Volume 29, Issue 9 (12-2022)                   RJMS 2022, 29(9): 242-253 | Back to browse issues page

Research code: ۱۱۴۴۸۱۹۱۱۶۲۸۷۵۵۱۳۹۷۱۶۲۲۵۲۸۲۹
Ethics code: ۱۱۴۴۸۱

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Sabouri H, Zarei E, Samavi A, Amir Fakhraei A. The study of Changes in Quality of Life and Mental Well-being with an Acceptance and Commitment-based Treatment Approach. RJMS 2022; 29 (9) :242-253
URL: http://rjms.iums.ac.ir/article-1-6902-en.html
Associate Professor, Department of Psychology, University of Hormozgan, Bandar Abbas, Iran , Eghbalzarei2010@yahoo.com
Abstract:   (348 Views)
Background & Aims: People who report low psychological well-being due to the experience of unpleasant emotions and negative evaluation of life events affect their level of commitment in married life and lead to a tendency to betrayal. Given that the conditions underlying betrayal are provided among students and due to the consequences of the tendency to betrayal in the young generation, identify the factors associated with it and on the other hand study specific treatment approaches in this field that their effectiveness in different samples It has been shown to be an effective step in reducing the tendency to betray. People who report low psychological well-being due to the experience of unpleasant emotions and negative evaluation of life events affect their level of commitment in married life and their quality of life. This study was conducted with the aim of the effectiveness of treatment based on acceptance and commitment on psychological well-being and quality of life in married students with a tendency to infidelity.
Methods: The present study is a quasi-experimental study with an expanded research design (pretest-posttest with two experimental groups and a control group). The statistical population in this study included all married students aged 20-47 years with an average age of 33.5 studying in the Sirjan University in the number of 700 people. Available sampling method was used to select married students with a tendency to betrayal. In the first stage, in order to determine the cut-off point, considering that the scores of the questionnaires are in the range, 30 married students aged 20-47, studying in technical and humanities colleges, were randomly selected as a pilot and then they were asked to Complete the questionnaires of attitudes toward betrayal, psychological well-being and quality of life. After calculating the scores of these thirty people and estimating the mean and standard deviation of the components, the cut-off score was defined. In other words, the cut-off score was found to be two standard deviations above the mean in the attitude to betrayal attitude scale and one standard deviation below the average of the pilot group in the welfare scale. Then, in the first phase of the study, 500 couples aged 47-20 years were selected by convenience sampling method and the attitude toward infidelity questionnaire was administered as the first screening. A total of 183 people who obtained a cut-off score in the Betrayal Attitude Questionnaire were selected and entered the second stage of screening and completed the Psychological Well-Being and Quality of Life Questionnaire. Then, 45 of them were randomly selected and randomly assigned to two groups (experimental group and control group). It should be noted that the members completed the profile form containing the contact number to coordinate the meeting, the location of the meetings, completing the questionnaires in the post-test and follow-up phase, as well as the informed consent form to participate in the research. The two experimental groups underwent 8 sessions of two two-hour sessions (once a week) at the Sirjan Branch of Azad University in the second semester of 1997-98. At the end of the sessions, members of all three groups completed the questionnaire as a post-test. In order to remind up to three months, one session was held for the experimental groups every month and after three months in the follow-up phase, they completed the welfare questionnaire. ACT treatment courses were performed in 8 2-hour group sessions per week for experimental groups. For data collection, the short form of Reef Psychological Well-Being and Quality of Life Questionnaire of the World Health Organization was used. Data were analyzed by repeated measures analysis of variance and Beferroni post hoc test.
Results: Based on the results, the difference between the adjusted means of the two groups in the variables of psychological well-being and quality of life and its dimensions in the post-test and follow-up stages compared to the pre-test stage was statistically significant (p≤0.05). The findings also showed that there were significant changes in psychological well-being scores and quality of life in the post-test and follow-up stages in the ACT group.
Conclusion: These findings indicate the usefulness of ACT treatment on psychological well-being and quality of life in married people with a tendency to betrayal. These findings can be promising in planning preventive and therapeutic interventions. However, more controlled studies are needed in this area. This research, like any other research, had limitations in generalizing and interpreting the results as follows. In acceptance and commitment therapy, the emphasis is on increasing the individual's desire to experience internal events as they are. Here, the goal was to help people experience the thought of betrayal only as a thought and instead of responding to it by doing what it is. Life is important for him and in line with his values, that is, the existence of a thought with the content of betrayal was not an issue in itself, but the main issue was the person's attempt to respond to the betrayal thought (ie the act of betrayal). Horror events (such as thoughts of betrayal) are what is called psychological resilience. When a person constantly reminds himself that his life in the present moment requires a behavioral effort in line with goals and values and not focusing on disturbing and imposed thoughts, no doubt reducing the focus on the intensity and frequency of thoughts. Will also be reduced One of the main consequences of the end of this process is to improve the quality of life. Acceptance and commitment therapy enhances the level of psychological flexibility and it is believed that if people have the appropriate psychological flexibility, they can easily overcome their psychological and even social problems. When every human being is trapped in psychological inflexibility, the quality of life declines because the person feels trapped in a context in which valuable things are replaced by thoughts and efforts focused on avoiding worry and negative thoughts. Will not have a favorable living conditions. Continuing a negative assessment of living conditions that are accompanied by inflexible behaviors will simply weaken the quality of life in people. From this perspective, it is natural for married people with a tendency to betrayal to feel that their quality of psychological and social life is poor and undesirable, but when they entered the process of commitment and acceptance of treatment, they learned this type of treatment by relying on metaphorical techniques. To spend less energy on experiential avoidance and instead focus their energy on more flexible behaviors. This path to self-transformation and life in the end provided the basis for improving the quality of life of married students. In this study, compassion-focused therapy increased the quality of mental, social and physical life of the subjects. Creating a non-judgmental, compassionate, flexible and moment-by-moment relationship using mindfulness techniques in interpersonal relationships of couples with the potential for infidelity can Useful forms of mindfulness and creating a satisfied view in people caused them to enjoy their existing relationships and use all their efforts in the marital relationship environment based on value-based goals and thus the quality of their psychological and social life.
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Type of Study: Research | Subject: Clinical Psychiatry

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