Comparing the Effectiveness of Acceptance and Commitment Therapy and Transdiagnostic Treatment on Psychosocial Adjustment to the Disease and Self-Care in People with Cardiovascular Disease

Document Type : Research Paper

Authors

1 PhD student, Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran.

2 Assistant Professor, Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran.

3 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

Abstract

The aim of the research was to compare the effectiveness of acceptance and commitment therapy and transdiagnostic therapy on psychosocial adjustment to the disease and self-care in people with cardiovascular disease. The research method was semi-experimental with a pre-test-post-test design with a control group and a two-month follow-up phase.. The statistical population of the study was cardiovascular patients in Isfahan city in 1401, and 51 patients were selected using the purposeful sampling method and randomly assigned to two experimental groups and one control group (17 people in each group). The research tool was the questionnaire of psychosocial adjustment to the disease Dragtis(1986) and self-care by Jarsma et al(2003). Acceptance and commitment therapy was implemented in 9 sessions of 90 minutes and once a week, and transdiagnostic therapy was also implemented in 9 sessions of 90 minutes and once a week, and the control group was waiting for treatment.. Data were analyzed using mixed variance statistical method and Bonferroni post hoc test. The results showed the effectiveness of acceptance and commitment therapy and transdiagnostic therapy on psychosocial adjustment to the disease (Eta = 0.753) and self-care (Eta = 0.362) of cardiovascular patients, so that these effects were maintained in the follow-up phase(P<0.001). The results of the Bonferroni test showed that the effectiveness of acceptance and commitment therapy to self-care of patients was higher. Therefore, both interventions can be used for psychosocial adjustment to the disease and self-care of cardiovascular patients and to improve their quality of life.

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History

  • Receive Date: 16 April 2023
  • Revise Date: 22 June 2023
  • Accept Date: 28 June 2023

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