[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Open Access
..
Registered in
..
Indexing and Abstracting
..
:: Volume 6, Issue 4 (Vol6 No4 Winter 2020- 2020) ::
J Child Ment Health 2020, 6(4): 253-265 Back to browse issues page
The Effect of Acceptance and Commitment Therapy on Emotional Regulation and Coping Strategies in Patients with Generalized Anxiety Disorder
Ashkan Fahlekar1 , Masoume Faal2 , Forough Zahedzadeh * 3, Omid Amani4 , Mahin Askari5
1- Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran
2- South Tehran Branch, Islamic Azad University, Tehran, Iran
3- Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
4- Faculty of Psychology and Educational Sciences, Shahid Beheshti University, Tehran, Iran
5- Department of Psychology, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Abstract:   (4057 Views)
Background and Purpose: Studies have shown that cognitive emotion regulation and the type of coping strategy are among the factors that are effective in coping with stress and anxiety. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy on emotion regulation and coping strategies for patients with generalized anxiety disorder
Method: The design of this study was quasi-experimental with pre-test and post-test with control group. The statistical population of the study consisted of all patients with generalized anxiety disorder aged 13 to 15 years referring to Psychology and Counseling Centers in Tehran in 2017. From this papulation, 30 patients were selected using purposeful sampling and were randomly assigned into two experimental and control groups (15 in each group). The experimental group received acceptance and commitment treatment for 8 sessions and the control group did not receive this intervention. Research data were collected using Cognitive Emotion Regulation Questionnaire (Gross & John, 2003) and coping styles (Jarvis, 1993). Multivariate analysis of covariance was used to analyze the data.
Results: The results showed that acceptance and commitment therapy had a significant effect on the emotion regulation components and coping styles of the experimental group (P <0.01). Also, the effect size of the cognitive emotion regulation variable was 49%, repression 53%, problem solving factor 79%, and emotion regulation factor 83%.
Conclusion: Based on the findings, it can be concluded that the commitment and acceptance treatment method teaches people how to deal with events purposefully, effectively and efficiently, and thus helps them to better understand their capacities and abilities to respond and to employ better ways to overcome stressful situations.
Keywords: Acceptance and commitment therapy, emotional regulation, coping strategies, general anxiety disorder
Full-Text [PDF 753 kb]   (1489 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/04/21 | Accepted: 2018/10/23 | Published: 2020/03/10
References
1. Arnett JJ. Adolescence and emerging adulthood. 5th Edition. New Zealand: Pearson; 2012. [Link]
2. Cohen JR, Andrews AR, Davis MM, Rudolph KD. Anxiety and depression during childhood and adolescence: testing theoretical models of continuity and discontinuity. J Abnorm Child Psychol. 2018; 46 (6): 1295-1308. [Link] [DOI:10.1007/s10802-017-0370-x]
3. Kessler RC, Sampson NA, Berglund P, Gruber MJ, Al-Hamzawi A, Andrade L, et al. Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys. Epidemiol Psychiatr Sci. 2015; 24 (3): 210-226. [Link] [DOI:10.1017/S2045796015000189]
4. Akhondzadeh S, Naghavi HR, Vazirian M, Shayeganpour A, Rashidi H, Khani M. Passionflower in the treatment of generalized anxiety: A pilot double‐blind randomized controlled trial with oxazepam. J Clin Pharm Ther. 2001; 26 (5): 363-367. [Link] [DOI:10.1046/j.1365-2710.2001.00367.x]
5. Newman MG, Llera SJ, Erickson TM, Przeworski A, Castonguay LG. Worry and generalized anxiety disorder: a review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. Annu Rev Clin Psychol. 2013; 9: 275-297. [Link] [DOI:10.1146/annurev-clinpsy-050212-185544]
6. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Pub; 2013. [Link] [DOI:10.1176/appi.books.9780890425596]
7. Rowa K, Antony MM. Generalized anxiety disorder. In: Craighead WE, Miklowitz DJ, Craighead LW, editor. Psychopathology: history, diagnosis, and empirical foundations. John Wiley & Sons; 2008, pp: 78-115. [Link]
