@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):246-252
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):246-252
The Effectiveness of Acceptance and Commitment Therapy on Quality of Life among Patients under MMT
ARTICLE INFO
Article Type
Original ResearchAuthors
Dehghani A (*)Rezaei Dehnavi S (1)
(*) Department of Clinical Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
(1) Department of Psychology and Counseling, Payame Noor University, Tehran, Iran
Correspondence
Address: Department of Clinical Psychology, Najafabad Branch, Islamic Azad University, Najafabad, IranPhone: +98 (31) 42291111
Fax: +98 (31) 42291111
ddehghani55@yahoo.com
Article History
Received: September 17, 2017Accepted: May 23, 2018
ePublished: July 23, 2018
ABSTRACT
Aims
Given the importance of quality of life among addicts for more effective
treatment, this research was designed to assess the effectiveness of acceptance
and commitment therapy on quality of life in patients undergoing methadone
maintenance therapy.
Materials & Methods The present study was a semi-experimental design with control group. The study population was all addicts under Methadone maintenance treatment (MMT) in addiction treatment clinics in Isfahan in 2017. Through cluster sampling, one center was selected. With target sampling 24 people were chosen, and divided randomly into control and experimental groups. Intervention based on acceptance and commitment was held to the experimental group for 8 sessions. The control group did not receive any intervention. Quality of life Questionnaire (WHOROL-BREF, 1996) was used in both groups in pretest and post–test. Data analyzed by spss software V-23, and One-variable covariance analysis.
Findings ANCOVA analysis results showed the effectiveness of treatment in increasing the quality of life in the experimental group compared with the control group.
Conclusion Acceptance and commitment treatment techniques is effective in quality of life of patients.
Materials & Methods The present study was a semi-experimental design with control group. The study population was all addicts under Methadone maintenance treatment (MMT) in addiction treatment clinics in Isfahan in 2017. Through cluster sampling, one center was selected. With target sampling 24 people were chosen, and divided randomly into control and experimental groups. Intervention based on acceptance and commitment was held to the experimental group for 8 sessions. The control group did not receive any intervention. Quality of life Questionnaire (WHOROL-BREF, 1996) was used in both groups in pretest and post–test. Data analyzed by spss software V-23, and One-variable covariance analysis.
Findings ANCOVA analysis results showed the effectiveness of treatment in increasing the quality of life in the experimental group compared with the control group.
Conclusion Acceptance and commitment treatment techniques is effective in quality of life of patients.
Keywords:
Acceptance and commitment therapy (ACT),
Quality of Life ,
Methadone maintenance treatment,
CITATION LINKS
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[16]Lee NK, Cameron J, Jenner L. A systematic review of interventions for co-occurring substance use and borderline personality disorders. Drug Alcohol Rev. 2015;34(6):663-72.
[17]Ghandehari A, Dehghani A. Effectiveness of group schema therapy on disconnection-rejection and impaired autonomy-performance in men under methadone maintenance treatment. J Health System Res. 2018;14(2):227-34. [Persian]
[18]Akbarkhah Golsefidi M, Dehghani A. Effectiveness of acceptance and commitment therapy on depression and self-steem in women with major depression disorder. 2018;13(4):515-21. [Persian]
[19]Moradi K, Dehghani A. Effectiveness of acceptance and commitment therapy on happiness and social desirability of women in seminary. J Cult Educ Women Fam. 2018;12(42):113-26. [Persian]
[20]Howells A, Ivtzan I, Eiroa-Orosa JF. Putting the ‘app’ in happiness: a randomised controlled trial of a smartphone-based mindfulness intervention to enhance wellbeing .J Happiness Stud. 2016;17(1):163–85.
[21]Hor M, Aghaei A, Abedi A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci. 2013;11(2). [Persian]
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[24]Folk F, Parling T, Melin L. Acceptance and commitment therapy for depression: a preliminary randomized clinical trial for unemployed on long-term sick leave. Cogn Behav Pract. 2012;19(4):583-94.
[25]Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cogn Behav Pract. 2009;16(4):430–42.
[26]Peterson DB, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. Cogn Behav Pract. 2011;18(4):577–87.
[27]Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The world health organization quality of life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006;4(4):1-12. [Persian]
[28]Narimani M, Alamdari E, Abolghasemi. The study of the efficiency of acceptance and commitment-based therapy on the quality of infertile women’s life. J Fam Counsel Psychothe. 2014;4(3):387-405. [Persian]
[29]Mohabbat Bahar S, Maleki F, Akbari ME, Moradi Joo M. The effectiveness of group psychotherapy based on acceptance and commitment on quality of life in women with breast cancer. J Thought Behav Clin Psychol. 2014;9(34):17-26. [Persian]
[30]Kiani A, Ghasemi N, Pourabbas A. the comparison of the efficacy of group psychotherapy based on acceptance and commitment therapy, and mindfulness on craving and cognitive emotion regulation in methamphetamine addicts. J Res Addict. 2013;6(24):27-36. [Persian]
[31]Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2004;35(4):639-65.
[32]Stotts AL, Masuda A, Wilson K. Using acceptance and commitment therapy during methadone dose reduction: rationale, treatment description, and a case report. Cogn Behav Pract. 2009;16(2):205-13.
[33]Wicksell RK, Kanstrup M, Kemani MK, Holmstrom L, Olsson G. Acceptance and commitment therapy for children and adolescents with physical health concerns. Curr Opin Psychol. 2015;2:1-5.
[34]Bricker J, Tollison S. Comparison of motivational interviewing with acceptance and commitment therapy: a conceptual and clinical review. Behav Cogn Psychother. 2011;39(5):541-59.
[35]Hayes SC, Wilson KG, Gifford EV, Bissett R, Piasecki M, Batten SV, et al. A preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance-abusing methadone-maintained opiate addicts. Behav Ther. 2004;35(4):667-88.
[2]Ekhtiari H, Rezvanfard M, Mokri A. impulsivity and its different assessment tools: a review of view points and conducted researches. Iranian J Psychiatr Clin Psychol. 2008;14(3):247-57. [Persian]
[3]Jandaghi F, Neshat-Doost HT, Kalantari M, Jabal-Ameli SH. The effectiveness of cognitive-behavioral stress management group training on anxiety and depression of addicts under methadone maintenance therapy (MMT). J Clin Psychol. 2013;4(4): 41-50. [Persian]
[4]Mohseni-Tabrizi A, Jazayeri A, Babaei N. Factors Affecting substance abuse in iran: a meta-analysis of 49 psychosocial studies. J Soc Probl. 2012;1(1):175-200. [Persian]
[5]Ghorbany T, Mohamad Khany SH, Saramy GH. The comparison of effectiveness of cognitive-behavioral group therapy based on coping skills and methadone maintenance treatment in improvement of emotional regulation strategies and relapse prevention. J Res Addict. 2011;5(17):59-74. [Persian]
[6]Newcombe DA, Bochner F, White JM, Somogyi AA. Evaluation of levo-alpha-acetylmethdol (LAAM) as an alternative treatment for methadone maintenance patients who regularly experience withdrawal: a pharmacokinetic and pharmacodynamic analysis. Drug Alcohol Depend. 2004;76(1):63-72.
[7]Issazadegan A, Mikayili Manee F, Ghaderpur S, Sheikhi S, Kargar B. THE effectiveness of training cognitive emotion regulation srategies and methadone treatement on improving the quality of life of men with substance use. J Urmia Univ Med Sci. 2014;25(5):425-34. [Persian]
[8]Momeni F, Moshtagh N, Poorshahbaz A. Effectiveness of cognitive-behavioral group therapy on improving quality of life in opiate addicts under methadone maintenance treatment. J Res Addict. 2013;7(27):79-92. [Persian]
[9]Katsching H. Quality of life in mental disorders: challenges for research and clinical practice. World Psychiatry. 2006;5(3):139-45.
[10]Gonzalez MA, Fernandez P, Rodriguez F, Villagra P. Long-term outcomes of acceptance and commitment therapy in drug-dependent female inmates: a randomized controlled trial. Int J Clin Health Psychol. 2014;14(1):18-27.
[11]Stafford-Brown J, Pakenham KI. The effectiveness of an ACT informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. J Clin Psychol. 2012;68(6):592-13.
[12]Izadi R, Adedi MR. Acceptance and commitment therapy. 4th Ed. Tehran: Jangal; 2014. [Persian]
[13]Twohig MP. The application of acceptance and commitment therapy to obsessive-compulsive disorder. Cognit Behav Pract. 2009;16(1):18-28.
