1- M.A. Student in Personality Psychology, Ayandegan Institute of Higher Education, Tonekabon, Iran.
2- Lecturer, Department of Psychology, Ayandegan Institute of Higher Education, Tonekabon, Iran
3- Assistant Professor, Department of Psychology, Institute of Higher Education of the Future, Tonekabon, Iran.
2- Lecturer, Department of Psychology, Ayandegan Institute of Higher Education, Tonekabon, Iran
3- Assistant Professor, Department of Psychology, Institute of Higher Education of the Future, Tonekabon, Iran.
Abstract: (161 Views)
Background and Objective: Multiple sclerosis is one of the debilitating neurological disorders that, in addition to motor neurological disorders, manifests with symptoms such as anxiety, weakness, and reduced problem-solving ability, causing various physical and psychological disorders. According to the Iranian MS Society report, there are about 40,000 patients in the country, of which 9,000 are registered. Like other autoimmune diseases, MS is more prevalent in women; in fact, this disease occurs more in women than in men. Therefore, the purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on negative emotions, death anxiety, and hope for life in patients with multiple sclerosis.
Method: This study was a quasi-experimental study based on a pre-test and post-test design with a control group. The statistical population of the study consisted of all female patients with multiple sclerosis in Rasht city. Based on the sample size in quasi-experimental studies (minimum 15 people) (15), they were identified and entered the study through purposive sampling and randomly assigned to one experimental group and one control group (15 people in each group). Data collection tools were the Garnefski, Kraaij, and Spinhoven's (2001) standard Cognitive Emotion Regulation Questionnaire, Templer's (1970) Death Anxiety Questionnaire, and Snyder's (1991) Adult Hope Scale. Acceptance and Commitment Therapy was implemented in eight 90-minute sessions once a week. Data analysis was performed using multivariate analysis of covariance (MANCOVA) and univariate analysis of covariance (ANCOVA) in SPSS version 26 software (P<0.001).
Findings: Multivariate analysis of covariance (MANCOVA) showed that Acceptance and Commitment Therapy had a significant effect on negative emotions, death anxiety, and hope for life in multiple sclerosis patients (P<0.001). Acceptance and Commitment Therapy is effective in reducing negative emotions in multiple sclerosis, with an effect size of 0.651, which is a considerable effect. The calculated F is significant, so we can claim with 99% confidence that Acceptance and Commitment Therapy is effective in reducing negative anxiety in multiple sclerosis, with an effect size of 0.341, which is a relatively acceptable effect. The calculated F is significant, so we can claim with 99% confidence that Acceptance and Commitment Therapy is effective in increasing hope for life in multiple sclerosis patients, with an effect size of 0.553, which is an acceptable effect.
Conclusion: This study shows that Acceptance and Commitment Therapy (ACT) can have a positive impact on death anxiety, negative emotions, and hope for life in patients with multiple sclerosis. These findings highlight the importance of psychological approaches in the comprehensive management of chronic diseases. ACT, focusing on acceptance, mindfulness, and commitment to personal values, helps patients better cope with the psychological challenges of multiple sclerosis. This approach, by increasing psychological flexibility, can lead to reduced death anxiety, better management of negative emotions, and increased hope for life. Overall, these results emphasize the importance of holistic approaches in treating chronic diseases and show that attention to psychological aspects can play an important role in better disease management and improving patients' quality of life.
Method: This study was a quasi-experimental study based on a pre-test and post-test design with a control group. The statistical population of the study consisted of all female patients with multiple sclerosis in Rasht city. Based on the sample size in quasi-experimental studies (minimum 15 people) (15), they were identified and entered the study through purposive sampling and randomly assigned to one experimental group and one control group (15 people in each group). Data collection tools were the Garnefski, Kraaij, and Spinhoven's (2001) standard Cognitive Emotion Regulation Questionnaire, Templer's (1970) Death Anxiety Questionnaire, and Snyder's (1991) Adult Hope Scale. Acceptance and Commitment Therapy was implemented in eight 90-minute sessions once a week. Data analysis was performed using multivariate analysis of covariance (MANCOVA) and univariate analysis of covariance (ANCOVA) in SPSS version 26 software (P<0.001).
Findings: Multivariate analysis of covariance (MANCOVA) showed that Acceptance and Commitment Therapy had a significant effect on negative emotions, death anxiety, and hope for life in multiple sclerosis patients (P<0.001). Acceptance and Commitment Therapy is effective in reducing negative emotions in multiple sclerosis, with an effect size of 0.651, which is a considerable effect. The calculated F is significant, so we can claim with 99% confidence that Acceptance and Commitment Therapy is effective in reducing negative anxiety in multiple sclerosis, with an effect size of 0.341, which is a relatively acceptable effect. The calculated F is significant, so we can claim with 99% confidence that Acceptance and Commitment Therapy is effective in increasing hope for life in multiple sclerosis patients, with an effect size of 0.553, which is an acceptable effect.
Conclusion: This study shows that Acceptance and Commitment Therapy (ACT) can have a positive impact on death anxiety, negative emotions, and hope for life in patients with multiple sclerosis. These findings highlight the importance of psychological approaches in the comprehensive management of chronic diseases. ACT, focusing on acceptance, mindfulness, and commitment to personal values, helps patients better cope with the psychological challenges of multiple sclerosis. This approach, by increasing psychological flexibility, can lead to reduced death anxiety, better management of negative emotions, and increased hope for life. Overall, these results emphasize the importance of holistic approaches in treating chronic diseases and show that attention to psychological aspects can play an important role in better disease management and improving patients' quality of life.
Type of Study: Original Research Article |
Subject:
Psychology
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