commitment-based therapy

Multiple Sclerosis (MS) is a potentially brain and spinal cord (central nervous system) debilitating disease. In addition to physical problems, it can cause mood disorders and mental, neurological, and psychological problems in patients. The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-based therapy on life expectancy and demoralization syndrome in patients with multiple sclerosis.

This was a quasi-experimental study with a pretest-posttest and a two-month follow-up design with a control group. The study population included all patients with multiple sclerosis referred to the MS Association of Tabriz City in 2023. A total of 60 people were selected by convenience sampling method and divided into two experimental groups and a control group (20 people each). For the first experimental group, acceptance and commitment-based therapy, and for the second experimental group, compassion-based therapy, were administered in eight 60-minute sessions over four weeks in an independent manner. The control group did not receive any training. The research instruments included the Hope Scale by Snyder, et al. (1991) and the Demoralization Scale by Kissane et al. (2004), which were completed at the pre-test, post-test, and follow-up phases. Data were analyzed using repeated measures analysis of variance using SPSS v.16 software.

The results showed that the therapy based on acceptance and commitment and compassion-based therapy had positive effects on life expectancy and demoralization syndrome in patients with MS (p<0.05). Furthermore, the post-hoc results showed that there is no significant difference between the effects of two treatments on life expectancy and demoralization syndrome.

According to the study results, the acceptance and commitment-based therapy and the on compassion-based therapy can be used as effective treatments to increase life expectancy and reduce demoralization syndrome in patients with MS.

  Drug abuse has become one of the important problems in society. Craving is the core of drug abuse. The aim of the present study was to investigate the combined effect of education based on acceptance and commitment and green tea tablets on cravings in opium addicts.

The present study conducted in 2020 applied a semi-experimental pre-test-post-test design with a control group.  The statistical population of the present study was opium addicts in addiction treatment clinics of Tabriz, Iran. The research sample consisted of 40 participants selected by available sampling methode and simple randomly assigned to 4 groups. The group receiving green tea tablets, combined therapy group based on acceptance and commitment training with the Hayes protocol for 8 sessions of one and a half hours and grean tea tablets, Education group based on acceptance and commitment, the control group did not receive any intervention. The participants were evaluated through Salehi Fedredi, Barefan and Ziaei temptation questionnaire before the intervention, and the final session. Data were analyzed using multivariate and unilabiate analysis of covariance with Benferoni test.

The results indicated that green tea tablets and education based on acceptance and commitment had an effect on craving in opium addicts (p<0.05) and there was no significant difference between the effect of education based on acceptance and commitment and green tea on craving. There was a difference between the effect of education based on acceptance and commitment with green tea compared to the effect of each alone on craving in opium addicts(p<0.05).

The simultaneous use of education based on acceptance and commitment and green tea tablets had further effect in reduction of craving in opium addicts compared to the effect of each one alone.

One of the main components of forming a marriage contract is trust, which has always been fragile and at risk due to problems such as betrayal. Due to the increasing rate of infidelity and divorce, this study aims to compare the efficacy of mindfulness-based cognitive therapy (MBCT) and acceptance and commitment-based therapy (ACT) on depression and anger in women affected by marital infidelity.

The method of this study was experimental with pre-test and post-test with the control group. The statistical population consisted of women affected by marital infidelity in Tabriz city in 2022. In total, 45 patients were selected by sequential non-probability sampling method, who were randomly divided into three groups (Each group 15 people). Members of both experimental groups received their treatment in 8 sessions of 1.5 hours; however, the control group did not receive any treatment until the end of the study. The measurement tools included Beck's depression and Novaco's anger questionnaires. Data were analyzed by multivariate analysis of covariance and Bonferroni's post hoc test.

The results showed that both treatments compared to the control group, reduced the depression and anger of women affected by marital infidelity in the post-test (p<0.001).

