The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain
Background and Objective: Chronic pain is among the most common causes of referring to primary medical care centers. The aim of this study was to determine the effectiveness of acceptance and commitment therapy on anxiety, depression, and physical symptoms in patients with chronic pain. Materials a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | fas |
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Shahid Beheshti University of Medical Sciences
2021-01-01
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| Series: | Salāmat-i ijtimā̒ī |
| Subjects: | |
| Online Access: | http://ojs2.sbmu.ac.ir/en-ch/article/view/31369 |
| _version_ | 1818611508795408384 |
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| author | Minoo Gueserse Alireza Zali Saeed Hassanzadeh Mohammad Hatami Morvarid Ahadi |
| author_facet | Minoo Gueserse Alireza Zali Saeed Hassanzadeh Mohammad Hatami Morvarid Ahadi |
| author_sort | Minoo Gueserse |
| collection | DOAJ |
| description | Background and Objective: Chronic pain is among the most common causes of referring to primary medical care centers. The aim of this study was to determine the effectiveness of acceptance and commitment therapy on anxiety, depression, and physical symptoms in patients with chronic pain.
Materials and Methods: This study was a quasi-experimental study with pre-test, post-test, follow-up, and a control group. Participants included 60 patients with chronic pain who were referred to medical centers in Tehran in 2019, who were selected in a two steps sampling method. First, a questionnaire was circulated among patients with chronic pain at medical centers who were selected via convenience sampling method. Then, 60 participants were randomly selected from patients who received the highest scores, then randomly assigned to intervention (30 patients) and control (30 patients) groups. Data were collected using the Beck Depression Inventory and Beck Anxiety Inventory. The experimental group received acceptance and commitment therapy in eight sessions of 90 minutes once a week for two months, but the control group did not receive any treatment. Both groups responded to the research questionnaires in three stages: pre-test, post-test, and two-month follow-up. Data analysis was performed using repeated measure ANOVA using SPSS software version 22.
Results: The mean (SD) age of participants in the experimental group was 43.7 (8.9) and in the control group 45.2 (9.2). In the experimental group, the mean (SD) depression score decreased from 32.6 (4.4) in the pre-test to 23.2 (5.1) in the post-test, and 22.1 (5.2) follow-up (P<0.001) and the mean (SD) anxiety score decreased from 33.6 (4.9) in the pre-test to 22.6 (4.2) in the post-test and 22.6 (5.1) in follow-up (P<0.001) and the mean (SD) of physical symptoms decreased from 41.5 (3.2) in the pre-test to 33.7 (3.1) in the post-test and 31.8 (3.3) follow-up stages (P<0.001). In the control group, the scores in the three stages of pre-test, post-test and follow-up were not different.
Conclusion: Acceptance and commitment therapy was effective in reducing anxiety, depression and physical symptoms in patients with chronic pain. |
| first_indexed | 2024-12-16T15:31:27Z |
| format | Article |
| id | doaj.art-d23ec03dab7a49cf859f5bdec4ed3661 |
| institution | Directory Open Access Journal |
| issn | 2423-4702 2423-4702 |
| language | fas |
| last_indexed | 2024-12-16T15:31:27Z |
| publishDate | 2021-01-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Salāmat-i ijtimā̒ī |
| spelling | doaj.art-d23ec03dab7a49cf859f5bdec4ed36612022-12-21T22:26:21ZfasShahid Beheshti University of Medical SciencesSalāmat-i ijtimā̒ī2423-47022423-47022021-01-0181788914171The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic PainMinoo Gueserse0Alireza Zali1Saeed Hassanzadeh2Mohammad Hatami3Morvarid Ahadi4PhD Student in Health Psychology, Department of Psychology, Islamic Azad University, UAE Branch, Dubai, UAEProfessor, Department of Neurosurgery, School of Medicine, Functional Neurosurgery Research Center, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranAssociate Professor, Department of Psychology and Education of Exceptional Children, University of Tehran, Tehran, IranAssociate Professor, Department of Clinical Psychology, Kharazmi University, Tehran, IranAssistant Professor, Department of Psychology, East Tehran Branch, Islamic Azad University, Tehran, Iran.Background and Objective: Chronic pain is among the most common causes of referring to primary medical care centers. The aim of this study was to determine the effectiveness of acceptance and commitment therapy on anxiety, depression, and physical symptoms in patients with chronic pain. Materials and Methods: This study was a quasi-experimental study with pre-test, post-test, follow-up, and a control group. Participants included 60 patients with chronic pain who were referred to medical centers in Tehran in 2019, who were selected in a two steps sampling method. First, a questionnaire was circulated among patients with chronic pain at medical centers who were selected via convenience sampling method. Then, 60 participants were randomly selected from patients who received the highest scores, then randomly assigned to intervention (30 patients) and control (30 patients) groups. Data were collected using the Beck Depression Inventory and Beck Anxiety Inventory. The experimental group received acceptance and commitment therapy in eight sessions of 90 minutes once a week for two months, but the control group did not receive any treatment. Both groups responded to the research questionnaires in three stages: pre-test, post-test, and two-month follow-up. Data analysis was performed using repeated measure ANOVA using SPSS software version 22. Results: The mean (SD) age of participants in the experimental group was 43.7 (8.9) and in the control group 45.2 (9.2). In the experimental group, the mean (SD) depression score decreased from 32.6 (4.4) in the pre-test to 23.2 (5.1) in the post-test, and 22.1 (5.2) follow-up (P<0.001) and the mean (SD) anxiety score decreased from 33.6 (4.9) in the pre-test to 22.6 (4.2) in the post-test and 22.6 (5.1) in follow-up (P<0.001) and the mean (SD) of physical symptoms decreased from 41.5 (3.2) in the pre-test to 33.7 (3.1) in the post-test and 31.8 (3.3) follow-up stages (P<0.001). In the control group, the scores in the three stages of pre-test, post-test and follow-up were not different. Conclusion: Acceptance and commitment therapy was effective in reducing anxiety, depression and physical symptoms in patients with chronic pain.http://ojs2.sbmu.ac.ir/en-ch/article/view/31369chronic pain, physical symptoms, depression, anxiety, acceptance and commitment therapy |
| spellingShingle | Minoo Gueserse Alireza Zali Saeed Hassanzadeh Mohammad Hatami Morvarid Ahadi The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain Salāmat-i ijtimā̒ī chronic pain, physical symptoms, depression, anxiety, acceptance and commitment therapy |
| title | The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain |
| title_full | The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain |
| title_fullStr | The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain |
| title_full_unstemmed | The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain |
| title_short | The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Physical Symptoms among Patients with Chronic Pain |
| title_sort | effectiveness of acceptance and commitment therapy on anxiety depression and physical symptoms among patients with chronic pain |
| topic | chronic pain, physical symptoms, depression, anxiety, acceptance and commitment therapy |
| url | http://ojs2.sbmu.ac.ir/en-ch/article/view/31369 |
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