Comparing the Effectiveness of Spirituality Therapy and Acceptance and Commitment Therapy on Sleep Quality, Resilience, and Death Anxiety in the Elderly
Spirituality therapy and ACT in the elderly
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Background: Due to the various challenges that elderly individuals experience, their mental health requires greater attention, particularly in respect to resilience and aging-related death anxiety. This study compared the effects of acceptance and commitment therapy (ACT) and spirituality therapy on elderly participants' resilience, sleep quality, and death anxiety.
Methods: The present study was an applied and semi-experimental research with a pretest-posttest design, follow-up, and control group. The statistical population of the study included all elderly residents of nursing facilities in Shiraz, Iran, in 2019. The sample consisted of 45 individuals from the aforementioned community who participated voluntarily. They were randomly divided into the spirituality treatment (n = 15), ACT (n = 15), and control groups (n = 15). Data were gathered using the Connor-Davidson Resilience Scale (CD-RISC), Collett-Lester Fear of Death Scale (CL-FODS), and the Pittsburgh Sleep Quality Index (PSQI). MANCOVA and repeated measures ANOVA were used to examine the data in SPSS software.
Results: According to the findings, ACT and spiritual treatment had a positive impact on sleep quality, resilience, and fear of dying (P < 0.001). However, resilience and sleep quality were improved more by ACT. Spirituality treatment was more effective on death anxiety.
Conclusion: It can be concluded that ACT was more successful in improving resilience and sleep quality and spiritual counseling had a greater impact on death anxiety.
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Astorino, T., Baker, J., Brock, S., Dalleck, L., Goulet, E., Gotshall, R. et al. (2015). Resistance training contributes to variability in heart rate and quality of the sleep in elderly women without comorbidities. J. Exerc. Physiol. Online, 18(6), 112-123.
Belsky, J. (2002). Developmental origins of attachment styles. Attach.Hum.Dev., 4(2), 166-170. doi:10.1080/14616730210157510 [doi]. Retrieved from PM:12467508
Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., & Twohig, M. P. (2014). Acceptance and commitment therapy for anxiety and OCD spectrum disorders: an empirical review. J Anxiety.Disord., 28(6), 612-624. doi:S0887-6185(14)00091-7 [pii];10.1016/j.janxdis.2014.06.008 [doi]. Retrieved from PM:25041735
Bonardi, J. M. T., Lima, L. G., Campos, G. O., Bertani, R. F., Moriguti, J. C., Ferriolli, E. et al. (2016). Effect of different types of exercise on sleep quality of elderly subjects. Sleep Med, 25, 122-129. doi:S1389-9457(16)30122-8 [pii];10.1016/j.sleep.2016.06.025 [doi]. Retrieved from PM:27823704
Buysse, D. J., Reynolds, C. F 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry.Res, 28(2), 193-213. doi:0165-1781(89)90047-4 [pii];10.1016/0165-1781(89)90047-4 [doi]. Retrieved from PM:2748771
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress.Anxiety., 18(2), 76-82. doi:10.1002/da.10113 [doi]. Retrieved from PM:12964174
Dadfar, M. (2016). The reliability, validity, and factorial structure of the Collett-Lester Fear of Death Scale in a sample of Iranian nurses. Int J Med Res Health Sci, 5(7), 306-317.
Derakhshanrad, S. A., Piven, E., Rassafiani, M., Hosseini, S. A., & Mohammadi Shahboulaghi, F. (2014). Standardization of Connor-Davidson Resilience Scale in Iranian subjects with Cerebrovascular Accident. Journal of Rehabilitation Sciences and Research, 1(4), 73-77.
Doumas, D. M., Esp, S., Flay, B., & Bond, L. (2017). A Randomized Controlled Trial Testing the Efficacy of a Brief Online Alcohol Intervention for High School Seniors. J Stud.Alcohol.Drugs., 78(5), 706-715. doi:706 [pii];10.15288/jsad.2017.78.706 [doi]. Retrieved from PM:28930058
Farrahi, J., Nakhaee, N., Sheibani, V., Garrusi, B., & Amirkafi, A. (2009). Psychometric properties of the Persian version of the Pittsburgh Sleep Quality Index addendum for PTSD (PSQI-A). Sleep Breath., 13(3), 259-262. doi:10.1007/s11325-008-0233-3 [doi]. Retrieved from PM:19023608
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2009).Acceptance and commitment therapy. Washington, DC: American Psychological Association.
