Volume 32, Issue 1 (3-2025)
RJMS 2025, 32(1): 1-12 |
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Research code: 01
Ethics code: IR.IAU.KERMAN.REC.1402.097
Clinical trials code: 01
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Akbarinasab Hossein Abad olia F, Khosropour F, Molayi Zarandi H. Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy and Acceptance and Commitment Group Therapy on Psychological Well-Being, Quality of Life in Female Nurses. RJMS 2025; 32 (1) :1-12
URL: http://rjms.iums.ac.ir/article-1-8655-en.html
URL: http://rjms.iums.ac.ir/article-1-8655-en.html
Department of Psychology, Zarand Branch, Islamic Azad University, Kerman, Iran , farshid2002@yahoo.com
Abstract: (118 Views)
Background & Aims: Quality of life is an individual's perception of his or her situation, the degree of his or her enjoyment of important life situations and related to the individual's goals and expectations. The dimensions of quality of life include the "being" dimension and physical and psychological components, the "belongings" dimension and physical and social components, the "becoming" dimension and leisure components, the development of competencies and performance. Improving the quality of life of nurses should be emphasized not only as a means of dealing with the undesirable consequences of it, but also as the main goal of psychological well-being of nurses, and in this regard, in evaluating the performance of nurses, in addition to individual and objective elements, social and mental components should also be included, because low quality of life causes low resilience and flexibility. Many studies have shown that nurses suffer from psychological problems such as stress, anxiety, and depression, and as a result, factors such as quality of life, psychological well-being, and resilience of these individuals are affected. In providing health system services and ultimately improving the level of capability and efficiency of hospitals, and considering that clinical experts have searched for alternative treatments called third wave treatments such as mindfulness-based stress reduction programs, which help individuals achieve more sustainable cognitive-behavioral changes through practical exercises. Nurses are highly exposed to stress caused by the coronavirus disease and are more likely to show psychological problems and symptoms than other segments of society. Therefore, the purpose of this study was to compare the effectiveness of cognitive-behavioral group therapy and acceptance and commitment group therapy on psychological well-being, quality of life in female nurses in Rafsanjan in 2022.
Methods: This study is a quasi-experimental design with pre-test-post-test in the experimental group (cognitive-behavioral group therapy) and the comparison group (acceptance and commitment group therapy) with control and follow-up groups. The research population was 299 female nurses who served in Ali Ibn Abitaleb Hospital in Rafsanjan city in 1402. 45 were selected by simple random sampling from the list of female nurses and randomly assigned to the experimental and control groups (15 people in each group). The research instruments were the Riff Psychological Well-Being Questionnaire (1989) and the World Health Organization Quality of Life Questionnaire (1998). To examine the relationship between variables, Pearson correlation test was performed using SPSS version 26 software.
Results: The results of the study showed by analysis of covariance that the main effects of the group (cognitive-behavioral group therapy (CBT), acceptance and commitment group therapy (ACT), and control group) had a significant effect on psychological well-being. Also, comparing the effectiveness of the trainings shows that the cognitive-behavioral group therapy (CBT) was 28.5% effective and the acceptance and commitment group therapy (ACT) was 24.8%. Also, comparing the effectiveness of the trainings on quality of life shows that the cognitive-behavioral group therapy (CBT) was 89.0% effective and the acceptance and commitment group therapy (ACT) was 66.1%.
Conclusion: Cognitive-behavioral therapy can be used in the hospital environment to improve psychological well-being and quality of life. In explaining the results and proving the greater effect of cognitive-behavioral therapy compared to commitment and acceptance-based therapy, it can be said that cognitive-behavioral therapy actually reduces the confusion and distress resulting from stress and reduces the use of unhealthy coping styles. By teaching problem-solving skills in its first step, it seeks to increase the individual's skill in recognizing the problem. According to Dewey, recognizing the problem is more than half of solving the problem. Cognitive-behavioral therapy is a method by which an individual learns to use all of his cognitive skills to adapt to problematic interpersonal situations and thus reduce the amount of avoidance strategies. Therefore, this is a way to strengthen reasoning and use personal values to make decisions about problems that arise, which ultimately makes the individual have problem-solving skills and increase the quality of life. In cognitive behavioral therapy, the sense of coherence of the individual's positive attitude towards their own abilities and the meaningfulness of events is increased, and with the techniques that are presented, they have understandable, manageable and meaningful characteristics, and they give the individual a penetrating, stable and dynamic feeling about life events. Such people consider all positive and negative events in life to be meaningful and valuable and try to master the events, or understand them or find meaning for them, and their psychological well-being increases. The cognitive-behavioral approach to nurses, who often have cognitive errors, irrational and destructive beliefs in the workplace, has caused their awareness of irrational beliefs and beliefs to increase. Also, by doing exercises in training sessions and assignments outside the sessions, they correct the wrong beliefs and attributions that have caused them to avoid them. The correction of beliefs, unreasonable expectations and wrong attributions of nurses and increased recognition of the positive aspects of each other's behavior has resulted in an increase in the quality of life. This approach helps nurses to have more hope and joy in their workplace and to start working with more determination, which reduces physical fatigue in them. Behavioral skills lead to the exchange of positive and pleasant behaviors and the reduction of negative behaviors and punishment. Also, changes in the feelings and behaviors of nurses lead to changes in attitudes and have a positive effect on the cost-reward ratio. These changes ultimately lead to increased well-being and quality of life.
