Volume 15, Issue 1 (April 2021)
Qom Univ Med Sci J 2021, 15(1): 66-75 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Miri M, Vaziri S, Ahi Q, Shahabizadeh F, Mahmoudirad A. The Effects of Acceptance and Commitment Therapy on Depression and Anxiety in Patients With Hypertension. Qom Univ Med Sci J 2021; 15 (1) :66-75
URL: http://journal.muq.ac.ir/article-1-3088-en.html
URL: http://journal.muq.ac.ir/article-1-3088-en.html
1- Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.
2- Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran. ,Shahram.vaziri@gmail.com
3- Department of Internal Medicine, School of Medicine, Birjand University Medical Science, Birjand, Iran.
2- Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran. ,
3- Department of Internal Medicine, School of Medicine, Birjand University Medical Science, Birjand, Iran.
Abstract: (2966 Views)
Background and Objectives: Failure to treat hypertension often leads to fatal complications; thus, there is an urgent need to develop and expand effective psychological interventions in this respect. Therefore, this study aimed to determine the effects of Acceptance and Commitment Therapy (ACT) on depression and anxiety in patients with hypertension.
Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. In total, 24 patients with hypertension in Birjand city, Iran, in the second half of 2020 participated in this research. The study subjects were selected from the eligible subjects who volunteered to participate in the study. Besides, they were chosen by convenience sampling method and randomly assigned to the experimental and control groups (n=12/group). The experimental group participated in eight ACT sessions developed by Hayes et al. (2011); however, the control group remained on the waiting list. Data collection tools were the Beck Depres-sion Inventory – Second Edition (BDI-II) (2000) and Beck Anxiety Inventory (BAI; Beck et al., 1988). The col-lected data were analyzed in SPSS using repeated-measures Analysis of Variance (ANOVA) at the significance level of P=0.05.
Results: The current study results revealed that ACT was effective in reducing depression (P<0.01) and anxiety (P<0.01) in patients with hypertension; these results remained consistent until the follow-up step (P<0.01).
Conclusion: The obtained data indicated the effectiveness of ACT in reducing depression and anxiety in patients with hypertension. Thus, this intervention can be used as a complementary therapy to improve psychological problems in patients with hypertension.
Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. In total, 24 patients with hypertension in Birjand city, Iran, in the second half of 2020 participated in this research. The study subjects were selected from the eligible subjects who volunteered to participate in the study. Besides, they were chosen by convenience sampling method and randomly assigned to the experimental and control groups (n=12/group). The experimental group participated in eight ACT sessions developed by Hayes et al. (2011); however, the control group remained on the waiting list. Data collection tools were the Beck Depres-sion Inventory – Second Edition (BDI-II) (2000) and Beck Anxiety Inventory (BAI; Beck et al., 1988). The col-lected data were analyzed in SPSS using repeated-measures Analysis of Variance (ANOVA) at the significance level of P=0.05.
Results: The current study results revealed that ACT was effective in reducing depression (P<0.01) and anxiety (P<0.01) in patients with hypertension; these results remained consistent until the follow-up step (P<0.01).
Conclusion: The obtained data indicated the effectiveness of ACT in reducing depression and anxiety in patients with hypertension. Thus, this intervention can be used as a complementary therapy to improve psychological problems in patients with hypertension.
Type of Study: Original Article |
Subject:
روانشناسی
Received: 2021/03/10 | Accepted: 2021/03/27 | Published: 2021/03/30
Received: 2021/03/10 | Accepted: 2021/03/27 | Published: 2021/03/30
References
1. Visioli F, Franco M, Toledo E, Luchsinger J, Willett WC, Hu FB, et al. Olive oil and prevention of chronic diseases: Summary of an International conference. Nutr Metab Cardiovasc Dis. 2018; 28(7):649-56. [DOI:10.1016/j.numecd.2018.04.004] [PMID] [DOI:10.1016/j.numecd.2018.04.004]
2. Arabshahi A, Gharlipour Z, Mohammadbeigi A, Mohebi S. [The effect of education based on spousal social support on improving self-care behaviors in men with high blood pressure (Persian)]. Qom Univ Med Sci J. 2020; 14 (2):34-46. [DOI:10.29252/qums.14.2.34] [DOI:10.29252/qums.14.2.34]
