نوع مقاله : مقاله پژوهشی

نویسندگان

1 Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Iran

2 Assistant Professor, Cardiology Department, Kermanshah University of Medical Science

چکیده

Adequate reduction of marital conflicts in cardiovascular disease patients helps them cope better with their conditions, as well as improve their quality of life. The aim of this empirical study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on marital conflicts in cardiac patients with a history of coronary artery bypass. The method of this research was semi-experimental with pre- and post-test with a control group. Participants were 30 patients, who were selected through convenience sampling. Participants administered the Marital Conflict Questionnaire (Sanai, Alaghband, Falahati, & Hooman, 2009) as pre- and post-test. Finally, 30 individuals who had the highest scores in the marital conflict questionnaire were selected and randomly assigned to two groups of experimental and control (n=15). To analyze the data, the ANCOVA test was used. The findings of this study indicated that there was a statistically significant effect on the experimental group on the following sub-scales: decreased cooperation, dividing financial affairs and marital conflict. It could be concluded that ACT-based training intervention was effective of the above-mentioned subscales and could be used to reduce marital conflicts in patients with patients with a history of coronary artery bypass. This study indicates the importance of education, as well as psychological interventions as an essential part of the recovery process.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the effectiveness of Acceptance and Commitment Therapy (ACT) on marital conflicts of coronary artery bypass Patients

نویسندگان [English]

  • Dariush Khanei 1
  • Rezvanossadat Jazayeri 1
  • Fatemeh Bahrami 1
  • Nafiseh Montazeri 1
  • Ozra Etemadi 2

1 department of counseling, faculty member of education and psychology, University of Isfahan, Iran

2 department of counseling, faculty member of education and psychology, University of Isfahan, Iran.

چکیده [English]