The results showed that the effect of treatments on depression and anger of women affected by marital infidelity in the post-test stage is not statistically different. It seems that MBCT and ACT can reduce the depression and anger of women affected by marital infidelity, so they can probably be a useful therapeutic strategy to improve the psychological state of women affected by marital infidelity.

Due to the adverse effects of emotional disturbances on physical, social and mental health, people suffer from the psychological or emotional trauma associated with death. Therefore, this study was conducted with the aim of comparing the effectiveness of acceptance and commitment-based therapy and logo therapy in reducing death anxiety in students with emotional disturbance.

This was a quasi-experimental study with pre-test-post-test and follow-up with a control group design. The study population included all the students of Islamic Azad University, Ardabil branch, during the academic year 2019-2019. The research sample was selected in the following two phases. A) Identification phase: A total of 300 students, who were selected according to the convenience sampling method, completed the emotional disturbance questionnaire. B) Sample selection phase: Finally, 45 students out of the first phase were selected as the study sample. They reached 1 standard deviation above the cutoff point in their emotional disturbance scale scores. They were assigned to two experimental groups and one control group (15 people each) based on a random number generator (http://stattrek.com/statistics/random-number-generator.aspx). For the first experimental group, the acceptance and commitment-based therapy and for the second experimental group, logo therapy was performed in 8 sessions of 75 minutes each over 4 weeks. Data were collected using Templer's (1970) death anxiety scale. Data were analyzed using SPSS version 16 software and analysis of variance using repeated measures.

The results showed that logo therapy and acceptance and commitment-based therapy interventions had an impact on death anxiety among emotionally disturbed students (p<0.05). Additionally, the results of the post-tests showed that there was a significant difference between the two treatment methods on the death anxiety variable (p<0.05).

According to the results both logo therapy and acceptance and commitment-based therapy significantly improved death anxiety in the students with emotional disturbance. However, the effect of logo therapy was statistically more significant than that of acceptance and commitment-based therapy. Therefore, the use of these interventions is recommended for students with emotional disturbances.

The aim of this study was to determine the effectiveness of acceptance and commitment-based therapy (ACT) on pain anxiety and sleep quality in elderly women with multiple sclerosis.

This study was semi-experimental with a pretest-posttest & follow-up control group design. The statistical population of the study consisted of all elderly women with MS in Tabriz city in 2023. After meeting the criteria for entering and exiting the research, 30 person were selected by the purposeful sampling method and randomly divided into two groups (15 people each). The members of the experimental group received CFT in 8 sessions of 1.5 hours; but the control group did not receive any treatment. Analysis of findings through repeated measures analysis of variance test.

In the pretest, mean and standard deviation of the ACT for pain anxiety (76.00±4.22) and for sleep quality (17.67±2.49), and in the control group for pain anxiety (77.73±4.66) and for sleep quality (17.00±1.73) (P>0.05). The results showed that ACT is effective on pain anxiety (70.93±3.95) and sleep quality (14.53±2.38) of elderly women with multiple sclerosis (p<0.001). In the follow-up phase, the effect of treatment on the pain anxiety and sleep quality was lasting (p<0.001).

Based on the findings of this research, it can be concluded that acceptance and commitment-based therapy has reduced pain anxiety and increased sleep quality in elderly women with multiple sclerosis.

Thalassemia is a chronic disease that poses serious clinical and psychological challenges.   It may affect the mental state of parents of children with thalassemia. Regarding that Mothers of children with thalassemia major have a lot of care responsibility, this research was done to study the effectiveness of acceptance & commitment-based method of therapy on the happiness and psychological well-being of Mothers of children with thalassemia major

The present study is a semi-experimental type of with a control and follow-up group. The statistical population of the study was the mothers of children with thalassemia major who referred to the center of special diseases in Kerman province in 1400. Samples were selected voluntarily using available sampling method that consisted of 30 people in each group. After that, treatment based on acceptance and commitment was performed on the experimental group. The control group receive routine care.  After the training, the post-test was taken separately from the two groups one day apart, and a month later, the control and intervention groups were evaluated again. The data collection tools were Ruff Psychological Wellbeing and Oxford Happiness.
 

psychological well-being of mothers of children with thalassemia major in two groups were not significantly different before the intervention. After the intervention, significant difference was seen in the intervention group. (p<0.05The effect of acceptance and commitment therapy on the happiness of mothers of children with thalassemia major", followed (p<0.05) and this effect was maintained for one month after the intervention.
 

