Volume 12 - Articles-1401                   MEJDS (2022) 12: 111 | Back to browse issues page

XML Persian Abstract Print


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

Aliakbari A, Jajarmi M, Ghasemi Motlagh M. The Effectiveness of Acceptance and Commitment Therapy on the Hope and Psychological Well-Being of Veterans' Wives. MEJDS 2022; 12 :111-111
URL: http://jdisabilstud.org/article-1-2067-en.html
1- Department of Psychology, Bojnourd Branch, Islamic Azad University
Abstract:   (1350 Views)

Background & Objectives: Veterans' problems in daily life have a great impact on their families, while families are expected to provide all the support they need. However, these psychological problems disrupt daily life and, in other words, functional, social, occupational, and behavioral activities. Mental disorders not only affect the quality of life of people with the disease but also, as a stressor, threaten the quality of life of the affected family members, including their spouses. Wives of war veterans suffer from isolation, loneliness, alienation, low self–esteem, helplessness, guilt, and depression. Hope is one of the factors that can positively affect improving the lives of veterans' wives. Another variable that can positively affect and improve the lives of veterans' wives is psychological well–being. Addressing the methods of improving the quality of life of the wives of war veterans is one of the essential factors in promoting mental health and quality of life. So, this study aimed to investigate the effectiveness of acceptance and commitment therapy on the hope and psychological well–being of devoted wives of veterans living in Sari City, Iran.
Methods: The present research is a quasi–experimental study with a pretest–posttest with a 45–day follow–up design and a control group. The study's statistical population consisted of all the spouses of veterans (120 in total) who were referred to the veteran counseling clinic. Thirty wives of veterans were selected based on the inclusion and exclusion criteria and assigned into two groups: experimental (15 people) and control (15 people). The inclusion criteria were being the veteran's wife with an ID card of the martyrs, having a history of at least 20 years of living together, having ≥25% casualties, being able to attend eight training sessions, lacking a history of attending a workshop or training class, being 40 to 50 years old, gaining a score of less than 96 on the Hope Scale (Miller & Powers, 1988) and less than 42 on the Ryff Psychological Well–Being Scale (Ryff, 1989). The exclusion criteria included dissatisfaction with the educational method and the inability to attend eight training sessions. The experimental group underwent acceptance and commitment therapy in eight 90–min sessions weekly. The control group received no intervention. The study participants completed Ryff Psychological Well–Being Scale (Ryff, 1989) and the Hope Scale (Miller & Powers, 1988) in the pretest, posttest, and follow–up sessions. For data analysis, descriptive statistics (central indicators and dispersion such as mean and standard deviation) and inferential statistics (repeated measures analysis of variance and Bonferroni post hoc test) were used. The statistical analyses were performed in SPSS software version 22. The significance level of the tests was considered 0.05.
Results: Findings showed the significant effects of time, group, and time* group interaction on the variables of hope (p<0.001) and psychological well–being (p<0.001). Also, in the experimental group, the mean scores of hope and psychological well–being in the posttest and follow–up stages were significantly higher than those in the pretest (p<0.001). There was no significant difference between the two stages of posttest and follow–up in the variables of hope (p=0.495) and psychological well–being (p=0.386) in the experimental group.
Conclusion: Based on the study results, acceptance and commitment therapy is a suitable therapeutic approach to increase hope and improve the psychological well–being of veterans' wives.

Full-Text [PDF 526 kb]   (322 Downloads)    
Type of Study: Original Research Article | Subject: Psychology

