The Effectiveness of Acceptance and Commitment Therapy on Self-Awareness and Self-Affirmation in Patients with Thalassemia
Keywords:
Acceptance and Commitment Therapy (ACT), self-awareness, self-affirmation, thalassemia patientsAbstract
The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on self-awareness and self-affirmation in patients with thalassemia. This research employed a quasi-experimental design with a pretest-posttest format and a control group. The statistical population consisted of female thalassemia patients who attended Bu-Ali Hospital in the city of Sari. Based on purposive sampling and predefined inclusion and exclusion criteria, a total of 40 participants were selected—20 assigned to the experimental group and 20 to the control group. To collect the required data, the study utilized the standard Self-Awareness Questionnaire by Nestor and Davis (2002) and the standard Self-Affirmation Questionnaire by Rathus (2003). For data analysis, multivariate analysis of covariance (MANCOVA) was used. The results indicated that Acceptance and Commitment Therapy had a positive and statistically significant effect on both self-awareness and self-affirmation in thalassemia patients treated at Bu-Ali Hospital in Sari. Therefore, it can be concluded that ACT is effective in improving self-awareness and self-affirmation in patients with thalassemia.
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1. Hossain MJ, Islam MW, Munni U, Gulshan R, Mukta SA, Miah MS, et al. Health-related quality of life among thalassemia patients in Bangladesh using the SF-36 questionnaire. Scientific Reports. 2023;13:7734. doi: 10.1038/s41598-023-34205-9.
2. Dupaul GJ, McGoey KE, Eckert TL. Preschool children with attention deficit and hyperactivity: Impairments in behavioral, social, and school functioning2019.
3. Munden A. The ADHD handbook. Journal of Abnormal Psychology. 2018;112:497-507.
4. Mohkamkar A, Shaterian F, Nikookar A. The Effectiveness of Education based on Successful Intelligence on Emotional Self-Awareness and Academic Engagement of Secondary School Students. Sociology of Education. 2024;10(1):305-13. doi: 10.22034/ijes.2024.2015018.1493.
5. Fabio GA, Pelham WE, Coles EK, Gnagy EM, Chronis-Tuscano A, O'Connor BC. A meta-analysis of behavioral treatment for attentiondeficit/ hyperactivity disorder. Clinical Psychology Review. 2017;29(2):129-40. doi: 10.1016/j.cpr.2008.11.001.
6. Rahman S, Nasrullah N. Empowering Students: The Hidden Impact of Academic Optimism on Self-Awareness and Communication. QJSS. 2024;5(3):324-9. doi: 10.55737/qjss.550097521.
7. Barkoukis V, Rowe R, Harris PR, Lazuras L. Self-affirmation effects on doping related cognition among exercisers who use nutritional supplements. Psychology of Sport and Exercise. 2020;46. doi: 10.1016/j.psychsport.2019.101609.
8. Sheikh H. "An exploration of quality of life and related factors among female flight attendants.". Journal of nursing research. 2018;17IS - 3:212-20. doi: 10.1097/JNR.0b013e3181b2558f.
9. Hofmann H, Asmundson L, Beck AT. The link between stress, well-being, and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention. International Journal of Clinical and Health Psychology. 2018;18(1):60-8. doi: 10.1016/j.ijchp.2017.09.002.
10. Pavlova M, Kohut SA, Jordán I, Sumpton J, Schraeder K, Orr SL, et al. Acceptance and Commitment Therapy-Based Intervention for Parents Living With Chronic Pain: Feasibility and Acceptability Study. Clinical Practice in Pediatric Psychology. 2024;12(2):170-80. doi: 10.1037/cpp0000525.
11. Ma TW, Yuen ASK, Yang Z. The efficacy of acceptance and commitment therapy for chronic pain: a systematic review and meta-analysis. The Clinical journal of pain. 2023;39(3):147-57. doi: 10.1097/AJP.0000000000001096.
12. Anvari MH. The Effectiveness of group-based acceptance and commitment therapy on pain index, stress, anxiety, depression, catastrophizing & life satisfaction in patients with chronic pain: M.A. Thesis in clinical psychology, University of Isfahan, Faculty of Educational Sciences & Psychology, Department of Psychology; 2023.
13. Alizadeh P, Kooshki S, Tarvirdizadeh H. The Effectiveness of Acceptance and Commitment Therapy and on Pain Intensity, Childhood Trauma, Perfectionism and Psychological Flexibility in Patients with Chronic Pain. Journal of Assessment and Research in Applied Counseling (JARAC). 2023;5(2):123-36. doi: 10.61838/kman.jarac.5.2.15.
14. Moens M, Jansen J, De Smedt A, Roulaud M, Billot M, Laton J, et al. Acceptance and Commitment Therapy to Increase Resilience in Chronic Pain Patients: A Clinical Guideline. Medicina [Internet]. 2022; 58(4).
15. Khadem Dezfuli Z, Alavi SZ, Shahbazi M. The Effectiveness of Acceptance and Commitment Therapy (ACT) on Self-Criticism and Pessimistic Marital Expectations in Neurotic Perfectionist Girls: A Single-Case Experimental Study. Clinical Psychology and Personality. 2024;22(1).
16. Dezfuli ZK. The Effectiveness of Acceptance and Commitment Therapy (ACT) on Neurotic Perfectionism and Internalized Self-Criticism in Neurotic Perfectionist Girls: A Single-Case Experimental Study. Shenakht Journal of Psychology and Psychiatry. 2024. doi: 10.32598/shenakht.10.5.132.
17. Enayati Shabkolai M, Enayati Shabkalai M, Bagheri Dadokolai M. The Effectiveness of Treatment based on Acceptance and Commitment on Social Adaptation, Academic Self-Regulation and Cognitive Flexibility of Students with Specific Learning Disorders. International Journal of Education and Cognitive Sciences. 2023;4(1):33-41. doi: 10.61838/kman.ijecs.4.1.5.
18. Khamoushi S, Mansouri A. The effectiveness of Acceptance and Commitment Therapy (ACT) on self-compassion and self-criticism in individuals with substance use disorders. Addiction Research Journal. 2020;12(57):237-54. doi: 10.29252/etiadpajohi.14.57.237.
19. Panahi T, Shahabi Zadeh F, Mahmoudi Rad A. Comparing the Effectiveness of Acceptance and Commitment Therapy with and without Self-Compassion on Worry, Anger Rumination, and Self-Criticism in Depressed Non-Clinical Diabetic Patients; A Clinical Trial. Nursing Education Journal. 2019;9(4):95-108.
20. Dortaj F, Aghajani F, Delavar A, Navabinejad S, Mardani Rad M. Developing a Group Therapy Program Based on Transactional Analysis and Acceptance and Commitment Therapy and Examining Its Effectiveness on Self-Criticism Components in Girls Experiencing Emotional Breakup. Psychological Sciences. 2019;19(95):1389-99.
21. Luoma JB, et al. Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology. 2015. doi: 10.1016/j.copsyc.2014.12.016.
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Copyright (c) 2024 Maryam karimi asrami; Shahzad Mazdarani (Author)
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