The results showed that acceptance and commitment therapy is effective on happiness and psychological well-being of mothers of children with thalassemia major.

Background &

Gutman (1993) states that stability in marital interactions refers to the degree of stability in negative and positive emotions in relationships between couples. To have a stable marital relationship, there should be at least five times as many positive interactions as negative interactions. In some approaches, the stability of marital interactions is defined due to several processes including restrained conflict, collaborative decision-making, quality of communication, sexual and psychological intimacy, and valuing trust, respect, empathic understanding, and equality in the relationship between the two parties. In such relationships, two categories of active, conscious and strategic behaviors such as confidence, positivity, openness, as well as usual maintenance behaviors including shared tasks, joint activities and use of social networks are involved (7).
In this regard, studies show that there are various treatment methods to reduce the consequences of fear of intimacy and improve couples' interactions. Among these therapies is group therapy, in which exchanges between group members are considered as an effective means of creating this change and transformation and support (10). Acceptance and Commitment Therapy (ACT) is one of the new and effective treatments for solving psychological problems and disorders. Its underlying principles include accepting or willing to experience pain or other disturbing events without trying to control them and value-based action or commitment combined with the desire to act as meaningful personal goals before eliminating unwanted experiences (11). In therapy based on acceptance and commitment, the main goal is to create psychological flexibility; It means creating the ability to choose an action among different options that is more appropriate, rather than doing an action just to avoid disturbing thoughts, feelings, memories or desires or actually imposing it on a person (12). The fundamental processes of therapy based on acceptance and commitment are: acceptance, mindfulness, living in the present moment, cognitive dissonance, self-observation of values ​​and committed action (13).
However, many studies have been conducted and have examined the effect of compassion-based therapy and acceptance-based therapy in different groups and have focused more on the impact of compassion-based therapy on general health and psychological well-being, but in the context of the usefulness of each Of these treatment methods, no research has been done on improving married life in Iran. For this reason, the logical necessity of conducting a research that examines the role of these treatments in the lives of couples and improving their relationships is felt. Therefore, the question of the current research is whether there is a significant difference between the effectiveness of therapy focused on compassion and therapy based on acceptance and commitment on marriage regret, stability of marital interactions and fear of intimacy of couples referring to divorce counseling centers in Gonbad Kavus city?

In order to carry out the present semi-experimental and practical research method, which consisted of pre-test, post-test and follow-up with a control group, 45 of the couples who referred to the divorce counseling centers of Gonbad city in 1400 were 716 people using the available method and 45 were eligible to be selected. They were randomly divided into two experimental and control groups. Also, this research followed the ethics code number IR.IAU.AK.REC.1395-2 from Islamic Azad University, Aliabad branch. In addition and in the pre-test stage, all the subjects completed Gutman's (1999) stability of marital interactions questionnaire Then both experimental groups were exposed to training for 8 sessions of 90 minutes and no intervention was done for the control group (third group). Then the post-test was performed for all three groups. Finally, descriptive statistics (mean and standard deviation) and analysis of covariance tests and Bonferroni's post hoc test using SPSS-26 software were used for statistical analysis of the data.

The results show that the intra-group effects of pre-test and group interaction are significant at a level less than 0.01 (F=60.993, P=0.0001, Eta=0.51). This means that compassion group therapy had a significant effect on the stability of marital interactions. The inter-group effects also show that the group effect is significant at a level less than 0.01 (F=113.404, P=0.0001, Eta=0.66) and this means that the group treatment of compassion between the experimental group and control has a significant difference (Table 2). A look at the table of averages shows that the average stability of marital interactions has increased in the post-test and follow-up. Therefore, it can be said that compassion group therapy has increased the stability of marital interactions. The eta coefficient also shows that 66% of the changes in the post-test of the stability of marital interactions are due to compassion group therapy.
Table 3 shows that there is a difference of 6.74 units between the experimental and control groups and this difference is significant. In this way, it can be said that compassion group therapy has been effective on the stability of marital interactions and has increased it.