3. Samiei Siboni F, Alimoradi Z, Sadegi T. [Impact of corrective life style educational program on controlling stress, anxiety, and depression in hypertensives (Persian)]. J Birjand Univ Med Sci. 2013; 19(6):1-9. http://journal.bums.ac.ir/article-1-1170-en.html
4. Namvar H, Ghasedi M. [Interpersonal dependency and social support as the predictors of resilience among hypertensive patients with the mediating role of hope (Persian)]. Qom Univ Med Sci J. 2020; 14 (7):31-9. [DOI:10.29252/qums.14.7.31] [DOI:10.29252/qums.14.7.31]
5. Kasa AS, Shifa AK. Prevalence and assessment of knowledge and practice towards hypertension among Bahir Dar City communities, 2016: A community based cross-sectional study. Int J Nurs Midwifery. 2017; 9(3):33-40. [DOI:10.5897/IJNM2016.0231] [DOI:10.5897/IJNM2016.0231]
6. Khosravi-Boroujeni H, Nikbakht E, Natanelov E, Khalesi S. Can sesame consumption improve blood pressure? A systematic review and meta-analysis of controlled trials. J Sci Food Agric. 2017; 97(10):3087-94. [DOI:10.1002/jsfa.8361] [PMID] [DOI:10.1002/jsfa.8361]
7. Aziz K, Azadbakht L, Sharifirad G, Abdoli R, Alizadeh A. [Relationship between illness perceptions and nutritional knowledge with eating behaviors among Ardabil rural hypertensive patients (Persian)]. J Health Sys Res. 2014; 10(2):295-305. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=237423
8. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation. 2016; 133(4):e38-360. [DOI:10.1161/CIR.0000000000000350] [PMID] [DOI:10.1161/CIR.0000000000000350]
9. Mucci N, Giorgi G, De Pasquale Ceratti S, Fiz-Pérez J, Mucci F, Arcangeli G. Anxiety, stress-related factors, and blood pressure in young adults. Front Psychol. 2016; 7:1682. [DOI:10.3389/fpsyg.2016.01682] [PMID] [PMCID] [DOI:10.3389/fpsyg.2016.01682]
10. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington: American Psychiatric Pub; 2013. https://books.google.com/books?id=-JivBAAAQBAJ&dq
11. Bakhtiari A, Neshatdoost HT, Abedi A, Sadeghi M. [Effectiveness of group therapy based on detached mindfulness meta-cognitive model on hypertension-suffering female patients' hypertension and anxiety (Persian)]. Clin Psychol Personal. 2013; 11(1):47-62. http://cpap.shahed.ac.ir/article_2678.html?lang=en
12. Davydov DM, Stewart R, Ritchie K, Chaudieu I. Depressed mood and blood pressure: The moderating effect of situation-specific arousal levels. Int J Psychophysiol. 2012; 85(2):212-23. [DOI:10.1016/j.ijpsycho.2012.04.011] [PMID] [DOI:10.1016/j.ijpsycho.2012.04.011]
13. Arbanas G. Diagnostic and statistical manual of mental disorders (DSM-5). Alcoholism Psychiat Res. 2015; 51(1):61-4. https://www.researchgate.net/publication/288833437_Diagnostic_and_statistical_manual_of_mental_disorders_DSM-5
14. Holsboer F. The corticosteroid receptor hypothesis of depression. Neuropsychopharmacology. 2000; 23(5):477-501. [DOI:10.1016/S0893-133X(00)00159-7] [PMID] [DOI:10.1016/S0893-133X(00)00159-7]
15. Vasiuk IA, Nesterova EA, Dovzhenko TV, Kozina AA, Sadulaeva IA, Tarasova KV. [Modern antidepressants in complex management of patients with hypertension and concomitant affective disorders (Russian)]. Kardiologiia. 2004; 44(8):72-9. [PMID]
16. Mushtaq M, Najam N. Depression, anxiety, stress and demographic determinants of hypertension disease. Pak J Med Sci. 2014; 30(6):1293-8. [DOI:10.12669/pjms.306.5433] [PMID] [PMCID] [DOI:10.12669/pjms.306.5433]
17. Kretchy IA, Owusu-Daaku FT, Danquah SA. Mental health in hypertension: Assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. Int J Ment Health Syst. 2014; 8(1):1-6. [DOI:10.1186/1752-4458-8-25] [PMID] [PMCID] [DOI:10.1186/1752-4458-8-25]
18. Aghae E, Bakhtiyar A, Jamali Paghale S. [Effectiveness of Group Therapy Stress management on depression and blood pressure in female patients with hypertension (Persian)]. Quart J Health Psychol. 2013; 2(7):57-68. http://hpj.journals.pnu.ac.ir/article_671.html
19. van Jaarsveld CHM, Sanderman R, Ranchor AV, Ormel J, van Veldhuisen DJ, Kempen GIJM. Gender-specific changes in quality of life following cardiovascular disease: A prospective study. J Clin Epidemiol. 2002; 55(11):1105-12. [DOI:10.1016/S0895-4356(02)00506-1] [PMID] [DOI:10.1016/S0895-4356(02)00506-1]
20. Dahlin M, Andersson G, Magnusson K, Johansson T, Sjögren J, Håkansson A, et al. Internet-delivered acceptance-based behaviour therapy for generalized anxiety disorder: A randomized controlled trial. Behav Res Ther. 2016; 77:86-95. [DOI:10.1016/j.brat.2015.12.007] [PMID] [DOI:10.1016/j.brat.2015.12.007]
