The Efficacy of Acceptance and Commitment Therapy on Psychological Well-Being and Optimism of Patients with Irritable Bowel Syndrome
Downloads
Background: Despite the high prevalence and marked symptoms of irritable bowel syndrome (IBS), its cause is still not known. It seems that psychological factors play a significant role in the development and intensification of the symptoms of the disease, but there is still no definitive treatment for this disease. The purpose of the present study was to determine the effectiveness of admission and commitment therapy (ACT) on the psychological well-being and optimism of patients with IBS.
Methods: This study was conducted with a quasi-experimental and pretest-posttest design, control group, and follow-up period. The statistical population of this study included people with IBS referring ‎to health centers in Tehran, Iran, in 2018. The study sample consisted of 60 individuals who were selected by through convenience ‎sampling method and were divided into two groups ‎(n = 30 people). The subjects were randomly assigned to the experimental and control groups. The data collection tools were the Ryff Scales of Psychological Well-Being Scale (RSPWB) (Ryff, 1989), and the Life Orientation Test (LOT) ‎(Scheier, Carver, & Bridges, 1994). First, the pretest was performed in both groups. The experimental group was then placed in a face test group for 9 sessions (90 minutes). The collected data were analyzed using multivariate covariance analysis (MANCOVA) and one-way analysis of covariance (ANCOVA).
Results: The results showed that ACT was effective on the psychological well-being and optimism of patients with IBS.
Conclusion: It can be concluded that interventions based on the acceptance and commitment approach help to improve the optimism of people with IBS.
Downloads
Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K. (2015). Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behav Res Ther, 73, 58-66. doi:S0005-7967(15)30008-5 [pii];10.1016/j.brat.2015.07.001 [doi]. Retrieved from PM:26255172
Burleson, W., & Lewis, A. (2016). Optimists’ Creed: Brave New Cyberlearning, Evolving Utopias (Circa 2041). International Journal of Artificial Intelligence in Education, 26(2), 796-808.
Crosby, J. M., & Twohig, M. P. (2016). Acceptance and Commitment Therapy for Problematic Internet Pornography Use: A Randomized Trial. Behav Ther, 47(3), 355-366. doi:S0005-7894(16)00017-4 [pii];10.1016/j.beth.2016.02.001 [doi]. Retrieved from PM:27157029
Distrutti, E., Monaldi, L., Ricci, P., & Fiorucci, S. (2016). Gut microbiota role in irritable bowel syndrome: New therapeutic strategies. World J Gastroenterol, 22(7), 2219-2241. doi:10.3748/wjg.v22.i7.2219 [doi]. Retrieved from PM:26900286
Frühauf, A., Niedermeier, M., Elliott, L. R., Ledochowski, L., Marksteiner, J., & Kopp, M. (2016). Acute effects of outdoor physical activity on affect and psychological well-being in depressed patients - A preliminary study. Mental Health and Physical Activity, 10, 4-9.
Hallis, L., Cameli, L., Bekkouche, N., & Knäuper, B. (2017). Combining cognitive therapy with acceptance and commitment therapy for depression: A group therapy feasibility study. J Cognit Psychother, 31(3), 171-190.
Hayes, S. C. , Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). New York, NY, US: Guilford Press.
Hofmann, S. G., & Asmundson, G. J. G. (2008). Acceptance and mindfulness-based therapy: new wave or old hat? Clin Psychol Rev., 28(1), 1-16. doi:S0272-7358(07)00158-4 [pii];10.1016/j.cpr.2007.09.003 [doi]. Retrieved from PM:17904260
Keshteli, A. H., Dehestani, B., Daghaghzadeh, H., & Adibi, P. (2015). Epidemiological features of irritable bowel syndrome and its subtypes among Iranian adults. Ann Gastroenterol, 28(2), 253-258. Retrieved from PM:25831414
Khodabakhshi, M. (2004). Standardization, Reliability and Validity of Optimism Scale in Isfahan [MSc Thesis]. Isfahan, Iran: University of Isfahan.
Lembo, A. J., Lacy, B. E., Zuckerman, M. J., Schey, R., Dove, L. S., Andrae, D. A. et al. (2016). Eluxadoline for Irritable Bowel Syndrome with Diarrhea. N Engl J Med, 374(3), 242-253. doi:10.1056/NEJMoa1505180 [doi]. Retrieved from PM:26789872
Lombardi, C. P., Bocale, R., Barini, A., Barini, A., D'Amore, A., Boscherini, M. et al. (2017). Comparative study between the effects of replacement therapy with liquid and tablet formulations of levothyroxine on mood states, self-perceived psychological well-being and thyroid hormone profile in recently thyroidectomized patients. Endocrine., 55(1), 51-59. doi:10.1007/s12020-016-1003-9 [doi];10.1007/s12020-016-1003-9 [pii]. Retrieved from PM:27388589
Ramirez-Maestre, C., Esteve, R., Lopez-Martinez, A. E., Serrano-Ibanez, E. R., Ruiz-Parraga, G. T., & Peters, M. (2019). Goal Adjustment and Well-Being: The Role of Optimism in Patients with Chronic Pain. Ann Behav Med, 53(7), 597-607. doi:5090131 [pii];10.1093/abm/kay070 [doi]. Retrieved from PM:30184082
Ruan, X., Wilson, S., & Mihalcea, R. (2016). Finding Optimists and Pessimists on Twitter. Proceedings of the 54th Annual Meeting of the Association for Computational Linguistics (Volume 2: Short Papers); 2016 Aug; Berlin, Germany. Association for Computational Linguistics. 320-325.
Sadeghpour-Moradi, Z., Nasirian, M., Chabokinejad, Z. The effectiveness of acceptance and commitment therapy ACT On the happiness and optimism of the wives of men with MS. First International Conference of New Research In the field of Educational Science and psychology and social studies of Iran, Qom, Conference Official Secretariat. 2017.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers.Soc Psychol, 67(6), 1063-1078. Retrieved from PM:7815302
Shaghaghi, F., & Rezaei KARGAR, F. (2010). The effect of creative and critical thinking skills teaching on psychological well- being of adolescents. Journla of Psychological Researches, 2(5), 49-66.
Simister, H. D., Tkachuk, G. A., Shay, B. L., Vincent, N., Pear, J. J., & Skrabek, R. Q. (2018). Randomized Controlled Trial of Online Acceptance and Commitment Therapy for Fibromyalgia. J Pain., 19(7), 741-753. doi:S1526-5900(18)30084-1 [pii];10.1016/j.jpain.2018.02.004 [doi]. Retrieved from PM:29481976
Sweeny, K., & Falkenstein, A. (2017). Even Optimists Get the Blues: Interindividual Consistency in the Tendency to Brace for the Worst. J Pers., 85(6), 807-816. doi:10.1111/jopy.12289 [doi]. Retrieved from PM:27861913
Tap, J., Derrien, M., Tornblom, H., Brazeilles, R., Cools-Portier, S., Dore, J. et al. (2017). Identification of an Intestinal Microbiota Signature Associated With Severity of Irritable Bowel Syndrome. Gastroenterology, 152(1), 111-123. doi:S0016-5085(16)35174-5 [pii];10.1053/j.gastro.2016.09.049 [doi]. Retrieved from PM:27725146
Taylor, S. E., Kemeny, M. E., Reed, G. M., Bower, J. E., & Gruenewald, T. L. (2000). Psychological resources, positive illusions, and health. Am Psychol, 55(1), 99-109. Retrieved from PM:11392870
Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. (2015). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: a randomized controlled trial. J Behav Med, 38(1), 66-80. doi:10.1007/s10865-014-9579-0 [doi]. Retrieved from PM:24923259
van Dierendonck, D. (2004). The construct validity of Ryff's Scales of Psychological Well-being and its extension with spiritual well-being. Pers Individ Dif, 36(3), 629-643.
Walser, R. D., Garvert, D. W., Karlin, B. E., Trockel, M., Ryu, D. M., & Taylor, C. B. (2015). Effectiveness of Acceptance and Commitment Therapy in treating depression and suicidal ideation in Veterans. Behav Res Ther, 74, 25-31. doi:S0005-7967(15)30035-8 [pii];10.1016/j.brat.2015.08.012 [doi]. Retrieved from PM:26378720
Zanjani-Tabassi, R. (2004). Construction and standardization of psychological well-being pilot test, [MSc Thesis]. Tehran, Iran: University of Tehran.