References
1. Elbogen EB, Johnson SC, Newton VM, Straits-Troster K, Vasterling JJ, Wagner HR, et al. Criminal justice involvement, trauma, and negative affect in Iraq and Afghanistan war-era veterans. Journal of Consulting and Clinical Psychology. 2012;80(6):1097–102. [DOI]
2. Otared N, Borjali A, Sohrabi F, Basharpoor S. Efficacy of holographic reprocessing therapy on arousal and intrusion symptoms in veterans with post traumatic stress disorder. Stud Med Sci. 2016;27(5):427–37. [Persian] [Article]
3. Sammarco A. Perceived social support: uncertainty and quality of life younger breast cancer. Cancer nurs. 2001;24(3):212–19.
4. Calhoun PS, Beckham JC, Bosworth HB. Caregiver burden and psychological distress in partners of veterans with chronic posttraumatic stress disorder. J Trauma Stress. 2002;15(3):205–12. [DOI]
5. Yousefi A, Rafinia P, Sabahi P. The effectiveness of hope therapy on quality of life in wives of veterans with post traumatic stress disorder. Journal of Clinical Psychology. 2016;8(1):1–10. [Persian] [Article]
6. Sadeghi Z, Hamzepoor T. Rabeteye omid be zendegi va ezterab marg ba salamat ravan hamsaran janbazan shahrestan Lahijan [The relationship between life expectancy and death anxiety with the mental health of the wives of veterans in Lahijan]. In: International Conference on Psychology and Behavioral Sciences. 2016. [Persian] [Article]
7. Snyder CR. editor. Handbook of hope: theory, measures, and applications. San Diego, CA: Academic Press; 2000.
8. Hasson-Ohayon I, Kravetz S, Meir T, Rozencwaig S. Insight into severe mental illness, hope, and quality of life of persons with schizophrenia and schizoaffective disorders. Psychiatry Res. 2009;167(3):231–8. [DOI]
9. Johnson KL. The relationship of hope and quality of life in combat veterans seeking treatment for posttraumatic stress disorder. [PhD Dissertation]. [USA]: University Of Kansas; 2009, pp. 29-58.
10. Kao YC, Liu YP, Chou MK, Cheng TH. Subjective quality of life in patients with chronic schizophrenia: relationships between psychosocial and clinical characteristics. Comprehensive Psychiatry. 2011;52(2):171–80. [DOI]
11. Bagheri Zanjani Asl Monfared L, Entesar Foumany G. The effectiveness of group-based hope- therapy on increasing resilience and hope in life expectancy in patients with breast cancer. J Health Promotion Management. 2016;5(4):58–64. [Persian] [Article]
12. Mahmudi A, Amini F. The Effectiveness of intervention of spiritual therapy with cognitive behavioral approach on improving quality of life and improving the psychological well-being of spouses of veterans and veterans. Social Science Quarterly. 2017;11(38):237-58. [Persian] [Article]
13. Hoge CW, Terhakopain A, Castro CA, Messer SC, Engel CC. Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. Am J Psychiatry. 2007;164(1):150-63. [DOI]
14. Jalali N, Khaloei Gh, Mirmehdi SR. Taeein asarbakhshi ravandarmani mosbatnegar bar behzisti ravani va keyfiyat zendegi hamsaran janbazan asab va ravan [Determining the effectiveness of positive psychotherapy on psychological well-being and quality of life of spouses of psychiatric veterans]. In: The Second National Conference and First International Conference on Modern Research in Humanities [Internet]; 2015. [Persian] [Article]
15. Mozaffari V. Effectiveness of cognitive mindfulness-based-therapy on resilience and emotional control of psychiatric veteran's wives. Iran J War Public Health. 2019;11(2):61–6. [Persian] [Article]
16. Abbasi S, Dokaneheeifard F, Shafiabady A. Comparison of the effectiveness of narrative therapy and emotionally focused therapy on family cohesion of veterans' wives; a case study of Khorramabad city. Iran J War Public Health. 2018;10(4):173–9. [Persian] [DOI]
17. Larmar S, Wiatrowski S, Lewis-Driver S. Acceptance & commitment therapy: an overview of techniques and applications. JSSM. 2014;07(03):216–21. [DOI]
18. Heyes SC. Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice. 2002;9(1):101-6. [DOI]
19. Zettlle RD. The evolution of a contextual approach to therapy: from comprehensive distancing to ACT. International Journal of Behavioral Consultation and Therapy. 2005;1:77-89.
20. Sabour S, Kakabraee K. The effectiveness of acceptance and commitment therapy on depression, stress and indicators of pain in women with chronic pain. Iranian Journal of Rehabilitation Research in Nursing. 2016;8(2):1–10. [Persian] [DOI]
21. Heidari F, Asgari P, Heidari A, Pasha R, Makvandi B. The effectiveness of acceptance and commitment therapy on psychological flexibility and rumination in patients with non-cardiac chest pain. Middle Eastern Journal of Disability Studies. 2018;8:46-46. [Persian] [Article]
22. Hossein Keshavarz Afshar, Zahra Rafei, Abbas Mirzae. The effectiveness of acceptance and commitment therapy (ACT) on general anxiety. Payesh. 2018;17(3):289-96. [Persian] [Article]
23. Seyyedjafari J, Motamedi A, Mehradsadr M, Olamaie Kopaei M, Hashemian S. The effectiveness of acceptance and commitment therapy (ACT) on resilience in elderlies. Aging Psychology. 2017;3(1):21-9. [Persian] [Article]
24. Zarezadeh R, Alivandi Vafa M, Tabatabaei S, Aghdasi A. Effectiveness of acceptance and commitment therapy on depression and life expectancy in patients with liver transplantation. Journal of Modern Psychological Researches. 2021;16(62):109-22. [Persian] [Article]
25. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989;57(6):1069–81.
26. Miller J, Powers MJ. Development of an instrument to measure hope. Nurs Res. 1988;37(1):6–10.
27. Bayani AA, Koochekya AM, Bayani A. Reliability and validity of Ryff's psychological well-being scales. Iranian Journal of Psychiatry and Clinical Psychology. 2008;14(2):146–51. [Persian] [Article]
28. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy. 2006;44(1):1–25. [DOI]
29. Moghadamfar N, Amraei R, Asadi F, Amani O. The efficacy of acceptance and commitment therapy (ACT) on hope and psychological well-being in women with breast cancer under chemotherapy. Iranian Journal of Psychiatric Nursing. 2018;6(5):1–8. [Persian] [Article]
30. Thomas N, Shawyer F, Castle DJ, Copolov D, Hayes SC, Farhall J. A randomised controlled trial of acceptance and commitment therapy (ACT) for psychosis: study protocol. BMC Psychiatry. 2014;14(1):198. [DOI]
31. Amani A, Isanejad O, Alipour E. Effectiveness of acceptance and commitment group therapy on marital distress, marital conflict and optimism in married women visited the counseling center of Imam Khomeini relief foundation in Kermanshah. Shenakht Journal of Psychology and Psychiatry. 2018;5(1):42–64. [Persian] [DOI]
32. Arjmand Ghujur K, Mahmoud Aliloo M, Khanjani Z, Bakhshipour A. Effectiveness of acceptance and commitment therapy (ACT) in relapse prevention in methamphetamine addict patients. Yafteh. 2019;21(1):38–51. [Persian] [Article]
33. Hasannezhad Reskati M, Mirzaian B, Hosseini SH. A systematic review and meta-analysis of acceptance and commitment therapy on mental health and quality of life of women with breast cancer. J Mazandaran Univ Med Sci. 2018;28(167):192–207. [Persian] [Article]

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.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb