Volume 34, Issue 5 (August 2023)
Studies in Medical Sciences 2023, 34(5): 290-298 |
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Hadian S, Havasi Soomar N, Hosseinzadeh Taghvaei M, Ebrahimi M I, Ranjbaripour T. THE EFFECTIVENESS OF TREATMENT BASED ON ACCEPTANCE AND COMMITMENT ON PSYCHOLOGICAL FLEXIBILITY AND SELF EFFICACY OF DIVORCED WOMEN. Studies in Medical Sciences 2023; 34 (5) :290-298
URL: http://umj.umsu.ac.ir/article-1-6022-en.html
URL: http://umj.umsu.ac.ir/article-1-6022-en.html
Saba Hadian 
, Nahid Havasi Soomar * , Marjan Hosseinzadeh Taghvaei , Mohammad Ismail Ebrahimi , Tahereh Ranjbaripour
, Nahid Havasi Soomar * , Marjan Hosseinzadeh Taghvaei , Mohammad Ismail Ebrahimi , Tahereh Ranjbaripour
Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran (Corresponding Author) , sarasajadifar@yahoo.com
Abstract: (823 Views)
Abstract
Background & Aims: Divorce can have a bad effect on a person's psychological flexibility and self-efficacy. The purpose of this study was to determine the effectiveness of treatment based on acceptance and commitment on psychological flexibility and self-efficacy of divorced women.
Materials & Methods: The research method was semi-experimental with a pre-test, post-test design and follow-up with a control group. The research population included all the divorced women of Hamedan city, Iran who went to the family court of Hamedan city between 2017–2021 and got divorced. From which, 2 groups of 20 people were randomly selected to the experimental control groups. Then the number diminished to 17 people. They responded to the psychological flexibility questionnaire (acceptance and action) and the general self-efficacy questionnaire of Sherer et al. The subjects of the experimental group were trained in acceptance and commitment therapy in a group manner (in the form of training and skills), 1 session of 90 minutes per week. During this period, the control group had not take any training. The data were statistically analyzed with SPSS software and using the analysis of variance test with repeated measurements and a significant level of p < 0.05.
Results: The analysis of the results showed that treatment based on acceptance and action leads to an increase in psychological flexibility and self-efficacy in divorced women. In the follow-up stage, the changes remained (P=0.010).
Conclusion: The therapy based on forgiveness and commitment can be used to increase the psychological flexibility and self-efficacy of divorced women.
Background & Aims: Divorce can have a bad effect on a person's psychological flexibility and self-efficacy. The purpose of this study was to determine the effectiveness of treatment based on acceptance and commitment on psychological flexibility and self-efficacy of divorced women.
Materials & Methods: The research method was semi-experimental with a pre-test, post-test design and follow-up with a control group. The research population included all the divorced women of Hamedan city, Iran who went to the family court of Hamedan city between 2017–2021 and got divorced. From which, 2 groups of 20 people were randomly selected to the experimental control groups. Then the number diminished to 17 people. They responded to the psychological flexibility questionnaire (acceptance and action) and the general self-efficacy questionnaire of Sherer et al. The subjects of the experimental group were trained in acceptance and commitment therapy in a group manner (in the form of training and skills), 1 session of 90 minutes per week. During this period, the control group had not take any training. The data were statistically analyzed with SPSS software and using the analysis of variance test with repeated measurements and a significant level of p < 0.05.
Results: The analysis of the results showed that treatment based on acceptance and action leads to an increase in psychological flexibility and self-efficacy in divorced women. In the follow-up stage, the changes remained (P=0.010).
Conclusion: The therapy based on forgiveness and commitment can be used to increase the psychological flexibility and self-efficacy of divorced women.
