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Ethics code: IR.IAU.ARDABIL.REC.1399.048

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1- Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran
Abstract:   (218 Views)
Background and Objective: Drug abuse consequences affects many individual aspects of human life such as mood, behavior, cognitive function, social and occupational performance, and marital relationships. Since family is the most vulnerable institution in society to drug abuse and due to addiction, the addicted caretaker is unable to play his role as the father of family, the spouses of these people are exposed to serious physical, spiritual, psychological, social, and economic damages which despair and disappointment, fear, feeling guilty, suicide, depression, tension and isolation are main impacts. Therefore, psychological interventions are widely applied for these people and particularly their families. The purpose of current study was to investigate the effectiveness of acceptance and commitment based therapy on reducing emotional distress and uncertainty-intolerance in drug abusers’ spouses.
Method: This quasi-experimental study was conducted with a pretest-posttest design and a control group. The statistical population included all the spouses (women) of drug abusers who referred to Addiction Treatment Centers in Ardabil during the first half of 2020. Using the Convenience Sampling method, 40 eligible individuals were enrolled into the study and randomly assigned to experimental (n=20) and control (n=20) groups. The inclusion criteria were having no psychological problems and having basic literacy to answer the questionnaires; the exclusion criteria were unwillingness to participate in the study and two successive absences from intervention program. The experimental group received eight 70- minute weekly sessions and eight session of acceptance and commitment therapy based on Hayes et al (1999) training package, while the control group remained without any intervention. For data collection, depression-anxiety-stress scale-21 (Lovibond and Lovibond, 1994) and Uncertainty-Intolerance questionnaire (Freeston et al., 1994) were used for pre and posttest examinations. Both instruments validity and reliability have been confirmed according to numerous studies in Iran and in abroad. Data were analyzed by descriptive and inferential statistics including the test of normal distribution (Shapiro-Wilk Test) and Multivariate Analysis of Covariance (by examining its assumptions) using SPSS 22 statistical software. A p<0.05 was considered as statistically significant.
Results: The results showed that there was a significant difference between the mean scores of pre-test and post-test in experimental group. While this difference was not observed in pre-test and post-test scores of control group. So, acceptance and commitment based therapy had a significant effect on emotional distress and uncertainty intolerance. Therefore, this treatment reduced emotional distress (stress, P=0.001, anxiety, P=0.001 and depression, P<0.003) and decreased the uncertainty intolerance and its components including passivity, being stressful, pessimistic and uncertainty about the future (P=0.001) in study sample.
Conclusion: The findings indicate that the treatment based on acceptance and commitment is effective in reducing the research variables, and this method can be used by counselors and family therapists to decline the emotional problems (stress, anxiety and depression) and to improve the emotional functions in this group of women.
Type of Study: Original Research Article | Subject: Psychology
Received: 2020/11/19 | Accepted: 2020/03/20

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