جستجوی مقالات مرتبط با کلیدواژه « commitment therapy (act) » در نشریات گروه « پزشکی »

Social anxiety is one of the most common disorders in adolescents. The present study was conducted with the aim of determining the effectiveness of acceptance and commitment therapy (ACT) on behavioral brain systems, self-efficacy, and rumination of adolescent girls with social anxiety disorder.

This was a quasi-experimental study with a pre-test and post-test design with experimental and control groups. The statistical population included girls aged 12 to 18 years with social anxiety in Tehran City in academic year 2023. Using convenience sampling 30 people were selected and randomly assigned into experimental (n=15) and control (n=15) groups. The experimental group participated in ACT for 8 sessions twice a week for 90 minutes, but the control group received no training. In this research, Nolen and Hoeksma's Rumination Questionnaire, Scherer et al.'s Self-efficacy Questionnaire, and Carver and Whait’s Brain-Behavioral Systems Questionnaire were used for pre-test and post-test evaluation. The collected data were analyzed using multivariate analysis of covariance (MANCOVA).

The results indicated that ACT had a significant effect on the reduction of rumination (Eta=0.49, F=26.91, p<0.001), and improvement of self-efficacy (Eta=0.61, F=43.56, p<0.001) and brain behavioral system (Eta=0.32, F=12.71, p<0.001) in adolescent girls of Tehran City.

It seems that treatment based on ACT had a good effect on rumination, self-efficacy, and brain-behavioral systems of teenage girls suffering from social anxiety. It is recommended to use ACT method in counseling centers to improve the health of adolescents with social anxiety disorder.

Due to the nature of the nursing profession, confronting conflicting situations regarding values and facing moral dilemmas is inevitable. It can, in turn, interfere with cognitive function. Therefore, the current research was conducted with the purpose of determining the effectiveness of Acceptance and Commitment Therapy (ACT) in reducing moral distress and enhancing cognitive fusion in the nurses working at Imam Khomeini Hospital, Ilam.

The present study is a quasi-experimental research with a pre-test and post-test design and a comparison group. The statistical sample consisted of 40 nurses working at Imam Khomeini Hospital, Ilam in 2022, who were randomly assigned into intervention and comparison groups. Data collection was performed using the Moral Distress Scale Corley & et al (2001) and the Cognitive Fusion Questionnaire Gillanders & et al (2010). Eight 90-minute acceptance and commitment therapy training sessions were held weekly; however, the comparison group did not receive any intervention. The data were analyzed by SPSS 27 software using descriptive (frequency, percentage mean, standard deviation) and inferential (Chisquare, Independent T-test, Analysis of covariance) statistical tests. Ethical Considerations: The principles of research ethics were observed: explaining the research objectives to the participants, obtaining informed consent, maintaining privacy, data confidentiality, and providing the participants with the right to withdraw from the study at any stage of implementation.

The findings of MANCOVA indicated that Acceptance and Commitment Treatment has a significant effect on reducing moral distress and enhancing cognitive fusion in the nurses belonging to the intervention group compared to the comparison group in the post-test phase. (P<0.05).

Based on the findings of the present research, eight weeks’ acceptance and commitment group therapy turned out to be effective in reducing moral distress and enhancing cognitive fusion in nurses.

Neurotic perfectionism has a variety of psychological consequences that should be considered in psychotherapy applications.   

The present study aimed to examine the effectiveness of acceptance and commitment therapy (ACT) on neurotic perfectionism and internalized self-criticism in neurotic perfectionist girls.

This study was conducted using a single-case quasi-experimental design with, concurrent multiple baseline. 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). The acceptance and commitment therapy (ACT) (Twohig & et al, 2021) was implemented in eleven 90-minute sessions. The participants completed the Neurotic Perfectionism Questionnaire (1994), and the Levels of Self-Criticism Scale (2004). The data were collected in three baseline, intervention, and three-month follow-up phases and analyzed using reliable change index (RCI), recovery percentage, and visual inspection.

The analysis of the recovery percentage showed the participants’ neurotic perfectionism 17.67 and internalized self-criticism 19.73 improved in the intervention phase and their neurotic perfectionism 36.25 and internalized self-criticism 49.90 increased in the follow-up phase. Moreover, the reliability change index of both variables in the post-treatment and follow-up phases was significant (P=0.05).

Considering the effectiveness of acceptance and commitment therapy in reducing neurotic perfectionism and internalized self-criticism by increasing psychological flexibility, this therapy can be used as an intervention method in neurotic perfectionist girls.

