Volume 10 -                   MEJDS (2020) 10: 224 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Aliakbari Dehkourdi M, Ramezani Shirin M, Mehraban S. Effects of Acceptance and Commitment Therapy on Social Adjustment and Resilience in Women with Breast Cancer. MEJDS 2020; 10 :224-224
URL: http://jdisabilstud.org/article-1-1555-en.html
1- Department of Psychology, Payame Noor University
2- Payame Noor University Dubai International Center
3- University of social welfare and rehabilitation sciences
Abstract:   (2265 Views)
Background & Objectives: One of the most stressful life events is the diagnosis and treatment of cancer. Cancer is considered to be the major health problem of the present century. Of all cancers, breast cancer is the second most prevalent gynecological disease. Breast cancer is the most common type of cancer in women, which can cause psychological problems in the affected individuals. Patients with cancer have a low social adjustment that poses extensive mental health issues. Another factor that plays a key role in the mental health of patients with cancer is resilience. The current research aimed to investigate the effects of Acceptance and Commitment Therapy (ACT) on social adjustment and resilience in patients with breast cancer.
Methods: This was a quasi–experimental study with a pretest–posttest and a control group design. The statistical population of the study included all women with breast cancer in Urmia City, Iran, in 2018. Using a convenience sampling approach, 30 of them were selected and randomly assigned into the experimental and control groups (n=15/group). The inclusion criteria of the study included the lack of significant psychiatric disorders according to a psychiatrist, not attending other psychological courses, at least 6 months past the diagnosis, and biopsychological inabilities to prevent individuals from attending the research. The exclusion criteria of the study included absence from >2 group therapy sessions and unwillingness to continue treatment. In this research, the Social Adjustment Inventory (Bell, 1961) and the Connor–Davidson Resilience Scale (Connor & Davidson, 2003) were used to collect the necessary data. The ethical considerations observed in this research included the following: patient satisfaction and not mentioning their names in information forms due to confidentiality observations. The experimental group participated in eight 90–minute weekly sessions of ACT; however, the control group received no intervention. The protocol used in this study was based on Hayes et al.’s training program (2006). After the end of the sessions, all research participants performed the posttest phase. To describe the achieved data, mean and standard deviation were used. For analyzing the obtained data, Multivariate Analysis of Covariance (MANCOVA) was applied in SPSS at the significance level of p0.05.
Results: The collected results suggested that in all components of social adjustment; adjustment at home (p0.001), occupational adjustment (p0.001), health adjustment (p= 0.007), social adjustment (p0.001), and emotional adjustment (p=0.005) (p0.001), there was a significant difference in the mean posttest scores between the study groups after eliminating the effect of the pretest. Furthermore, concerning resilience, the effect of group or intervention, by removing the effect of the pretest, was statistically significant (p0. 001).
Conclusion: The current study results indicated the effectiveness of ACT on social adjustment and resilience in patients with breast cancer. Therefore, ACT can be used as a method for the growth and improvement of patients with breast cancer.
Full-Text [PDF 726 kb]   (381 Downloads)    
Type of Study: Original Research Article | Subject: Psychology

References
1. Mohamad Karimi M, Shariatnia K. Effectiveness of spiritual therapy on the life quality of the women with breast cancer in Tehran. Nursing And Midwifery Journal. 2017;15(2):107–18. [Persian] [Article]
2. Akbari ME, Sayad S, Sayad S, Khayamzadeh M, Shojaee L, Shormeji Z, et al. Breast cancer status in Iran: statistical analysis of 3010 cases between 1998 and 2014. International Journal of Breast Cancer. 2017;2017:1–10. [DOI]
3. İzci F, İlgün AS, Fındıklı E, Özmen V. Psychiatric Symptoms and Psychosocial Problems in Patients with Breast Cancer. J Breast Health. 2016;12(3):94–101. [DOI]
4. Hojjatkhah SM, Mesbah I. Effectiveness of group therapy based on acceptance and commitment on social adjustment and internalized shame mothers of children with mental retardation. Psychology of Exceptional Individuals. 2017;6(24):153–80. [Persian] [DOI]
5. Paterson C, Jones M, Rattray J, Lauder W. Exploring the relationship between coping, social support and health-related quality of life for prostate cancer survivors: a review of the literature. Eur J Oncol Nurs. 2013;17(6):750–9. [DOI]
6. Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82. [DOI]
7. Belsky J. Developmental origins of attachment styles. Attach Hum Dev. 2002;4(2):166–70. [DOI]
8. Coholic DA. exploring the feasibility and benefits of arts-based mindfulness-based practices with young people in need: aiming to improve aspects of self-awareness and resilience. Child Youth Care Forum. 2011;40(4):303–17. [DOI]
9. Hayes SC, Strosahl K, Wilson KG. Acceptance and Commitment Therapy: the process and practice of mindful change. New York: Guilford Press; 2011.
10. Mohabat Bahar S, Akbari ME, Maleki F, Moradi-joo M. The effectiveness of group psychotherapy based on acceptance and commitment on quality of life in women with breast cancer. Thoughts and Behavior in Clinical Psychology. 2015;9(34):17–26. [Persian] [Article]
11. Saeidi M, Khalatbari J. The effectiveness of acceptance/commitment therapy on adjustment and quality of life of disabled persons in welfare organization. Journal of Educational Psychology. 2016;7(1):53–62. [Persian] [Article]
12. Hemmat Afza P, Sepehrian F, Soleymaniyan E. The effectiveness of acceptance and commitment based therapy on social adjustment, mental turmoil and self-rupturing among people with transgender sexual disorder. Ethical Research. 2018;9(1):269–84. [Persian] [Article]
13. Bell HM. The Adjastment Inventory (Adult Form). INC. Palo Alto. California: Consulting Psychological Press; 1961.
14. Gameroff MJ, Wickramaratne P, Weissman MM. Testing the Short and Screener versions of the Social Adjustment Scale-Self-report (SAS-SR). Int J Methods Psychiatr Res. 2012;21(1):52–65. [DOI]
15. Fathi Ashtiani A, Dastani M. Psychological Tests: Personality Assessment and Mental health. Tehran: Besat; 2009. [Persian]
16. Mohammadi M, Jazayeri A, Rafie A, Joukar B, Pourshahbaz A. Resilience factors in individuals at risk for substance abuse. Journal of Psychology (Tabriz University). 2006;1(2–3):203–24. [Persian]
17. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25. [DOI]
18. Eilenberg T, Fink P, Jensen JS, Rief W, Frostholm L. Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychol Med. 2016;46(1):103–15. [DOI]
19. Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cognitive and Behavioral Practice. 2009;16(4):430–42. [DOI]
20. Helmreich I, Kunzler A, Chmitorz A, König J, Binder H, Wessa M, et al. Psychological interventions for resilience enhancement in adults. Cochrane Database Syst Rev. 2017;2017(2): CD012527. [DOI]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb