عنوان مقاله [English]
Introduction: Multiple sclerosis is a chronic progressive disease of the central nervous system that affects the quality of life of individuals. Acceptance and commitment group therapy is one of the treatments of the third wave of behavior therapy that leads to improving the quality of life in people with chronic diseases. The purpose of this study was to investigate the effectiveness of acceptance and commitment group therapy on improving the quality of life in patients with multiple sclerosis.
Method: The present study use a semi-experimental design, with a pretest-posttest and control group paradigm. Among patients referred to the Semnan MS Society, 30 patients were selected and assigmented randomly to the research groups. The Quality of Life Questionnaire was used to examine quality of life of MS patients. The experimental group received acceptance and commitment group therapy in ten sessions. Following the therapeutic intervention both groups were filled questionnaires again and extracted data were analyzed by a Multivariate Analysis of Covariance.
Results: The findings showed that the acceptance and commitment group therapy was effective on the health status, severity of burnout, pain effects, mental health and perception of subject, whereas no effect observed for supportive contexts and sexual satisfaction.
Conclusion: Based on the findings of the present study, acceptance and commitment group therapy can improve the quality of life in the patients with multiple sclerosis and is recommended to clinicians.
1- Sheppard SC, Forsyth JP, Hickling EJ, Bianchi J. A novel application of acceptance and commitment therapy for psychosocial problems associated with multiple sclerosis: Results from a half-day workshop intervention:Int J MS Care. 2010; 12(4): 200-6.
2- Rigikote B, Yazdkhasti F, Etemadifar M. The effectiveness of Dohsa-hou psychological rehabilitation program on severity of fatigue, depression, anxiety, stress and improve the quality of life in subjects with multiple sclerosis (MS): J Rehabilitation sci. 2013; 33: 445-57.
3- Motaharinezhad F, Seyed S, Zeinali R. The impact of mental practice on sleep quality, fatigue, functional balance and gaiting in patient with multiple sclerosis: A case report. Koomesh. 2016; 944-9.
4- Motaharinezhad F, Parvaneh S, Bakhtiary AH, Alizadeh N, Ghahari S. The effect of mood and cognition on relationship between sleep disturbances and fatigue in people with multiple sclerosis: Koomesh. 2016; 17: 613-19.
5- Kantarci O, Wingerchuk D. Epidemiology and natural history of multiple sclerosis: new insights. Current opinion in neurology. 2006; 19(3): 248-54.
6- Sangelaji B, Salimi Y, Dastoorpour M, Mansouri T, Ashrafinia F, Esmaeilzadeh N, Asadi-lari M. The relationship between disability and quality of life in multiple sclerosis patients. Journal of Health and Development. 2013; 2(3): 203-13.
7- Kanter JW, Baruch DE, Gaynor ST. Acceptance and commitment therapy and behavioral activation for the treatment of depression: Description and comparison. The Behavior Analyst. 2006; 29(2): 161-85.
8- Benedict RH, Wahlig E, Bakshi R, Fishman I, Munschauer F, Zivadinov R. Predicting quality of life in multiple sclerosis: accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change.J Neurol Sci. 2005; 231(1): 29-34.
9- Malachy B, Donald M, Lindsey S. Psychological adaptation and quality of life in multiple sclerosis: Assessment of the disability centrality model. Journal of Rehabilitation. 2007; 1: 245-51.
10- Coroides D. Quality of life in patients with choroidal melanoma. Arch Soc Esp Oftalmol. 2008; 83: 301-6.
11- Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006; 44(1): 1-25.
12- Hamid N, Mehrabi Zadeh Honarmand M, Sadeghi S. The Effect of Stress Inoculation Training (SIT) on depression on quality of life in multiple sclerosis (MS) on patients with control Duration of Disease in Esfahan city. J jundyshapuor Medi Sci. 2012; 11: 77-84.
13- Khezri-Moghadam N, Ghorbani M, Bahrami Ehsan H , Rostami R. The effect of Group Therapy on decrease psycho symptom in multiple Sclerosis patients. . J Clin psycho. 2012; 13: 13-22.
14- Gharaei-Ardakani Sh, Azadfallah P, Tavallie A. The Effectiveness of Acceptance and Commitment Therapy on pain Experience in women with chronic pain. Journal of Clinical Psychology. 2012; 2: 1-5.
15- Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy 2009; 77-101.
16- Rajabi S, Yazdkhasti F. The Effectiveness of Acceptance and Commitment Group Therapy on Anxiety and Depression in Women with MS Who Were Referred to the MS Association. Journal of Clinical Psycology. 2014; 21(1): 29-38.
17- Twohig MP. Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice. 2009; 16(3): 243-52.
18- Irandoost F, Neshatdoost HT, Nadi MA, Safary S. The Effectiveness of Acceptance and Commitment Therapy (ACT) on the rate of pain intensity in woman with chronic low back pain. Journal of Clinical Psychology. 2014; 22: 89-96.
19- Gregg JA, Callaghan GM, Hayes SC, Glenn-Lawson JL. Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of consulting and clinical psychology. 2007; 75(2): 336.
20- Izadi R, Neshatdust H, Asgari K, Abedi M. Comparison of the efficacy of Acceptance and Commitment Therapy and Cognitive-Behavior Therapy on symptoms of treatment of patients with obsessive-compulsive disorder. J Res Behave Sci. 2014; 12(1): 19-33.
21- McCracken LM, Vowles KE, Eccleston C. Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour research and therapy. 2005; 43(10):1335-46.
22- Arch JJ, Eifert GH, Davies C, Vilardaga JCP, Rose RD, Craske MG. Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of consulting and clinical psychology. 2012; 80(5): 750.
23- Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on Depression in patients with type 2 diabetes. J Res Behav. 2013; 11: 121-12.
24- Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process. Journal of consulting and clinical psychology. 2008;76(3): 397.
25- Fructuoso M, Castro R, Oliveira L, Prata C, Morgado T. Quality of life in chronic kidney disease. J Nefrologia. 2011; 31(1): 91-6.
26- Anvari MH, Ebrahimi A, Neshatdoost HT, Afshar H, Abedi A. The effectiveness of group-based acceptance and commitment therapy on pain-related anxiety, acceptance of pain and pain intensity in patients with chronic pain. J Isfahan Med Sci. 2014; 295: 1-10.