Among all cancers, breast cancer is the second most common disease in women (2). Cancer can be a stressful event that endangers various aspects of a patient's health, including physical, mental, and family health (3). At present, the results of screening indicate that it causes an increase in worry about cancer, mental distress in women, and a lot of anxiety in women (4). According to Degi, cancer patients often suffer severe mental and emotional reactions, such as the feeling of imminent death (7). Death anxiety has been reported as an important psychological factor in cancer patients (8). Hence, it is crucial to explore various psychotherapeutic approaches for managing and enhancing the mental well-being of breast cancer patients. Among the psychotherapies that can be employed for individuals diagnosed with breast cancer, one of the effective methods is Acceptance and Commitment Therapy (ACT) (13). Acceptance and Commitment Therapy is a third-wave behavioral therapy introduced by Hayes (14). This treatment approach emphasizes having a comprehensive awareness of one's condition. The person is encouraged to be open and accepting of their pain and to allow thoughts related to the disease to arise naturally without trying to control them. When these experiences, such as thoughts and feelings, are observed with openness and acceptance, even the most painful ones become less threatening and more bearable (15). Therefore, the present study was conducted to investigate acceptance and commitment-based therapy for the death anxiety of women with breast cancer.

This study employs a quasi-experimental research design with a pre-test, post-test, and follow-up, along with a control group. The statistical analysis of the research includes 243 women aged 30 to 50 with breast cancer who, during the first four months of 2022, were referred to the breast cancer clinic located in the Motahari Clinic in Shiraz. The statistical sample size in this study was 50 people based on Cohen's table (1986). According to Sarmad et al. (16), It was selected by the purposeful sampling method based on the entry and exit criteria and randomly, in two groups of 25 people, test and control, using a 15-question questionnaire of the death anxiety questionnaire designed by Templer (1970); were selected and divided.The study utilized the acceptance and commitment therapy protocol of Hayes and Strossahl (19) to conduct intervention sessions for the experimental group. This approach was chosen to evaluate the effectiveness of the therapy based on acceptance and commitment. This study involved an 8-week treatment program for the experimental group, consisting of 90-minute group sessions held once a week. The control group did not receive any intervention. In each session, a specific topic, goal, and activity were discussed. The obtained information was analyzed at two descriptive and inferential levels. At the descriptive level, mean, standard deviation, maximum, and minimum scores were calculated and at the level of inferential statistics, repeated measurement variance analysis and post hoc tests were used, which were analyzed through SPSS version 24 computer software. In this article, a significant level (P<0.05) has been considered in data analysis.

The current study included 50 women aged 30 to 50 diagnosed with breast cancer, who were tested in two groups of 25 and assigned as witnesses. The average (standard deviation) age of the experimental group members was 41.36 (6.83) and the control group was 42.48 (60.50). The descriptive index table of the primary research variable displays the mean and standard deviation in the pre-test, post-test, and follow-up stages for both the test and control groups. Since there is not a significant difference between the pre-test scores of death anxiety in the control and experimental groups, the average scores of the post-test and follow-up stages of death anxiety in the experimental group are much lower than those of the control group. The study utilized analysis of variance with repeated measures to examine the impact of the acceptance and commitment-based treatment method on death anxiety. The study also looked at the significance of the difference between groups, as well as the effect of pre-testing and monitoring the change over time. Initially, Mochli's test was performed to verify the assumption of sphericity in the data. The test results indicate that the assumption of sphericity is met (X2 (2)= 0.07, p=0.967). The findings of the data analysis have been presented using a repeated measure analysis of variance test. The outcomes indicate that the interaction between death anxiety and the group is significant. In simpler terms, the average trend of the experimental and control groups differs from each other concerning the levels of the dependent variable of death anxiety (F=120.20, p<0.01). To compare the differences in death anxiety levels among the groups, we used an independent t-test. Additionally, to investigate alterations in the dependent variable levels over time, we conducted a one-way repeated measurement analysis of variance test. The independent t-test showed no significant difference in death anxiety pre-test scores between the control and experimental groups. However, post and follow-up scores were lower in the experimental group, indicating the intervention was effective. The results of the data analysis, using the repeated measurement analysis of variance test, indicate that there is a significant difference between the averages of at least one pair of dependent variable levels in the experimental group (F=105.84, p<0.01) and the control group (F=32.99, p<0.01). The Benferroni's post hoc test was used to compare means. Results revealed that death anxiety scores in the experimental group were lower in the post-test and follow-up compared to the pre-test. In the control group, death anxiety scores were lower in follow-up than both post-test and pre-test.

