Comparison of Acceptance Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in Reducing Depression symptoms and Increasing Happiness of Iranian adolescent Girl Students
DOI:
https://doi.org/10.6000/2292-2598.2020.08.01.3Keywords:
Acceptance-Commitment Therapy, Cognitive-Behavioral Therapy, Depression, Happiness, Adolescent Girls.Abstract
This study aimed to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT) in reducing depression symptoms and increasing happiness of Iranian adolescent girls in Shiraz-Iran in 2017-2018 educational year. The research method was quasi- Experimental with assessing participants with pre -Test, Post-Test plans and control group. The Statistical population of this study consisted of 45 adolescent girl Students- between 13-17 years old - who were referred to the school’s student counselling centres because of their poor mental well being. They were selected by convenient sampling method and then they were randomly divided into three groups of 15 participants (two experimental groups and one control group). The Depression and Happiness variables were assessed by using Beck’s Depression Inventory (1996) and the Oxford Happiness Questionnaire (1989) respectively.
Commitment Therapy Package was implemented for 8 sessions and Cognitive-Behavioral Package was implemented for 10 sessions for each Experimental groups separately. The Data were analysed by using SPSS24 software and analysis of multivariate covariance (MANCOVA). The results of this study suggested that both ACT and CBT Therapy approach had an acceptable effect on reducing Depression and increasing Happiness in Adolescent girls (p<0.05). However, the ACT had more influence on decreasing depression symptoms (1.56 %) and enhancing happiness (4.4. %) in participants outcomes in comparison with CBT method. Thus, it seems that ACT is a more effective intervention approach in this regard.
References
Habibpour Z, Sharifi A. A comparative study about the intensity of depression among girls and boys in teenage period. Journal of Urmia Nursing and Midwifery 2009; 7(1): 10-2.
Park EM, Roswnstein DL. Depression in adolescents and young adults with cancer. Dialogues in Clinical Neuroscience 2015; 17(2): 171-80. DOI: https://doi.org/10.31887/DCNS.2015.17.2/epark
Shirani N, Taebi M, Kazemi A, Khalafian M. The level of depression and its related factors among the mothers with mentally retarded girl children in exceptional primary schools. Iranian Journal of Nursing and Midwifery Research 2015; 20(1): 69-74.
Langille DB, Asbridge M, Cragg A, Rasic D. Associations of school connectedness with adolescent suicidality: gender difference and the role of school connectedness with adolescent suicidality: gender differences and the role of risk of depression. Canadian Journal of Psychiatry 2015; 60(6): 258-67. https://doi.org/10.1177/070674371506000604 DOI: https://doi.org/10.1177/070674371506000604
Partoazam H, Habibpour Z, Habibzade H, Safaralizade F. Relationship between iron deficiency and depression among adolescent girls in Khoy, Tabriz. Journal of Nurse-Midwifery 2009; 14(3): 46-52.
Mojs E, Bartkowska W, Kaczmarek L, Ziarko M, Bujacz A, Warchol-Biedemann K. Psychometric properties of the polish version of the brief version of Kutcher Adolescent Depression Scale-assessment of depression among students. Psychiatria Polska 2015; 49(1): 135-44. https://doi.org/10.12740/PP/22934 DOI: https://doi.org/10.12740/PP/22934
McCracken LM, Vowles KE. Acceptance and commitment therapy and mindfulness for chronic pain: model, process, and progress. The American Psychologist 2014; 69(2): 178-87. https://doi.org/10.1037/a0035623 DOI: https://doi.org/10.1037/a0035623
Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy 1999; 44(1): 1-25.
Reduction of Obsessive-Compulsive symptoms in patients with obsessive-compulsive Disorder and Commitment-Based Therapy. Two months of Faith Scientific Research 17(3): 275-286.
Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy 2006; 44(1): 1-25. https://doi.org/10.1016/j.brat.2005.06.006 DOI: https://doi.org/10.1016/j.brat.2005.06.006
Fernandez M, Lopez Lopez A, Losada A, Gonzalez JL, Wetherell JL. Acceptance and commitment therapy and selective optimization with compensation for institutionalized older people with chronic pain. Pain medicine 2015.
Folke F, Parling T, Melin L. Acceptance and commitment therapy for depression: A preliminary randomized clinical trial for unemployed on long-term sick leave. Cognitive and Behavioral Practice 2012; 19(4): 583-94. https://doi.org/10.1016/j.cbpra.2012.01.002 DOI: https://doi.org/10.1016/j.cbpra.2012.01.002
Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci 2013; 11(2): 121-128.
Prochaska J. Norcross J. Psychiatric Theories, Translated by, Seyed Mohammadi, Yahya (2014), Tehran: Roshd Publications 2011.
