@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(3):157-164
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(3):157-164
Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Psychosocial Needs of Veterans
ARTICLE INFO
Article Type
Original ResearchAuthors
Asgharnejad Farid A.A. (*1)Mirmohammadali M. (2)
Ahadi H. (3)
Nasiri A. (4)
(*1) Department of Psychology, Psychology Faculty, Iran University of Medical Sciences, Tehran, Iran
(2) Department of Psychology, Psychology Faculty, Edalat University, Tehran, Iran
(3) Department of Psychology, Psychology Faculty, Allameh Tabatabaei University, Tehran, Iran
(4) Sadr Psychiatric Hospital, Tehran, Iran
Correspondence
Address: School of Behavioral Sciences and Mental Health, Shahid Mansouri Street, Niyayesh Street, Satarkhan Avenue,Tehran, Iran. Postal code: 1445613111.Phone: +98 (21) 66551655
Fax: +98 (21) 66551655
asgharnrjad.ali@gmail.com
Article History
Received: September 12, 2020Accepted: January 16, 2021
ePublished: March 14, 2021
ABSTRACT
Aims
Mental disorders are a common problem in combatants, veterans, and their families. This study aimed to evaluate the effectiveness of cognitive-behavioral therapy and treatment based on acceptance and commitment to veterans' psychosocial needs.
Materials & Methods This quasi-experimental study was conducted with a pretest-posttest design with a control group in all psychiatric veterans in Tehran in 2018. Thirty psychiatric veterans were purposefully selected and were randomly assigned to two experimental groups (10 people each) and a control group (10 people). Data were collected using the Basic Psychological Needs, Post Traumatic Stress, Acceptance, and Operation Questionnaires. Cognitive-behavioral therapy sessions and acceptance and commitment-based therapy were held in 10 sessions, twice a week, for 90 minutes in each session for the experimental groups. Data were analyzed using SPSS 24 software and multivariate analysis of covariance and independent t-test.
Findings Cognitive-behavioral therapy could significantly affect veterans' basic psychological needs and their components and increase the capacity of basic needs in veterans undergoing cognitive-behavioral therapy compared to the control group. Also, acceptance and commitment therapy could have a significant effect on the basic psychological needs and the component of autonomy and competence of veterans (p<0.05), but this effect was not significant on the component of communication with others (p>0.05).
Conclusion Cognitive-behavioral therapy and therapy based on acceptance and commitment affect the veterans' basic psychological needs.
Materials & Methods This quasi-experimental study was conducted with a pretest-posttest design with a control group in all psychiatric veterans in Tehran in 2018. Thirty psychiatric veterans were purposefully selected and were randomly assigned to two experimental groups (10 people each) and a control group (10 people). Data were collected using the Basic Psychological Needs, Post Traumatic Stress, Acceptance, and Operation Questionnaires. Cognitive-behavioral therapy sessions and acceptance and commitment-based therapy were held in 10 sessions, twice a week, for 90 minutes in each session for the experimental groups. Data were analyzed using SPSS 24 software and multivariate analysis of covariance and independent t-test.
Findings Cognitive-behavioral therapy could significantly affect veterans' basic psychological needs and their components and increase the capacity of basic needs in veterans undergoing cognitive-behavioral therapy compared to the control group. Also, acceptance and commitment therapy could have a significant effect on the basic psychological needs and the component of autonomy and competence of veterans (p<0.05), but this effect was not significant on the component of communication with others (p>0.05).
Conclusion Cognitive-behavioral therapy and therapy based on acceptance and commitment affect the veterans' basic psychological needs.
Keywords:
Psychosocial Needs ,
Veterans ,
Cognitive Behavioral Therapy ,
Acceptance and Commitment Therapy ,
CITATION LINKS
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[2]Malkari B, Karimian N. Psychological-social consequences chemical bombardment of the Sardasht victims (a qualitative study). Iran J War Public Health. 2013;5(3):7-13. [Persian]
[3]Asghari F, Sayadi A, Saadat S, Rashidi E. Prioritizing the needs of Guilan province’s less than 25%veterans from the viewpoint of them and their spouses. Iran J War Public Health. 2015;7(3):133-8. [Persian]
[4]Mohagheghi H, Dousti P, Jafari D. The effectiveness of acceptance and commitment therapy on reduction, generalized anxiety disorder, social phobia and health anxiety in students. Clin Psychol Stud. 2016;6(23):81-94. [Persian]
[5]Walser RD, Garvert DW, Karlin BE, Trockel M, Ryu DM, Taylor CB. Effectiveness of Acceptance and Commitment Therapy in treating depression and suicidal ideation in Veterans. Behav Res Ther. 2015;74:25-31.