The study found that treating women with breast cancer through acceptance and commitment therapy reduced their fear of death. The results support a previous study on multiple sclerosis patients. They found that such treatment reduced death anxiety and hopelessness and had a long-lasting effect. (22) Khalili's research shows that acceptance and commitment to treatment reduce pain catastrophizing and death anxiety in cancer patients, as previously found. However, it doesn't significantly reduce pain intensity. Thus, it can improve the quality of life for cancer patients (23). Individuals with a positive attitude towards death have less death anxiety and avoidance, according to research by Kaladozan, Kajbaf, Areidi, Abedi, and Makarian. The study also found a significant increase in mental health, which is a key indicator of quality of life (24). In their research, Arch and Mitchell found that acceptance and commitment-based treatments are effective in helping breast cancer patients cope with anxiety related to re-entering their lives after treatment (25). The treatment based on acceptance and commitment techniques effectively decreases death anxiety in patients by controlling negative emotions and increasing self-awareness. This creates a better connection to the acceptance of medical treatments. It is important to note the following limitations of this research: 1) The sample size of women with breast cancer in Shiraz City was limited, 2) Other potential mental health issues for those with breast cancer were not examined, and 3) The focus was solely on patient issues, without considering the mental health of family members. To improve future research, investigate other groups and diseases, and different regions. Check for physical or psychological disorders that may coexist with dependent variables. Study patients' families in future research.

Marriage is the prelude to family formation and has always been recognized as the highest social custom to achieve the emotional and security needs of adults. Despite the fact that a satisfactory marriage is considered one of the important factors of the mental health of the society, if marriage and family life create inappropriate conditions and dissatisfaction of the couple to satisfy each other's psychological needs, it leaves negative and sometimes irreparable effects (1). One of the biggest social problems in the current human society is family conflicts; Therefore, addressing the issue of marital conflict in order to achieve prevention strategies is one of the most important needs of family education (2).The prevalence of divorce in the country, the increase of marital problems at the beginning of marriage and the existence of few studies in Iran and the world in the field of the effectiveness of the proposed approaches make it necessary to compare these interventions. Also, choosing an effective treatment approach can give therapists and family and couple therapy the right direction. Therefore, this research aims to compare the effectiveness of acceptance and commitment therapy (ACT) and therapy based on schema mentality in increasing cultural values and conflict resolution styles in working women. The results of this research and the solutions provided can be used in counseling and psychotherapy centers, education and divorce prevention centers, marriage and family centers, spouse selection centers and other similar centers.

In terms of the purpose of this research, it was in the applied research group and in terms of the research design, it was a semi-experimental type of pre-test and post-test with a control group. The statistical population of this research was made up of all women working in Iran Khodro Industrial Group companies in 1400. From this society, 45 women working in the companies of Iran Khodro Industrial Group in 1400 were selected purposefully. First, the 36-question quality of life questionnaire (SF-36) was distributed among working women; Then the women who got a low score from the marital quality questionnaire (the lowest score that any person can get is 26 and the highest score is 130) were identified and randomly divided into three control groups (15 people) and an experiment based on schema mentality (15 people) and acceptance and commitment-based therapy (15 people) were included; The number of sample people was 45 people, each of the groups included 15 people. The criteria for entering the research are female employees working in Iran Khodro Industrial Group companies, having a low quality of life, having minimal literacy and writing, not suffering from acute psychiatric diseases (based on the question about psychiatric records); The criteria for leaving the study were absence of more than two sessions and taking psychiatric pills. The implementation method was to first identify women who are dissatisfied with the quality of their married life, then they answered the research questionnaires (cultural values and conflict resolution styles) and the people who scored high in these questionnaires were used as samples. research were selected.

Acceptance and Commitment Therapy (ACT) has an effect on the conflict resolution styles of working women, so it is suggested that family, marriage and divorce counselors consider the effectiveness of Acceptance and Commitment Approaches (ACT) and schema mentality therapy In solving marital conflicts, they should use these approaches more in their counseling centers.

Treatment based on acceptance and commitment is a more effective method for increasing cultural vales in working women compared to treatment based on schema mentality. In line with the findings of the current research and based on the main components of treatment, Knapp, Norton and Standberg (2015) and Van Chui and Murdock (2017), Stroud et al. (2010), Hudson et al. (2014), Epstein et al. (2017) and Bagaroozi (34) have emphasized. In addition, Bahagra and DeSilva (35) believe that educational and psychological strategies are two key strategies to help couples with intercultural marriages and encourage therapists to use problem-solving techniques to accept cultural differences. In addition to the mentioned contents, according to the findings of Seshadri and Knadson-Martin (36), paying attention to cultural dynamics in intercultural marriages can reduce conflicts between couples. In addition, treatment based on acceptance and commitment to cultural values by increasing gender flexibility, respecting the spouse's culture, recognizing differences, changing the cultural framework and expanding the values and expectations and general understanding of other cultures, reduces stress between It is culturally effective. In therapy based on commitment and acceptance, the goal is for people to learn not to judge and accept their inner events, especially the ones they don't want. Treatment based on commitment and acceptance seeks to teach clients how to get rid of the thought content, how not to try to get rid of it, not to stick to their life story, to live in the present instead of the conceptualized past and future, and the result of all These are to identify values and goals and believe in them. In simpler words, in this therapy, couples learn to serve life and values instead of serving thoughts and feelings and change their lifestyle to increase its quality. Due to the lack of emphasis on cognitive reconstruction and change of thoughts, this therapy emphasizes acceptance instead, and since cultural values are an important component in marital relationships, this therapy can improve beliefs and marital relationships in couples. In therapy based on acceptance and commitment, it can create the recognition in the individual that cultural differences are just differences and do not indicate contradictions or indicators of pathology. This issue causes people to avoid stereotypes and change their ethnic thinking. In addition, it causes people to learn about their values, cultural background and worldview. This issue affects their intercultural abilities and skills in their interactions with people of different cultures (37), it also raises people's cultural awareness and teaches people to express their cultural approaches and views. and increase their cultural tolerance.