McHugh RK, Hearon BA, Otto MW. Cognitive behavioral therapy for substance use disorders. Psychiatric Clinics of North America 2010; 33(3): 511-25. https://doi.org/10.1016/j.psc.2010.04.012 DOI: https://doi.org/10.1016/j.psc.2010.04.012
Osilla KC, Hepner KL, Muñoz RF, Woo S, Watkins K. Developing an Integrated treatment for substance use and depression using cognitive–behavioral therapy. Journal of Substance Abuse Treatment 2009; 37(4): 412-20. https://doi.org/10.1016/j.jsat.2009.04.006 DOI: https://doi.org/10.1016/j.jsat.2009.04.006
Moghanloo M, Aguilar-Vafaie M. Domain and facets of the five factor model of personality correlates of happiness, mental health and physical health. Iranian Journal of Psychiatry and Clinical Psychology 2009; 15: 290-9.
Wurtman JJ. Depression and weight gain: the serotonin con-nection. Journal of Affective Disorders 2008; 29(2): 183-92. https://doi.org/10.1016/0165-0327(93)90032-F DOI: https://doi.org/10.1016/0165-0327(93)90032-F
Esmaeili Far N, Shafiabadi A, Ahghar G. The contribution of self-effectiveness in predicting happiness. Journal of Thought and Behavior 2011; 5(3): 27-34.
Ahmadi Frushani SH, Yazdkhasti F, Arizi HR. The effectiveness of psychodrama with spiritual content on students' happiness, enjoyment, and mental health. Journal of Applied Psychology 2017; 7(2)26: 7-23.
Pernegar TV. Health and happiness in young Swiss adults, Quality of care until. Geneva university Hospital, Geneva, Switzerland 2004.
Faghihi MS, Kajbaf MB. The effectiveness of acceptance and commitment-based training to mothers on self-esteem in children with lip and palate Clift. Journal of Applied Psychology 2016; 10(4): 40, 453-476.
Narimani M, Abbasi M, Abolghasemi A, Ahadi B. Comparison of the Effectiveness of acceptance and commitment training with Emotion Regulation Training on Adaptation of students with Math Disorders. Journal of Learning Disabilities 2013; 2(4): 176-154. https://doi.org/10.5812/ijhrba.10791 DOI: https://doi.org/10.5812/ijhrba.10791
Poorfaraj M. The Effectiveness of Acceptance and Commitment Group Therapy on Social Fear of Students, Shahroud University of Medical Sciences, Journal of Knowledge and Health 2011; 6(2): 1-5.
Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders. Cognitive and Behavioral Practice 2009; 16(1): 368-85. https://doi.org/10.1016/j.cbpra.2009.06.001 DOI: https://doi.org/10.1016/j.cbpra.2009.06.001
Woods DW, Wetterneck CT, Flessner CA. A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy 2006; 44(5): 639-56. https://doi.org/10.1016/j.brat.2005.05.006 DOI: https://doi.org/10.1016/j.brat.2005.05.006
Bach P, Hayes SC. The use of acceptance and commitment therapy to prevent the prehospitalization of psychotic patients. Journal of Consulting and Clinical Psychology. Copyright by the American Psychological Association 2005; 70(5): 1129-1139. https://doi.org/10.1037//0022-006X.70.5.1129 DOI: https://doi.org/10.1037//0022-006X.70.5.1129
Epstein NB, Baucom DH. Enhanced cognitive-behavioral therapy for couples: A contextual approach. American Psychological Association 2002. https://doi.org/10.1037/10481-000 DOI: https://doi.org/10.1037/10481-000
Vasa RA, Roy AK. Pediatric anxiety disorders: a clinical guide (Current Clinical Psychiatry) (1 Ed.). California: Humana Press 2013. https://doi.org/10.1007/978-1-4614-6599-7 DOI: https://doi.org/10.1007/978-1-4614-6599-7
Safarnejad F, Ho-Abdullah I, Awal NM. A cognitive study of happiness metaphors in Persian and English. Procedia-Social and Behavioral Sciences 2014; 118: 110-7. https://doi.org/10.1016/j.sbspro.2014.02.015 DOI: https://doi.org/10.1016/j.sbspro.2014.02.015
Barkhori H, Refahi J, Farahbakhsh K. The effect of positive thinking skills into a team approach on achievement motivation, self-esteem and happiness of the first-grade students. Journal of New Approaches in Educational Administration 2010; 3: 31-6.
Nezam Hashemi SM, Gayur Baghbani GH, Khadivi HNF, Ashuri J. The effectiveness of cognitive-behavioral therapy and schema therapy on happiness and mental health in nursing students. Clinical Journal of Nursing and Midwifery 2015; 5(1): 12-22. https://doi.org/10.4135/9781473909892.n3 DOI: https://doi.org/10.4135/9781473909892.n3
Rajabi G. psychometric properties of short Forma of Beck Depression Inventory. Iranian Psychologists Quartery 2005; 1(14): 298-291.
