Volume 15, Issue 8 (November 2021)
Qom Univ Med Sci J 2021, 15(8): 518-527 |
Back to browse issues page
Samira Haddadi1 
, Saied Malihi Alzakerini1 , Ramin Tajbakhsh * 2, Mansoureh Tajvidi3 , Alireza Kakavand4
, Saied Malihi Alzakerini1 , Ramin Tajbakhsh * 2, Mansoureh Tajvidi3 , Alireza Kakavand4
1- Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
2- Department of Internal Medicine, Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. ,r_tajbakhsh@yahoo.com
3- Department of Nursing, Karaj Branch, Islamic Azad University, Karaj, Iran.
4- Department of Psychology, Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran.
2- Department of Internal Medicine, Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. ,
3- Department of Nursing, Karaj Branch, Islamic Azad University, Karaj, Iran.
4- Department of Psychology, Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran.
Abstract: (1656 Views)
Background and Objectives Chronic kidney disease and hemodialysis have adverse effects on the patient's physical and mental health. The aim of this study was to evaluate the effectiveness of commitment-based treatment and acceptance (ACT) on depression and post-traumatic growth in hemodialysis patients.
Methods The present study was clinical trial with pre-test, post-test and follow-up with a control group. Hemodialysis was performed on 36 patients referred to Imam Ali and Shahid Rajaei Hospitals in Karaj. Sampling method was convenience and patients randomly assigned into two groups: ACT group (n=18) and control group (n=18). The research tool was Beck and Post Traumatic Growth and Depression Inventory. The intervention group received ACT therapy individually in 8 sessions of 90 minutes. The data were analyzed using SPSS software version 23.
Results In the pre-test stage, the Mean±SD score of the depression and post-traumatic growth of the ACT group were 49.83±4.73 and 41.94±10.76, respectively. In the control group; the mean and standard deviation of depression was 45.39±2.70 and for post-traumatic growth was 44.22±8.09. After intervention and in the follow-up phase, a significant increase in mean post-traumatic growth and a decrease in depression were observed in the experimental group compared to the control group (p≤0.001).
Conclusion Based on the results of this study, it seems that ACT as a psychological intervention can be effective in improving psychological problems and post-traumatic growth in patients undergoing hemodialysi.
Methods The present study was clinical trial with pre-test, post-test and follow-up with a control group. Hemodialysis was performed on 36 patients referred to Imam Ali and Shahid Rajaei Hospitals in Karaj. Sampling method was convenience and patients randomly assigned into two groups: ACT group (n=18) and control group (n=18). The research tool was Beck and Post Traumatic Growth and Depression Inventory. The intervention group received ACT therapy individually in 8 sessions of 90 minutes. The data were analyzed using SPSS software version 23.
Results In the pre-test stage, the Mean±SD score of the depression and post-traumatic growth of the ACT group were 49.83±4.73 and 41.94±10.76, respectively. In the control group; the mean and standard deviation of depression was 45.39±2.70 and for post-traumatic growth was 44.22±8.09. After intervention and in the follow-up phase, a significant increase in mean post-traumatic growth and a decrease in depression were observed in the experimental group compared to the control group (p≤0.001).
Conclusion Based on the results of this study, it seems that ACT as a psychological intervention can be effective in improving psychological problems and post-traumatic growth in patients undergoing hemodialysi.
