Comparison the Effectiveness of Acceptance and Commitment Therapy (ACT) and Reality Therapy (WDEP) on Self-care Behaviors in Female Patients with Breast Cancer

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

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

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

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