The Efficacy of Acceptance and Commitment Therapy (ACT) Matrix on Depression and Psychological Capital of the Patients with Irritable Bowel Syndrome

  • Seyyed Mehdi Mirsharifa Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
  • Bahram Mirzaian Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
  • Yarali Dousti Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
Keywords: Acceptance and Commitment Therapy, Depression, Psychological Capital, Irritable Bowel Syndrome

Abstract

BACKGROUND: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders, worldwide. Psychological disorders are common among patients with IBS.

AIM: This study aims to investigate the efficacy of acceptance and commitment therapy (ACT) matrix on depression and psychological capital of patients with IBS.

MATERIAL AND METHODS: In a quasi-experimental study, a total number of 30 patients with IBS were selected using convenience sampling. Those patients who meet the inclusion criteria were randomly assigned to control and experimental groups (15 patients in each group). Data were collected using the Beck Depression Inventory (BDI) and the Psychological Capital Questionnaire (PCQ). The experimental group was subjected to the acceptance and commitment therapy (ACT) amtrix, but the control group do not receive this treatment. Questionnaires were completed before (pre-test) and after (post-test) the intervention by patients in two groups. All patients in two groups responded to the questionnaires and returned them to the researcher. Data were analyzed using chi-square test, independent t-test, analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA).

RESULTS: Analyzing the data showed that there were significant differences regarding depression and psychological capital between experimental and control group, before and after the study (p < 0.05).

CONCLUSION: Using ACT matrix is a useful modality to improve the depression and psychological capital among patients with IBS.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Blanchard EB, Lackner JM, Sanders K, Krasner S, Keefer L, Payne A, et al. A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome. Behav Res Ther. 2007; 45(4):633-48. https://doi.org/10.1016/j.brat.2006.07.003 PMid:16979581

Ebrahimi A, Naddafnia L, Neshatdust HT, Talebi H, Afshar H, Mail HD, Adibi P. The Effectiveness of Cognitive Behavioral Therapy on Symptoms Intensity, Quality of Life, and Mental Health in Patients with Irritable Bowel Syndrome. Int J Body Mind Culture. 2015; 2(2):76-84.

Chey WD, Maneerattaporn M, Saad R. Pharmacologic and complementary and alternative medicine therapies for irritable bowel syndrome. Gut Liver. 2011; 5(3):253-66. https://doi.org/10.5009/gnl.2011.5.3.253 PMid:21927652 PMCid:PMC3166664

Videlock EJ, Chang L. Irritable bowel syndrome: current approach to symptoms, evaluation, and treatment. Gastroenterol Clin North Am. 2007; 36(3):665-85. https://doi.org/10.1016/j.gtc.2007.07.002 PMid:17950443

Faeli A, Mohammadifar MA, Azizpour M, Dabiri R. Comparison of personality traits and quality of life in people with irritble bowel syndrom and normal people. Clinical Psychology. 2017; 9(1):1-10.

Strain JJ. The psychobiology of stress, depression, adjustment disorders and resilience. World J Biol Psychiatry. 2018; 19(sup1):S14-S20.

Forman EM, Herbert JD, Moitra E, Yeomans PD, Geller PA. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behav Modif. 2007; 31(6):772-99. https://doi.org/10.1177/0145445507302202 PMid:17932235

Voinov B, Richie WD, Bailey RK. Depression and chronic diseases: it is time for a synergistic mental health and primary care approach. Prim Care Companion CNS Disord. 2013; 15(2):PCC.12r01468.

Simon GE. Treating depression in patients with chronic disease: recognition and treatment are crucial; depression worsens the course of a chronic illness. West J Med. 2001; 175(5):292-3. https://doi.org/10.1136/ewjm.175.5.292 PMid:11694462 PMCid:PMC1071593

Whitehead WE, Palsson OS, Levy RR, Feld AD, Turner M, Von Korff M. Comorbidity in irritable bowel syndrome. Am J Gastroenterol. 2007; 102(12):2767-76. https://doi.org/10.1111/j.1572-0241.2007.01540.x PMid:17900326

Gholamrezaei A, Minakari M, Nemati K, Daghaghzadeh H, Tavakkoli H, Dehcord MH. Extra-intestinal Symptoms and their Relationship to Psychological Symptoms in Patients with Irritable Bowel Syndrome. Govaresh. 2011; 15(2):88-94.

