Comparison of the Effect of "Acceptance and Commitment Therapy" and "Metacognitive Therapy" on the resilience of Women Undergoing Hemodialysis

One of the problems of people undergoing hemodialysis is the reduction of the tolerance threshold and the reduction of resilience against psychological problems. The present study was conducted with the aim of comparing the effectiveness of "Acceptance and Commitment Therapy" and "Metacognitive Therapy" on the resilience of women undergoing hemodialysis.

The current research was semi-experimental using a pre-test, post-test and follow-up design with 3 months later. In this study, 54 hemodialysis patients referred to Imam Ali (AS) and Shahid Rajaei Hospital in Karaj in 2019 were selected by convenience sampling method and included in the study by random and lottery method. Demographic questionnaire and "Connor-Davidson Resilience Scale" were used to collect data. The content validity of the instrument was satisfied by previous studies, and the reliability was calculated by the internal consistency method by calculating the Cronbach's alpha coefficient and by the test-retest method. For the "Acceptance and Commitment Therapy" group (18 people), 8 sessions of 90 minutes "Metacognitive Therapy" group (18 people), 8 sessions of 60 minutes, were held in the dialysis department of the hospital. Data were analyzed with SPSS. 23 with a significance level of less than 0.05.

The results of the multivariate covariance analysis showed significant differences between the intervention and control groups in the post-test and follow-up stages (P≤0.001). The effect size of the intra-group and interaction sources of change for the resilience variable was 0.800 and 0.775 percent, respectively. 

Both therapy methods have had an effect on improving the endurance of patients undergoing hemodialysis treatment. It is suggested to use therapeutic interventions to increase resilience in hemodialysis patients.