@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(2):93-99
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(2):93-99
Effectiveness of Acceptance and Commitment-Based Treatment on the Psychological Well-being of Chemical Veterans in Kermanshah, Iran
ARTICLE INFO
Article Type
Original ResearchAuthors
Yaghoobi A. (*1)Karimi K. (1)
(*1) Department of Psychology, Faculty of Social Sciences and Economics, Bu Ali Sina University, Hamedan, Iran
Correspondence
Address: Faculty of Social Sciences and Economics, Bu Ali Sina University, Shahid Mostafa Ahmadi Roshan Street, Hamedan, Iran. Postal Code: 6516738695Phone: +98 (81) 38381264
Fax: +98 (81) 38380628
yaghobi41@yahoo.com
Article History
Received: January 27, 2020Accepted: May 4, 2021
ePublished: June 17, 2020
ABSTRACT
Aims
One of the areas of veterans' lives that may be affected by war and its long-term consequences is psychological well-being, which demonstrates an individual's ability to understand the purpose of life and the positive consequences of personal growth. The aim of this study was to determine the effectiveness of acceptance and commitment-based treatment on the psychological well-being of chemical veterans.
Materials & Methods In this quasi-experimental study with pretest-posttest design with a control group, 50 chemical warfare veterans of Kermanshah in 2017 were selected by purposive sampling and randomly assigned to experimental and control groups. The research tool was Ryff Psychological Well-Being Scale. Acceptance and commitment therapy training was performed in 10 sessions of 45 minutes for the experimental group. Data were analyzed by SPSS 22 statistical software using multivariate analysis of covariance.
Findings Acceptance and commitment based therapy in the experimental group improved the subscales scores of positive relationships with others, mastery of the environment, purposeful living and self-acceptance (p<0.001) and autonomy and personal growth (p<0.002).
Conclusion Acceptance and commitment therapy training improves the level of psychological well-being in chemical veterans.
Materials & Methods In this quasi-experimental study with pretest-posttest design with a control group, 50 chemical warfare veterans of Kermanshah in 2017 were selected by purposive sampling and randomly assigned to experimental and control groups. The research tool was Ryff Psychological Well-Being Scale. Acceptance and commitment therapy training was performed in 10 sessions of 45 minutes for the experimental group. Data were analyzed by SPSS 22 statistical software using multivariate analysis of covariance.
Findings Acceptance and commitment based therapy in the experimental group improved the subscales scores of positive relationships with others, mastery of the environment, purposeful living and self-acceptance (p<0.001) and autonomy and personal growth (p<0.002).
Conclusion Acceptance and commitment therapy training improves the level of psychological well-being in chemical veterans.
CITATION LINKS
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[17]Omidi A, Shabanzadeh Fini M, Akbari H, Akasheh G. The effects of mindfulness-based stress reduction on emotional regulation and psychological well-being of Iranian veteran's homemakers with secondary posttraumatic stress disorder. Arch Trauma Res. 2017;6(4):82-6. [Persian]
[18]Fathieashtiani A, Tavalaiy SA, Azizabadie Farahani M, Moghanie Lankarani M. Relation between psychological signs and self-esteem in chemical victims in Sardasht. Mil Med. 2007;9(4):273-82. [Persian]
[19]Tavalaee A. the chemical veteran’s quality of life 15 years after exposure mustard gas. Int J Behav Sci. 2007;1(1):17-25. [Persian]
[20]Rabie M, Zerehpush A, Palahang H, Zarie Mahmood Abadi H. Relationship between components of cognitive emotion regulation and anxiety disorders in child and adolescent. J Res Behave Sci. 2013;11(5):363-74. [Persian]
[21]Ryff CD. Psychological well-being in adult life. Curr Dir Psychol Sci. 1995;4(4):99-104.
