commitment-based therapy on differentiation of mothers with one child. This research is a quasi-experimental study with a pretest-posttest design with two experimental groups and a control group. The statistical population of the study included mothers of preschool single children in Kermanshah kindergartens in 2020. A total of 45 people were selected by simple random sampling and randomly assigned to two experimental groups and one control group, equal to 15 people. Data were collected in pretest-posttest stages with Skowron (1998) differentiation scale. After performing the pre-test, the members of the experimental group participated separately in eight weekly 1.5-hour sessions of Bowenian family therapy and acceptance and commitment therapy. Covariance analysis and Bonferroni post hoc test were used to analyze the data. The results of analysis of covariance showed that the effect of Bowenian family therapy and the effect of acceptance and commitment therapy on differentiation in individuals is significant and stable (P<0.05). The results of Bonferroni test showed that due to the size of the differences, the effectiveness of Bowenian family therapy in comparison with other interventions on increasing differentiation and related components was higher. Both treatments can be effective in increasing maternal differentiation, however, Bowenian family therapy can be considered more effective than other interventions.

The aim of this study is to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on Internet addiction and interpersonal difficulties among high school students in Tehran. The method of the present study is quasi-experimental with pretest and posttest and a control group with one-month follow-up. The participants of the study were 40 male students (20 in experimental group and 20 in control group) of secondary school in academic year 2019-2020, who were selected by random sampling method. The research instruments were Young’s Internet Addiction Questionnaire (IAT) and Engels, Hidalgo and Mendens’s Questionnaire about Interpersonal Difficulties for Adolescents (QIDA). After administering the questionnaires to the students, the subjects who scored the cut score of Young’s Internet Addiction Questionnaire were randomly assigned to the control and experimental groups. The experimental group received eight two-hour group sessions of therapeutic intervention. After the therapy sessions, a posttest was administered to both groups and a follow-up test was administered after one month. Data were statistically analyzed using SPSS 26 software and analysis of variance with repeated measures. The results of the data analysis showed that the scores for Internet addiction and interpersonal difficulties decreased significantly in the experimental group at the posttest. These results were verified in a one-month posttest. Acceptance and Commitment Therapy (ACT) can decrease the components of Internet addiction and interpersonal difficulties. This treatment can be considered as an effective intervention method to achieve satisfactory interpersonal relationships.

Studies shows that women who have been unfaithful to their husbands suffer from symptoms of depression and rumination, research has also shown the efficacy of Acceptance and Commitment Therapy (ACT) on depressive symptoms and rumination. therefore according to the research background, there was a research gap in the field of acceptance and commitment therapy (ACT) on rumination and depressive symptoms in women after infidelity.

The aim of this study was to evaluate the efficacy of Acceptance and Commitment Therapy (ACT) on women who experienced symptoms of depression and rumination.

The method of the present study was quasi-experimental with a pretest-posttest design and follow-up with a control group in women affected by infidelity. The population of this study was 73 women affected by infidelity in the eastern suburbs of Tehran who referred to the resuscitation group therapy center of the heart and answered the Nolan Hoxma (2003) Ruminant Ruminant Questionnaire and the Beck Depression Inventory (1996). Out of 73 participants, 30 participants were selected in two groups of 15 people (control and experimental) who met the criteria for entering the study and were randomly divided into two groups. The experimental group received 8 sessions of 90-minute Acceptance and Commitment Therapy (ACT). Finally, after the post-test, the results were analyzed by repeated measures analysis of variance.

Findings showed that after the end of follow-up, the results of the experimental group in both depression and rumination variables were significantly different in post-test and follow-up test, but this difference was not observed between the control group in three stages (P> 0.05).

Considering that acceptance and commitment therapy is effective in reducing rumination and depressive symptoms such as unpleasant and repetitive thoughts, inefficiency of current behavior as well as accepting the problem and creating a gap between current thoughts and practice in women affected by infidelity, it can be He did it on more examples and in a society with a different culture.

 The present study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in improving impulsive decision-making and suicide ideation of addicts. 

 The research method was quasi-experimental with a pretest-post-test design, and follow-up stage with a control group, and its statistical population consisted of 1700 female and male addicts who visited substance abuse treatment centers in Sari. After the purposive screening, 30 individuals were selected as samples and were randomly assigned to experimental (n=15) and control (n=15) groups. The research tools included Barratt Impulsiveness Scale (BIS) by Patton, Stanford, & Barratt (1995), and Beck Scale for Suicide Ideation (1961). The experimental group received eight sessions of acceptance and commitment therapy based on the treatment package of Hayes et al. (1999), and the control group was put on the waiting list; Data were analyzed using the repeated-measures analysis of variance. 

 The results indicated that acceptance and commitment therapy was effective in reducing impulsive decision-making (F=4.87, P=0.036), and suicide ideation score (F=0.02, P=0.033), and the effects were stable in the follow-up phase (P=0.01). 

 Acceptance and commitment therapy was an appropriate strategy to reduce impulsivity and suicide ideation in female and male addicts and could be used as an effective intervention.