Volume 7, Issue 2 (11-2021)                   RABMS 2021, 7(2): 86-93 | Back to browse issues page


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Master Student of Clinical Psychology, Kurdistan Science & Research Branch, Islamic Azad University, Sanandaj, Iran , researchh10@gmail.com
Abstract:   (506 Views)
Background & Aims:  This study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on reducing depression and improving the quality of life in patients with multiple sclerosis (MS).
Materials & Methods: This was a quasi-experimental study with the pre-test post-test control group design. The study population consisted of all people with MS who were registered in the MS Society of Sanandaj in 2017 (N = 40). Twenty patients who had higher depression scores and lower quality of life scores were selected by purposive sampling. The participants were randomly assigned to either experimental group or control group (n=10 per group). Patients allocated to the experimental group were treated individually for 10 sessions once a week for three months. Patients in the control group did not receive any intervention. The data were collected using the Beck depression inventory-II and the World Health Organization quality of life questionnaire. The data were analyzed using SPSS and multivariate analysis of covariance.
Results: ACT had a significant effect on reducing depression and improving the quality of life in patients with MS (p <0.05).
Conclusion: It could be concluded that ACT was effective in reducing depression and improving the quality of life in patients with MS.
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Type of Study: orginal article | Subject: General

References
1. Khezri MN, Ghorbani N, Bahrami EH, Rostami R. Efficacy of group therapy on reduction of psychological signs of multiple sclerosis patients. Journal of Clinical Psychology 2011; (13): 13-22 [Google Scholar]
2. Holland NJ, Halper J. multiple sclerosis: a selfcare guide to wellness. New York: Demos Medical Publishing; 2005. p. 1-10. [google scholar]
3. Goldenberg, M. M. (2012). Multiple sclerosis review. PT 2012;37(3):175-84. [pubmed]
4. Mousavi SM, Kraskian Mujembari A, Hassani Abharian P, Pashang S. Evaluation of the effectiveness of acceptance and commitment therapy on relieving pain, improving quality of life and reducing anxiety in patients with chronic pelvic pain. J Shahrekord Univ Med Sci 2013; 31(7): 14-26.
5. Gharaei-Ardakani Sh., Azadfallah P, Tavallaie A. The effectiveness of acceptance and commitment therapy on pain experience in women with chronic pain. Clin Psychol 2012;4(2):39-50. (Persian) [google scholar]
6. Hor M, AGHAEI A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on the incidence of depression in patients with type 2 diabetes. J Res Behav Sci 2013; 11 (2): 121-8. [google scholar]
7. Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. The psychometric properties of the Beck Depression Inventory-II (BDI-II) in patients with major depressive disorder. Archives of Rehabilitation 2007;8:82. [googlr scholar]
8. Shehni Yailagh M, Movahed A, Shokrkon H. The Causal Relationships between Religious Attitudes, Optimism, Mental Health and Physical Health among Shahid Chamran University Students. Journal of Psychological Achievements 2004;11(1):19-34. [google scholar]
9. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N.Psychometric properties of a Persian-language version of the Beck Depression Inventory--Second edition: BDI-II-PERSIAN. Depression and anxiety 2005;21(4):185-92. [DOI:10.1002/da.20070]
10. Alamdari E. Evaluation of the effectiveness of acceptance and commitment therapy on marital satisfaction and quality of life of infertile couples. (Dissertation). Ardabil: University of Mohaghegh Ardabili; 2013. (Persian)
11. Nejat S. Quality of Life and its Measurement. Iran J Epidemiol 2008;4(2):57-62. [google scholar]
12. Scott J, Williams JM, Beck AT, editors. Cognitive therapy in clinical practice: An Illustrative casebook. Routledge; 2003. [DOI:10.4324/9780203359365]
13. Beck A, Steer RA, Brown GK..Beck depression inventory- Second Edition: Manual. San Antonio: The Psychological Corporation; 1996. [DOI:10.1037/t00742-000]
14. Branstetter A, Wilson K, Hildebrandt M, Mutch D. Improving psychological adjustment among cancer patients:ACT and CBT. Paper presented at the association for advancement of behavior therapy. New Orleans; 2004. p.1-2. [google scholar]
15. Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies Exemplifying a Unified Treatment Protocol. Cognitive and Behavioral Practice 2009;16(4):368-85. [DOI:10.1016/j.cbpra.2009.06.001]
16. Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. In: General principles and empirically supported techniques of cognitive behavior therapy. Hoboken, NJ, US: John Wiley & Sons, Inc.; 2009. p. 77-101. [google scholar]
17. Group WH. Development of the WHOQOL: Rationale and current status. International Journal of Mental Health 1994; 23(3): 24-56. [DOI:10.1080/00207411.1994.11449286]
18. Halper J. The evaluation of nursing care in multiple sclerosis. Int J MS care 2004; 2(1):40-8. [DOI:10.7224/1537-2073-2.1.14]
19. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 2006; 44(1):1-25. [DOI:10.1016/j.brat.2005.06.006]
20. Hayes SC. Get out of your mind and into your life: The new acceptance and commitment therapy. New Harbinger Publications; 2005. [google scholar]
21. Hayes SC, Strosahl KD. A practical guide to acceptance and commitment therapy. New York: Springer Press; 2010.
22. Herbert JD, Forman EM, editors. Acceptance and mindfulness in cognitive behavior therapy. John Wiley & Sons; 2011. [DOI:10.1002/9781118001851]
23. Landoni MG, Giordano MT, Guidetti GP. Group psychotherapy experiences for people with multiple sclerosis. Journal of neurovirology 2000; 6: 168171. [pubmed]
24. Malcomson KS, Dunwoody l, Low-strong AS. Psychological intervention in people with multiple sclerosis. J Neurol 2007; (254): 1-13. [DOI:10.1007/s00415-006-0349-y]
25. Mtichell AJ, Benito-leon J, Morales Gonzales JR, Evera-navarro J. Quality of life and its assessment in multiple sclerosis: Integrating physical and psychological components of wellbing. Lancet Neural 2005; (4): 556-66. [DOI:10.1016/S1474-4422(05)70166-6]
26. Schreurs KD, Ridder D, Bensing JM. Fatigue in multiple sclerosis receprocal relationships with physical disabilites and depression. J Psychosom Res 2002; 53:775-81. [DOI:10.1016/S0022-3999(02)00326-4]
27. Zettle R. ACT for depression A clinician, s guide to using Acceptance &Commitment Therapy in treating depression. Okland, CA: New Harbinger Publication; 2007. [google scholar]

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