The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis

Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological...

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Main Authors: Jalal Younesi, Javad Kazemi, Mohammad Saeed Khanjani, Asghar Dadkhah, Akbar Biglarian, Banafsheh Ebrahimi Barmi
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2020-12-01
Series:Iranian Rehabilitation Journal
Subjects:
Online Access:http://irj.uswr.ac.ir/article-1-1107-en.pdf
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author Jalal Younesi
Javad Kazemi
Mohammad Saeed Khanjani
Asghar Dadkhah
Akbar Biglarian
Banafsheh Ebrahimi Barmi
author_facet Jalal Younesi
Javad Kazemi
Mohammad Saeed Khanjani
Asghar Dadkhah
Akbar Biglarian
Banafsheh Ebrahimi Barmi
author_sort Jalal Younesi
collection DOAJ
description Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological problems in these patients. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The study population included all patients with MS from Iran’s MS Association in Tehran City, Iran. The study sample included 30 patients (n=15/group) who were selected by purposive sampling technique and according to the study inclusion and exclusion criteria. The study participants were randomly assigned to the experimental and control groups. After obtaining necessary permissions and informed consent, a pre-test was initially performed. The instruments used in this study were ‎the 29-item Antonovsky’s Sense of Coherence Scale; the 29-item Julian Rotter’s Locus of Control Scale, and the 21-item Tedeschi and Calhoun’s Posttraumatic Growth scale. Several studies supported the reliability and validity of these scales. The experimental group received 8 sessions (once a week, each session: 1.5 h) of group Acceptance and Commitment Therapy (ACT). However, the control group received no intervention. After the intervention, according to the instructions, the post-test was performed. Data analysis was conducted using SPSS V. 21. Multivariate Analysis of Covariance (MANCOVA) was performed to examine between-group differences data. Results: The study findings indicated that ACT was effective on the SoC; however, it had no significant effect on the LoC and PTG (P=0.05). Discussion: Participation in ACT sessions could enhance the SoC of patients with MS. Accordingly, it can be improved by accepting and enhancing these patients’ commitment to change through psychotherapy approach and increasing their SoC.
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spelling doaj.art-52d6becdcca841b4989f94ff276d7f672023-10-01T07:22:33ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102020-12-01184445454The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple SclerosisJalal Younesi0Javad Kazemi1Mohammad Saeed Khanjani2Asghar Dadkhah3Akbar Biglarian4Banafsheh Ebrahimi Barmi5 Department of Counseling, Faculty of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Counseling, Faculty of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Counseling, Faculty of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Counseling, Faculty of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Statistics, Faculty of Statistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Rehabilitation Management, Faculty of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Objectives: This study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on the Sense of Coherence (SOC), Locus of Control (LoC), and Posttraumatic Growth (PTG) in patients with Multiple Sclerosis (MS). These factors were explored according to the prevalence of psychological problems in these patients. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The study population included all patients with MS from Iran’s MS Association in Tehran City, Iran. The study sample included 30 patients (n=15/group) who were selected by purposive sampling technique and according to the study inclusion and exclusion criteria. The study participants were randomly assigned to the experimental and control groups. After obtaining necessary permissions and informed consent, a pre-test was initially performed. The instruments used in this study were ‎the 29-item Antonovsky’s Sense of Coherence Scale; the 29-item Julian Rotter’s Locus of Control Scale, and the 21-item Tedeschi and Calhoun’s Posttraumatic Growth scale. Several studies supported the reliability and validity of these scales. The experimental group received 8 sessions (once a week, each session: 1.5 h) of group Acceptance and Commitment Therapy (ACT). However, the control group received no intervention. After the intervention, according to the instructions, the post-test was performed. Data analysis was conducted using SPSS V. 21. Multivariate Analysis of Covariance (MANCOVA) was performed to examine between-group differences data. Results: The study findings indicated that ACT was effective on the SoC; however, it had no significant effect on the LoC and PTG (P=0.05). Discussion: Participation in ACT sessions could enhance the SoC of patients with MS. Accordingly, it can be improved by accepting and enhancing these patients’ commitment to change through psychotherapy approach and increasing their SoC.http://irj.uswr.ac.ir/article-1-1107-en.pdfacceptance and commitment therapy (act)multiple sclerosissense of coherence (soc)locus of controlposttraumatic growth (ptg)
spellingShingle Jalal Younesi
Javad Kazemi
Mohammad Saeed Khanjani
Asghar Dadkhah
Akbar Biglarian
Banafsheh Ebrahimi Barmi
The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
Iranian Rehabilitation Journal
acceptance and commitment therapy (act)
multiple sclerosis
sense of coherence (soc)
locus of control
posttraumatic growth (ptg)
title The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
title_full The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
title_fullStr The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
title_full_unstemmed The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
title_short The Effects of Acceptance and Commitment Therapy on the Sense of Coherence, Locus of Control, and Posttraumatic Growth in Patients With Multiple Sclerosis
title_sort effects of acceptance and commitment therapy on the sense of coherence locus of control and posttraumatic growth in patients with multiple sclerosis
topic acceptance and commitment therapy (act)
multiple sclerosis
sense of coherence (soc)
locus of control
posttraumatic growth (ptg)
url http://irj.uswr.ac.ir/article-1-1107-en.pdf
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