[6]Hoseinzadeh AA. The effectiveness of cognitive-behavioral therapy on increasing the mental well-being of addicts. Quart Psychol Educ Sci Stud. 2018;4(1):32-9. [Persian]
[7]Sadock BJ, Sadock VA, Kaplan HI. Synopsis of psychiatry behavioral sciences/clinical psychiatry. Rezaei F, translator. 3rd Volume. Tehran: Arjmand; 2007. [Persian]
[8]Aslani M, Hashemian K, Lotfi F, Mirzaei J. Effectiveness of cognitive behavioral therapy in war post traumatic stress disabled veterans. J Thought Bahav Clinic Psychol. 2007;1(3):6-17. [Persian]
[9]Shubina I. Cognitive-behavioral Therapy of Patients with PTSD: Literature Review. Proced Soc Behav Sci. 2015;165:208-16.
[10]Ganji M. Psychopathology based on 5-DSM. Tehran: Savalan; 2014. [Persian]
[11]Salehi H, Ghamarani A, Salehi Z. The relationship between basic need satisfaction and general health of veteran sof Isfahan’s Amiralmomenin Hosptital. Iran J War Public Health. 2014;6(2):1-9.
[12]Vlachopoulos S, Asci FH, Cid L, Ersoz G, Gonzalez-Cutre D, Moreno-Murcia JA, et al. Cross-cultural invariance of the basic psychological needs in exercise scale and need satisfaction latent mean differences among Greek, Spanish, Portuguese and Turkish samples. Psychol Sport Exercise. 2013;14(5):622-31.
[13]Bach P, Moran DJ, Moran DJ. Act in practice: Case conceptualization in Acceptance and Commitment Therapy. Unknown City: New Harbinger Publications; 2008
[14]McKay M, Fanning P, Lev A, Skeen M. The interpersonal problems workbook: ACT to end painful relationship patterns. Hamidpour H, Mirzabeig AM, translators. Tehran: Arjmand; 2012. [Persian]
[15]Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Publications; 2003.
[16]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.
[17]Hayes SC, Strosahl KD. A practical guide toacceptance and commitment therapy. New York: Springer Science & Business Media; 2010.
[18]La Guardia JG, Ryan RM, Couchman CE, Deci EL. Within-person variation in security of attachment: A self-determination theory perspective on attachment, need fulfillment, and well-being. J Person Soc Psychol. 2000;79(3):367-84.
[19]Salehi H, Ghamarani A, Salehi Z. The relationship between basic need satisfaction and general healthof veteransofIsfahan’s AmiralmomeninHosptital. Iran J War Public Health. 2014;6(2):1-9. [Persian]
[20]Weathers FW, Litz BT, Herman DS, Huska JA, Keane T. The PTSD checklist (PCL), reliability, validity & diagnostic utility. The 9th Annual Meeting of the international Society for Traumatic Stress Disorders Studies, 18 October, Sam Antoniou, TX, 1993.
[21]Mirzaee Gh. Evaluation of the effectiveness of acceptance and commitment-based therapy on empirical avoidance, stress, anxiety, depression, and PTSD symptoms in Iran-Iraq war veterans [Dissertation]. Tehran: Ialamic Azad University, Scinece and Research Branch; 2018. [Persian]
[22]Mirzaee J, Imani S. Validation of PTSD interview on veterans with war related physical and mental complications. Third Congress of Clinical Psychology Research, Imam Khomeini Hospital, 21-23 February 2011. [Persian]
[23]Keleher B. Addressing basic psychological needs fulfillment, autonomous motivat, and working alliance in psychotherapy [Dissertation]. Waterloo: University of Waterloo; 2015.