Methods: This study is a quasi-experimental design with pre-test-post-test in the experimental group (cognitive-behavioral group therapy) and the comparison group (acceptance and commitment group therapy) with control and follow-up groups. The research population was 299 female nurses who served in Ali Ibn Abitaleb Hospital in Rafsanjan city in 1402. 45 were selected by simple random sampling from the list of female nurses and randomly assigned to the experimental and control groups (15 people in each group). The research instruments were the Riff Psychological Well-Being Questionnaire (1989) and the World Health Organization Quality of Life Questionnaire (1998). To examine the relationship between variables, Pearson correlation test was performed using SPSS version 26 software.
Results: The results of the study showed by analysis of covariance that the main effects of the group (cognitive-behavioral group therapy (CBT), acceptance and commitment group therapy (ACT), and control group) had a significant effect on psychological well-being. Also, comparing the effectiveness of the trainings shows that the cognitive-behavioral group therapy (CBT) was 28.5% effective and the acceptance and commitment group therapy (ACT) was 24.8%. Also, comparing the effectiveness of the trainings on quality of life shows that the cognitive-behavioral group therapy (CBT) was 89.0% effective and the acceptance and commitment group therapy (ACT) was 66.1%.
Conclusion: Cognitive-behavioral therapy can be used in the hospital environment to improve psychological well-being and quality of life. In explaining the results and proving the greater effect of cognitive-behavioral therapy compared to commitment and acceptance-based therapy, it can be said that cognitive-behavioral therapy actually reduces the confusion and distress resulting from stress and reduces the use of unhealthy coping styles. By teaching problem-solving skills in its first step, it seeks to increase the individual's skill in recognizing the problem. According to Dewey, recognizing the problem is more than half of solving the problem. Cognitive-behavioral therapy is a method by which an individual learns to use all of his cognitive skills to adapt to problematic interpersonal situations and thus reduce the amount of avoidance strategies. Therefore, this is a way to strengthen reasoning and use personal values to make decisions about problems that arise, which ultimately makes the individual have problem-solving skills and increase the quality of life. In cognitive behavioral therapy, the sense of coherence of the individual's positive attitude towards their own abilities and the meaningfulness of events is increased, and with the techniques that are presented, they have understandable, manageable and meaningful characteristics, and they give the individual a penetrating, stable and dynamic feeling about life events. Such people consider all positive and negative events in life to be meaningful and valuable and try to master the events, or understand them or find meaning for them, and their psychological well-being increases. The cognitive-behavioral approach to nurses, who often have cognitive errors, irrational and destructive beliefs in the workplace, has caused their awareness of irrational beliefs and beliefs to increase. Also, by doing exercises in training sessions and assignments outside the sessions, they correct the wrong beliefs and attributions that have caused them to avoid them. The correction of beliefs, unreasonable expectations and wrong attributions of nurses and increased recognition of the positive aspects of each other's behavior has resulted in an increase in the quality of life. This approach helps nurses to have more hope and joy in their workplace and to start working with more determination, which reduces physical fatigue in them. Behavioral skills lead to the exchange of positive and pleasant behaviors and the reduction of negative behaviors and punishment. Also, changes in the feelings and behaviors of nurses lead to changes in attitudes and have a positive effect on the cost-reward ratio. These changes ultimately lead to increased well-being and quality of life.
Keywords: Cognitive-behavioral therapy, Acceptance and commitment therapy, psychological well-being, Quality of life
Type of Study: Research |
Subject:
Clinical Psychiatry
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