21. Forman EM, Butryn ML, Manasse SM, Crosby RD, Goldstein SP, Wyckoff EP, et al. Acceptance‐based versus standard behavioral treatment for obesity: Results from the mind your health randomized controlled trial. Obesity. 2016; 24(10):2050-6. [DOI:10.1002/oby.21601] [PMID] [PMCID] [DOI:10.1002/oby.21601]
22. Juncos DG, Heinrichs GA, Towle P, Duffy K, Grand SM, Morgan MC, et al. Acceptance and commitment therapy for the treatment of music performance anxiety: A pilot study with student vocalists. Front Psychol. 2017; 8:986-90. [DOI:10.3389/fpsyg.2017.00986] [PMID] [PMCID] [DOI:10.3389/fpsyg.2017.00986]
23. Tavakoli Z, Tajeri B, Radfar S, Jomehri F, Khosravi A. [The effectiveness of treatment-based behavior based on acceptance of hidden anxiety, overt anxiety and hypertension in cardiovascular patients referred to the rest of the Baqiyatallah Hospital (Persian)]. J Psychol Sci. 2021; 19(96):1655-566. http://psychologicalscience.ir/article-1-787-en.html&sw=Hidden+Anxiety%2C+Overt+Anxiety+and+Hypertension
24. Baradaran M, Zare H, Alipour A, Farzad, V. [Comparison of effectiveness of acceptance and commitment therapy and motivational interviewing on decreasing anxiety, depression, stress and increasing hope in essential hypertensive patients (Persian)]. J Clin Psychol. 2016; 8(4):95-105. [DOI:10.22075/JCP.2017.2257]
25. Ebn-Nasir S, Khaleghipour S. [Effectiveness of acceptance and commitment therapy on anxiety sensitivity, and quality of life in patients with hypertension having avoidance personality trait (Persian)]. J Res Behav Sci. 2018; 16(2):198-205. [DOI:0.22122/rbs.v16i2.1998]
26. Zettle RD. Acceptance and commitment therapy for depression. Curr Opin Psychol. 2015; 2:65-9. [DOI:10.1016/j.copsyc.2014.11.011] [DOI:10.1016/j.copsyc.2014.11.011]
27. Poulter NR, Prabhakaran D, Caulfield M. Hypertension.Lancet. 2015; 386(9995):801-12. [DOI:10.1016/S0140-6736(14)61468-9] [DOI:10.1016/S0140-6736(14)61468-9]
28. Oreizy H, Farahani H. [Applied research methods in counseling and clinical psychology (Persian)]. Tehran: Danjeh; 2008. http://opac.nlai.ir/opac-prod/bibliographic/1071040
29. Steer RA, Rissmiller DJ, Beck AT. Use of the Beck Depression Inventory-II with depressed geriatric inpatients. Behav Res Ther. 2000; 38(3):311-8. [DOI:10.1016/S0005-7967(99)00068-6] [DOI:10.1016/S0005-7967(99)00068-6]
30. Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. [Psychometrics characteristic of beck depression inventory-II in patients with magor depressive disorder (Persian)]. Arch Rehabil. 2007; 8(0):82-97. https://rehabilitationj.uswr.ac.ir/browse.php?a_id=135&sid=1&slc_lang=en
31. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988; 56(6):893-7. https://psycnet.apa.org/record/1989-10559-001 [DOI:10.1037/0022-006X.56.6.893]
32. Kaviani H, Mousavi AS. [Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI) (Persian)]. Tehran Univ Med J. 2008; 66(2):136-40. https://tumj.tums.ac.ir/browse.php?a_id=641&sid=1&slc_lang=en
33. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. New York: Guilford Press; 2011. https://books.google.com/books?id=5_xAm0VF4X8C&dq
34. Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cog Behav Prac. 2009; 16(4):368-85. [DOI:10.1016/j.cbpra.2009.06.001] [DOI:10.1016/j.cbpra.2009.06.001]
35. Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev. 2010; 30(7):865-78. [ [DOI:10.1016/j.cpr.2010.03.001] [PMID] [PMCID] [DOI:10.1016/j.cpr.2010.03.001]
36. Harris R. ACT made simple: An easy-to-read primer on acceptance and commitment therapy. Oakland: New Harbinger Publications; 2019. https://books.google.com/books?id=I9eQuQEACAAJ&dq
37. Asghari M, Falehkar A, Zarei A, Mirzahoseini F, Amani O. [Comparison of the efficacy of acceptance acceptance commitment therapy and electrical stimulation with alternating current on mood symptoms in depressed patients (Persian)]. Iran J Nurs Res. 2018; 13(4):16-23. https://ijnr.ir/article-1-2111-en.html
38. Ezadee M, Rasouli A. [Effectiveness of acceptance and commitment psychotherapy in improving depression and quality of sleep in women with postpartum depression (Persian)]. Iran J Nurs Res. 2019; 14(1):21-8. [DOI:10.21859/ijnr-140104]
39. Zettle RD. ACT for depression: A clinician's guide to using acceptance and commitment therapy in treating depression. New York: New Harbinger Publications; 2007. https://books.google.com/books?id=4VUp7wlwXH8C&dq
40. 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 (Persian)]. Iran J Psychiat Clin Psychol. 2019; 25(1):2-13. [DOI:10.32598/ijpcp.25.1.2] [DOI:10.32598/ijpcp.25.1.2]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Owned by Qom University of Medical Sciences
Published by Qom University of Medical Sciences Press
eISSN: 2008-1375
pISSN: 1735-7799
Email: journal[at]muq.ac.ir
j.mua.ac[at]gmail.com
