Comparison of the efficacy of acceptance and commitment group therapy (ACT) with mindfulness-based cognitive therapy (MBCT) on hemodialysis patients in terms of anxiety and depression

Document Type : Research Paper

Authors

1 Ph.D. student. in consulting, Research Science Branch, Islamic Azad University, Tehran, Iran

2 Professor of counseling, Psychology and Educational Sciences Faculty, Allameh Tabatabaei University, Tehran, Iran

3 Associate professor of general psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

Abstract

Introduction: This study compared the efficacy of Acceptance and Commitment Group Therapy (ACT) with Mindfulness-Based Cognitive Therapy (MBCT) on hemodialysis patients in terms of anxiety and depression.
 
Materials and Methods: In this experimental study, among the hemodialysis patients referred to Imam Khomeini in Shirvan and Imam Ali hospital in Bojnord, 42 hemodialysis patients were selected by convenient sampling method and they were randomly divided in three groups of ACT, MBCT and control (each group 14 people). ACT and MBCT groups were treated for 8 sessions of 90 minutes (one weekly session). In this study, Beck anxiety and depression inventories were used to collect data. Data was analyzed using analysis of covariance.
 
Results: The findings showed that both treatment methods were efficient on anxiety and depression in hemodialysis patients but the efficacy of ACT on the depression variable is greater than MBCT and efficiency of MBCT on anxiety variable is greater than the ACT.
 
Conclusion: It seems that Acceptance and Commitment Group Therapy (ACT) and Mindfulness-Based Cognitive Therapy (MBCT) are effective on hemodialysis patients in terms of anxiety and depression.
 

