Volume 10, Issue 3 (July-Sep 2021)                   JCHR 2021, 10(3): 218-225 | Back to browse issues page


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Iri H, Makvandi B, Bakhtiarpour S, Hafezi F. The Effect of Acceptance and Commitment Therapy on Hypochondria and Cognitive Emotion Regulation among Divorced Women. JCHR 2021; 10 (3) :218-225
URL: http://jhr.ssu.ac.ir/article-1-648-en.html
1- Department of Health Psychology, Khorramshahr International Branch, Islamic Azad University, Khorramshahr, Iran
2- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran , makvandi203@gmail.com
3- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
Abstract:   (1660 Views)
Abstract
Introduction:
Hypochondriasis is a psychological disorder that affects divorced women's quality of life and mental health. The aim of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondria and cognitive emotion regulation among divorced Women in Tehran.
Methods: The method was experimental with a pre-test, post-test design, and a control group. In the present study, the research population includes divorced women who have been affected by divorce-related psychological problems and were referred to Tehran consultation centers in 2018. In this study, The sample consisted of 30 divorced women selected by purposive sampling and randomly divided into experimental and control groups (n= 15 each). The research tools included the Health Anxiety Inventory (HAI) and the Cognitive Emotion Regulation Questionnaire (CERQ). The ACT intervention was performed on the experimental group for ten 90-minute sessions. Pearson's correlation coefficient, Levene's test, Shapiro-Wilk test, and multivariate analysis of covariance (MANCOVA) were used to analyze the data. The significance level of the study was considered to be α=0.05.
Results: The mean and standard deviation (SD) of hypochondria post-test scores in the experimental and control groups were 35.13±1.92 and 37.33±3.07, respectively. The results indicated that ACT decreased hypochondria in the women (P=0.04). Also, the intervention effectively increased positive emotion regulation in the women (P=0.01).
Conclusion: In addition to decreasing anxiety and increasing emotion regulation ability under difficult situations, ACT can increase social and psychological adaptability. Also, ACT can effectively decrease interactive and stress and anxiety in divorced women.
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Review: Research | Subject: Public Health
Received: 2020/06/11 | Accepted: 2021/07/19 | Published: 2021/09/29