The existence of mental and physical health defects creates multiple crises in individuals. Therefore, this study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in hope and chronic pain among girls aged 20 to 50 years with physical disabilities.
This quasi-experimental study was performed with a pre-test and post-test design and follow-up with a control group. The statistical population of the study included all girls with physical disabilities in Arsanjan, who were admitted to the Welfare Department of Arsanjan in 2020. The statistical sample consisted of 30 girls with physical disabilities who volunteered to participate in the study. Participants were randomly divided into two groups of fifteen: an experimental group and a control group. Data were collected using the Hope test (Schneider, 1991) and chronic pain (Cleland, 1996). The experimental group then received an ACT treatment program for eight 60-minute sessions. However, the control group did not receive any training. Statistical analysis was performed using a two-way analysis of variance with repeated measures at a significance level of 0.05 with SPSS software version 18.
Mean and standard deviation of the pre-test (post-test) score of the experimental group in the variable of hope was 12/64±7/41 (27/67±5/32) and the variable of chronic pain was 33/43±7/16 (26/37±5/27). No significant change was observed in the control group. Acceptance and commitment-based intervention increased hope and reduced chronic joint pain in the experimental group (p<0.001).
Acceptance and commitment therapy (ACT) was effective in increasing hope and reducing chronic pain in girls with physical and motor disabilities, and in the follow-up period of the mentioned treatment, it also had a stable and sustainable therapeutic effect. Therefore, it can be used as a psychological intervention for girls with physical-motor disabilities.

Research evidence suggests that mothers of physically disabled children suffer more from social and psychological problems and are less likely to benefit from proper health and well–being. An issue more frequently encountered by the mothers of physically–disabled children is the feelings of embarrassment and shame compared to their counterparts with healthy children. In addition, they experience high anxiety levels. Acceptance and Commitment Therapy (ACT) is a non–medical treatment method for reducing stress and psychotherapy. Instead of changing cognition, this treatment attempts to increase the psychological relationship of individuals with their thoughts and feelings. The present study aimed to determine the effectiveness of ACT on the social anxiety and internal shame of mothers with physically–disabled children.

This study was quasi–experimental with a pretest–posttest design and a control group. The study's statistical population comprised all mothers with physically–disabled children living in Tehran City, Iran, in 2018. Of them, 36 mothers were selected by convenience sampling technique and randomly assigned into the experimental and control groups (each group with 18 persons). The research method followed the necessary coordination with the authorities of the clinic and the Welfare Organization of Tehran City, Iran. The inclusion criteria were as follows: having a physically–disabled child, willingness to participate in therapeutic intervention sessions, and having at least a diploma. The exclusion criteria included having more than one disabled child and taking pills related to mental illnesses. The data collection instruments were Internalized Shame Scale (Cook, 1993) and Social Anxiety Scale (Conner et al., 2000). ACT was performed in 8 sessions of 90 minutes in the experimental group. However, no intervention was applied to the control group. Immediately after the completion of the experimental intervention, the intervention was provided to the control group. Finally, an analysis of covariance was performed to assess the presented therapy's effectiveness in SPSS version 23. The data analysis was conducted at a significance level of 0.05.

The mean±SD internal shame score of the experimental group was 49.23±9.74, which decreased to 38.77±8.54 at the posttest. Furthermore, the mean±SD value of social anxiety decreased from 42.90±9.56 at the pretest to 31.12±8.75 at the posttest. Moreover, ANCOVA data revealed that after eliminating the effect of the pretest, the mean scores of the posttest of internal shame (p<0.001) and social anxiety (p<0.001) between the two groups were statistically significant.

According to the findings, ACT can be used for mothers of children with physical disability and effectively reduces mothers' internal shame and social anxiety.

 Cerebral palsy refers to a group of multidimensional and non–stationary disturbances in movement. Children with cerebral palsy need careful attention from their caregivers, especially their mothers, in their daily living activities. Therefore, psychological interventions are essential to reduce marital conflict and increase mothers' self–efficacy. Acceptance and Commitment Therapy (ACT) is a process–oriented approach among the third–generation psychotherapies. The overall goal of this treatment is to achieve psychological flexibility so that there is no need to eliminate the bad feeling; instead, the person moves toward behavior based on the value of thought. On the other hand, the main purpose of motivational interviewing is to promote intrinsic motivation to form and perpetuate behavioral changes. This study aimed to compare the effectiveness of group counseling through motivational interviewing (MI) and acceptance and commitment therapy (ACT) on marital satisfaction and self–efficacy of mothers with children with cerebral palsy.

 This quasi–experimental study with non–equivalent groups employed a pretest–posttest with a follow–up (1 month) design and a control group. The statistical population of the present study included all mothers of children with cerebral palsy who were referred to educational and rehabilitation centers for the physically disabled in Kermanshah City, Iran, in 2021. The research sample comprised 34 volunteer mothers selected by available sampling based on the results of the pretest (ENRICH Marital Satisfaction Questionnaire and Self–Efficacy Scale) and inclusion criteria. They were randomly divided into three groups: trial motivational interview (11 people), acceptance and commitment therapy (10 people), and control group (13 people). The inclusion criteria were as follows: bearing a minimum high school education, having children with cerebral palsy, expressing consent to participate in the research, and having physical health. Mothers without the ability to read, absence of more than two consecutive sessions in the treatment process, simultaneous membership in treatment and rehabilitation groups, non–compliance with group rules, and lack of respect and consent to continue the sessions were the criteria for leaving the study. The instruments used in this study were the ENRICH Marital Satisfaction Questionnaire (Fowers & Olson, 1993) and the Self–Efficacy Scale (Sherer et al., 1982), which were completed before, immediately after, and one month after the intervention by mothers in the experimental and control groups. Participants in the experimental groups received ACT–based therapy in 12 sessions (90 minutes per session) and MI in 11 sessions (90 minutes per session), during which time the control group received no training. Data analysis was performed in descriptive statistics (mean and standard deviation) and the inferential section (analysis of covariance mixed with repeated measures and post hoc Bonferroni test) at a significance level 0.05 in SPSS software version 26.

 In the posttest stage, the total score of the marital satisfaction variable and its components, including ideal distortion, marital satisfaction, personality issues, conflict resolution, leisure activities, children, and parenting, as well as the self–efficacy variable, were significantly different between the two experimental groups and the control group (p<0.05). In the follow–up stage, in the total score of the marital satisfaction variable and its components, including ideal distortion, personality issues, conflict resolution, children and parenting, family and friends, as well as the self–efficacy variable, the differences between both experimental groups and the control group were significant (p<0.05). The difference between the two experimental groups in the posttest and follow–up stages was not significant in the total score of the marital satisfaction variable and all its components, as well as the self–efficacy variable (p>0.05).

 Based on the findings of the research, the use of treatment techniques based on ACT and MI for mothers of children with cerebral palsy increases the marital satisfaction and self–efficacy of these mothers.

One of the areas that has undergone change in Iran is childbearing. Statistical data show a decrease in the fertility rate in the last few decades; To the extent that in recent years the number of children of a mother is less than the required index in replacing generations (1/2 children) (1). This downward change in fertility rate indicates a change in the fertility of Iranian families and their desire for one child. On the other hand, having one child is the result of any factor or factors, creating a fundamental change not only in the demographic structure and socialization of the family, but also in various aspects of school performance and all aspects of the individual's personality in the future. There are many treatments for psychological disorders today. Each of these therapies may be stronger and more specialized than the other. Third wave therapies focus more on families and proper communication, because human beings are social beings and the type of communication style they have with others has a great impact on their mental health and that of their families (3). Among the important therapies for the component of marital satisfaction in families, especially mothers, is the Boeing therapy and the new ACT therapy, which largely complements cognitive-behavioral therapy. These treatments can increase family cohesion and raise children properly. Among these therapeutic interventions is Bowen's treatment, whose approach is family therapy. Bowen's family therapy approach deals with the family as an emotional unit and a network of intertwined relationships that must be analyzed from a different context or historical perspective to better understand it. Bowen believes that the whole family system is an emotional unit that cannot be separated from each other or successfully (5). In other words, the foundation of this theory is based on the concept of separation. Bowen family therapists believe that all the problems in family functioning, including marital dissatisfaction in the couple, which has a negative effect on the children and causes emotional divorce, arise from inappropriate family systems. Accordingly, the main goal of Bowen's therapies is to reduce chronic anxiety by being aware of the family's emotional system, focusing on changing oneself rather than trying to change others (6). On the other hand, ACT therapy is rooted in a philosophical theory called functional contextualism and is based on a research program on language and cognition called the theory of the framework of mental relationships (7). Despite the many studies on the effectiveness of ACT therapy on anxiety, depression, heart disease, marital conflict, marital satisfaction and many more; However, no research has been conducted on the effectiveness of ACT therapy on cognitive emotion regulation; Research has also been conducted on other variables in the field of Boeing family therapy; But so far little research has been done on marital satisfaction. Therefore, considering the significant effects of cognitive emotion regulation on many aspects of a person's development and interpersonal relationships, the need for such research and the application of its results is clearly understood. In order to compare the effectiveness of Boeing family therapy and ACT treatment on differentiation, the following hypotheses are proposed.

