Comparison of the Effectiveness of Acceptance and Commitment based Therapy and Emotion-focused Therapy on Adherence to Treatment in Cardiac Patients

Introduction:The role of adherence to treatment in many chronic diseases, including heart disease, has been confirmed. The purpose of this study was to compare the effectiveness of Acceptance and Commitment Therapy and Emotion-Focused Therapy on adherence to treatment in Cardiac Patients.Method: This is a quasi-experimental study with pretest-posttest design with control group. The statistical population of all patients referring to Dr. HeshmatRasht Hospital during February to March 2019 were available by purposeful sampling methodand then the samples were randomly divided into two experimental and one control groups. Data collection tools were demographic questionnaire and standardized adherence to treatment questionnaire. Data were analyzed using descriptive statistics and analysis of covariance by SPSS software, version 25.Results: outcomes showed that acceptance and commitment therapy and emotion focused therapy were effective on Adherence to treatment (P<0.001). Also, the results of the covariance showed that, there was a significant difference between the groups' adjusted averages for adherence (ETA= 0.804, P= 0.001, F (2,41)=83.904). In other words, there is a significant difference between the two experimental methods onAdherence to treatment in cardiac patients (acceptance and commitment therapy and emotion-focused therapy) with the control group.Conclusion:According to the results of this study, training of above mentioned therapies can play an important role as adjunctive and rehabilitation therapy along with medical treatments by increasing adherence to treatment

Comparison of the effectiveness of acceptance and commitment therapy and emotion-focused therapy on anxiety sensitivity in cardiac patients

Introduction: The role of anxiety sensitivity in the clinical course of many chronic diseases, including cardiovascular disease, has been confirmed, which can cause and develop a variety of cardiovascular diseases. The purpose of this study was to compare the effectiveness of Acceptance and Commitment Therapy and Emotion-Focused Therapy on Anxiety Sensitivity in cardiac patients    . Method: This was a quasi-experimental study with pretest-posttest design with control group. The statistical population was all patients referred to Dr. Heshmat Rasht hospital during February to March 2019. Sampling method was used to select the samples and then the samples were randomly divided into two experimental and one control group. Data were analyzed using descriptive statistics and analysis of covariance by SPSS software, version 25.Results: outcomes showed that acceptance and commitment therapy and emotion focused therapy were effective on Anxiety sensitivity(P = 0.000). also the results of the covariance showed that, there was a significant difference between the groups' adjusted averages for Anxiety sensitivity (ETA=0.910, P = 0.000, F(2,41)= 208.387). In other words, there is a significant difference between the two experimental methods on Anxiety sensitivity in cardiac patients (acceptance and commitment therapy and emotion-focused therapy) with the control group. Conclusions: Anxiety sensitivity plays a predisposing, accelerating, and sustaining role in cardiovascular disease, and training in the above treatments can play an important role as adjunctive and rehabilitation therapy alongside medical treatments.                                                           &nbsp

Effectiveness of Group Therapy Based on Acceptance and Commitment on the Severity of Fatigue and Depression with the Moderating role of Alexithymia in Multiple Sclerosis Patients

Objective: Alexithymia is a symptom that most psychosomatic patients experience and can affect their performance, psychological state, and the severity of their physical symptoms. Therefore, the present study was conducted to determine the effectiveness of group therapy based on acceptance and commitment on the severity of fatigue and depression with the moderating role of alexithymia in MS patients in Tehran. Methodology: In this research, a semi-experimental design was used with pre-test, post-test, and three months of follow-up. Using convenience sampling, 40 patients with MS were randomly assigned to two experimental and control groups. Before and after the intervention and three months later in the follow-up phase, all of the subjects responded to fatigue severity, depression, and alexithymia questionnaires. The intervention consisted of 10 sessions of 90-minutes group therapy based on acceptance and commitment, which was provided only to the experimental group. Findings: Analysis of covariance indicated a significant difference between the mean scores of fatigue severity, depression, and alexithymia in the experimental and control groups in post-test and follow-up stages. Conclusion: The findings of this study indicated the effectiveness of group therapy based on acceptance and commitment on reducing the severity of fatigue and depression with the moderating role of alexithymia in MS patients.   &nbsp