Journal of Clinical and Basic Research
Journal of Clinical and Basic Research
jcbr
Medical Sciences
http://jcbr.goums.ac.ir
1
admin
2538-3736
10.52547/jcbr
en
jalali
1400
11
1
gregorian
2022
2
1
6
1
online
1
fulltext
en
The effect of Acceptance and Commitment therapy on Depression and Quality of Life among women with chronic pain during COVID-19 pandemic lockdown
Effect of Acceptance and Commitment Therapy on Depression and Quality of Life among Women with Chronic Pain during COVID-19 Pandemic Lockdown
psychology
پژوهشي
Research
<strong>Background</strong>: The corona virus disease 2019 (COVID-19) pandemic is one of the most important healthcare and societal challenges to have emerged in the last century. Therefore, a primary aim of this study was to evaluate the effect of acceptance and commitment therapy on depression and quality of life among women with chronic pain during COVID-19 pandemic lockdown.<br>
<strong>Materials and Methods:</strong> In a quasi-experimental pre-test-post-test design with a control group, 35 women with chronic pain after initial clinical evaluation and research conditions were selected and randomly divided into two groups of acceptance and commitment therapy matrix (n = 18) and control (n = 17). The experimental group received 6 sessions of weekly treatment based on acceptance and commitment by matrix method. All participants completed the Beck Depression Inventory (BDI-ΙΙ) and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) in two stages: pretest and posttest. The collected data were evaluated utilizing SPSS V. 23. Our descriptive statistics, comprising the mean and Standard Deviation (SD), as well as empirical and statistical studies, included covariance analysis (ANCOVA) and variance uniformity Levene. (P <span dir="RTL">></span> 0.05).<br>
<strong>Results:</strong> The results showed that weekly treatment based on acceptance and commitment by matrix method had a significant effect on reducing depression (F= 1.893, P=0.151), and increasing quality of life F = 5.431; P <span dir="RTL">=</span>0.003) of women with chronic pain during COVID-19 pandemic lockdown.<br>
<strong>Conclusion:</strong> The effectiveness of group psychotherapy based on acceptance and commitment by matrix method has a significant effect on reducing depression and increasing quality of life and reducing among women with chronic pain during COVID-19 pandemic lockdown.
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:200%"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Background and objectives:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> The c</span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">oronavirus disease 2019 (COVID-19) pandemic is one of the most important healthcare and social challenges. The aim of this study was to evaluate the effect of acceptance and commitment therapy (ACT) on depression and quality of life among women with chronic pain during the COVID-19 pandemic lockdown.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:200%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> This study had a <span style="background:white">quasi-experimental pretest-posttest design with a control group. The study included 35 women with chronic pain who were randomly divided into an experimental group (n=18) and a control group (n=17). The experimental group received six sessions of weekly treatment based on the ACT matrix. All participants completed the Beck Depression Inventory (BDI-ΙΙ) and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) in pretest and posttest. Collected data were analyzed with SPSS (version 23) using descriptive statistics (mean and standard deviation), analysis of covariance (ANCOVA), </span>independent t-test<span style="background:white">, and the Levene's test. A <i>p</i>-value less than 0.05 was considered statistically significant.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> <span style="background:white">The weekly ACT treatment significantly reduced depression (F=8.72, <i>p</i>=0.01) and significantly increased quality of life (F=11.24, <i>p</i>=0.01).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> <span style="background:white">Group psychotherapy based on the ACT matrix can significantly reduce depression and increase quality of life among women with chronic pain during the COVID-19 pandemic lockdown.</span></span></span></span></span></span></span></span></div>
Matrix Acceptance and Commitment, Depression, Quality of Life, Chronic Pain, COVID-19 Pandemic
Matrix Acceptance and Commitment, Depression, Quality of Life, Chronic Pain, COVID-19 Pandemic
37
45
http://jcbr.goums.ac.ir/browse.php?a_code=A-10-282-1&slc_lang=en&sid=1
Mohamad Reza
Sobhani
Sobhani.mohammadreza@gmail.com
10031947532846003830
10031947532846003830
Yes
Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran
Sara
Jahandar Pour
Sarajahandarpour@mail.com
10031947532846003831
10031947532846003831
No
Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
Nasrin
Khalili
nasrin@gmail.com
10031947532846003832
10031947532846003832
No
Department of Psychology, Islamic Azad University, Naein Branch, Isfahan, Iran