Luthans F, Luthans KW, Luthans BC. Positive psychological capital: Beyond human and social capital. Business Horizons. 2004; 47(1): 45-50. https://doi.org/10.1016/j.bushor.2003.11.007

Yamaguchi A. Influences of social capital on health and well-being from qualitative approach. Glob J Health Sci. 2013; 5(5):153-61. https://doi.org/10.5539/gjhs.v5n5p153 PMid:23985117 PMCid:PMC4776875

Chen Q, Wen Z, Kong Y, Niu J, Hau KT. Influence of Leaders' Psychological Capital on Their Followers: Multilevel Mediation Effect of Organizational Identification. Front Psychol. 2017; 8:1776. https://doi.org/10.3389/fpsyg.2017.01776 PMid:29075218 PMCid:PMC5643467

Harms PD, Vanhove A, Luthans F. Positive projections and health: An initial validation of the implicit psychological capital health measure. Applied Psychology. 2017; 66(1):78-102. https://doi.org/10.1111/apps.12077

Kheyrjoo A, Farshbaf T, Seffat M, Aalaee F. Comparison of tolerance of ambiguty of psychological capital and coping styles of cardiac patients and healthy people. Quarterly Journal of Health Psychology. 2017; 6(18):141-152.

Manzano-García G, Ayala JC. Relationship between Psychological Capital and Psychological Well-Being of Direct Support Staff of Specialist Autism Services. The Mediator Role of Burnout. Front Psychol. 2017; 8:2277. https://doi.org/10.3389/fpsyg.2017.02277 PMid:29312101 PMCid:PMC5744169

Jiménez FJ. Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International Journal of Psychology and Psychological Therapy. 2012; 12(3):333-58.

Lundgren T, Dahl J, Yardi N, Melin L. Acceptance and commitment therapy and yoga for drug-refractory epilepsy: a randomized controlled trial. Epilepsy & Behavior. 2008; 13(1):102-8. https://doi.org/10.1016/j.yebeh.2008.02.009 PMid:18343200

Wu LM, Sheen JM, Shu HL, Chang SC, Hsiao CC. Predictors of anxiety and resilience in adolescents undergoing cancer treatment. J Adv Nurs. 2013; 69(1):158-66. https://doi.org/10.1111/j.1365-2648.2012.06003.x PMid:22489627

Wetherell JL, Afari N, Rutledge T, Sorrell JT, Stoddard JA, Petkus AJ, et al. A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain. 2011; 152(9):2098-107. https://doi.org/10.1016/j.pain.2011.05.016 PMid:21683527

Rajabi GH. Psychometry properties of short form matters of Beck depression inventory. Iranian Psychologists. 2005; 1(4):1-7.

Mohhebi N, SHahani M, Pashsa Sharifi H. The relationship of psychological capital (hope, optimism, resiliency and self-efficacy) with the achievement goals and academic performance of the first-year students. Curriculum Planning Knowledge & Research in Educational Sciences. 2014; 11(13):61-79.

Mohamadi J, Mir Drikvand F, Azizi A. Efficacy of Mindfulness on Anxiety and Depression in Patients with Irritable Bowel Syndrome. J Mazandaran Univ Med Sci. 2015; 25 (130):52-61.

Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan C, Hartery K, Kirschbaum C, Doherty G, Cullen G, Dooley B. Acceptance and Commitment Therapy Reduces Psychological Stress in Patients With Inflammatory Bowel Diseases. Gastroenterology. 2018. https://doi.org/10.1053/j.gastro.2018.11.030 PMid:30452919

Tsai M, Yard S, Kohlenberg RJ. Functional analytic psychotherapy: a behavioral relational approach to treatment. Psychotherapy (Chic). 2014; 51(3):364-71. https://doi.org/10.1037/a0036506 PMid:24773095

González-Fernández S, Fernández-Rodríguez C. Acceptance and Commitment Therapy in Cancer: Review of Applications and Findings. Behav Med. 2018:1-15. https://doi.org/10.1080/08964289.2018.1452713 PMid:29558259

Baghban A, SHeybani A, Javdani M. Treatment based on acceptance and commitment to the perception of illness and psychological capital in people with type 2 diabetes. Ofogh-e Danesh. 2017; 23(2):135-140.