Keywords: Acceptance and Commitment Therapy, Posttraumatic growth, Psychological, Depression, Renal insufficiency, Chronic
Type of Study: Original Article |
Subject:
روانشناسی
Received: 2021/10/7 | Accepted: 2021/11/2 | Published: 2021/12/1
Received: 2021/10/7 | Accepted: 2021/11/2 | Published: 2021/12/1
References
1. Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal disease: Impact and management challenges a narrative review. Int J Nephrol Renovasc Dis. 2018; 11:93-102. [DOI:10.2147/IJNRD.S126615] [PMID] [PMCID] [DOI:10.2147/IJNRD.S126615]
2. Turkistani I, Nuqali A, Badawi M, Taibah O, Alserihy O, Morad M, et al. The prevalence of anxiety and depression among end-stage renal disease patients on hemodialysis in Saudi Arabi. Ren Fail. 2014; 36(10):1510-15. [DOI:10.3109/0886022X.2014.949761] [PMID] [DOI:10.3109/0886022X.2014.949761]
3. Cui C, Wang K, An J, Jin C. Current status and influencing factors of post-traumatic growth in maintenance hemodialysis. Int J Nurs Sci. 2017; 4(4):362-6. [DOI:10.1016/j.ijnss.2017.09.008] [PMID] [PMCID] [DOI:10.1016/j.ijnss.2017.09.008]
4. Shirazian S, Grant CD, Aina O, Mattana J, Khorassani F, Ricardo AC. Depression in chronic kidney disease and end-stage renal disease: Similarities and differences in diagnosis, epidemiology, and management. Kidney Int Rep. 2016; 2(1):94-107. [DOI:10.1016/j.ekir.2016.09.005] [PMID] [PMCID] [DOI:10.1016/j.ekir.2016.09.005]
5. Dziubek W, Kowalska J, Kusztal M, Rogowski Ł, Gołębiowski T, Nikifur M, et al. The level of anxiety and depression in dialysis patients undertaking regular physical exercise training -- a preliminary study. Kidney Blood Press Res. 2016; 41(1):86-98. [DOI:10.1159/000368548] [PMID] [DOI:10.1159/000368548]
6. Chan L, Tummalapalli SL, Ferrandino R, Poojary P, Saha A, Chauhan K, et.al. The Effect of depression in chronic hemodialysis patients on inpatient hospitalization outcomes. Blood Purif. 2017; 43(1-3):226-34. [DOI:10.1159/000452750] [PMID] [PMCID] [DOI:10.1159/000452750]
7. Sörensen J, Rzeszutek M, Gasik R. ocial support and post-traumatic growth among a sample of arthritis patients: Analysis in light of conservation of resources theory. Curr Psychol. 2021; 40:2017-25. [DOI:10.1007/s12144-019-0131-9] [DOI:10.1007/s12144-019-0131-9]
8. Qiu Y, Hong Y, Wang Y, Ren L, Jiang H, Zhang L, et al. The role of socioeconomic status, family resilience, and social support in predicting psychological resilience among Chinese maintenance hemodialysis patients. Front Psychiatry. 2021; 12:723344. [DOI:10.3389/fpsyt.2021.723344] [DOI:10.3389/fpsyt.2021.723344]
9. Rzeszutek M, Oniszczenko W, Firląg-Burkacka E. Social support, stress coping strategies, resilience and posttraumatic growth in a Polish sample of HIV-infected individuals: Results of a 1 year longitudinal study. J Behav Med. 2017; 40(6):942-54. [DOI:10.1007/s10865-017-9861-z] [PMID] [PMCID] [DOI:10.1007/s10865-017-9861-z]
10. Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and Commitment Therapy (ACT) to reduce depression: Systematic review and meta-analysis. J Affect Disord. 2020; 260:728-37. [DOI:10.1016/j.jad.2019.09.040] [PMID] [DOI:10.1016/j.jad.2019.09.040]
11. Levin ME, Pistorello J, Seeley JR, Hayes SC. Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. J Am Coll Health. 2014; 62(1):20-30. [DOI:10.1080/07448481.2013.843533] [PMID] [PMCID] [DOI:10.1080/07448481.2013.843533]
12. Moghadamfar N, Amraei R, Asadi F, Amani O. [The efficacy of Acceptance and Commitment Therapy (ACT) on hope and psychological well-being in women with breast cancer under chemotherapy (Persian)]. Iran J Psychiatr Nurs. 2018; 6(5):1-7. http://ijpn.ir/article-1-1155-en.html
