Volume 5, Issue 2 (September 2018)                   J Educ Community Health 2018, 5(2): 53-61 | Back to browse issues page

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Amirian K, Mami S, Ahmadi V, Mohamadzadeh J. Effectiveness of Group Psychotherapy Based on Acceptance and Commitment Therapy on Difficultes Emotion Regulation and Distress Tolerance in Substance Abusers. J Educ Community Health. 2018; 5 (2) :53-61
URL: http://jech.umsha.ac.ir/article-1-409-en.html
1- Department of Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran.
2- Department of Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran. , kaphd2014@gmail.com
3- Departments of Social Sciences, Faculty of Literature and Humanities, Ilam University, Ilam, Iran.
Abstract:   (699 Views)
Background and Objective: Today, third wave therapy in psychotherapy, instead of a challenge with cognition, emphasizes the awareness and acceptance of emotions, cognition, and behaviors. Therefore, the present study was conducted with the aim of evaluating the effectiveness of group psychotherapy based on acceptance and commitment therapy (ACT) on the degree of difficulties emotion regulation and distress tolerance of substance abusers.
Materials and Methods: This research, which was conducted in 2017-18, was quasi-experimental and a pre-test, post-test, and follow-up design with control group was used. The statistical population of this study is all abusers of materials referring to addiction treatment centers in Kermanshah. The sample consisted of 40 people, who were selected by convenience sampling method. They were divided into experimental (n=20) and control group (n=20 ACT was performed on the experimental group for 10 sessions. Difficulties in Emotion Regulation Scales and distress tolerance were completed in 3 stages including before intervention, after intervention, and follow-up 3 months later by all participants. The data were analyzed by repeated measures ANOVA with SPSS 20.
Results: There was a significant difference in the difficulty in emotional regulation and distress tolerance after intervention between the experimental and control groups (p<0.01). There was also a significant difference between the mean scores of difficulty in emotional regulation and distress tolerance before, after intervention, and follow-up in the experimental group (p<0.001).
Conclusion: ACT has a significant effect on reducing the difficulty in emotional regulation and increasing the distress tolerance of abusers.
Type of Study: Research Article | Subject: Mental Health
Received: 2017/12/12 | Accepted: 2018/05/9