Jennings, T., Flaxman, P., Egdell, K., Pestell, S., Whipday, E., & Herbert, A. (2017). A resilience training programme to improve nurses' mental health. Nursing Times, 113(10), 22-26.
Kang, S. H., Yoon, I. Y., Lee, S. D., Kim, T., Lee, C. S., Han, J. W. et al. (2017). Subjective memory complaints in an elderly population with poor sleep quality. Aging.Ment.Health, 21(5), 532-536. doi:10.1080/13607863.2015.1124839 [doi]. Retrieved from PM:26689628
Karekla, M., & Constantinou, M. (2010). Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach. Cognitive and Behavioral Practice, 17(4), 371-381. doi: S1077722910000489 [pii].
Kirkland, K., Fortuna, M. C., Kelson, E., & Phinney, A. (2014). Music therapy and spiritual care for persons with dementia: A mixed-methods study. Canadian Journal of Music Therapy, 20(1): 10-37.
Lester, D. (1990). The Collett-Lester fear of death scale: The original version and a revision. Death Studies, 14(5), 451-468. doi:10.1080/07481189008252385 [doi].
Lu, C., Yuan, L., Lin, W., Zhou, Y., & Pan, S. (2017). Depression and resilience mediates the effect of family function on quality of life of the elderly. Arch.Gerontol.Geriatr., 71, 34-42. doi:S0167-4943(17)30158-9 [pii];10.1016/j.archger.2017.02.011 [doi]. Retrieved from PM:28273547
MacLeod, R., Crandall, J., Wilson, D., & Austin, P. (2016). Death anxiety among New Zealanders: The predictive role of gender and marital status. Mental Health, Religion & Culture, 19(4), 339-349. doi:10.1080/13674676.2016.1187590 [doi].
Movahedrad, F., Seyed Alitabar, S. H., Mohammadi, A., & Hoseinifard, V. (2023). The effectiveness of strength-based counseling on the tendency toward marital infidelity and self-compassion of conflicted couples. Journal of Assessment and Research in Applied Counseling, 6(2), 13-21.
Roshannia, S., Ghadampour, E., & Rezaei, N. (2018). Measuring the Effectiveness of Group Spirituality Therapy on Sleep Quality and Mental Toughness in Elderly Subjects in Khorramabad. Journal of Gerontology, 3(3), 31-39.
Sharif, N. H., Pahlevan, S. S., Lehto, R. H., Boyle, C., Yaghoobzadeh, A., Kaveh, O. et al. (2017). Development and psychometric evaluation of a Persian version of the Death Depression Scale-Revised: A cross-cultural adaptation for patients with advanced cancer. Jpn.J Clin.Oncol., 47(8), 713-719. doi:3826791 [pii];10.1093/jjco/hyx065 [doi]. Retrieved from PM:28505271
Sriwantha, S., Jullamate, P., & Piphatvanitcha, N. (2018). Factors related to resilience among elderly patients with end stage renal disease. BKK Med J, 14(1), 29.
Tsapanou, A., Gu, Y., O'Shea, D. M., Yannakoulia, M., Kosmidis, M., Dardiotis, E. et al. (2017). Sleep quality and duration in relation to memory in the elderly: Initial results from the Hellenic Longitudinal Investigation of Aging and Diet. Neurobiol.Learn.Mem., 141, 217-225. doi:S1074-7427(16)30420-8 [pii];10.1016/j.nlm.2017.04.011 [doi]. Retrieved from PM:28455107
Twohig, M. P., & Levin, M. E. (2017). Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatr.Clin.North Am., 40(4), 751-770. doi:S0193-953X(17)30077-1 [pii];10.1016/j.psc.2017.08.009 [doi]. Retrieved from PM:29080598
Zhang, S., Mellsop, G., Brink, J., & Wang, X. (2015). Involuntary admission and treatment of patients with mental disorder. Neurosci Bull, 31(1), 99-112. doi:1493 [pii];10.1007/s12264-014-1493-5 [doi]. Retrieved from PM:25595369
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