The results showed that CFT compassion-focused therapy is effective on the stability of marital interactions of couples referring to counseling centers in Gonbad Kavus city. In the explanation of this finding, it can be said that teaching self-compassion because it causes self-compassion, acceptance, kindness and non-judgment of the spouse, causes couples to be more intimate with each other in times of failure and incapacity, positive self-regulation of show themselves and instill high sincere attitudes. People learn to have a proper emotional release with compassion, to identify the way of thinking and behavior towards themselves, and this causes their knowledge, feelings and reactions to their emotional state and relationship with their spouse. self-improvement and by looking at the bright side of marital issues and interpersonal problems and more understanding of the spouse, establish a more intimate relationship with their spouse, and this type of training improves the perception of the spouse's behavior and higher understanding, the emergence of happiness and the reduction of conflicts in married life It has been effective. Therefore, self-compassion can be considered an emotion regulation strategy, in which the experience of annoying and unpleasant emotions is not prevented, but an effort is made to accept the emotions in a kind manner. Therefore, negative feelings change to positive feelings and a person finds a new solution to deal with it (17).
The results confirm the greater effect of the treatment based on acceptance and commitment on the stability of marital interactions in couples referring to divorce counseling centers, so it is recommended to use this treatment to reduce divorce and stabilize the family under the supervision of an expert.

Research has shown that positivist psychotherapy leads to marital adjustment in couples. On the other hand, acceptance and commitment therapy has been effective in reducing issues such as conflict and conflict, adaptation and commitment meaning a rich and meaningful life, but there is a research gap in comparing the two approaches. The purpose of this study is to compare the effectiveness of couples. Positive therapy and therapy was based on acceptance and commitment to increase marital adjustment in couples.

The method of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical population included all couples seeking divorce who had referred to family counseling centers in Iranshahr in 1399 for couple therapy. 45 couples were selected by convenience sampling method and then randomly divided into two groups of 30 experimental and one group of 30 controls. Participants responded to the Lock and Wallace Marital Adjustment Questionnaire (1995). Couples therapy, positive therapy Seligman and Sequent Mihali (2000) and therapy based on acceptance and commitment Hayes, Strosahel and Wilson (2012) performed in 8 sessions of 90 minutes on the experimental groups and after the post-test sessions. Done. Finally, after the post-test, the results were analyzed by analysis of covariance.

The results showed that couples therapy, positive therapy and acceptance and commitment based therapy were effective in increasing marital adjustment in couples (P <0.01). Also, positive couple therapy training had a more significant effect than acceptance and commitment therapy (P <0.01).

Considering that both interventions had a strong effect on increasing marital adjustment, but positive couple therapy was more effective in increasing marital adjustment and negligence, so the combination of these two methods in couples therapy interventions will probably lead to more effective results.

The aim of this study was to evaluate and compare the effectiveness of emotion-based family therapy and acceptance and commitment-based therapy on mothers' distress tolerance with mentally retarded children.

The research design was quasi-experimental pre-test and post-test with two experimental groups and control group. From the community of mothers with a mentally retarded child in Tehran in 1399, 39 people were selected as a research sample and randomly placed in three experimental groups 1, 2 and control. Experiment 1 group members received emotion-based family therapy, and experimental group 2 received acceptance and commitment therapy, while control group members did not receive any intervention. Also, all members of the experimental and control groups answered the anxiety tolerance questionnaire in three stages of pre-test, post-test and follow-up. Research data were analyzed using repeated measures analysis of variance statistical method.

