Determining the Effectiveness of Acceptance and Commitment Therapy on Interpersonal Forgiveness and Distress Tolerance of Female Victims of Domestic Violence

Amirkhanloo, Azarakhsh; Mirzaian, Bahram; Hassanzadeh, Ramazan

Volume 12 - Articles-1401 MEJDS (2022) 12: 198 | Back to browse issues page

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Amirkhanloo A, Mirzaian B, Hassanzadeh R. Determining the Effectiveness of Acceptance and Commitment Therapy on Interpersonal Forgiveness and Distress Tolerance of Female Victims of Domestic Violence. MEJDS 2022; 12 :198-198
URL: http://jdisabilstud.org/article-1-2523-en.html

Determining the Effectiveness of Acceptance and Commitment Therapy on Interpersonal Forgiveness and Distress Tolerance of Female Victims of Domestic Violence

Azarakhsh Amirkhanloo¹

, Bahram Mirzaian ^*²

, Ramazan Hassanzadeh³

1- PhD Student, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
2- Associate Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
3- Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran

Abstract: (993 Views)

Abstract
Background & Objectives: Family plays a key role in raising children and transmitting culture, customs, and beliefs to future generations. Domestic violence results in disorders which prevent this social institution from playing its expected role. One sort of domestic violence is violence against women. Interpersonal forgiveness plays a significant role in creating and maintaining mental health and peace in the family. Forgiveness means releasing the psychological and emotional processes within the injured person. Distress tolerance is defined as the self–reported ability of a person to experience and tolerate negative emotional states or the behavioral ability to continue goal–oriented behavior when experiencing emotional distress. One of the psychological treatments related to this social problem is acceptance and commitment therapy (ACT). Considering the importance of interpersonal forgiveness and tolerance of distress in women affected by domestic violence, the present study aimed to determine the effectiveness of ACT on interpersonal forgiveness and distress tolerance of female victims of domestic violence.
Methods: The method of this study was quasi–experimental with a pretest–posttest design with a control group. The statistical population included all female victim of domestic violence living in Sari City, Iran, who were referred to Social Emergency from December 23, 2019, to June 30, 2020. Of whom, 30 females were select by purposive sampling method. They were randomly assigned to the intervention and control groups (15 persons for each group). The inclusion criteria were obtaining a lower score on the Interpersonal Forgiveness Scale (Ehteshamzadeh et al., 2011) (scores less than 50) and Distress Tolerance Scale (Simons & Gaher, 2005) (scores less than 40), aged 20 to 40 years, minimum education diploma, not taking psychoactive drugs during the last quarter, lacking an incurable disease, obtaining informed consent, and not undergoing other psychological treatment at the same time. The exclusion criteria were absenteeism in two consecutive sessions and suffering from neurological and mental diseases, including psychosis during the treatment sessions. The required data were obtained using the Interpersonal Forgiveness Scale (Ehteshamzadeh et al., 2011) and Distress Tolerance Scale (Simons & Gaher, 2005). Acceptance and commitment therapy was implemented in eight 90–minute sessions once a week based on the training package provided by Hayes et al. (2006). No intervention was provided for the control group. The research data were analyzed in SPSS version 22 software. In this software, descriptive statistics including mean and standard deviation and inferential statistics of analysis of covariance (ANCOVA) were used for data analysis. The significance level of all tests was considered 0.05.
Results: The results showed that, by controlling the effect of the pretest, there were significant differences in the variables of interpersonal forgiveness (p<0.001) and distress tolerance (p<0.001) in the posttest between the women abused by domestic violence in the experimental group and the control group. The effects of the intervention on the changes in the variables of distress tolerance and interpersonal forgiveness were 0.414 and 0.337, respectively.
Conclusion: Considering the effectiveness of ACT on increasing interpersonal forgiveness and tolerance of distress in women exposed to domestic violence, this treatment can be used in counseling and psychological centers to improve the psychological problems of women abused by domestic violence.

Keywords: Acceptance and commitment therapy, Interpersonal forgiveness, Distress tolerance, Domestic violence

Full-Text [PDF 475 kb] (311 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. Ayton D, Pritchard E, Tsindos T. Acquired brain injury in the context of family violence: a systematic scoping review of incidence, prevalence, and contributing factors. Trauma Violence Abuse. 2021;22(1):3–17. [DOI]

2. Aghakhani N, Eftekhari A, Zare Kheirabad A, Mousavi E. Study of the effect of various domestic violence against women and related factors in women who referred to the forensic medical center in Urmia city-Iran 2012–2013. Iranian Journal of Forensic Medicine. 2012;18(2):69–78. [Persian] [Article]

3. Amoakohene MI. Violence against women in Ghana: a look at women’s perceptions and review of policy and social responses. Soc Sci Med. 2004;59(11):2373–85. [DOI]

4. Shayan A, Masoumi SZ, Kaviani M. The relationship between wife abuse and mental health in women experiencing domestic violence referred to the forensic medical center of Shiraz. J Educ Community Health. 2015;1(4):51–7. [DOI]

5. Parsafar S, Namdari K, Hashemi SE, Mehrabi HA. The relationship between religious commitment, unforgiveness and forgiveness styles with the mental health. Counseling Culture and Psycotherapy. 2015;6(23):139–62. [Persian] [DOI]