Luty JC. Validation of the 13-Item Beck Depression Inventory in alcohol-dependent people. American Psychological Association 2006; 10(1): 45-51. https://doi.org/10.1080/13651500500410117 DOI: https://doi.org/10.1080/13651500500410117
Alipour A, Nourbala AA. Preliminary validity and reliability of Oxford Happiness Questionnair. Thoughta and Behavior 1999; 55: 65-18.
Argyl MLUL. The happiness of extroverts. Personality and Individual Differenccs 1998; 11: 1011-1017. https://doi.org/10.1016/0191-8869(90)90128-E DOI: https://doi.org/10.1016/0191-8869(90)90128-E
Furnham A, Brewing C. personality and happiness. Personality and Individual Differences 1999; 1: 1093-1096. https://doi.org/10.1016/0191-8869(90)90138-H DOI: https://doi.org/10.1016/0191-8869(90)90138-H
Hayes SC, Muto T, Masuda A. Seeking cultural competence from the ground up. Clinical Psychology: Science and Practice 2011; 18(3): 232-237. https://doi.org/10.1111/j.1468-2850.2011.01254.x DOI: https://doi.org/10.1111/j.1468-2850.2011.01254.x
Zulfigari E. The Effectiveness of Acceptance and commitment based Education in Quality of life and psychological Well-Being in Type 1 Diabetic patients. Masters Degree in Rehabilitation Counseling, Marvdasht Azad university of psychology and Traumatology 2016.
Taylor D, Bury M, Campling N, Carter S, Garfied S, Newbould J, Rennie T. A Review of the use of the Health Belief Model (HBM), the Theory of Reasoned Action (TRA), the Theory of Planned Behaviour (TPB) and the Trans-Theoretical Model (TTM) to study and predict health related behavior change 2009.
Izadi R. Evaluation and comparison of the effectiveness of acceptance and commitment-based therapy (ACT) and cognitive-behavioral therapy (CBT) on obsessive-compulsive symptoms and beliefs, quality of life, Psychological flexibility, depression and anxiety in patients with Obsessive-Compulsive Disorder resistant to treatment, PhD Thesis, Isfahan University, Isfahan, Faculty of Psychology and Educational Science 2012.
Nikoo GM, Khanaloo. Comparison of the effectiveness of cognitive-behavioral therapy and acceptance and commitment-based therapy on reducing depression symptoms in female patients with multiple sclerosis. Journal of Behavioral Sciences Research 2017; 15(1): 59-66.
Azizi G. Comparing the Effectiveness of Three Approaches of Acceptance and Commitment, Cognitive-Behavioral, and Problem-oriented on Depression and Quality of Life in Divorced Women, Journal of Counseling and Psychotherapy 2017; 8(29): 207-236.
Salam Shahid H. Comparison of the effectiveness of cognitive-behavioural therapy with acceptance and commitment-based therapy on depression, quality of life, self-effectiveness and pain severity in patients with chronic pain. MSc thesis. Islamic Azad University and Najaf Abad University 2015.
Bradley E. Karlin Mickey Trockel Gregory K. Brown Maria Gordienko Jerome Yesavage C. Barr Taylor Author Notes. Comparison of the Effectiveness of Cognitive Behavioral Therapy for Depression among Older Versus Younger Veterans: Results of a National Evaluation, The Journals of Gerontology: Series B 2015; 70(1): 3-12. https://doi.org/10.1093/geronb/gbt096 DOI: https://doi.org/10.1093/geronb/gbt096
Izadi R, Abedi MR. Reduction of obsessive symptoms in patients with obsessive-compulsive disorder resistant to acceptance and commitment-based therapy, Feyz. Journal of Science and Research 2013; 17(3): 275-86.
Dobson KS, Hollon SD, Dimidjian S, Schmaling KB, Kohlenberg RJ, Gallop R, et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medicationin the prevention of relapse and recurrence in majordepression. Journal of Consulting and Clinical Psychology 2008; 76: 468−477. https://doi.org/10.1037/0022-006X.76.3.468 DOI: https://doi.org/10.1037/0022-006X.76.3.468
Storch EA, Arnold EB, Lewin AB, Nadeau JM, Jones AM, De Nadai AS, et al. The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: Arandomized, controlled trial. Journal of American Academy of Child & Adolescent Psychiatry 2013; 52(2): 132-142. https://doi.org/10.1016/j.jaac.2012.11.007 DOI: https://doi.org/10.1016/j.jaac.2012.11.007