Keywords

References

  1. Asgari MR, Soleymani M. [Special nursing care in CCU, ICU and dialysis]. Tehran: Boshra; 2014. (Persian)
  2. Abasi N. [Renal and urinary tract diseases]. Tehran: Heydari; 2014. (Persian)
  3. Consortium dialysis Iran. Iran Dialysis Calendar 2014. Available from: http://www.iranesrd.com/Content/Upload/pdf
  4. Sajadi M. [The effect of self-care education on depression in patients who treated with hemodialysis]. MS. Dissertation. Mashhad Medical Sciences University, 2006.
  5. Mirzaie M, Akbari Z. Studying prevalence of depression in dialysis patients in Iran (1999-2013). Mazandaran Medical Sciences University Journal 2014; 24: 317-25.
  6. Ahmadzade G, Mahdi M. [Studying prevalence of symptoms of depression, anxiety and psychosis in patients treated-hemodialysis in Noor Hospital and Ali Asghar hospital of Isfahan]. Isfahan Medical School journal 2011; 29: 1819-26. (Persian)
  7. Kimmel PL. Depression in patients with chronic renal disease: what we know and what we need to know. J Psychosom Res 2002; 53(4): 951-6.
  8. Kimmel PL, Peterson RA, Weihs KL, Simmens SJ, Boyle D, Cruz I, et al. Aspects of quality of life in hemodialysis patients. J Am Soc Nephrol 1995; 6(5): 1418-26.
  9. Nazemiyan F. [Stressors factors and coping strategies in hemodialysis patients]. Medical journal of Medical Sciences Mashhad University 2006; 49: 293-8. (Persian)
  10. Molahadi M. [Comparison of depression, anxiety and stress in hemodialysis and renal transplantation]. Critical care nursing journal 2009; 2(4): 153-6. (Persian)
  11. Cukor D, Coplan J, Brown C, Friedman S, Newville H, Safier M, et al. Anxiety disorders in adults treated by hemodialysis: a single-center study. Am J Kidney Dis 2008; 52(1): 128-36.
  12. Hayes S, Luoma JB, Bond F. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther 2006; 44: 1-25.
  13. Gharaie Ardakani S, Azad Falah P, Toolaie SA. [The effectiveness of acceptance and commitment therapy in reducing pain in women with chronic headache disorder]. Clinical psychology journal 2012; 4(2): 39-50. (Persian)
  14. Buhrman M, Skoglund A, Husell J. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behav Res Ther 2013; 51(6): 307-15.
  15. Wetherell JL, Afari N, Rutledge T. A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain 2011; 152(9): 2098-107.
  16. Anvari H. [The effectiveness of acceptance and commitment therapy on accepting the pain, pain-related anxiety and pain in male patients with chronic pain]. Isfahan Medical School journal 2014; 32: 1-10. (Persian)
  17. Matinfar E. [Comparison of ACT effect and behavioral therapy on reducing anxiety and depression in obese women]. MS. Dissertation. Ferdowsi University of Mashhad, 2014. (Persian)
  18. Hor M, Aghaie A, Abedi A. [The role of acceptance and commitment therapy (ACT) in reducing depression in patients with type 2 diabetes]. Behavioral sciences research 2013; 11(2): 121-8. (Persian)
  19. Rajabi S, Yazdkhasti F. [The effectiveness of acceptance and commitment therapy on anxiety and depression in women with MS]. Clinical psychology journal 2014; 6(1): 29-39. (Persian)
  20. Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process. J Consult Clin Psychol 2008; 76(3): 397-407.
  21. Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Cons Clin Psychol 2008; 76(6): 966-78.
  22. Manicavasgar V, Parker G, Perich T. Mindfulness based cognitive therapy vs cognitive behavior therapy as a treatment for non-melancholic depression. J Affect Disord 2011; 130: 138-44.
  23. Hofmann SG, Sawyer AT, Wit SA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A Meta-Analytic review. J Cons Clin Psychol 2010; 78(2): 169-83.
  24. Shennan C, Payne S, Fenlon D. What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psychooncology 2011; 20(7): 681-97.
  25. Evans S, Ferrando S, Findler M, Stowell C, Smart C, Haglin D. Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord 2008; 22(4): 716-21.
  26. Barnhofer T, Crane C, Hargus E, Amarasinghe M, Winder RJ, Williams MG. Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behav Res Ther 2009; 47: 366-73.
  27. Godfrin KA, Van Heeringen C. The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study. Behav Res Ther 2010; 48: 746-68.
  28. Mohammadkhani P, Hasani F, Sepahmansour M, Mahmoudi Gh, Larijani Z. [Comparison of effectiveness of cognitive treatment based on mindfulness and metacognitive treatment on rumination and depressive symptoms]. Quarterly journal of psychological researches 2014; 6: 101-18. (Persian)
  29. Omidi A, Mohammadi A, Zargar F, Akkasheh G. [Comparing the efficacy of combined mindfulness based cognitive therapy with cognitive behavioral therapy and traditional cognitive behavior therapy in reducing dysfunctional attitudes of patients with major depressive disorder]. Journal of Birjand University of Medical Sciences 2014; 20(4): 383-92. (Persian)
  30. Feizeh A, Dabaghi P, Goudarzi P. [The efficacy of mindfulness-based stress reduction training in the stress, anxiety, depression and psychological well-being of military personnel]. Journal of military psychology 2015; 6: 5-14. (Persian)
  31. Tavali A, Allahyari AA, Azadfallah P, Fathi Ashtiani A. [Comparison of interpersonal treatment and cognitive-behavioral therapy on reduction in social anxiety phobia symptoms]. Journal of behavioral sciences 2013; 7: 199-206. (Persian)
  32. Farhadi A, Movahedi Y, Kariminajad K, Movahedi M. [The effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease]. Cardiovascular nursing journal 2014; 2(4): 6-14. (Persian)
  33. Ahga Usefi A, Oraki M, Zare M, Imani S. [Effectiveness of mindfulness in decreasing stress, anxiety and depression among the substance abusers]. Journal of thought and behavior in clinical psychology 2013; 7: 17-26. (Persian)
  34. Abdolghaderi M, Kafee M, Saberi A, Aryapouran S. [The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic low back pain]. Journal of Shahid Sadoughi University of Medical Sciences 2014; 21(6): 795-807. (Persian)
  35. Issazadegan A, Shiekhi S, Hafeznia M, Khademi A. [The effectiveness of cognitive-behavioral group therapy on reduction of depression symptoms among patients with cancer]. The journal of Urmia University of Medical Sciences 2013; 24(5): 339-46. (Persian)
  36. Jabbarifard F, Masoudi S, Karami Dehkordi A. [Assessment of relaxation technique on depression and anxiety of hemodialysis patients]. Proceeding of the 5th congress of psychosomatic medicine; Chahar Mahal Bakhtiari University of Medical Sciences; 2013. (Persian)
  37. Zare H, Zare M, Khaleghi Delavar F, Amirabadi F, Shahriari H. [Mindfulness and diabetes: evaluation of effectiveness of mindfulness based stress reduction on glycemic control in diabetes]. Razi journal of medical sciences 2013; 20: 39-47. (Persian)
  38. Esmaeilian N, Tahmassian K, Dehghani M, Mootabi F. [Effectiveness of mindfulness-based cognitive therapy on depression symptoms in children with divorced parents]. Quarterly journal of clinical psychology 2013; 5: 47-57. (Persian)
  39. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8(1): 77-100.
  40. Marandizadeh E, Yousefi E, Khosravi FA. Comparing the effectiveness of mindfulness-based cognitive therapy and treatment based on acceptance and commitment therapy on reducing anxiety and depression in women with post-traumatic stress disorder caused by the accident Najaf Abad city of Esfahan. International journal of humanities and cultural studies 2016; 2016: 1952-66.
  41. Forman EM, Herbert, J, Moitra E. A randomized controlled effective of acceptance and commitment therapy and cognitive therapy for anxiety and depression. J Behav Modif 2009; 31(6): 772-99.
  42. Segal, ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford; 2002.
  43. Arch JJ, Craske MG. Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms?. Am Psychol Assoc 2008; 15(4): 263-79.
  44. Bloy S, Oliver JE, Morris E. Using acceptance and commitment therapy with people with psychosis: A case study. Clin Case Stud 2011; 9(3): 347-59.
  45. Biglan A, Hayes SC, Pistorello J. Acceptance and commitment: Implications for prevention science. Prev Sci 2008; 9(3): 139-52.
  46. 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. Cogn Behav Pract 2009; 16(4): 368-85.
Journal of Fundamentals of Mental Health
Volume 19, special issue
May and June 2017
Pages 317-324

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