[14]Smout MF, Longo M, Harrison S, Minniti R, Wickes W, White JM. Psychosocial treatment for methamphetamine use disorders: a preliminary randomized controlled trial of cognitive behavior therapy and acceptance and commitment therapy. Subst Abus. 2010;31(2):98-107.
[15]Shorey RC, Stuart GL, Anderson S. Differences in early maladaptive schemas between a sample of young adult female substance abusers and a non-clinical comparison group. Clin Psychol Psychother. 2014;21(1):21-8.
[16]Lee NK, Cameron J, Jenner L. A systematic review of interventions for co-occurring substance use and borderline personality disorders. Drug Alcohol Rev. 2015;34(6):663-72.
[17]Ghandehari A, Dehghani A. Effectiveness of group schema therapy on disconnection-rejection and impaired autonomy-performance in men under methadone maintenance treatment. J Health System Res. 2018;14(2):227-34. [Persian]
[18]Akbarkhah Golsefidi M, Dehghani A. Effectiveness of acceptance and commitment therapy on depression and self-steem in women with major depression disorder. 2018;13(4):515-21. [Persian]
[19]Moradi K, Dehghani A. Effectiveness of acceptance and commitment therapy on happiness and social desirability of women in seminary. J Cult Educ Women Fam. 2018;12(42):113-26. [Persian]
[20]Howells A, Ivtzan I, Eiroa-Orosa JF. Putting the ‘app’ in happiness: a randomised controlled trial of a smartphone-based mindfulness intervention to enhance wellbeing .J Happiness Stud. 2016;17(1):163–85.
[21]Hor M, Aghaei A, Abedi A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci. 2013;11(2). [Persian]
[22]Anvari M, Neshatdost H. Effectiveness of acceptance and commitment therapy on indices Pain, stress, anxiety, depression, disaster-concept and life satisfaction Male patients with chronic pain. [Dissertation]. Isfahan: University of Isfahan; 2013. [Persian]
[23]Bohlmeijer ET, Lamers SM, Fledderus M. Flourishing in people with depressive symptomatology increases with acceptance and commitment therapy. Post-hoc analyses of a randomized controlled trial. Behav Res Ther. 2015;65:101-6.
[24]Folk F, Parling T, Melin L. Acceptance and commitment therapy for depression: a preliminary randomized clinical trial for unemployed on long-term sick leave. Cogn Behav Pract. 2012;19(4):583-94.
[25]Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cogn Behav Pract. 2009;16(4):430–42.
[26]Peterson DB, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. Cogn Behav Pract. 2011;18(4):577–87.
[27]Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The world health organization quality of life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006;4(4):1-12. [Persian]
[28]Narimani M, Alamdari E, Abolghasemi. The study of the efficiency of acceptance and commitment-based therapy on the quality of infertile women’s life. J Fam Counsel Psychothe. 2014;4(3):387-405. [Persian]
[29]Mohabbat Bahar S, Maleki F, Akbari ME, Moradi Joo M. The effectiveness of group psychotherapy based on acceptance and commitment on quality of life in women with breast cancer. J Thought Behav Clin Psychol. 2014;9(34):17-26. [Persian]
[30]Kiani A, Ghasemi N, Pourabbas A. the comparison of the efficacy of group psychotherapy based on acceptance and commitment therapy, and mindfulness on craving and cognitive emotion regulation in methamphetamine addicts. J Res Addict. 2013;6(24):27-36. [Persian]
[31]Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2004;35(4):639-65.
[32]Stotts AL, Masuda A, Wilson K. Using acceptance and commitment therapy during methadone dose reduction: rationale, treatment description, and a case report. Cogn Behav Pract. 2009;16(2):205-13.
[33]Wicksell RK, Kanstrup M, Kemani MK, Holmstrom L, Olsson G. Acceptance and commitment therapy for children and adolescents with physical health concerns. Curr Opin Psychol. 2015;2:1-5.
[34]Bricker J, Tollison S. Comparison of motivational interviewing with acceptance and commitment therapy: a conceptual and clinical review. Behav Cogn Psychother. 2011;39(5):541-59.
[35]Hayes SC, Wilson KG, Gifford EV, Bissett R, Piasecki M, Batten SV, et al. A preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance-abusing methadone-maintained opiate addicts. Behav Ther. 2004;35(4):667-88.