The results of repeated measures analysis showed that both family therapy approaches based on emotion and acceptance and commitment were effective in improving the anxiety tolerance of mothers with mentally retarded children (p≤0.001). The results of pairwise comparison showed that the emotion-based approach to acceptance and commitment had a greater impact on the tolerance of mothers with distressed children.

In order to improve the anxiety tolerance of mothers with mentally retarded children, both emotion-based therapy and acceptance and commitment are effective, but emotion-based therapy is more effective.

Aging is one of the most important stages of human life, and people at this stage are faced with various issues, among which issues such as death anxiety, happiness and resilience appear to be the most common issues of mental health in the elderly that can be improved using appropriate interventions. Therefore, the current study aims to examine the effectiveness of acceptance and commitment therapy (ACT) on death anxiety, happiness and resilience in the elderly. This was a quasi-experimental study with the pretest-posttest control group design. The statistical population of the present study included all the elderly living in Lahijan, Iran, among whom 30 people were selected using convenience sampling method and randomly assigned into the experimental and control groups. Both groups completed the Templer’s death anxiety, Oxford happiness, and Conner and Davidson’s resilience questionnaires in pretest and posttest phases. Experimental group underwent eight 60-minute sessions of ACT, while control group received no treatment at this time. Data were analyzed by univariate analysis of covariance (ANCOVA), the results of which revealed that there was a significant difference between the experimental and control groups in terms of death anxiety, happiness and resilience in the posttest phase. Put in other words, ACT resulted in a decrease of death anxiety and an increase of happiness and resilience in the elderly. According to the results of the current study, ACT can be used as an effective treatment method to improve the mental health of the elderly.

 Shyness as a disability overlaps with social anxiety disorder. Acceptance and commitment therapy is one of the interventions that has been used in the treatment of many anxiety and mood disorders. The aim of this study was to determine the effectiveness of acceptance and commitment-based therapy on the symptoms of social anxiety in adolescent girls.

 The statistical population of this experimental research included all-female high school students in Tabriz in the academic year 2020-2021, that 30 students who received the diagnosis of shyness in accordance with the cutoff score in the Revised Cheek and Buss Shyness Scale (1983) were selected by multi-stage cluster and available sampling and they were randomly replaced in experimental and control groups (15 people in each group). Both groups completed the social phobia scale of Connor et al.and after completing eight sessions of acceptance and commitment-based therapy (two sessions per week for 4 weeks) in the experimental group, the scale was completed by the groups. Data were analyzed using the analysis of covariance in SPSS.16.

 Based on the results of the analysis of covariance, it was found that acceptance and commitment-based therapy has a significant effect on the symptoms of social anxiety in shy female students (p<0.001).

 Considering that teaching acceptance and commitment-based therapy has an effect on the symptoms of social anxiety in shy female students; Teaching this therapeutic approach is suggested as an effective intervention method to improve the symptoms of social anxiety in shy students.

Recent research has shown the prevalence of the Covid-19 epidemic in this regard The purpose of this study was to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on reduction anxiety symptoms in patients with Generalized anxiety disorder in Dezful during the outbreak of Covid-19.

The research was a pilot study with a pretest-post-test-follow-up with control group. The statistical population of this study was the All patients with generalized anxiety disorder referring to Dezful counseling centers 30 people were selected through targeted sampling and randomly assigned to two groups of experimental and control group. In all three groups, patients' anxiety disorder was assessed through the questionnaire of General Anxiety (GAD-7). The first group received cognitive-behavioral therapy in 8 sessions 60 minutes, and the second group in 8 sessions 60 minutes acceptance and commitment therapy, but the third group did not receive training. Then, the anxiety test was re-evaluated in all three groups. Given that the assumptions of covariance analysis were not met data were analyzed using one-way variance analysis and SPSS software.

The findings of the study showed that cognitive-behavioral therapy and acceptance and commitment therapy could reduce the symptoms of anxiety in comparison with the control group (p <0.001) However, the difference between the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy on reduce the symptoms of anxiety was not significant (p> 0.05).