This research was conducted by quasi-experimental method and using a pre-test-post-test design with two experimental groups and a control group. The independent variables of the study were Boeing family therapy and ACT treatment method and the dependent variable was marital satisfaction. The dependent variable scale was collected in two stages: pre-test and post-test. The statistical population of this study was all single mothers of preschool children in Kermanshah in the spring of 1399. The sampling method was simple by using random sampling and assignment. Forty-five mothers of preschool children were randomly selected and due to the prevalence of coronary heart disease in online sessions, intervention sessions were held for them through online sessions. The subjects' marital satisfaction scale was measured using the Enrich Marital Satisfaction Questionnaire for every 45 people (pre-test). Then, by simple random sampling, individuals were assigned to three groups of 15 people (two experimental groups and one control group). The experimental group members separately participated in eight 1.5-hour weekly sessions of the Boeing Family Therapy and ACT, conducted by a trained therapist, and the control group was placed on a waiting list. Meetings were held at Setareh Preschool Center on a weekly basis for two months. Participants in the sessions expressed their willingness to cooperate to receive intervention and participate in the research. Analysis of covariance and Bonferroni post hoc test were used to analyze the data.

The Benferoni post hoc test is performed to compare between the control group, ACT and Bowen. As can be seen in Table 5, there is no significant difference in marital satisfaction scores between the ACT and Bowen groups, and therefore Bowen-based therapy and ACT-based therapy have the same effect on marital satisfaction.

The aim of this study was to compare the effect of Boeing family therapy and ACT treatment on cognitive emotion regulation of single mothers in preschool centers in Kermanshah.
Stable and meaningful. Also, Bonferroni post hoc test showed that due to the differences in the comparison of these two interventional methods, the effectiveness of Buenie family therapy and ACT treatment on marital satisfaction is the same. The findings of the present study on the effectiveness of Boeing family therapy interventions on marital satisfaction are not unexpected and are consistent with the results of a large number of previous studies. The results showed that there was no significant difference between pre-test and post-test scores in the Boeing family therapy method and the ACT method on marital satisfaction. Couples in Buenos Aires believe that the phenomenon of marriage requires a high degree of adaptability. None of the couples feel safe and caring if there is no normal and acceptable level of adaptation in the marriage. In addition, marital intimacy requires a strong sense of self-awareness and self-differentiation. Couples with low levels of differentiation and high fusion are not able to understand their desires in the relationship, therefore, this process has a negative effect on their life satisfaction, when these couples with factors the change of role that reduces satisfaction, they face, they feel failure. Couples who are able to accredit themselves instead of seeking approval have a better working spirit in marriage.

The Present article aimed to investigate the effectiveness of acceptance and commitment therapy(ACT) on the reduction of depression and anxiety and the increase of quality life of women with breast cancer(BC) in Tehran city.

The present research was implemented in quasi-experimental method with pre-test and post-test design along with control group and 45 days follow-up period. The statistical population were all women with breast cancer under treating in ShahreRey hospital of Tehran during 2022; among them 30 women were selected in voluntarily purposeful method as the sample group of the study and randomly were appointed in two experimental and control groups. The experimental group had received acceptance and commitment therapy(ACT) within two months in eight sessions of 90 minutes. The instruments of the study were consisted of Beck’s Depression and anxiety questionnaires and World’s Health Organizational questionnaire of quality of life. The gathered data was analyzed in mixed variance analysis through SPSS-24 software.

The results demonstrated that the acceptance and commitment therapy(ACT) was significantly effective in the reduction of depression and anxiety and the increase of women`s quality of life(p<0.001).

According to the obtained results, the acceptance and commitment therapy(ACT) consisted of acceptance preparation, changes in expectations and focus of pain, the difference of pain acceptance with tolerance or surrender, an interaction between present and future perspective and the values and commitment behavior, can be applied to decrease BC women’s depression and anxiety and the improvement of their quality of life.

Considering the suicide is one of the most important public health issues, the present study investigates the comparison between comparison of the effectiveness of two therapeutic approaches Integrative and Acceptance and Commitment Therapy ACT on integrative self- knowledge among people with suicide attempts.