[22]Shokri O, Kadivar P, Farzad V, Daneshvarpour Z, Dastjerdi R, Paeezi M. A Study of Factor Structure of 3, 9 and 14-item Persian Versions of Ryff's Scales Psychological Well-being in University Students. Iran J Psychiatry Clin Psycol. 2008;14(2):152-61. [Persian]
[23]Karimi K, Kavousian J, Karamati H, Arabzadeh M, Ramezani V. Structural model of perfectionism, academic motivation with psychological well-being in high school students. J Appl Psychol. 2016;3(39):311-27. [Persian]
[24]Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance based therapies. In: O’donohue O, Fisher JE, editors. Cognitive behavior therapy: Applying empirically supported treatments in your practice. 2nd Edition. Hoboken: John Wiley & Sons, Inc; 2008.
[25]Zettle RD. Act with affective disorders. In: Hayes SC, Strosahl KD, editors. A Practical guide to acceptance and commitment therapy. New York: Springer; 2008.
[26]Hayes sc. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2010;35(4):639-65.
[27]Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008;31(1):23-33.
[28]Kearney DJ, Simpson TL, Malte CA, Felleman B, Martinez ME, Hunt SC. Mindfulness-based stress reduction in addition to usual care is associated with improvements in pain, fatigue, and cognitive failures among veterans with gulf war illness. American J Med. 2016;129(2):204-14.
[29]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.
[30]Barzegari Dehaj A, Jorjandi A, Hossinsabet F. Efficiency of the acceptance and commitment therapy on individual`s psychological well-being in people with epilepsy in Imam Hossein Hospital in the autumn and winter of 2015. J Ilam Uni. 2017;25(1):138-47. [Persian]
[31]Serpa JG, Taylor SL, Tillisch K. Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Med Care. 2014;52(12):S19-24.
[32]Abbasi M, Khazan K, Pirani Z, Ghasemi Jobaneh R. Effectiveness of treatment based on acceptance and commitment on cognitive-emotional functions of veterans. Iran J War Public Health. 2016;8(4):203-8. [Persian]
[2]Arefnasab Z, Babamahmoodi A, Babamahmoodi F, Noorbala AA, Alipour A, Panahi Y, et al. Mindfulness-based stress reduction (MBSR) and its effects on psychoimmunological factors of chemically pulmonary injured veterans. Iran J Allergy Asthma Immunol. 2016;15(6):476-86.
[3]McFarlane AC. The impact of war on mental health: Lest we forget. World Psychiatry. 2015;14(3):351.
[4]Altimus C, Ford W, Chapman B, Tillery C. The importance of a holistic safety, health, and wellness research program. Nat Inst J. 2017;(278).
[5]Mamdouh F, Lazarus H. Subjective well-being in rich and poor countries. J Manag Dev. 2008;27(11):1053-65.
[6]Talaeikhoei M, Nematirezvani H, Fischerauer SF, Ring D, Chen N, Vranceanu AM. Emotion regulation strategies mediate the associations of positive and negative affect to upper extremity physical function. Compr Psychiatr. 2017;75:85-93.
[7]Lapa TY. Physical activity levels and psychological well-being: A case study of university students. Soc Behav Sci. 2015;186:739-43.
[8]Korinek K, Loebach P, Teerawichitchainan B. Physical and mental health consequences of war-related stressors among older adults: An analysis of posttraumatic stress disorder and arthritis in northern Vietnamese war survivors. J Gerontol Ser B Psychol Sci Soc Sci. 2017;72(6):1090-102.
[9]Herbert JD. Acceptance and commitment therapy: An experiential approach to behavior change, S.C. Hayes, K.D. Strosahl, K.G. Wilson, Guilford Press, New York (1999). Cogn Behav Pract. 2002;9(2):164-6.
[10]Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. New York City: Guilford Press; 2011.
[11]Wolitzkytaylor KB, Arch JJ, Rosenfield D, Craske MG. Moderators and non-specific predictors of treatment outcome for anxiety disorders: A comparison of cognitive behavioral therapy to acceptance and commitment therapy. J Consult Clin Psychol. 2012;80(5):786-99.
[12]Segal ZV, Teasdale JD. Mindfulness-based cognitive therapy for depression. 2nd Edition. New York City: Guilford Press; 2018.