References
1. Azadegan Mehr M, Asgari Ebrahhimabad MJ, Moeenizadeh M. The Effectiveness of Mindfulness-Based Stress Reduction on Anxiety, Cognitive Flexibility and Resilience of Divorced Mothers. Q J Woman Soci 2021;12(45):69-57. doi: 10.30495/jzvj.2021.4564 [Google Scholar]
2. Shojarazavi PS, Askarizadeh G, Bagheri M. The Effectiveness of Reality Therapy based on Choice Theory on General Health and Automatic Negative Thoughts of Divorced Women. Iran J Psychiatr Nurs 2022;9(6):65-74. URL: http://ijpn.ir/article-1-1882-fa.html [URL]
3. Hald GM, Ciprić A, Øverup CS, Štulhofer A, Lange T, Sander S, Strizzi JM. Randomized controlled trial study of the effects of an online divorce platform on anxiety, depression, and somatization. J Fam Psych 2020;1(1):1-10. [DOI:10.1037/fam0000635] [PMID]
4. Asanjarani F, Jazayeri RS, Fatehizade M, Etemadi, O. &, Demol J. Exploring factors affecting post-divorce adjustment in Iranian women: A qualitative study. Soc Determ Health 2017;3(1):15-25. [DOI:10.22037/sdh.v3i1.17705]
5. Balali T, Etemadi O, Fatehizadeh M. The Study of Relationship Between Psychological Factors and Demographic Characteristics Predicting Post Divorce Adjustment Among Divorced Women in Isfahan. Q Couns Cult Psychother 2011;2(5):29-53. doi:10.22054/QCCPC.2011.5900. [URL]
6. Zafar N, Kausar R. Emotional and social problems in divorced and married women. Education 2014;2350:21-22. Availablefrom: http://sbbwu.edu.pk/journal/FWU_Journal_Summer2014,Vol.8,No.1/5_Emotional_and_Social_Problems_in_Divorced.pdf [URL]
7. John S, Nelson D V. Littleton, H, Horsley, S, Trauma coping strategies and psychological distress: a meta‐analysis. J Trauma Stress Off Publ Int Soc Trauma Stress Stud 2017;20(6):977-88. [DOI:10.1002/jts.20276] [PMID]
8. Sadock BJ. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry. Philadelphia, PA: Wolters Kluwer; 2015. https://www.amazon.com/Kaplan-Sadocks-Synopsis-Psychiatry Behavioral/dp/ 1609139 712 [URL]
9. Azarhoosh Fatideh N. The effectiveness of Forgiveness group therapy in reducing anxiety, anger and increases of hope in divorces' women. Ferdowsi University of Mashhad, Mashhad; 2017.
10. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognit Ther Res 2010;34(3):241-53. [DOI:10.1007/s10608-009-9276-4]
11. Powell EM, Ragozzino ME. Cognitive flexibility: Development, disease and treatment. Neuroscience 2016; 345:1-2. [DOI:10.1007/s10608-009-9276-4]
12. Bandura,A.Exercise of Human Agency Through Collective Efficacy. Curr Dir Psychol Sci 1997; 9(3):75-78. DOI:10.1111/1467-8721.00064 [DOI:10.1111/1467-8721.00064]
13. Holzberger D, Prestele E. Teacher self-efficacy and self-reported cognitive activation and classroom management: A multilevel perspective on the role of school characteristics. Learn Instruc 2021;101513. DOI:10.1016/j.learninstruc.2021.101513 [DOI:10.1016/j.learninstruc.2021.101513]
14. Smith LM, Erceg-Hurn D, MvEvoy PM, Lim L. Self-efficacy in bipolar disorder: Development and validation of a self-report scale. J Affect Disord 2020; 262:108-17. DOI:10.1016/j.jad.2019.10.026 [DOI:10.1016/j.jad.2019.10.026] [PMID]
15. Huang X, Lee JC, Yang X. What really counts? Investigating the effects of creative role identity and self-efficacy on teachers' attitudes towards the implementation of teaching for creativity. Teaching Teacher Edu 2021;84:57-65. 10.1016/j.tate.2019.04.017 [DOI:10.1016/j.tate.2019.04.017]
16. Rasheed A, Amr A, Fahad N. Investigating the Relationship between Emotional Divorce, Marital Expectations, and Self-Efficacy among Wives in Saudi Arabia. J Divorce Remarr 2021;62(1):19-40. DOI:10.1080/10502556.2020.1833290 [DOI:10.1080/10502556.2020.1833290]
17. Hayes Steven C, Barnes-Holmes D, Roche B. Relational frame theory: a post-Skinnerian account of human language and cognition. Advances in Child Development and Behavior. 28. New York: Kluwer Academic/Plenum Publishers. 2001;101-38. DOI: 10.1016/s0065-2407(02)80063-5 [DOI:10.1016/S0065-2407(02)80063-5] [PMID]
18. Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and commitment therapy (ACT) to reduce depression: A systematic review and meta-analysis. J Affect Disorders 2020;260:728-37. [DOI:10.1016/j.jad.2019.09.040] [PMID]
19. Paulos-Guarnieri L, Linares IMP, El Rafihi-Ferreira R. Evidence and characteristics of Acceptance and Commitment Therapy (ACT)-based interventions for insomnia: A systematic review of randomized and non-randomized trials. J Context Behav Sci 2022;23:1-14. DOI:10.1016/j.jcbs.2021.11.001 [DOI:10.1016/j.jcbs.2021.11.001]
20. Tavakoli Saleh S, Ebrahimi M E. Effectivenes of Acceptance-Commitment Therapy on the Resillience and Psycological Well-being of Female Patients with Multiple Sclerosis in Hamadan, Iran. Avicenna J Clin Med 2021;28(2):126-33. URL: http://sjh.umsha.ac.ir/article-1-2253-fa.html [DOI:10.52547/ajcm.28.2.126]
21. Hayes SC, Pistorello J, Levin ME. Acceptance and Commitment Therapy as a Unified Model of Behavior Change. Counsel Psychologist 2014;40(7):976-1002. DOI:10.1177/0011000012460836 [DOI:10.1177/0011000012460836]
22. Abasi E, Fti L, Molodi R, Zarabi H. Psychometric properties of Persian Version of Acceptance and Action Questionnaire -II'. Psychol Methods Models 2012;3(2):65-80. https://jpmm.marvdasht.iau.ir/article_61.html?lang=en [Google Scholar]
23. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The Self-Efficacy Scale: Construction and validation. Psychol Reports 1982;51(2):663-71. file:///C:/Users/mahdi/Downloads/3. ShererMMadduxMercandanteetal.1982. pdf [DOI:10.2466/pr0.1982.51.2.663]
24. Woodruff S, Cashman J. Task, domain, and general efficacy: A reexamination of the self_efficacy scale. Psychol Rep 1993;72: 423-432.
23 [DOI:10.2466/pr0.1993.72.2.4]
25. Zolfaghari M, Nikooei F, Shahbazi Seyed Ahmadiyani A, Kohanroozamiri S. The Effectiveness of Acceptance and Commitment-Based Therapy on Psychological Flexibility and Quality of Life of Divorced Women. Middle Eeast J Disabil Stud 2021;11:208-08. URL: http://jdisabilstud.org/article-1-2737-fa.html [URL]
26. Lewin RK, Acuff SF, Berlin KS, Berman JS, Murrell AR. Group-based acceptance and commitment therapy to enhance graduate student psychological flexibility: Treatment development and preliminary implementation evaluation. J Am Coll Health 2021;1-10. [DOI:10.1080/07448481.2021.1881522] [PMID]
27. Fashler Samantha R, Weinrib Aliza Z, Azam Muhammad A, Katz J. The Use of Acceptance and Commitment Therapy in Oncology Settings: A Narrative Review. Psychol Rep 2019;121(2):229-52. doi: 10.1177/0033294117726061. [DOI:10.1177/0033294117726061] [PMID]
28. Brown FL, Whittingham K, Boyd RN, McKinlay L, Sofronoff K. "Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomized controlled trial". Behav Res Ther 2015;73:58-6. [DOI:10.1016/j.brat.2015.07.001] [PMID]
29. Scott W, McCracken LM. Psychological flexibility, acceptance and commitment therapy, and chronic pain. Curr Opin Psychol 2015;2:91-6. 10.1016/j.copsyc.2014.12.013 [DOI:10.1016/j.copsyc.2014.12.013]
30. Hosseinpour, M, Samiei, L, Shojaa nahand, H, Farajzadeh, R. The effectiveness of group therapy based on acceptance and commitment on exam anxiety and self-efficacy of secondary school students. J Pouyesh Edu Consul 2022;1401(16):240-56. https://educationscience.cfu.ac.ir/article_2424.html?lang=en [Google Scholar]
31. Raeisi H, Rasouli M, kasaee A. Comparison of the effectiveness of acceptance and commitment therapy and dialectical behavioral therapy on self-efficacy of divorced women under the auspices of the imam khomeini relief committee and behzisti organization. J Psychol Sci 2021;20(106):1733-47.doi:10.52547/JPS.20.106.1733URL: http://psychologicalscience.ir/article-1-1113-fa.html [DOI:10.52547/JPS.20.106.1733]
32. Hazavei F, Robatmeili S. The Effect of "Acceptance and Commitment Therapy" on Psychological Flexibility and Behavioral Inhibition of Adolescents with Social Anxiety Disorder. J Health Promot Manag 2019;8(6):18-29. URL: http://jhpm.ir/article-1-1016-fa.html [Google Scholar]
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