adequate reduction of marital conflicts in Cardiovascular disease patients helps them cope better with their conditions, as well as improve their quality of life. The aim of this empirical study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on marital conflicts in Cardiac patients with a history of coronary artery bypass. The method of this research was semi-experimental with pre- and post-test with a control group. Participants were 30 patients, who were selected through convenience sampling. Participants were administered the Marital Conflict Questionnaire (Sanai, Alaghband, Falahati, & Hooman, 2009) as pre- and post-test. Finally, 30 individuals who had the highest scores in the marital conflict questionnaire were selected and randomly assigned to two groups of experimental and control (n=15). To analyze the data, the ANCOVA test was used. The findings of this study indicated that there was a statistically significant effect on the experimental group on the following sub-scales: decreased cooperation, dividing financial affairs and marital conflict. It could be concluded that ACT-based training intervention was effective of the above-mentioned subscales and could be used to reduce marital conflicts in patients with patients with a history of coronary artery bypass. This study indicates the importance of education, as well as psychological interventions as an essential part of the recovery process.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy (ACT)
  • emotionally focused
  • Marital conflicts
  • coronary artery bypass, Patients
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of consulting and clinical psychology, 70(5), 1129.
Baruch, D. (2012). Kanker J, Busch A. Acceptance and commitment therapy: enhancing the relationships. Journal of clinical case studies, 8(3), 241-257.
Christensen, A., Atkins, D. C., Berns, S., Wheeler, J., Baucom, D. H., & Simpson, L. E. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of consulting and clinical psychology, 72(2), 176.
Cummings, E. M., Faircloth, W. B., Mitchell, P. M., Cummings, J. S., & Schermerhorn, A. C. (2008). Evaluating a brief prevention program for improving marital conflict in community families. Journal of Family Psychology, 22(2), 193.
Dousti, P., Mohagheghi, H., & Jafari, D. (2015). The effect of acceptance and commitment therapy on the reduction of anxious thoughts in students. Environment Conservation Journal, 16(Special Edition), 327-333.
Eriksson, J. (1988). Psychosomatic aspects of coronary artery bypass graft surgery. Acta Psychiatrica Scandinavica, 77(s340), 1-106.
Ghasemi, F., Dehghan, F., Farnia, V., Tatari, F., & Alikhani, M. (2016). Effectiveness of Acceptance and Commitment Therapy on Life Expectancy of Female Cancer Patients at Tehran’s Dehshpour Institute in 2015. Asian Pacific Journal of Cancer Prevention, 17(8), 4115-4118.
Gladding, S. T. (2014). Family therapy: History, theory, and practice: Pearson Higher Ed.
Griges, A., & Loskalzo, K. (2005). Internal principles of Cecil medicine. Tehran: Teimoorzadeh, 15-16.
Halford, W. (2001). Brief couple therapy for couples. New York: Guilford publications.
Hayes, S. C., & Lillis, J. (2013). Akzeptanz-und Commitment-Therapie: Reinhardt.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Izadi, R., Asgari, K., Neshatdust, H., & Abedi, M. (2012). The Effect of acceptance and commitment therapy on the frequency and severity of symptoms of obsessive compulsive disorder. Zahedan Journal of Research in Medical Sciences, 14(10), 107-112.
Jackson, J. B., Miller, R. B., Oka, M., & Henry, R. G. (2014). Gender differences in marital satisfaction: A meta‐analysis. Journal of marriage and family, 76(1), 105-129.
Kaplan, B. J. (2016). Kaplan and Sadock’s Synopsis of Psychiatry. Behavioral Sciences/Clinical Psychiatry. Tijdschrift voor Psychiatrie, 58(1), 78-79.
Karlin, B. E., Walser, R. D., Yesavage, J., Zhang, A., Trockel, M., & Taylor, C. B. (2013). Effectiveness of acceptance and commitment therapy for depression: Comparison among older and younger veterans. Aging & mental health, 17(5), 555-563.
KAVOUSIAN, J., HARIFI, H., & KARIMI, K. (2017). THE EFFICACY OF ACCEPTANCE AND COMMITMENT THERAPY (ACT) ON MARITAL SATISFACTION IN COUPLES.
Khanjani, M. (2017). The Impact of Positive Psychotherapy on Decreasing the College Students' Stress, Anxiety, Depression and Increasing their Well-being. clinical psychology studies, 7(28), 97-110. Retrieved from http://jcps.atu.ac.ir/article_8158_dd857283c21c05135b774f3588875789.pdf. doi:10.22054/jcps.2017.8158
Naderi, N., Hossein Sabet, F., & Sohrabi, F. (2017). Comparing the Efficacy of Three Therapeutic Methods of Emotional Expression, Mental and Combined Relaxation in Reducing Perceived Stress. clinical psychology studies, 7(28), 52-71. Retrieved from http://jcps.atu.ac.ir/article_8155_0cbc866f0cbeff997c171796f6d472ac.pdf. doi:10.22054/jcps.2017.8155
Onwuanyi, A. E., Clarke, A., & Vanderbush, E. (2003). Cardiovascular disease mortality. Journal of the National Medical Association, 95(12), 1146.
Peterson, B. D., Eifert, G. H., Feingold, T., & Davidson, S. (2009). Using acceptance and commitment therapy to treat distressed couples: A case study with two couples. Cognitive and Behavioral Practice, 16(4), 430-442.
Pourroostaei Ardakani, S. (2017). MSAS: An M-mental health care System for Automatic Stress detection. Journal Clinical Psychology Studies, 7(28), 72-80. Retrieved from http://jcps.atu.ac.ir/article_8156_ad4575c44844fa78c49cba0b43674c37.pdf. doi:10.22054/jcps.2017.8156
Rahiminezhad, A., Hushmand Chatroidi, A. M., & Ejei, J. (2017). An Investigation of the Relationship between Sources of Meaning of Life and Mental Health. clinical psychology studies, 7(28), 43-51. Retrieved from http://jcps.atu.ac.ir/article_8154_cdc544aea43d327a3bbd4a06eb065371.pdf. doi:10.22054/jcps.2017.8154
Ridker, P. M. (2001). Risk factors for atherosclerotic disease. Heart disease: a textbook of cardiovascular medicine.
Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: A meta-analytic review. Psychological bulletin, 140(1), 140.
Samadi, H., & Mohsen, D. (2016). Investigating the effectiveness of Acceptance and Commitment Therapy (ACT) on marital compatibility and life expectancy in infertile women. International Academic Journal of Sosial Sciences, 3(5), 16-27.
Sanai, B., Alaghband, S., Falahati, S., & Hooman, A. (2009). Family and Marriage Scales. Tehran, Iran. In: Besat Publishing.
Schroder, K. E., & Schwarzer, R. (2005). Habitual self-control and the management of health behavior among heart patients. Social science & medicine, 60(4), 859-875.
Sepanlou, S. G., Newson, R. B., Poustchi, H., Malekzadeh, M. M., Rezanejad Asl, P., Etemadi, A., . . . Pharoah, P. D. (2015). Cardiovascular disease mortality and years of life lost attributable to non-optimal systolic blood pressure and hypertension in northeastern Iran. Archives of Iranian Medicine (AIM), 18(3).
Sol, B. G., van der Graaf, Y., Goessens, B. M., & Visseren, F. L. (2009). Social support and change in vascular risk factors in patients with clinical manifestations of vascular diseases. European Journal of Cardiovascular Nursing, 8(2), 137-143.
Thomas, M., Hariharan, M., & Rana, S. (2016). Psychological distress as predictor of adherence and prognosis among patients undergoing coronary artery bypass grafting. Journal of the Indian Academy of Applied Psychology, 42(1), 161.
Woods, D. W., Wetterneck, C. T., & Flessner, C. A. (2006). A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour research and therapy, 44(5), 639-656.