It seems that both therapeutic approaches can be effective in treating the symptoms of generalized anxiety disorder.

Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders that reduce the quality of life of patients. The objective of this study was to evaluate the effectiveness of group therapy based on acceptance and commitment to disease severity, quality of life, and psychological well-being of patients with IBS.

The research method was quasi-experimental with a pre-test-post-test design and 4-month follow-up. The statistical population included 160 patients with IBS referred to a subspecialty gastroenterology clinic in Rasht from September 2019 to February 2020. Using purposeful sampling method, 60 patients were selected based on the diagnostic criteria of Rome III and the opinion of the treating physician. They were randomly assigned to two groups of experimental and control, each including 30 people. Data collection tools were Rome III diagnostic criterion, Irritable Bowel Syndrome Symptoms Severity Questionnaire, Quality of Life Short Scale, and Psychological Well-Being Scale. Also, the acceptance and commitment group therapy intervention was performed in 8 sessions of 90 minutes (one session per week) according to Hayes and Strosahl instructions. Data were analyzed using a univariate analysis of covariance by SPSS software version 22.

The mean (SD) age of participants in the experimental group was 38.5 (7.7) and in the control group was 39.6 (8.1). The results showed that the mean (SD) severity of symptoms in the experimental group was 183.4 (4.1) in the pre-test, which decreased to 171.4 (1.4) in post-test and 171.3 (1.5) in follow-up (P<0.001). However, the mean (SD) of the control group in the pre-test (1.8) was 179.8, which was 178.8 (1.6) in the post-test and 178.6 (1.4) in follow-up, which was not statistically significant. Also, the mean (SD) of quality of life in the experimental group was 78 (1.5) in the pre-test, which increased to 87.1 (2.6) in post-test and 86.5 (2.2) in follow-up. However, the mean (SD) score of the control group in the pre-test (1.7) was 77.7, which was 78.7 (1.7) in post-test and 78.5 (1.6) in follow-up, which was not statistically significant. The mean (SD) of psychological well-being in the experimental group was 55.7 (2.2), which increased to 69.6 (2.3) in post-test and 68.4 (2.1) in follow-up (P<0.001). However, the mean (SD) score of the control group in the pre-test was 57.2 (1.7) which was 58.8 (2.1) in post-test and 58.5 (1.8) in follow-up, which was not statistically significant.

The study showed that acceptance and commitment group therapy was effective in reducing disease severity, increasing psychological well-being, and improving the quality of life in patients with irritable bowel syndrome. Therefore, this therapeutic approach can be used in the physical and mental health of patients with irritable bowel syndrome.

The aim of this study was to compare the effect of acceptance and commitment-based therapy and emotion regulation education on chronic pain and self-care in women with coronary artery disease.

Research shows that coronary heart disease is one of the leading causes of death and disability in the world, which reduces the useful efficiency of people. Psychological factors can change many aspects of patients' lives and relationships.

The research design was quasi-experimental pre-test-post-test with control group. The statistical population in this study included all women with coronary artery disease referred to Tabriz Heart Hospital in 2020. Women who had inclusion criteria were selected and randomly assigned to the first experimental group (n=15), the second experimental group (n=15) and the control group (n=15). The first experimental group (emotion regulation education) was subjected to 12 sessions of 90-minute duration (three sessions per week), The second experimental group (acceptance and commitment-based therapy) received 8 sessions of 90-minute duration, and the control group did not receive any intervention. The chronic pain scale of Von Korff et al. and the self-care scale of Rigel et al. were used to collect the data. Data were analyzed by multivariate analysis of covariance and LSD post hoc test in SPSS Version 21.

The results showed that treatment based on acceptance and commitment and emotion regulation education have an effect on chronic pain and self-care of patients with coronary artery occlusion (P ≤0.0001), as they reduced chronic pain and improve patients' self-care. The results also showed that acceptance and commitment therapy has a greater effect on chronic pain and patients' self-care than emotion regulation education.

Attention to acceptance and commitment therapy and emotion regulation education can play a role in reducing the psychological problems of women with coronary artery disease.

The aim of this study was to compare the effectiveness of emotional rational behavior therapy and therapy based on acceptance and commitment on distress caused by the disease in people with type 2 diabetes.

The method of the present study was quasi-experimental with pre-test-post-test follow-up design. They were randomly assigned to two experimental groups and one control group (n = 15). The first and second experimental groups remained on the waiting list, respectively, of the 60-minute sessions of emotional rational behavioral therapy in the control group. The study instrument included a disease distress questionnaire (Polonsky et al., 2005) was completed in three stages. The analysis of the information obtained from the questionnaire was performed through spss24 software in two descriptive and inferential sections (analysis of covariance).

The results showed that both interventions used in this study could significantly improve disease-induced distress in patients with type 2 diabetes (p <0.05), with the difference that the emotional rational behavior therapy intervention was more effective. On the distress caused by the disease. In addition, no significant difference was observed in the post-test-follow-up phase (p <0.05), which indicates the stability of the intervention changes.

Based on the results of this study, acceptance and commitment therapy and emotional rational behavior therapy had effective interventions in reducing disease-induced distress in patients with diabetes and are recommended to clinical specialists.

The aim of this study was to develop an educational package based on compassion-focused therapy, emotion-focused therapy and acceptance-commitment therapy and to determine its effectiveness on the tolerance of anxiety and impulsivity of adolescents with aggressive behaviors.

The research method was quasi-experimental with pre-test-post-test and follow-up with the control group. Then the content validity ratio and its content indicators were determined by experts. The statistical population was female high school students in Ramsar city, of which 30 people using purposive sampling method (15 people as experimental group and 15 people as the control group was selected as the sample size. Data collection tools included Simmons and Gahr (2005) Distress Tolerance Scale, Bart (impulsivity) (2004), Bass and Perry Aggression Questionnaire (1992) and training package therapy protocol based on centralized treatment methods. On compassion, emotion-focused therapy and therapy based on acceptance and commitment and its effectiveness on enduring the anxiety and impulsivity of adolescents had aggressive behaviors. The experimental group received a training package in 12 sessions of 120 minutes and the control group did not receive any training. Findings were analyzed using analysis of covariance and analysis of variance by SPSS statistical software

The content validity index for all objectives in the training package was between 0.9 to 1 and the content validity ratio for all objectives in the training protocol was between 0.8 to 1. The results showed that the educational package based on compassion-focused treatment methods, emotion-focused treatment and acceptance-based therapy had a significant effect on adolescents' tolerance of anxiety and impulsivity.

Based on the research findings, no significant difference was observed between post-test and follow-up. As a result, the educational package has the ability to control the tolerance of anxiety and impulsivity of adolescents.

The aim of this study was to compare the effectiveness of schema-therapy and treatment based on acceptance and commitment on rumination and autobiographical memory of patients with depression. This study was quasi-experimental. The statistical population of this study was the people who referred to counseling centers and psychological services in Nowshahr and Chalous in 2019

Using purposive sampling method, 45 people were selected as a sample and randomly assigned to experimental and control groups. Data collection tools were Williams and Broadbent (2007) history retrieval retrieval test and Nolen-Hoxma and Moore (2002) ruminant response scale, which were performed by experimental and control groups before the intervention. Schema therapy intervention and acceptance and commitment treatment were applied for the experimental groups and the control group did not receive any intervention. At the end of the interventions, post-test was performed from experimental and control groups.

Analysis of data using analysis of covariance showed that there was no difference between the effectiveness of schema therapy and acceptance and commitment-based therapy on rumination in patients with depression (P <0.05), but schema therapy compared to acceptance-commitment therapy in memory History was more effective (P <0.05). Both interventions were effective on rumination and autobiographical memory of patients with depression in the follow-up phase.

As a result, it is possible to benefit from schema-based therapy and acceptance and commitment-based therapy for patients with depression.