تعطیلات نوروز ۱۴۰۴-ضمن آرزوی قبولی طاعات و عبادات و همچنین تبریک فرارسیدن بهار و شروع سال جدید، به اطلاع می‌رساند این نشریه از تاریخ ۲۸ اسفندماه ۱۴۰۳ لغایت ۱۵ فروردین ۱۴۰۴ تعطیل می باشد.

Volume 14 - Articles-1403                   MEJDS (2024) 14: 51 | Back to browse issues page

Ethics code: IR.IAU.SHAHROOD.REC.1400.037

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Naghdi M, Taher M, Aghayi H, Hosseinkhanzade A A. Comparing the Effectiveness of Logotherapy and Acceptance and Commitment Therapy on the Life Expectancy of Older People. MEJDS 2024; 14 :51-51
URL: http://jdisabilstud.org/article-1-3078-en.html
1- PhD Student, Faculty of General Psychology, Shahrud Branch, Islamic Azad University, Shahrud, Iran
2- Assistant Professor, Faculty of Psychology, Shahrud Branch, Islamic Azad University, Shahrud, Iran
3- Associate Professor, Faculty of Psychology, Literature and Humanities, Guilan University, Rasht, Iran
Abstract:   (844 Views)

Abstract
Background & Objectives: Aging is a natural process of change that affects a person's social and psychological status and brings about new developments. Life expectancy is one of the factors closely associated with getting older. Because the presence of psychological symptoms, such as low life expectancy, in addition to imposing high costs on the health care system, results in poor treatment outcomes. Timely diagnosis and treatment of psychological symptoms in older people increased recovery, longer maintenance on other treatments, and improved overall quality of life. Consequently, psychological therapy can assist older adults in recovering from their individual, societal, and economic impairments. Logotherapy is one of these psychological procedures that assists clients in discovering the purpose of their lives. Acceptance and Commitment Therapy (ACT) is another subgroup of third–wave psychotherapy that can lessen some of the secondary effects of aging by increasing the life expectancy of older adults. The present study was done to compare the effects of logotherapy and ACT on the life expectancy of older adults.
Methods: This research method was quasi–experimental with a pretest–posttest design with a control group. In the first six months of 2021, all elderly residents referred to the municipality's health homes in Tehran City, Iran, were included in the statistical population. Of whom, 45 qualified participants entered the study by the available sampling and were randomly assigned to two experimental groups and one control group (each group with 15 people). In this way, by announcing the call for 3 weeks, eligible older people were registered to enter the research (76 people). Then, the Life Expectancy Questionnaire (Schneider et al., 1991) was implemented as a data collection tool. Next, 45 older adults who scored lower than average in the questionnaire (average score=36) were included in the study. The inclusion criteria were as follows: having at least 60 years and at most 75 years, having a level of literacy in reading and writing, appropriate listening and speaking ability, lacking a history of hospitalization in a psychiatric hospital, and providing informed consent to participate in research. The exclusion criteria included missing two or more intervention sessions and withdrawing from the study. In the current study, the intervention method of logotherapy (Frankl, 1967) was employed in ten 75– to 90–minute sessions for the first experimental group. In the second experimental group, ACT (Hayes, 2004) was used in eight sessions of 75–90 minutes. After collecting the data, they were analyzed using the Chi–square test, analysis of variance, univariate analysis of covariance, and Bonferroni post hoc test using SPSS statistical software version 23 at a significance level of 0.05.
Results: The results showed that the difference in the average scores of total life expectancy (p<0.001) and components of functional hope (p<0.001) and strategic hope (p=0.018) in the posttest after controlling the pretest scores in the three groups was significant. The total scores of life expectancy (p = 0.009) and hope component (p=0.032) significantly differed between the experimental groups. Only logotherapy training had a significant effect on the total scores of life expectancy (p<0.001) components of functional hope (p<0.001) and strategic hope (p=0.005) compared to the control group. However, the ACT did not have a significant effect on life expectancy (p=0.213) and factors of functional hope (p=0.172) and strategic hope (p=0.142) compared with the control group.
Conclusion: Based on the findings, logotherapy is more effective in older people's life expectancy than acceptance and commitment therapy, and this therapeutic approach can be an effective intervention method for the life expectancy of older people.

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Type of Study: Original Research Article | Subject: Psychology