8. Lieb R, Becker E, Altamura C. The epidemiology of generalized anxiety disorder in Europe. Eur Neuropsychopharmacol. 2005; 15 (4): 445-452. [Link] [DOI:10.1016/j.euroneuro.2005.04.010]
9. Hamidpour H, Dolatshai B, Pour Shahbaz A, Dadkhah A. The efficacy of schema therapy in treating women's generalized anxiety disorder. 2011; 16 (4): 420-431. [Persian]. [Link]
10. Sharifi V, Amin-Esmaeili M, Hajebi A, Motevalian A, Radgoodarzi R, Hefazi M, et al. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Arch Iran Med. 2015; 18 (2): 76-84. [Link]
11. Gross JJ. Emotion regulation: conceptual and empirical foundations. In: Gross JJ, editor. Handbook of emotion regulation. 2nd ed. New York, NY, US: Guilford Press; 2014, pp: 3-20. [Link]
12. Gross JJ, Jazaieri H. Emotion, emotion regulation, and psychopathology: an affective science perspective. Clin Psychol Sci 2014; 2 (4): 387-401. [Link] [DOI:10.1177/2167702614536164]
13. Narimani M, Ariapouran S, Abolghasemi A, Ahadi B. The comparison of the effectiveness of mindfulness and emotion regulation training on mental health in chemical weapon victims. Journal of Clinical Psychology. 2010; 2 (4): 61-71. [Persian]. [Link]
14. Kring AM, Sloan DM. Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. Guilford Press; 2009. [Link]
15. Hashemi T, Abdollahi Hersis N, MahmoodAlilo M, Mashinchi Abbasi N. Role of cognitive emotion regulation strategies in symptoms of borderline personality. Journal of Modern Psychological Researches. 2016; 11 (41): 151-168. [Persian]. [Link]
16. Hewitt PL, Flett GL. Perfectionism and stress processes in psychopathology. In: Hewitt PL, Flett GL, editor. Perfectionism: theory, research, and treatment. Washington, DC, US: American Psychological Association; 2002, pp: 255-284. [Link] [DOI:10.1037/10458-011]
17. Navarro V, De la Morena G, González-Arteaga J, Yustres Á, Asensio L. A microstructural effective stress definition for compacted active clays. Geomechanics for Energy and the Environment. 2018; 15: 47-53. [Link] [DOI:10.1016/j.gete.2017.11.003]
18. Wills TA, Sandy JM, Yaeger AM, Cleary SD, Shinar O. Coping dimensions, life stress, and adolescent substance use: A latent growth analysis. J Abnorm Psychol. 2001; 110 (2): 309-323. [Link] [DOI:10.1037/0021-843X.110.2.309]
19. Mahmoud Alilou M, Khanjani Z, Bayat A. Comparing the coping strategies and emotion regulation of students with symptoms of anxiety-related emotional disorders and normal group. Quarterly Journal of Child Mental Health. 2016; 3 (1): 41-51. [Persian]. [Link]
20. Khodayarifard M, Mansouri A, Besharat MA, Gholamali Lavasani M. A review of conceptual models for worry and generalized anxiety disorder. Clinical Excellence. 2017; 6 (2): 23-38. [Persian]. [Link]
21. Davoodi A, Neshat Doost HT, Abedi MR, Talebi H. The role of emotion regulation deficits, thought-action fusion and behavioral inhibition in Generalized Anxiety Disorder. scientific journal of ilam university of medical sciences. 2015; 22 (6): 115-124. [Persian]. [Link]
22. Mohdehi R, E'temadi A. Studying the therapy mediations and the effect of therapy commitment in the reduction of the symptoms of general anxiety disorder. Counseling Culture and Psycotherapy. 2011; 2 (7): 1-30. [Persian]. [Link]
23. Mahmoud-Alilou, Hashemi-Nosratabad, Sohrabi. Effectiveness of combined intervention based acceptance and commitment therapy (ACT) with Exposure techniques on patient's anxiety symptomsintensity and sensitivity dimensions in general anxiety disorder (GAD). Journal of Clinical Psychology. 2016; 8 (3): 61-76. [Persian]. [Link]
24. Zoalfaghari A, Bahrami H, Ganji K. A comparative analysis of acceptance-commitment and cognitive-behavioral interferences effectiveness on generalized anxiety disorder. Journal of Arak University of Medical Sciences. 2018; 20 (12): 24-34. [Persian]. [Link]
25. Evans S, Ferrando S, Findler M, Stowell C, Smart C, Haglin D. Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord. 2008; 22 (4): 716-721. [Link] [DOI:10.1016/j.janxdis.2007.07.005]
26. Reinhold JA, Rickels K. Pharmacological treatment for generalized anxiety disorder in adults: an update. Expert Opin Pharmacother. 2015;16 (11): 1669-1681. [Link] [DOI:10.1517/14656566.2015.1059424]
27. Mogadam N, Amraae R, Asadi F, Amani O. The Efficacy of Acceptance and Commitment Therapy (ACT) on Hope and Psychological Well-being in Women with Breast Cancer under Chemotherapy. Journal of Nursing Education. 2018; 7 (6): 1-8. [Persian]. [Link]
28. Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behavior change. Couns Psychol. 2012; 40 (7): 976-1002. [Link] [DOI:10.1177/0011000012460836]
29. Asghari M, Faleh kar A, Zaree A, Mirza hoseini F, Amani O. Comparison of the efficacy of acceptance acceptance commitment therapy and electrical stimulation with alternating current on mood symptoms in depressed patients. Iranian Journal of Nursing Research. 2018; 4 (13): 16-23. [Persian]. [Link]
30. Shawyer F, Farhall J, Thomas N, Hayes SC, Gallop R, Copolov D, et al. Acceptance and commitment therapy for psychosis: Randomised controlled trial. Br J Psychiatry. 2017; 210 (2): 140-148. [Link] [DOI:10.1192/bjp.bp.116.182865]
31. Graham CD, Gillanders D, Stuart S, Gouick J. An acceptance and commitment therapy (ACT)-based intervention for an adult experiencing post-stroke anxiety and medically unexplained symptoms. Clin Case Stud. 2015; 14 (2): 83-97. [Link] [DOI:10.1177/1534650114539386]
32. Behrouz B, Bavali F, Heidarizadeh N, Farhadi M. The effectiveness of acceptance and commitment therapy on psychological symptoms, coping styles, and quality of life in patients with type-2 diabetes. Journal of Health. 2016; 7 (2): 236-253. [Persian]. [Link]
33. Ghorbani M, Amin Pur R. The Effectiveness of acceptance and commitment therapy on stress coping strategies in women with ulcerative colitis. Govaresh. 2015; 20 (1): 34-42. [Persian]. [Link]
34. Shayeghian Z, Hassanabadi H, Aguilar-Vafaie ME, Amiri P, Besharat MA. A randomized controlled trial of acceptance and commitment therapy for type 2 diabetes management: the moderating role of coping styles. PloS one. 2016; 11 (12): e0166599. [Link] [DOI:10.1371/journal.pone.0166599]
35. Mohammadi L, Salehzade Abarghoei M, Nasirian M. Effectiveness of acceptance and commitment therapy on cognitive emotion regulation in men under methadone treatment. Journal of Shahid Sadoughi University of Medical Sciences. 2015; 23 (9): 853-861. [Persian]. [Link]
36. Darvish Baseri L, DashtBozorgi Z. Effectiveness of group therapy based on acceptance and commitment on cognitive emotion regulation and alexithymia of patients with type 2 diabetes. Iranian Journal of Psychiatric Nursing. 2017; 5 (1): 7-14. [Persian]. [Link] [DOI:10.21859/ijpn-05012]
37. Kiani A, Ghasemi N, Pourabbas A. The comparsion of the efficacy of group psychotherapy based on acceptance and commitment therapy, and mindfulness on craving and cognitive emotion regulation in methamphetamine addicts. research on addiction. 2013; 6 (24): 27-36. [Persian]. [Link]
38. Roger D, Jarvis G, Najarian B. Detachment and coping: The construction and validation of a new scale for measuring coping strategies. Personality and Individual differences. 1993; (15): 619-26. [Link] [DOI:10.1016/0191-8869(93)90003-L]
39. Zahri S. Study of effect self-care education on coping styles in patients with hemodialysis in educational hospitals depended to health ministry in Tehran [MSc Thesis]. [Tehran, Iran]: Iran Medical Sciences University; 1996. [Persian].
40. Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85 (2): 348-362. [Link] [DOI:10.1037/0022-3514.85.2.348]
41. Hosseini F, Khayyer M. Scrutinizing the role of cognitive appraisal in mediating parenting influences on students academic emotions and emotional regulatioN. Studies in Learning and Instruction. 2011; 3 (1): 8-10. [Persian]. [Link]
42. Duenas JA. Acceptance and Commitment therapy for adolescent difficulties with emotion regulation: an open trial [P.hD. Thesis]. [Michigan, United States]: Department of Psychology, Western Michigan University; 2016, pp: 1-63. [Link]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fahlekar A, Faal M, Zahedzadeh F, Amani O, Askari M. The Effect of Acceptance and Commitment Therapy on Emotional Regulation and Coping Strategies in Patients with Generalized Anxiety Disorder. J Child Ment Health 2020; 6 (4) :253-265
URL: http://childmentalhealth.ir/article-1-475-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 6, Issue 4 (Vol6 No4 Winter 2020- 2020) Back to browse issues page
فصلنامه سلامت روان کودک Quarterly Journal of Child Mental Health
Persian site map - English site map - Created in 0.07 seconds with 43 queries by YEKTAWEB 4645