References
1. Amato PR. Research on Divorce: Continuing Trends and New Developments. Journal of marriage and family. 2010;72(3):650-66. [DOI:10.1111/j.1741-3737.2010.00723.x]
2. Wang C-TL, Schofer E. Coming Out of the Penumbras: World Culture and Cross-National Variation in Divorce Rates. Social Forces. 2018;97(2):675-704. [DOI:10.1093/sf/soy070]
3. DePaulo B. Divorce Rates Around the World: A Love Story. Psychology Today. 2019.
4. Shakeri SS, Shabani j, Aghamohammadian Sharbaf H, et al. Mediating Role of Attitude towards Betrayal and Marital Conflict in Relation between Using Virtual Social Networks and Emotional Divorce. Journal of Community Health Research. 2019;8(4):220-7. [DOI:10.18502/jchr.v8i4.2077]
5. Smith-Greenaway E, Clark S. Variation in the link between parental divorce and children's health disadvantage in low and high divorce settings. SSM - Population Health. 2017;3:473-86. [DOI:10.1016/j.ssmph.2017.04.004]
6. Fallon BA, Ahern DK, Pavlicova M, et al. A Randomized Controlled Trial of Medication and Cognitive-Behavioral Therapy for Hypochondriasis. American Journal of Psychiatry. 2017;174(8):756-64. [DOI:10.1176/appi.ajp.2017.16020189]
7. Fink P, Ornbol E, Christensen KS. The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health. PloS one. 2010;5(3):e9873. [DOI:10.1371/journal.pone.0009873]
8. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. 2013. [DOI:10.1176/appi.books.9780890425596]
9. Wilhelmsen I. Hypochondriasis or Health Anxiety. Reference Module in Neuroscience and Biobehavioral Psychology: Elsevier; 2017. [DOI:10.1016/B978-0-12-809324-5.06457-9]
10. Lavenda O, Mahat-Shamir M, Lorenz L, et al. Revalidation of Adjustment Disorder-New Module-4 screening of adjustment disorder in a non-clinical sample: Psychometric reevaluation and correlates with other ICD-11 mental disorders. PsyCh journal. 2019;8(3):378-385. [DOI:10.1002/pchj.286]
11. Pruneti C, Innocenti A, Cammisuli DM. Multidimensional approach usefulness in early Alzheimer's disease: Advances in clinical practice. Acta Biomed. 2018;89(1):79‐86.
12. Finkelstein-Fox L, Park CL, Riley KE. Mindfulness and emotion regulation: promoting well-being during the transition to college. Anxiety Stress Coping. 2018;31(6):639‐653. [DOI:10.1080/10615806.2018.1518635]
13. Willem C, Gandolphe MC, Roussel M, et al. Difficulties in emotion regulation and deficits in interoceptive awareness in moderate and severe obesity. Eat Weight Disord. 2019;24(4):633‐644. [DOI:10.1007/s40519-019-00738-0]
14. Karamozan M, Askarizadeh G. Effectiveness of Cognitive-Behavioral Stress Management Intervention on Anxiety and Depression during Pregnancy. Journal of Kerman University of Medical Sciences. 2013;20(6):606-621.
15. Apolinário-Hagen J, Drüge M, Fritsche L. Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches. Adv Exp Med Biol. 2020;1191:291‐329. [DOI:10.1007/978-981-32-9705-0_17]
16. Hayes SC, Villatte M, Levin M, Hildebrandt M. Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies. ANNU REV CLIN PSYCHO. 2011;7:141-68 [DOI:10.1146/annurev-clinpsy-032210-104449]
17. Heydari M, Masafi S, Jafari M, et al. Effectiveness of Acceptance and Commitment Therapy on Anxiety and Depression of Razi Psychiatric Center Staff. Open Access Maced J Med Sci. 2018;6(2):410-415. [DOI:10.3889/oamjms.2018.064]
18. 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
19. Bluett EJ, Homan KJ, Morrison KL, et al. Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review. Journal of Anxiety Disorders. 2014;28(6):612-624 [DOI:10.1016/j.janxdis.2014.06.008]
20. Yadavaia JE, Hayes SC, Vilardaga R. Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science. 2014;3(4):248-257. [DOI:10.1016/j.jcbs.2014.09.002]
21. Hoffmann D, Halsboe L, Eilenberg T, et al. A pilot study of processes of change in group-based acceptance and commitment therapy for health anxiety. Journal of Contextual Behavioral Science. 2014;3:189-195. [DOI:10.1016/j.jcbs.2014.04.004]
22. Brinkborg H, Michanek J, Hesser H, et al. Acceptance and commitment therapy for the treatment of stress among social workers: A randomized controlled trial. Behavior Research and Therapy. 2011;49(6):389-39. [DOI:10.1016/j.brat.2011.03.009]
23. Wojnarowska A, Kobylinska D, Lewczuk K. Acceptance as an emotion regulation strategy in experimental psychological research: what we know and how we can improve that knowledge. Frontiers in Psychology. 2020;11(242). [DOI:10.3389/fpsyg.2020.00242]
24. White R, Gumle, A, McTaggart J, et al. A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis. Behavioral Research Therapy. 2011;49(12):901-7. [DOI:10.1016/j.brat.2011.09.003]
25. Salkovskis PM, Rimes KA, Warwick HM, et al. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843‐853. [DOI:10.1017/S0033291702005822]
26. Nargesi F, Izadi F, Kariminejad K, et al. The investigation of the reliability and validity of Persian version of Health anxiety questionnaire in students of Lorestan University of Medical Sciences. Quarterly of Educational Measurement. 2017;7(27):147-160.
27. Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire - development of a short 18-item version (CERQ-short). PERS INDIV DIFFER. 2006;41(6):1045-53. [DOI:10.1016/j.paid.2006.04.010]
28. Besharat MA, Cognitive Emotion Regulation Questionnaire: Instruction and Scoring. Journal of Developmental Psychology. 2017;13(50):221-223.
29. Ducasse D, Fond G. La. thérapie d'acceptation et d'engagement [Acceptance and commitment therapy]. Encephale. 2015;41(1):1‐9. [DOI:10.1016/j.encep.2013.04.017]
30. Mirzaeidoostan Z, Zargar Y, Zandi Payam A. The Effectiveness of Acceptance and Commitment Therapy on Death Anxiety and Mental Health in Women with HIV in Abadan City, Iran. Iranian Journal of Psychiatry and Clinical Psychology. 2019;25(1):2-13. [DOI:10.32598/ijpcp.25.1.2]
31. Hoffmann D, Rask CU, Hedman-Lagerlöf E, et al. Development and Feasibility Testing of Internet-Delivered Acceptance and Commitment Therapy for Severe Health Anxiety: Pilot Study. JMIR Ment Health. 2018;5(2):e28-e. [DOI:10.2196/mental.9198]
32. Eilenberg T, Fink P, Jensen JS, et al. Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychological Medicine. 2016;46(1):103-15. [DOI:10.1017/S0033291715001579]
33. Bracke PF, Colman E, Symoens SA, et al. Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study. BMC Public Health. 2010;10:224. [DOI:10.1186/1471-2458-10-224]
34. Idstad M, Torvik FA, Borren I, et al. Mental distress predicts divorce over 16 years: the HUNT study. BMC Public Health. 2015;15:320. Published 2015 Apr 1. [DOI:10.1186/s12889-015-1662-0]
35. Hayes SC. Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies - Republished Article. Behavioral Therapy. 2016;47(6):869-885. [DOI:10.1016/j.beth.2016.11.006]
36. Yaraghchi A, Jomehri F, Seyrafi M,. The Effectiveness of Acceptance and Commitment Therapy on Weight Loss and Cognitive Emotion Regulation in Obese Individuals. Iranian Journal of Health Education and Health Promotion. 2019;7(2):192-201. [DOI:10.30699/ijhehp.7.2.192]
37. Rahmanian M, Nejatali R, Oraki M. The Effectiveness of Acceptance and Commitment Therapy in Cognitive Emotion Regulation and Concerns of Body Image in Females with Bulimia Nervosa. Journal of Health Promotion Management. 2018;7(4):33-40.
38. Tarkhan, M. The Effectiveness of Acceptance and Commitment Therapy (ACT) on Emotion Regulation and Life Meaning of Depressed Women. Journal of Psychological Studies, 2017; 13(3): 147-164.
39. Davies CD, Niles AN, Pittig A, et al. Physiological and behavioral indices of emotion dysregulation as predictors of outcome from cognitive behavioral therapy and acceptance and commitment therapy for anxiety. Journal of behavior therapy and experimental psychiatry. 2015;46:35-43. 2015;46:35‐43. [DOI:10.1016/j.jbtep.2014.08.002]
40. Salimi M, Mahdavi A, Yeghaneh SS, et al. The Effectiveness of Group Based Acceptance and Commitment Therapy (ACT) on Emotion Cognitive Regulation Strategies in Mothers of Children with Autism Spectrum. Maedica (Buchar). 2019;14(3):240‐246.

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