Ljótsson B, Andréewitch S, Hedman E, Rück C, Andersson G, Lindefors N. Exposure and mindfulness based therapy for irritable bowel syndrome–an open pilot study. J Behav Ther Exp Psychiatry. 2010; 41(3):185-90. https://doi.org/10.1016/j.jbtep.2010.01.001 PMid:20079485

Gillanders D, Ferreira NB, Angioni E, Carvalho SA, Eugenicos MP. An implementation trial of ACT-based bibliotherapy for irritable bowel syndrome. Journal of Contextual Behavioral Science. 2017; 6(2):172-7. https://doi.org/10.1016/j.jcbs.2017.04.006

Mirzaee V, Sayyadi B, Hasani Moghaddam V. Comparison of depression patients with irritable bowel syndrom and non- infected patients in referrals to the offices of Rafsanjan specialists in the summer of 2010. Journal of Rafsanjan University of Medical Science. 2012; 11(3):259-268.

Kovács Z, Kovács F. Depressive and anxiety symptoms, dysfunctional attitudes and social aspects in irritable bowel syndrome and inflammatory bowel disease. Int J Psychiatry Med. 2007; 37(3):245-55. https://doi.org/10.2190/PM.37.3.a PMid:18314852

Sabour S, Kakabraee K. The Effectiveness of Acceptance and Commitment Therapy on Depression, Stress and Indicators of Pain in Women with Chronic Pain. Iranian Journal of Rehabilitation Research in Nursing. 2016; 2(4):1-9. https://doi.org/10.21859/ijrn-02041

Masuda A, Hayes SC, Sackett CF, Twohig MP. Cognitive defusion and self-relevant negative thoughts: Examining the impact of a ninety year old technique. Behav Res Ther. 2004; 42(4):477-85. https://doi.org/10.1016/j.brat.2003.10.008 PMid:14998740

Bagheri P, Saadati N, Fatollahzadeh N, Darbani S. The Effectiveness of Group Acceptance and Commitment Therapy on Self-Efficacy and Social Adjustment of Elderly Retired. Journal of Geriatric Nursing. 2017; 3(2):103-117. https://doi.org/10.21859/jgn.3.2.103

Baradaran M, Zare H, Alipuor A, Farzad V. Comparison of Effectiveness of Acceptance and Commitment Therapy and Motivational Interviewing on Decreasing Anxiety, Depression, Stress and Increasing Hope in Essential Hypertensive Patients. Clinical Psychology. 2016; 8(4):95-105.

Vahidinekoo M, Gahangir P. The Relationship of Metacognitive Beliefs and Resiliency of Mothers with Hyperactive Children, a Cross-Sectional Study. Imperial Journal of Interdisciplinary Research. 2016; 2(8):349-352.

Samani S, Jokar B, Sahragard N. Effects of Resilience on Mental Health and Life Satisfaction. Iranian Journal of Psychiatry & Clinical Psychology. 2007; 13(3):290-295.

Laurent HK, Kim HK, Capaldi DM. Prospective effects of interparental conflict on child attachment security and the moderating role of parents' romantic attachment. J Fam Psychol. 2008; 22(3):377-88. https://doi.org/10.1037/0893-3200.22.3.377 PMid:18540766 PMCid:PMC2693387

Marchand JF. Husbands' and wives' marital quality: The role of adult attachment orientations, depressive symptoms, and conflict resolution behaviors. Attach Hum Dev. 2004; 6(1):99-112. https://doi.org/10.1080/14616730310001659575 PMid:14982681

Karimi Moonaghi H, Emami Zeydi A, Mirhaghi A. Patient education among nurses: bringing evidence into clinical applicability in Iran. Invest Educ Enferm. 2016; 34(1):137-151. PMid:28569983

Published
2019-02-02
How to Cite
1.
Mirsharifa SM, Mirzaian B, Dousti Y. The Efficacy of Acceptance and Commitment Therapy (ACT) Matrix on Depression and Psychological Capital of the Patients with Irritable Bowel Syndrome. Open Access Maced J Med Sci [Internet]. 2019Feb.2 [cited 2021Jan.25];7(3):421-7. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2019.076
Section
E - Public Health