6. Kazemian Moghadam K, Mehrabi Zadeh Honarmand M, Kiamanesh A. The casual relationship of differentiation, meaningful life, and forgiveness with marital disaffection by mediating role of marital conflict and marital satisfaction. Psychological Methods and Models. 2018;9(31):131–46. [Persian] [Article]

7. Levenson MR, Aldwin CM, Yancura L. Positive emotional change: mediating effects of forgiveness and spirituality. Explore (NY). 2006;2(6):498–508. [DOI]

8. Simons JS, Gaher RM. The Distress Tolerance Scale: development and validation of a self-report measure. Motiv Emot. 2005;29(2):83–102. [DOI]

9. Keough ME, Riccardi CJ, Timpano KR, Mitchell MA, Schmidt NB. Anxiety symptomatology: the association with distress tolerance and anxiety sensitivity. Behav Ther. 2010;41(4):567–74. [DOI]

10. Howell AN, Leyro TM, Hogan J, Buckner JD, Zvolensky MJ. Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use and alcohol use problems among young adult drinkers. Addict Behav. 2010;35(12):1144–7. [DOI]

11. Taherifard M, Mikaeili N. The effectiveness of cognition-based mindfulness therapy on social anxiety, resilience and emotion regulation in women victims of domestic violence. Thoughts and Behavior in Clinical Psychology. 2019;14(51):17–26. [Persian] [Article]

12. Gholizadeh F, Fadaei M, Soleymani N, Khorooshi M. The effectiveness of acceptance and commitment therapy on interpersonal forgiveness and marital intimacy in women affected by marital infidelity. Medical Journal of Mashhad University of Medical Sciences. 2019;62(5):1825–33. [Persian] [DOI]

13. Hajinia Esbo A, Khalatbari J, Mirzamani SM, Ghorban Shirodi S, Abolghasemi S. Effects of acceptance and commitment therapy on anxiety induced by marital conflict in women affected by domestic violence. Middle Eastern Journal of Disability Studies. 2020;10:130. [Persian] [Article]

14. Amirian K, Mami S, Ahmadi V, Mohamadzadeh J. Effectiveness of group psychotherapy based on acceptance and commitment therapy on difficulties emotion regulation and distress tolerance in substance abusers. J Educ Community Health. 2018;5(2):53–61. [Persian] [DOI]

15. Ghasedi M, Bagheri F, Kiamanesh A. Comparison of the effectiveness of group therapy based on mindfulness and acceptance and commitment techniques (ACT) on forgiveness, emotional regulation and marital intimacy. Bioethics Journal. 2019;8(29):87–98. [Persian] [DOI]

16. Dolatian M, Hesamy K, Zahiroddin A, Velaie N, Alavi Majd H. Evaluation of prevalence of domestic violence and its role on mental health. Pajoohandeh Journal. 2012;16(6):277–83. [Persian] [Article]

17. Delavar A. Theoretical and practical foundations of research in humanities and social sciences. Tehran: Roshd Pub;2009. [Persian]

18. Ehteshamzadeh P, Ahadi H, Enayati MS, Heidari A. Construct and validation of a Scale for Measuring Interpersonal Forgiveness. Iranian Journal of Psychiatry and Clinical Psychology. 2011;16(4):443–55. [Persian] [Article]

19. Alavi Kh, Modares Gharavi M, Amin Yazdi SA, Salehi Fadardi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Journal of Fundamentals of Mental Health. 2011;13(50):35–124. [Persian] [DOI]

20. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. 2nd ed. New York, NY, US: Guilford Press; 2012.

21. Mahdavi A, Aghaei M, Aminnasab V, Tavakoli Z, Besharat M, Abedin M. The effectiveness of acceptance-commitment therapy (ACT) on perceived stress, symptoms of depression, and marital satisfaction in women with breast cancer. Arch Breast Cancer. 2017;4(1):16–23. [Persian] [DOI]

22. Hofmann SG, Asmundson GJG. Acceptance and mindfulness-based therapy: new wave or old hat? Clin Psychol Rev. 2008;28(1):1–16. [DOI]

23. Babakhani V. The effectiveness of Acceptance and commitment therapy (ACT) on enduring the distress and self-control of betrayed women. Journal of Family Psychology. 2021;7(1):121–32. [Persian] [Article]

24. Zvolensky MJ, Bernstein A, Vujanovic AA. Distress tolerance: theory, research, and clinical applications. New York, NY, US: The Guilford Press; 2011.

25. Forouzanfar A, Gholamali Lavasani M, Shoa Kazemi M. The effectiveness of group counselling based on acceptance and commitment therapy in distress tolerance and anxiety sensitivity among female substance abusers. Scientific Quarterly Research on Addiction. 2018;11(44):135–54. [Persian] [Article]

26. Jabbari R, Hassan M, Sadegh Mahboob S. Effectiveness of group training of transactional analysis on distress tolerance and communication skills. Journal of Development Psychology. 2019;16(61):73–85. [Persian] [Article]

27. Vowles KE, Sowden G, Hickman J, Ashworth J. An analysis of within-treatment change trajectories in valued activity in relation to treatment outcomes following interdisciplinary acceptance and commitment therapy for adults with chronic pain. Behav Res Ther. 2019;115:46–54. [DOI]