Volume 27, Issue 6 (8-2020)                   RJMS 2020, 27(6): 75-89 | Back to browse issues page

Research code: IR.LUMS.REC.1398.292
Ethics code: IR.LUMS.REC.1398.292

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Mordai Z, Sadeghi M. Comparison of the effectiveness of acceptance and commitment therapy and positive psychology on rumination in women with rheumatoid arthritis. RJMS 2020; 27 (6) :75-89
URL: http://rjms.iums.ac.ir/article-1-6182-en.html
Faculty of Literature and Humanities, Lorestan University, Khorramabad, Iran , sadeghi.m@lu.ac.ir
Abstract:   (2256 Views)
Background and Aims: Rheumatoid arthritis is a debilitating autoimmune disease and the chronicity of this disease has a very large effect on the physical and psychological variables of these patients. The prevalence of this disease is estimated to be 0.5 to 2.4%, which is two to three times more common in women It is from men. The prevalence of this disease increases with age and the difference in sexual prevalence decreases with age. This disease causes progressive damage to the musculoskeletal system and leads to irreversible pain and destruction of bone and cartilage, which have different reactions. Ruminant is one of the problems that patients with rheumatoid arthritis are involved with and rumination is a significant predictor of depression in these patients. Ruminant thought is a repetitive thought and is a cognitive process that greatly increases the risk of developing symptoms of psychopathology. The aim of the present study was to compare the effectiveness of acceptance and commitment-based therapy and positive psychology on rumination in women with rheumatoid arthritis.
Methods: The research method was quasi-experimental with pre-test and post-test design with control group. The statistical population of the study included all women with rheumatoid arthritis in Khorramabad in 2019 who used the sampling method: The statistical population of the study included all women with rheumatoid arthritis in Khorramabad in 2019. Using the sampling method: 60 people were selected and randomly divided into three experimental groups 1 (act therapy), experimental group 2 (positive psychology), and the control group (20 people in each group) was replaced.  Under the same conditions, the pretest was performed with a rumination questionnaire from all three groups. The experimental groups were treated with acceptance and commitment (group 1) and positive psychology (group 2) in 8 sessions of 90 minutes, but the control group did not receive any treatment. Then post-test was performed from all three groups. Data were analyzed by descriptive and inferential methods. Multivariate analysis of covariance, univariate analysis of covariance and Bonferroni post hoc test were used in descriptive statistics of frequency, percentage, mean and standard deviation and in inferential statistics. Data were analyzed by SPSS-24 statistical analysis software.
Results: The results showed that both acceptance and commitment-based treatments and positive treatment reduced rumination in women with rheumatoid arthritis and there was a significant decrease between the mean rumination in pre-test and post-test in the two experimental groups. Using analysis of covariance, it was found that this decrease was statistically significant (p <0.05). In order to evaluate which treatment method was more effective, Bonferroni post hoc test was used, which showed that the treatment of acceptance and commitment was more effective in general rumination and distraction component. However, no significant difference was observed between the two experimental groups in the components of meditation and meditation.
Conclusion: Based on the obtained results, it can be said that the treatment of acceptance and commitment and positive psychology reduces rumination in women with rheumatoid arthritis and the treatment of acceptance and commitment was more effective. The results of the present study were compared with similar and consistent results that the results of these studies indicated the effectiveness of any treatment based on acceptance and commitment on rumination and variables such as: depression, anxiety, stress and anxiety. The effectiveness of acceptance and commitment therapy can be explained by the processes that govern it; Thus, the component of desire and acceptance allows the person to accept unpleasant inner experiences without trying to control them, and doing so makes those experiences seem less threatening and have less impact on the person's life. This skill helps the person to consciously turn her attention to what is most useful and therefore helps the person to pass tempting thoughts through the mind and guide her mind towards a higher goal. Also, the practice of suppressing thinking in acceptance and commitment therapy, which is especially for people with rumination, helps therapists to get rid of annoying rumination or cognitive cognitions. No research has been done on the effectiveness of positive treatment on rumination, but research background shows that positive treatment has been effective on issues such as depression and stress. One of the components of positive psychology that affects rumination is the cognitive level of individuals and the effort to achieve positive emotions and happiness. In this study, based on the goals of positive psychology, an attempt was made to emphasize positive emotions, positive characteristics of people and their abilities and virtues, and people were encouraged to pay special attention to positive emotions and try to prevent emotions. Negatives increase the amount of positive emotions in their lives, because according to the falsification hypothesis, positive emotions also have the capacity to neutralize or nullify long negative emotions. On the other hand, people learn with this approach to be flexible and try to take steps to solve weaknesses by not focusing on weaknesses. Therefore, due to the effectiveness of treatment based on acceptance and commitment and positive treatment on rumination in women with rheumatoid arthritis, these treatments can be used along with medical treatment to improve the condition of these patients.
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Type of Study: Research | Subject: Rheumatology

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