1. Tremain D, Freund M, Wye P, Wolfenden L, Bowman J, Dunlop A, et al. Provision of chronic disease preventive care in community substance use services: Client and clinician report. J Subst Abuse Treat. 2016;68:24-30. PMID: 27431043 DOI: 10.1016/j.jsat.2016.05.006
2. Peiper NC, Ridenour TA, Hochwalt B, Coyne-Beasley T. Overview on prevalence and recent trends in adolescent substance use and abuse. Child Adolesc Psychiatr Clin N Am. 2016;25(3):349-65. PMID: 27338960 DOI: 10.1016/j.chc.2016.03.005
3. Harrop E, Catalano RF. Evidence-based prevention for adolescent substance use. Child Adolesc Psychiatr Clin N Am. 2016;25(3):387-410. PMID: 27338963 DOI: 10.1016/j.chc.2016.03.001
4. Hopwood CJ, Schade N, Matusiewicz A, Daughters SB, Lejuez CW. Emotion regulation promotes persistence in a residential substance abuse treatment. Subst Use Misuse. 2015;50(2):251-6. PMID: 25404467 DOI: 10.3109/10826084.2014.977393
5. Ouzir M, Errami M. Etiological theories of addiction: A comprehensive update on neurobiological, genetic and behavioural vulnerability. Pharmacol Biochem Behav. 2016;148:59-68. PMID: 27306332 DOI: 10.1016/j.pbb.2016.06.005
6. Hejazi M, Agha Yari S, Jarchi A. On the comparison of dysfunctional attitudes, cognitive distortions, and difficulty in emotion regulation between people with substance abuse and normal individuals. J Res Addict. 2016;10(39):231-48. [Persian]
7. Amiri S, Sepehrian Azar F. Examination of the relationship of difficulties in emotion regulation, behavioral activation and behavioral inhibition system in the prediction of social anxiety. Qom Univ Med Sci J. 2017;11(5):85-97. [Persian]
8. Garofalo C, Wright AGC. Alcohol abuse, personality disorders, and aggression: The quest for a common underlying mechanism. Aggress Violent Behav. 2017;34:1-8. DOI: 10.1016/j.avb.2017.03.002
9. Jabraeli H, Moradi AR, Habibi M. Examining the mediating role of emotional dysregulation in the relationship between impulsivity personality trait and consumption & multiple consumption of drugs, alcohol, and tobacco. J Res Addict. 2017;11(41):173-90. [Persian]
10. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev. 2010;30(2):217-37. PMID: 20015584 DOI: 10.1016/j.cpr.2009.11.004
11. Wills TA, Pokhrel P, Morehouse E, Fenster B. Behavioral and emotional regulation and adolescent substance use problems: A test of moderation effects in a dual-process model. Psychol Addict Behav. 2011;25(2):279-92. PMID: 21443302 DOI: 10.1037/a0022870
12. Simons JS, Gaher RM. The distress tolerance scale: Development and validation of a self-report measure. Motiv Emot. 2005;29(2):83-102. DOI: 10.1007/s11031-005-7955-3
13. Zvolensky MJ, Vujanovic AA, Bernstein A, Leyro T. Distress tolerance: Theory, measurement, and relations to psychopathology. Curr Dir Psychol Sci. 2010;19(6):406-10. DOI: 10.1177/0963721410388642
14. Basharpoor S, Abbasi A. Relations of distress tolerance, negative and positive urgency with severity of dependence and craving in people with substance dependency. J Res Behav Sci. 2014;12(1):92-102. [Persian]
15. Leyro TM, Zvolensky MJ, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychol Bull. 2010;136(4):576-600. PMID: 20565169 DOI: 10.1037/a0019712
16. Kaiser AJ, Milich R, Lynam DR, Charnigo RJ. Negative urgency, distress tolerance, and substance abuse among college students. Addict Behav. 2012;37(10):1075-83. PMID: 22698894 DOI: 10.1016/j.addbeh.2012.04.017
17. Sheykholeslami A, Kiani AR, Ahmadi Sh, Soleimani E. On the prediction of tendency to drug use based on behavioral activation and inhibition systems, cognitive flexibility, and distress tolerance among students. J Res Addict. 2016;10(39):109-28. [Persian]
18. Mami Sh, Amirian K. The effect of cognitive-behavioral therapies in treatment of addicts in Iran by systematic review and meta-analysis method. Qom Univ Med Sci J. 2017;10(12):24-34. [Persian]
19. 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. PMID: 23611068 DOI: 10.1016/j.beth.2009.08.002
20. Stewart C, White RG, Ebert B, Mays I, Nardozzi J, Bockarie H. A preliminary evaluation of Acceptance and Commitment Therapy (ACT) training in Sierra Leone. J Context Behav Sci. 2016;5(1):16-22. DOI: 10.1016/j.jcbs.2016.01.001
21. Keshavarz Afshar H, Barabari A, Ghazinejad N, Amiri A. Effectiveness of Acceptance and Commitment Therapy on the attitude of abuse and the quality of life in substance abusers. J Police Med. 2018;7(1):1-5. [Persian]
22. Mahmoudi H, Ghaderi S. Effectiveness of Acceptance and Commitment Group Therapy in reducing depression, stress, and anxiety among ex-addicts in Tabriz central prison. J Res Addict. 2017;11(43):195-210. [Persian]
23. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004;26(1):41-54. DOI: 10.1023/B:JOBA.0000007455.08539.94
24. Mazloom M, Yaghubi H, Mohammad Khani Sh. The relationship between metacognitive beliefs and difficulty in emotion regulation with post-traumatic stress disorder. J Behav Sci. 2014;8(2):105-14. [Persian]
25. Esmaeili Nasab M, Andami Khoshk AR, Azarmi H, Samar Rakhi A. The predicting role of difficulties in emotion regulation and distress tolerance in students’ addiction potential. J Res Addict. 2014;8(29):49-63. [Persian]
26. Mohammadi L, Salehzadeh Abarghoei M, Nasirian M. Effectiveness of Acceptance and Commitment Therapy on cognitive emotion regulation in men under methadone treatment. J Shahid Sadoughi Univ Med Sci. 2015;23(9):853-61. [Persian]
27. Forouzanfar A, Gholamali Lavasani M, Shoa Kazemi M. The effectiveness of group counselling based on acceptance and commitment therapy in distress tolerance and anxiety sensitivity among female substance abusers. J Res Addict. 2018;11(44):135-54. [Persian]
28. Villagrá Lanza P, González Menéndez A. Acceptance and Commitment Therapy for drug abuse in incarcerated women. Psicothema. 2013;25(3):307-12.
29. Darvish Baseri L, Dasht Bozorgi Z. Effectiveness of group therapy based on acceptance and commitment on cognitive emotion regulation and Alexithymia of patients with type 2 diabetes. Iran J Psychiatr Nurs. 2017;5(1):7-14. [Persian] DOI: 10.21859/ijpn-05012
30. Poddar S, Sinha VK, Mukherjee U. Impact of Acceptance and Commitment Therapy on valuing behaviour of parents of children with neurodevelopmental disorders. Psychol Behav Sci Int J. 2017;3(3):555614. DOI: 10.19080/PBSIJ.2017.03.555614
31. Najafi M, Mohammadifar MA, Abdollahi M. Emotional dysfunction and tendency to substance abuse: The Role of emotion regulation, distress tolerance and sensation seeking. Soc Health Addict. 2015;2(5):53-68. [Persian]
32. Mowlaie M, Hashemi J. Coping strategies for reducing the tendency to substance abuse. Soc Health Addict. 2017;4(13):69-94. [Persian]
33. Hayes SC, Pistorello J, Levin ME. Acceptance and Commitment Therapy as a unified model of behavior change. Couns Psychol. 2012;40(7):976-1002. DOI: 10.1177/0011000012460836
34. Forouzanfar A. Acceptance and Commitment Therapy (ACT) and substance abuse disorders: A theoretical and research review. Soc Health Addict. 2016;3(9):131-60. [Persian]
35. Izadi R, Abedi MR. Acceptance & Commitment Therapy ACT. 5th Edition. Tehran: Jangal; 2016. [Persian]

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