The current research is a quasi-experimental with pre-experimental-post-experimental study with a follow up design. The statistical population of the present study included all people with suicide attempts in North Khorasan who were hospitalized in 2020. The sample of the study included 24 subjects who selected through random sampling as well as inclusion criteria and assigned randomly into two experimental groups (12 people in each group). ACT package and integrated treatment protocol accomplished in eight 90-minutes sessions individually every week. The research tool was Integrative self- knowledge scale Ghorbani et al. (2008). Data were collected in four stages before the intervention, fourth session, at the end of the intervention and after two months. Data were analyzed using of mixed multivariate variance and by SPSS-26 software.

The results showed that both treatments effect on integrative self- knowledge (F = 120.346, P < 0.001, eta = 0.860). In Experiential self- awareness and to integrate there isn’t significant difference between the two treatments but in Reflective self- knowledge integrated treatment was more effective.

In order to increase the level of integrative self-knowledge in people with suicide attempts, more attention should be paid to the use of integrated approach treatment and acceptance and commitment therapy.

Background &

   The novel coronavirus that is responsible for the disease COVID-19 has shown severe disease and has quickly become an unprecedented global issue that has not only resulted in many deaths, but also psychological, psychiatric, and relational it also had an economic impact. Therefore, the present study is looking for the effectiveness of acceptance and commitment therapy (ACT) on the symptoms of grief and emotional distress caused by Corona in first-degree survivors in the hospitals of Kerman City in the year 2022.

This research is applied in terms of purpose and of quasi-experimental type (two-group design with pre-test and post-test). The statistical population of the research includes all first-degree survivors of people who died due to COVID-19, whose names were included in the list of deaths due to coronavirus in the hospitals of Kerman City, and the period of three months to one year had passed since their death, and the target sample was Using available sampling method, 30 people were selected. The tools of this research were the bereavement questionnaire of Hogan et al. (2001) and the emotional distress questionnaire of Codington et al. (2020). The data analysis of this research was done using multivariate covariance analysis.

statistical data shows that there was a significant difference between the experimental group and the control group in terms of grief symptoms in the post-intervention phase, it reduced grief symptoms and emotional distress by and 19% difference in grief symptoms and 16 A percentage difference in emotional distress can be explained by acceptance and commitment therapy (ACT).

 Treatment based on commitment and acceptance, focusing on acceptance and mindfulness techniques, increases acceptance in subjects who are bereaved and makes subjects accept loss as a part of life and less involved in thoughts of failure. Become the breakdown begins when subjects recognize a thought only as a thought and not as something to believe or act upon. When unrealistic thoughts are considered, each subject is encouraged to act on values ​​instead of reacting to many negative thoughts that are subjective. Also, this treatment helps subjects contextualize themselves against Observing interpersonal problems. This perspective helps subjects end conflicts. Because other subjects help in ending conflicts. Because the subjects no longer imagine themselves in an inescapable war where they have no choice but to fight. ACT teaches students to get out of this field by encouraging them to consider themselves as context. According to this method of therapy, the person must be able to understand uncomfortable or unpleasant experiences and contact some aspects of the situation, act effectively despite the uncomfortable experiences. ACT teaches subjects the techniques of moving despite obstacles. By learning these techniques, subjects' acceptance increases and they become aware of their reactions in the continuum of distress and learn to be observers of their negative reactions. So leave these reactions. By increasing the amount of acceptance, the compatibility of the subject increases, and it seems obvious that the treatment based on acceptance and commitment by taking the techniques of mindfulness, acceptance, and disconnection can help the subjects to increase the acceptance of grief and loss, also this treatment increases Growth after mourning has been effective. Most subjects become increasingly inflexible due to past grief and subsequent experiential avoidance in an attempt to manage and control unwanted internal reactions to thoughts associated with these conditions and often resort to avoiding these conditions altogether. One of the main goals of ACT is to help subjects act in ways consistent with their values. This component of therapy helps subjects clarify their personal and relational values. Once values ​​are clarified and discussed, the concept of committed action is introduced. Committed action involves taking steps to realize the goals of a value-oriented life. Subjects in this study committed to behavioral goals based on their known values ​​using weekly committed action worksheets that are related to values ​​and identifying possible barriers to action. In the ACT, subjects are asked to act in a way that is consistent with their values, even if they do so in the presence of unpleasant thoughts and feelings. By acting according to these principles, the subjects move towards growth according to the set goals and learn more flexible methods in response to the challenges they face. The set of these actions in the therapy based on commitment and acceptance helps to increase the growth after passing the mourning period of the subjects and committing to act in the direction of values. It can also be said that in this treatment, the purpose of emphasizing people's desire for internal experiences was to help them experience their disturbing thoughts only as a thought and to become aware of the ineffective nature of their current program instead of responding to That is, to do what is important to them in life and line with their values. Here, by substituting themselves as the context, the clients were able to strengthen the observer self instead of the conceptualized self, accept internal events instead of controlling them, declare their values ​​, and address them. In this treatment, people learn to accept their feelings until they distance themselves from them and pay more attention to their thoughts and thought processes through mindfulness and connect them to goal-oriented activities. In short, acceptance and commitment therapy tries to teach people to experience their thoughts and feelings; Instead of trying to stop them, people are asked to work towards their goals and values ​​and to experience their thoughts and feelings. By using this treatment, it is possible to reduce experiential avoidance in these nurses, which will ultimately result in increased life expectancy, adaptation to work conditions, better relationships with others, and increased responsibility.

Acceptence and commitment Therapy is One of the Third Wave behavioral Therapies for the treatment of anxiety Disorders.the purpose of this study to investigate the the effectiveness of Acceptance and Commitment Therapy on Resiliency and Self-Concept in children with cancer.

The Present Study was quasi-experimental with post-test pretest design with control group.The statistical population included all children with cancer admitted to Imam Khomeini Hospital in Tehran in 1398 , of which 30 children were randomly assigned to experimental and control group.Pears-Harris (1969) Self-Concept questionnaire and Connor-Davidson(2003) resilience were randomly assigned to experimental and control groups.For the experimental group , Acceptence and commitment Therapy was presented in six session of 60-minutes. Data were analyzed by analysis of covariance using SPSS24 software.

The results showed that the Treatment based on acceptance and commitment had an Effecton self-concept(p = 0.001, F = 24.05) and Resiliency (p = 0.002, F = 11.88)in children with cancer.The findings showed That Acceptance and Commitment based Therapy on the components of Behavior , Anxiety , popularity , Resiliency and self concept on children with cancer.

Acceptance and commitment therapy has a positive effect on resilience and self concept of children with cancer. Therefore the use of such treatments methods is recommended to counselors and child psychologists.

Obesity and body image dissatisfaction can cause severe personal, social, occupational, educational, and family problems. Obesity and overweight are proven risk factors for several acute and chronic diseases, such as coronary heart disease and type 2 diabetes. One of the most important and influential features in dissatisfaction with physical appearance is body image flexibility. This flexibility means the ability to accept and experience positive and negative thoughts, ideas, and feelings about the body simultaneously and is an essential protective factor for physical and psychological health and well–being. Another primary behavioral manifestation of body image anxiety and dissatisfaction is body image avoidance. Avoiding body image refers to any behavior that changes the mental experience of body image. Regarding the high rate of obesity and overweight among women, developing a comprehensive and effective program seems necessary for improving women’s nutritional behaviors and physical activity. So, the present study investigated the effectiveness of acceptance and commitment therapy (ACT) on body image avoidance and inflexibility in obese and overweight women.

This research method is quasi–experimental with a pretest–posttest design and a control group. The study’s statistical population included all the obese and overweight women with a body mass index (BMI) higher than 25, residents of Ahwaz City, Iran, who participated in this study from April 21 to June 21, 2021. Clinical interviews were conducted with all volunteers who met the inclusion criteria and were willing to participate in the study. The inclusion criteria were providing informed consent and willingness to participate in research, being 18 to 30 years old, having a body mass index (BMI) above 25, being dissatisfied with their body image, and holding a minimum of high school diploma education. The exclusion criteria were having a high risk of suicide measured by clinical interview, experiencing substance or drug abuse and dependency during the last 6 months, and suffering from other psychological disorders (like schizophrenia, depression, bipolar disorder, etc.). Thirty eligible volunteers were randomly selected and assigned to the two groups of ACT (n=15) and control (n=15). Body Image Avoidance Questionnaire (Rosen et al., 1999) and Body Image Psychological Inflexibility Scale (Callaghan et al., 2015) were administrated as pretest and posttest for two groups. The experiment group received 12 sessions of ACT, and the control group did not receive any intervention. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (multivariate and univariate analysis of covariance) were used to analyze the data. Data analysis was performed in SPSS software version 21, and the significance level of the tests was considered 0.05 or less.

The results of the posttest showed that after eliminating the effect of pretest scores, there was a significant difference between experimental and control groups regarding the variable of body image avoidance, including clothing (p<0.001), eating restriction (p=0.004), social activities (p<0.001) and self–weighing (p=0.018) and the variable of body image psychological inflexibility (p<0.001). The mean scores of the mentioned variables in the experimental group decreased significantly.

Based on the study results, ACT is effective in improving body image avoidance and body image psychological inflexibility in overweight and obese women. Therefore, implementing comprehensive intervention programs with a psychological approach is necessary for these people.