References
1. Jaramillo ET, Willging CE. Producing insecurity: healthcare access, health insurance, and wellbeing among American Indian elders. Soc Sci Med. 2021;268:113384. [DOI]
2. Nair T, Appu AV. Social connectedness and psychological distress of elders during covid–19. Indian Journal of Gerontology. 2021;35(2):200–12.
3. Hajiazizi AH, Bahmani B, Mahdi N, Manzari Tavakoli V, Barshan A. Effectiveness of group logotherapy on death anxiety and life expectancy of the elderly living in boarding houses in Kerman. Salmand. 2017;12(2):220–31. [Persian] [DOI]
4. Han SD, Mosqueda L. Elder abuse in the covid ‐19 era. J Am Geriatr Soc. 2020;68(7):1386–7. [DOI]
5. Minagawa Y, Saito Y. The role of underweight in active life expectancy among older adults in Japan. J Gerontol B Psychol Sci Soc Sci. 2021;76(4):756–65. [DOI]
6. Schoenborn NL, Janssen EM, Boyd C, Bridges JFP, Wolff AC, Xue QL, et al. Older adults' preferences for discussing long-term life expectancy: results from a national survey. Ann Fam Med. 2018;16(6):530–7. [DOI]
7. Mackenbach JP, Hu Y, Looman CWN. Democratization and life expectancy in Europe, 1960–2008. Soc Sci Med. 2013;93:166–75. [DOI]
8. Szramka-Pawlak B, Hornowska E, Walkowiak H, Żaba R. Hope as a psychological factor affecting quality of life in patients with psoriasis. Applied Research Quality Life. 2014;9(2):273–83. [DOI]
9. Golestanifar S, DashtBozorgi Z. The effectiveness of acceptance and commitment based therapy on depression, psychological health and life expectancy of the elderly with nonclinical depression. Aging Psychology. 2020;6(3):191–203.‌ [Persian] [Article]
10. Deeg DJH, Comijs HC, Hoogendijk EO, Van Der Noordt M, Huisman M. 23-year trends in life expectancy in good and poor physical and cognitive health at age 65 years in the Netherlands, 1993–2016. Am J Public Health. 2018;108(12):1652–8. [DOI]
11. Griffin B, Loh V, Hesketh B. A mental model of factors associated with subjective life expectancy. Soc Sci Med. 2013;82:79–86. [DOI]
12. Firozeh Moghadam S, Borjali A, Sohrabi F. The efficiency of happiness training to increase the hope in elderly people. Salmand. 2014;8(4):67–72. [Persian] [Article]
13. Jafari A, Hesampour F. Predicting life satisfaction based on spiritual intelligence and psychological capital in older people. Salmand. 2017;12(1):90–103. [Persian] [DOI]
14. Wu M, Yang Y, Zhang D, Zhao X, Sun Y, Xie H, et al. Association between social support and health-related quality of life among Chinese rural elders in nursing homes: the mediating role of resilience. Qual Life Res. 2018;27(3):783–92. [DOI]
15. Scogin F, Lichstein K, DiNapoli EA, Woosley J, Thomas SJ, LaRocca MA, et al. Effects of integrated telehealth-delivered cognitive-behavioral therapy for depression and insomnia in rural older adults. J Psychother Integr. 2018;28(3):292–309. [DOI]
16. Woolf SH, Schoomaker H. Life expectancy and mortality rates in the United States, 1959-2017. Jama. 2019;322(20):1996–2016.‌
17. Zaninotto P, Batty GD, Stenholm S, Kawachi I, Hyde M, Goldberg M, et al. Socioeconomic inequalities in disability-free life expectancy in older people from england and the united states: a cross-national population-based study. J Gerontol A Biol Sci Med Sci. 2020;75(5):906–13. [DOI]
18. Costello SJ. Applied logotherapy: Viktor Frankl's philosophical psychology. Cambridge Scholars Publishing; 2015.
19. García-Alandete J. Does meaning in life predict psychological well-being?: an analysis using the Spanish versions of the purpose-in-life test and the Ryff's Scales. J Couns Psychol. 2015;3(2):89–98. [DOI]
20. Ligimol J. The effect of logotherapy on meaning and quality of life of the elderly in old age homes [PhD dissertation]. [Bangalore, India]: Christ University; 2012.
21. Davison TE, Eppingstall B, Runci S, O'Connor DW. A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities. Aging Ment Health. 2017;21(7):766–73. [DOI]
22. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy the process and practice of mindful change. Second edition. London, New York: The Guilford Press; 2012.
23. LeJeune J, Luoma J. Values in acceptance and commitment therapy. In: Twohig MP, Levin ME, Petersen JM; editors. The oxford handbook of acceptance and commitment therapy. Oxford University Press; 2021. [DOI]
24. Mansouri N, Rasouli A. The effectiveness of group therapy based on acceptance and commitment to increase the life expectancy, marital intimacy and reducing the marital conflicts of women. Iranian Journal of Psychiatric Nursing. 2019;7(1):82–8. [Persian] [Article]
25. Robertson L, Skegg K, Poore M, Williams S, Taylor B. An adolescent suicide cluster and the possible role of electronic communication technology. Crisis. 2012;33(4):239–45. [DOI]
26. Frankl VE. Logotherapy and existentialism. Psychotherapy: theory, research & practice. 1967;4(3):138–42. [DOI]
27. Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2004;35(4):639–65. [DOI]
28. Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: Development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991;60(4):570–85. [DOI]
29. Kermani Z, Khodapanahi M, Heidari M. Psychometrics features of the Snyder Hope scale. Journal of Applied Psychology. 2011;3(19):7–23.‌ [Persian] [Article]

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