[13]Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy model processes and outcomes. Behav Rese Ther. 2006;44:1-25.
[14]Bahreini Z, Sanagouye-Moharer Gh. Effectiveness of acceptance and commitment therapy on psychological well-being and resiliency of abandoned adolescents. SALAMAT IJTIMAI Commun Health. 2019;6(1):70-9. [Persian]
[15]Saeidi M, Khalatbari J. The effectiveness of acceptance/commitment therapy on adjustment and quality of life of disabled persons in welfare organization. J Educ Psychol. 2016;7(1):53-62. [Persian]
[16]Brown M, Glendenning AC, Hoon AE, John A. Effectiveness of web-delivered acceptance and commitment therapy in relation to mental health and well-being: A systematic review and meta-analysis. J Med Internet Res. 2016;18(8):221.
[17]Omidi A, Shabanzadeh Fini M, Akbari H, Akasheh G. The effects of mindfulness-based stress reduction on emotional regulation and psychological well-being of Iranian veteran's homemakers with secondary posttraumatic stress disorder. Arch Trauma Res. 2017;6(4):82-6. [Persian]
[18]Fathieashtiani A, Tavalaiy SA, Azizabadie Farahani M, Moghanie Lankarani M. Relation between psychological signs and self-esteem in chemical victims in Sardasht. Mil Med. 2007;9(4):273-82. [Persian]
[19]Tavalaee A. the chemical veteran’s quality of life 15 years after exposure mustard gas. Int J Behav Sci. 2007;1(1):17-25. [Persian]
[20]Rabie M, Zerehpush A, Palahang H, Zarie Mahmood Abadi H. Relationship between components of cognitive emotion regulation and anxiety disorders in child and adolescent. J Res Behave Sci. 2013;11(5):363-74. [Persian]
[21]Ryff CD. Psychological well-being in adult life. Curr Dir Psychol Sci. 1995;4(4):99-104.
[22]Shokri O, Kadivar P, Farzad V, Daneshvarpour Z, Dastjerdi R, Paeezi M. A Study of Factor Structure of 3, 9 and 14-item Persian Versions of Ryff's Scales Psychological Well-being in University Students. Iran J Psychiatry Clin Psycol. 2008;14(2):152-61. [Persian]
[23]Karimi K, Kavousian J, Karamati H, Arabzadeh M, Ramezani V. Structural model of perfectionism, academic motivation with psychological well-being in high school students. J Appl Psychol. 2016;3(39):311-27. [Persian]
[24]Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance based therapies. In: O’donohue O, Fisher JE, editors. Cognitive behavior therapy: Applying empirically supported treatments in your practice. 2nd Edition. Hoboken: John Wiley & Sons, Inc; 2008.
[25]Zettle RD. Act with affective disorders. In: Hayes SC, Strosahl KD, editors. A Practical guide to acceptance and commitment therapy. New York: Springer; 2008.
[26]Hayes sc. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther. 2010;35(4):639-65.
[27]Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008;31(1):23-33.
[28]Kearney DJ, Simpson TL, Malte CA, Felleman B, Martinez ME, Hunt SC. Mindfulness-based stress reduction in addition to usual care is associated with improvements in pain, fatigue, and cognitive failures among veterans with gulf war illness. American J Med. 2016;129(2):204-14.
[29]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.
[30]Barzegari Dehaj A, Jorjandi A, Hossinsabet F. Efficiency of the acceptance and commitment therapy on individual`s psychological well-being in people with epilepsy in Imam Hossein Hospital in the autumn and winter of 2015. J Ilam Uni. 2017;25(1):138-47. [Persian]
[31]Serpa JG, Taylor SL, Tillisch K. Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Med Care. 2014;52(12):S19-24.
[32]Abbasi M, Khazan K, Pirani Z, Ghasemi Jobaneh R. Effectiveness of treatment based on acceptance and commitment on cognitive-emotional functions of veterans. Iran J War Public Health. 2016;8(4):203-8. [Persian]