Volume 30, Issue 5 (8-2023)                   RJMS 2023, 30(5): 239-248 | Back to browse issues page

Research code: 01
Ethics code: IR.IAU.TNB.REC.1401.066
Clinical trials code: 01

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Safaripour M A, Farhangi A, Jarareh J. The Effectiveness of Treatment Based on Acceptance and Commitment on Fear of Negative Evaluation,Speech Anxiety, Social Adaptive Functions and Academically Unproductive Behaviors in Female Students. RJMS 2023; 30 (5) :239-248
URL: http://rjms.iums.ac.ir/article-1-8153-en.html
Assistant Professor ,Tehran North Unit, Islamic Azad University, Tehran, Iran , a.farhangi@iau-tnb.ac.ir
Abstract:   (613 Views)

Background & Aims: Adolescence is undoubtedly one of the most adventurous periods of human life. The physical, cognitive, emotional, and social transformations that occur during this period have turned adolescence into a dual time for growth or damage. Therefore, helping the teenager in growing and expanding the skills needed for a good life, creating or increasing self-confidence in dealing with problems, the growth and development of emotions, and the social skills necessary for successful adaptation to the environment and an effective and constructive life are necessary to It seems But the conducted researches show that the number of teenagers suffering from behavioral, cognitive and emotional dysfunctions is increasing day by day. During adolescence, relationships with peers play an important role in growth, social skills, and personal feelings as a foundation for adaptation throughout life; therefore, preventing or interfering factors in the occurrence of social behavior of teenagers is considered one of the important platforms of clinical and developmental researches, and one of these factors is the fear of negative evaluation. Fear of negative evaluation is the fear of being judged negatively; in this structure, even harmless and vague social signs can potentially be interpreted as a negative evaluation by others. Due to the importance of the mental health of students, different treatments have been proposed to improve the mental health of students and teenagers. Several therapeutic studies have been used to improve the mental state of teenagers and students. Today, with the third generation of psychotherapies, they can be called acceptance-based models under the general title; such as therapy based on acceptance and commitment. The main goal of Acceptance and Commitment Therapy (ACT) is to create psychological flexibility; it means creating the ability to choose an action among different options that is more appropriate, rather than doing an action simply to avoid disturbing thoughts, feelings, memories, or desires or imposing it on a person (15). In this treatment, first of all, it is tried to increase the psychological acceptance of the person regarding the mental experiences, and in turn, the ineffective control actions are reduced. The patient is taught that any action to avoid or control these unwanted mental experiences has no effect or has the opposite effect and causes them to intensify, and these experiences must be removed without any internal or external reaction. Fully accepted (2015). According to the mentioned materials and considering this point, no similar research has been done so far, the current research aims to answer the basic question of whether the treatment based on acceptance and commitment is effective on the fear of negative evaluation, speech anxiety, social-adaptive performance. And academically unproductive behaviors of female students in the second year of high school have a significant effect?
Methods: This research is applied and semi-experimental with a pre-test-post-test multi-group design. In this research, treatment methods in a level of treatment based on acceptance and commitment and a level of non-intervention (control group) as independent variables and the variables of fear of negative evaluation, speech anxiety, social-adaptive performance, and academically unproductive behaviors as variables. The statistical population of this research consisted of all affected female students in the second year of high school in Fasa in the second semester of the academic year 1401-1400. 30 eligible people were selected through available sampling and randomly assigned to an experimental group and a control group (15 people in each group). The research entry criteria include the age range of 15 to 18 years and obtaining written consent to participate in the research, and the criteria for exiting the study were the use of psychiatric drugs and not undergoing any other psychological treatment. After obtaining the necessary permits and applying to second-year secondary schools in Tehran, 30 students were selected from among the students who met the entry criteria. Then, explanations were given to the subjects about the treatment logic and the research objective, and they were also assured that all information would remain confidential. In the next step, the questionnaires were implemented as a pre-test. After this stage, a contract was signed with the subjects of the experimental group in order to participate in the treatment sessions. The treatment was conducted for 14 sessions based on the protocol of Hayes (2004) by the researcher. The research data were collected using Lori's scale of fear of negative evaluation (1983), Yangra's speech anxiety questionnaire (2004), Spence's social-adaptive performance questionnaire (2002), and Rimkus' academic unproductive behaviors questionnaire (2012); and analyzed by multivariate covariance statistical method.
Results: The results showed a significant difference in all variables, and the treatment based on acceptance and commitment significantly improved the fear of negative evaluation, speech anxiety, social adaptive functions, and academically unproductive behaviors in the experimental group and the post-test stage.
Conclusion: According to the findings of the research, it can be concluded that treatment based on acceptance and commitment is effective in improving the psychological indicators of female students. Every research, along with scientific achievements, has limitations that can be resolved in subsequent research to achieve more defensible results, and this research is no exception to this rule. Among the limitations of this research, we can mention the lack of accurate control of demographic characteristics; also, collecting information using questionnaires and self-reporting methods can question the validity of the results. In this regard, it is suggested that qualitative data collection methods such as observation and interview should also be used in future researches; and finally, it is suggested that this intervention be investigated on other populations and compared with the results of other treatments and populations.
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Type of Study: Research | Subject: Clinical Psychiatry

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