13. Karlin BE, Walser RD , Yesavage J, Zhang A, Trockel M, Taylor CB. Affectiveness of acceptance and commitment therapy for depression: Comparison among older and younger veterans. Aging Ment Health. 2013; 17(5):555-63. [DOI:10.1080/13607863.2013.789002] [PMID] [DOI:10.1080/13607863.2013.789002]
14. Sarizadeh MS, Mozaffari S, Rahimian Boogar I. [Effectiveness of acceptance and commitment therapy on the fear of cancer recurrence and post-traumatic growth among patients with breast cancer (Persian)]. Koomesh. 2018; 20(4):626-32. http://koomeshjournal.semums.ac.ir/browse.php?a_id=3879&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
15. Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH. Mechanisms in psychosocial interventions for adults living with cancer: Opportunity for integration of theory, research, and practice. J Consult Clin Psychol. 2013; 81(2):318-35. [DOI:10.1037/a0028833] [PMID] [DOI:10.1037/a0028833]
16. Oreizy H, Farahani H. [Applied research methods in counseling and clinical psychology (Persian)]. Tehran: Danjeh; 2008. http://opac.nlai.ir/opac-prod/bibliographic/1071040
17. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress. 1996; 9(3):455-71. [DOI:10.1002/jts.2490090305] [PMID] [DOI:10.1002/jts.2490090305]
18. Heidarzadeh M, Rassouli M, Mohammadi Shahbolaghi F, Alavi Majd H, Mirzaeei H, Tahmasebi M. [Validation of the Persian version of the posttraumatic growth inventory in patients with cancer (Persian)]. Payesh. 2015; 14(4):467-73. [DOI:20.1001.1.16807626.1394.14.4.7.6]
19. 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] [PMID] [DOI:10.1016/S0005-7967(99)00068-6]
20. Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. [Psychometric characteristic of Beck Depression Inventory-II in patients with major depressive disorder (Persian)]. Arch Rehabil. 2007; 8:80-6. https://rehabilitationj.uswr.ac.ir/browse.php?a_id=135&sid=1&slc_lang=en
21. Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behav Ther. 2013; 44(2):180-98. [DOI:10.1016/j.beth.2009.08.002] [PMID] [PMCID] [DOI:10.1016/j.beth.2009.08.002]
22. Azemi Zeynal A, Ghaffari A, Sharghi A. [The effectiveness of acceptance and commitment therapy based on depression, mental health and physically health in hemodialysis patients (Persian)]. J Fundam Mental Health. 2016; 18:412-8. [DOI:10.22038/JFMH.2016.7859]
23. Dehghani Y. [The Effectiveness of acceptance and commitment group therapy on depression and quality of life in women with dialysis patients (Persian)]. J Clin Psychol. 2016; 8(3):1-10. [DOI:10.22075/JCP.2017.2240]
24. 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):22-8. http://ijnr.ir/article-1-2159-en.html
25. Ezzat Panah F, Latifi Z. [Effectiveness training based on acceptance, commitment and compassion on pain catastrophizing, distress tolerance and post traumatic growth in patients with fibromyalgia syndrome (Persian)]. Q J Health Psychol. 2020; 8(32):127-42. [DOI:10.30473/HPJ.2020.43700.4227]
26. Hulbert-Williams N, Neal R, Morrison V, Hood K, Wilkinson C. Anxiety, depression and quality of life after cancer diagnosis: What psychosocial variables best predict how patients adjust? Psychooncology. 2012; 21(8):857-67. [DOI:10.1002/pon.1980] [PMID] [DOI:10.1002/pon.1980]
27. Twohig MP, Hayes SC, Plumb JC, Pruitt LD, Collins AB, Azlett-stevens H, et al. A randomize clinical trial of acceptance and commitment therapy versus progressive relaxation training in the treatment of obsessive-compulsive disorder. J consult clin psychol. 2010; 78(5):705-16. [DOI:10.1037/a0020508] [PMID] [PMCID] [DOI:10.1037/a0020508]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |