The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia
Aim and Background: Comorbidity of psychological disorders is very common in patients with chronic pain, including patients with fibromyalgia; it is in a range of depression, anxiety, stress, disappointment, failure, and anger, and accompanied with psychological consequences such as sleep disturbanc...
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Format: | Article |
Language: | fas |
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Armaqan Danesh Firoozeh
2018-04-01
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Series: | Taḥqīqāt-i ̒Ulūm-i Raftārī |
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Online Access: | http://rbs.mui.ac.ir/article-1-585-en.html |
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author | نگین صالحی حمید طاهر نشاطدوست حمید افشار |
author_facet | نگین صالحی حمید طاهر نشاطدوست حمید افشار |
author_sort | نگین صالحی |
collection | DOAJ |
description | Aim and Background: Comorbidity of psychological disorders is very common in patients with chronic pain, including patients with fibromyalgia; it is in a range of depression, anxiety, stress, disappointment, failure, and anger, and accompanied with psychological consequences such as sleep disturbances, disruptions in daily functions, and worries about the future. The purpose of this study was to evaluate the effectiveness of group-based acceptance and commitment therapy on depression, anxiety, and stress in women with fibromyalgia. Methods and Materials: This study was quasi-experimental study with pretest, posttest, and follow-up, and control group. Among the patients referring to medical centers affiliated to in Isfahan University of Medical Sciences, Iran, in 2016, 24 patients with fibromyalgia syndrome were selected through convenient sampling method, and randomly divided into two groups. The instrument of this study was a short form of Depression, Anxiety, and Psychological Stress Scale (DASS-21). The experimental group received the therapy based on acceptance and commitment during 8 sessions of 2 hours. The covariance analysis method was used to analyze the data. Findings: Acceptance and commitment therapy in women with fibromyalgia is more effective to control the symptoms of depression, anxiety, and stress, compared to the control group (P < 0.050). Moreover, the mean of 3 subscales of depression (P = 0.001), anxiety (P = 0.001), and stress (P = 0.006) decreased significantly in the experimental group in the posttest and follow-up stages compared to the pretest stage. Conclusions: Group therapy based on acceptance and commitment can reduce the psychological damage in patients and increase their life-richness, in spite of pain and illness, through the creation and development of acceptance and increasing value-based practices. |
first_indexed | 2024-03-12T03:49:26Z |
format | Article |
id | doaj.art-5a7d745c935a457a81f0e50f071e82e5 |
institution | Directory Open Access Journal |
issn | 1735-2029 2008-8248 |
language | fas |
last_indexed | 2024-03-12T03:49:26Z |
publishDate | 2018-04-01 |
publisher | Armaqan Danesh Firoozeh |
record_format | Article |
series | Taḥqīqāt-i ̒Ulūm-i Raftārī |
spelling | doaj.art-5a7d745c935a457a81f0e50f071e82e52023-09-03T12:30:07ZfasArmaqan Danesh FiroozehTaḥqīqāt-i ̒Ulūm-i Raftārī1735-20292008-82482018-04-011617883The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgiaنگین صالحی0حمید طاهر نشاطدوست1حمید افشار2 استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه اصفهان، اصفهان، ایران دانشیار، مرکز تحقیقات روانتنی و گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Aim and Background: Comorbidity of psychological disorders is very common in patients with chronic pain, including patients with fibromyalgia; it is in a range of depression, anxiety, stress, disappointment, failure, and anger, and accompanied with psychological consequences such as sleep disturbances, disruptions in daily functions, and worries about the future. The purpose of this study was to evaluate the effectiveness of group-based acceptance and commitment therapy on depression, anxiety, and stress in women with fibromyalgia. Methods and Materials: This study was quasi-experimental study with pretest, posttest, and follow-up, and control group. Among the patients referring to medical centers affiliated to in Isfahan University of Medical Sciences, Iran, in 2016, 24 patients with fibromyalgia syndrome were selected through convenient sampling method, and randomly divided into two groups. The instrument of this study was a short form of Depression, Anxiety, and Psychological Stress Scale (DASS-21). The experimental group received the therapy based on acceptance and commitment during 8 sessions of 2 hours. The covariance analysis method was used to analyze the data. Findings: Acceptance and commitment therapy in women with fibromyalgia is more effective to control the symptoms of depression, anxiety, and stress, compared to the control group (P < 0.050). Moreover, the mean of 3 subscales of depression (P = 0.001), anxiety (P = 0.001), and stress (P = 0.006) decreased significantly in the experimental group in the posttest and follow-up stages compared to the pretest stage. Conclusions: Group therapy based on acceptance and commitment can reduce the psychological damage in patients and increase their life-richness, in spite of pain and illness, through the creation and development of acceptance and increasing value-based practices.http://rbs.mui.ac.ir/article-1-585-en.htmldepressionanxietystress lifefibromyalgiaacceptance and commitment therapy |
spellingShingle | نگین صالحی حمید طاهر نشاطدوست حمید افشار The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia Taḥqīqāt-i ̒Ulūm-i Raftārī depression anxiety stress life fibromyalgia acceptance and commitment therapy |
title | The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia |
title_full | The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia |
title_fullStr | The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia |
title_full_unstemmed | The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia |
title_short | The Impact of Group Therapy Based on Acceptance and Commitment on Psychological Indicators (Depression, Anxiety, and Stress) in Women with Fibromyalgia |
title_sort | impact of group therapy based on acceptance and commitment on psychological indicators depression anxiety and stress in women with fibromyalgia |
topic | depression anxiety stress life fibromyalgia acceptance and commitment therapy |
url | http://rbs.mui.ac.ir/article-1-585-en.html |
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