---

Introduction: Obesity is a rapidly growing health problem in every society. The purpose of this study was to determine the effectiveness of acceptance and commitment therapy on the Body Mass Index (BMI) in women afflicted with obesity in Isfahan. Methods: Through a semi-experimental research with pre-test and post-test design with one month follow-up as well as using convenience sampling method, a number of 30 women with an obesity diagnosis (Body Mass Index, BMI≥30), who were satisfied with the criteria for entering this research, were randomly incorporated into experiment and control groups (15 each). The intervention involved 8 sessions each lasting for 90 minutes of acceptance and commitment therapy which was provided merely for experiment group. BMI was calculated by dividing weight (kg) by squared height (m^2). Results: The result of covariance analysis showed that there were no significant differences in body mass index between the experimental and control groups at post-test stage. But results showed a significant decrease in body mass index at follow up stage (p˂0.05). Conclusion: The study showed that acceptance and commitment therapy can lead to reduction in body mass index in follow up stage, in women afflicted with obesity. Therefore, using this therapeutic approach is recommended for the treatment of obesity.

---

Introduction: Marital infidelity is one of the intricate and harmful emotional problems among couples. Infidelity in marital relations could be considered as a stressful phenomenon, which results in cognitive, emotional, and behavioral disorder signs in individuals. This study aimed to investigate the effectiveness of acceptance and commitment therapy on stress, anxiety, and depression improvement in females, who had experienced infidelity in marital relations in Sanandaj City.

Methods: This was a semi-experimental study, which used pre-test, post-test design on the control group. The sample size was 30 females, who had experienced infidelity in their marital relations, and were attending the family court of Sanandaj City, during year 2015. They were allocated based on convenience and random sampling to two groups (15 control and 15 experimental). Research tools were depression short inventory, anxiety, stress (DASS-21) and interruptive group therapy based on acceptance and commitment therapy, accomplished during 12 treatment sessions of 90 minutes on the basis of weekly routines. In order to analyze the data on descriptive level, the researchers used mean statistics and standard deviation, and in inferential level, the researchers used One-way Analysis of Covariance Test (ANCOVA).

Results: Interruptive group therapy method based on acceptance and commitment directly decreased and improved stress signs, anxiety and depression of females under the study (P < 0.005).

Conclusions: Findings of this study indicate the importance and effectiveness of treatment based on acceptance and commitment to reduce stress, anxiety and depression of females, who had experienced infidelity in marital relations. Therefore, this kind of therapy could be used to decrease and improve infidelity’s harmful effects in marital relations.

---

Introduction: Psychological distress and lack of medication adherence is an important problem in patients with coronary artery disease. The aim of this research was to investigate the effectiveness of acceptance and commitment therapy on psychological distress and medication adherence of patients with coronary artery disease in Isfahan.
Methods: The research design was semi-experimental with pre-test and post-test, control group, and a 1-month follow-up. For this purpose, among patients with coronary artery disease, who were referred to cardiovascular clinics of Isfahan in the first 6 months of 2015, 2 clinics were selected and 30 patients were selected by available sampling and distributed in 2 groups of experiment and control, randomly (15 individuals in each group). Participants completed psychological distress and medication adherence scale before and after the intervention and one month later, during follow up. The experimental group participated in 8 sessions (90-minute each) of acceptance and commitment therapy (Hayes, 2010), yet no intervention was carried out for the control group.
Results: Repeated measures analysis showed a significant difference between the 2 groups in psychological distress (depression, anxiety, and stress) and medication adherence (P < 0.05).
Conclusions: According to the results, using acceptance and commitment therapy is useful to improve psychological distress and medication adherence of coronary artery disease patients in Isfahan.

 

---

Introduction: Improving psychological characteristics, among the most important being marital satisfaction and cognitive flexibility, in married employees of the welfare office is of great importance due to their stresses. The aim of this research was to investigate the effectiveness of acceptance and commitment therapy on marital satisfaction and cognitive flexibility among married employees of the welfare office.
Methods: The present research was semi-experimental with a pre-test and post-test with control groups. The statistical population included all married employees of the welfare office of Varamin city, during year 2016. A total of 30 individuals were selected by the available sampling method and randomly assigned to two equal groups. The experimental group underwent 8 sessions of 90 minutes educated by Bach and Moran’s acceptance and commitment therapy. Both groups completed the questionnaires of Olson and Flowers’s marital satisfaction and Dennis and Vander Wal’s cognitive flexibility as a pre-test and post-test. The data were analyzed by multivariate analysis of covariance and univariate analysis of covariance methods.
Results: The findings showed that there was a significant difference between experimental and control groups in two variables of marital satisfaction and cognitive flexibility. In the other words, acceptance and commitment therapy significantly led to an increase in marital satisfaction and cognitive flexibility of married employees (p≤0/05).
Conclusions: Regarding the findings of this research, counselors and therapists could use acceptance and commitment therapy to improve marital satisfaction and cognitive flexibility.

 

---

Introduction: One of the problems of women with repeated abortions is to reduce the tolerance threshold and reduce resilience to psychological problems. There is a variety of therapies to increase the resilience of these people, including those based on admission and commitment therapy and mindfullness therapy. Therefore, the present study was conducted with the aim of determining the efficacy and comparison of treatment based on admission and commitment and mindfullness therapy on the resilience of women with repeated abortions.
Methods: The present study was applied and semi-experimental method was done using a pre-test post-test design. The statistical population of this study included all women with abortion in Maragheh city in the first nine months of 1396. The sample consisted of 45 women with abortion that were selected by random sampling and were randomly assigned to two experimental and one control groups. The resilience test of Davidson (2001) was used to collect data. Data were analyzed using one-variable covariance analysis and SPSS software.
Results: The results showed that mindfulness-based treatment and acceptance and commitment-based treatment had an effect on increasing the survival rate of women in repeated abortions. Mindfulness-based treatment is more effective than acceptance and commitment therapy (0.001).
Conclusions: Based on the findings of the research, mindfulness helps people to identify situations that are causing anxiety and stress, learn better about themselves, identify their weaknesses and strengths, and then learn coping strategies to face these situations. Commitment and acceptance make the patient, with his valuable goals, move on with his experiences completely and without resistance, and accept them without judgment of their correctness or incorrectness upon emergence.
 

---

Introduction: Breast cancer is one of the most common cancers in women, which has a profound effect on mental and social health, hope and psychological well-being. The purpose of this study was to determine the Efficacy of acceptance and commitment therapy on the hope and psychological well-being of women with breast cancer under chemotherapy.
Methods: The present study was a quasi-experimental and pre-test-posttest design with intervention and control group. The statistical population of this study was all women with breast cancer in Shohada-e-Tajrish Hospital. They were selected by purposeful sampling and randomly assigned to two intervention groups
(n = 15) and control (n = 15). In the intervention group, 8 sessions of 90-minute intervention Based on acceptance and commitment, and the control group remained on the list. The instrument used in the research was Schneider's hope Questionnaire (1991) and Rheff's Psychological Well-being (1980). Data analysis was performed using SPSS v.23 software in two parts: descriptive (mean, standard deviation) and inferential (covariance analysis).
Results: The results of the data analysis indicated that following the provision of acceptance therapy and commitment, the scores of hope and psychological well-being varied in the experimental group in the post-test phase and this type of treatment had a significant positive effect on hope And psychological well-being of women with cancer under chemotherapy (P < 0.001).
Conclusions: According to these findings, group therapy of admission and commitment is an effective way to increase the hope and psychological well-being of patients with breast cancer.
 

---

Introduction: Depression affects many aspects of a child's life, and children's playing is one of the conditions in which children's behavior can be better understood, as well as improving their cognitive commitment to the child's behavior. Therefore, the purpose of this study was to compare of effectiveness of combination of acceptance and commitment therapy with theraplay and acceptance and commitment therapy on quality of life in depressed children.
Methods: The research method was semi-experimental with pretest, posttest and follow-up. The statistical population of this study consisted of all children with depressive disorder aged 8-12 years old in Isfahan city with their mothers in 2019. 45 people were selected by available method and randomly assigned to three groups of 15 people. For the first experimental group, the acceptance and commitment-based therapy protocol of Hayes et al in 10 sessions and 60 minute, For the second experimental group, the combined of acceptance and commitment therapy with theraplay protocol researcher-made in 10 sessions 60 minute were used and no intervention was made for the control group. The instrument used was the Child Quality of Life Questionnaire. Data were analyzed using repeated measurement analysis with spss18 software.
Results: Results showed that combination of acceptance and commitment therapy with theraplay and Acceptance and Commitment Therapy were effective on depressive symptoms in depressed children [p≤0.001], which has increased the quality of life in terms of physical performance, emotional performance, social performance, academic performance and overall quality of life. But combination of acceptance and commitment therapy with theraplay is better [p≤0.001].
Conclusion: The Results of this study can provide practical implications for improving physical, emotional, social and educational performance in order to improve the quality of life of depressed children to therapists using a combined method of combination of acceptance and commitment therapy with theraplay.
 

---

Introduction: The aim of the present research compare effectiveness mind sport  training and acceptance and commitment therapy on psychological distress and fear of self amonge people have body dismorphic in the Ahvaz city.
Methods: The research's plan was experimental of field experiment by pretest – posttest and control and follow-up groups. First, 100 people who referred to counseling centers in Ahwaz in the year 1398 were selected voluntarily. Then, 45 people who received the highest scores on body dysmorphic disorder's Rabie & et al questionnaire (2011) were selected through purposive sampling as sample size and were randomly assigned to three groups of 15 people experimenters 1,2 and control. Data collection tools were psychological distress Kessler & et al questionnaire (2002) and Fear of self Aguilara & et al questionnaire (2019). 
Results: The results showed that in the posttest and two month follow-up stages, both mind sport  training and acceptance and commitment therapy were effective on reduce psychological distress and fear of self (p<0/05). Also, there was no difference between the effectiveness of two interventions on psychological distress and fear of self in the pretest and follow-up stages (p>0/05). 
Conclusions: Mind sport  training and acceptance and commitment therapy can be used to reduce psychological distress and fear of self in body dismorphic disorder.

---

Introduction: Diabetes is one of the most common chronic diseases in Iran and the world that imposes many physical and psychological complications on patients. The aim of this study was to Comparison of the Effectiveness of Mindfulness-Based Therapy and Acceptance and Commitment Therapy on Resilience, Psychological Well-Being and Blood Sugar levels in patients with type 2 diabetes Tehran in 2019.
Methods: This research was a quasi-experimental study with a pretest-posttest design (three groups) with two experimental groups and one control group. The statistical population of the study consisted of all patients with type 2 diabetes referred to health centers in Tehran in 2019, from which 45 people were selected by convenience sampling method and randomly divided into two experimental groups (each A group of 15 people) and a control group (15 people) were assigned. Research data were collected using Connor and Davidson resilience questionnaires and Reef psychological well-being questionnaires and fasting blood sugar was measured by blood test. Data analysis was performed using SPSS software version 19 in two parts: descriptive (mean, standard deviation) and inferential (multivariate analysis of covariance and post hoc tests).
Results: The results showed that both interventions had a significant effect on increasing resilience and psychological well-being and lowering blood sugar in patients with type 2 diabetes (Wilkes lambda = 0.15, P <0.05). Also, group therapy of acceptance and commitment is more effective than group therapy of mindfulness on improving resilience (F = 6.23, P <0.05) and psychological well-being (F = 8.71, P <0.05) in post-test and Is a follow-up. But there was no significant difference between the effect of treatment methods on blood sugar levels.
Conclusions: The results show a significant effect of mindfulness and commitment based therapy and acceptance on resilience, psychological well-being and blood sugar in patients with type 2 diabetes. Therefore, psychologists and medical centers can use these methods to improve the condition of patients with type 2 diabetes.

---

Introduction: Depression is one of the most common disorders in women. This disorder can severely affect womenchr('39')s performance. The aim of this study was to compare the effectiveness of positive psychotherapy and acceptance and commitment therapy on affective capital and depression in depressed women.
Methods: The research method is quasi-experimental with three groups in three stages: pre-test, post-test and follow-up. The statistical population of the study included depressed women in Isfahan in autumn and winter of 2019 and 2020. From the statistical population, 60 women were selected through purposive sampling and then randomly assigned to two experimental groups (20 people in each group) and control group (20 people). Affective Capital Questionnaire and Beck Depression Inventory were used to measure the dependent variable. Positive psychotherapy group and acceptance and commitment treatment were treated in 14 and 13 sessions respectively, and the control group did not receive any treatment. Data were analyzed by repeated measures analysis of variance and Bonferroni post hoc test.
Results: The results indicated that, there was a significant difference in affective capital and depression between the positive psychotherapy group and the acceptance and commitment treatment group with the control group (P <0.01). There is no significant difference between the two treatment groups in affective capital and depression (P >0.05).
Conclusion: Considering the effect of positive psychotherapy and acceptance and commitment based therapy on increasing affective capital and reducing depression in depressed women, the use of these two therapies in counseling and psychological treatment centers is suggested.

---

Introduction: Depression is one of the most common and debilitating mental disorders in adolescents that has a devastating effect on their abilities, performance, relationships, and other areas of adolescents' life. This disorder is often accompanied by a decrease in affective capital, which is associated with sadness, lack of energy, inattention, and lack of interest. The aim of this study was to compare the effectiveness of existentialism acceptance and commitment therapy and compassion-focused therapy on the affective capital of depressed adolescent girls.
Methods: The method of the present study was quasi-experimental with pre-test, post-test, and follow-up periods. The statistical population consisted of depressed adolescent girls in district 3 of Isfahan in the fall of 2021 year. From the statistical population, 45 people were selected through purposive sampling and randomly assigned to two experimental groups and one control group. Kutcher depression scale was used for initial screening and Golperor affective capital questionnaire was used to measure the dependent variable in three stages. For the experimental groups, ten sessions of compassion-based therapy and existentialism acceptance and commitment therapy were performed and during this time, the control group did not receive any treatment. Data were analyzed by repeated measures analysis of variance and Bonferroni post hoc test.
Results:  The results showed that in affective capital, the difference between the two treatment groups and the control group was significant (P <0.05), But there was no significant difference between the two treatment groups (P> 0.05).
Conclusions:  With the concern of the research’s result, existentialism acceptance and commitment therapy and compassion-focused therapy have appropriate efficacy in the improvement of affective capital of adolescent girls. Therefore, it is suggested to use these two treatments in schools and treatment centers for depressed adolescent girls.

---

Introduction: In the last two decades, attention to perfectionism has been increased. Perfectionism is one of the main symptoms of patients with obsessive-compulsive personality disorder. The aim of this study was comparison of the effectiveness of schema therapy and acceptance and commitment therapy on perfectionism in patients with obsessive-compulsive personality disorder.   
Methods: The research method in this study was quasi–experimental design and pretest-posttest-followup with experimental groups and a control group. The statistical population included all patients with obsessive-compulsive personality disorder referred to psychological and counseling services centers in Tehran in the year 2021. Among them, 51 patients with obsessive-compulsive personality disorder were selected based on entry and exit criteria and by available sampling method and randomly were placed into three groups (17 people) of schema therapy, acceptance and commitment therapy and control group. The first experimental group received the schema therapy with Young's approach (1990) in 8 sessions of 90 minutes, the second experimental group received the acceptance and commitment therapy with Hayes, Strosahl, and Wilson of approach (1999) in 8 sessions of 90 minutes and the control group was in the waiting list. The research instruments included the Perfectionism Inventory (PI) and Millon Clinical Multiaxial Inventory (MCMI-III). The obtained data were analyzed using repeated measure of covariance analysis (mixed design) and Bonferroni post hoc test and SPSS25 software.     
Results: The findings showed that there was a significant difference between the experimental groups and control group; Both schema therapy and acceptance and commitment therapy interventions had a positive effect on perfectionism in patients with obsessive-compulsive personality disorder and the effect of these therapeutic interventions in the follow-up phase has been stable (P <0.05). Also, the results of Bonferroni post hoc test showed that the the effectiveness of schema therapy intervention on perfectionism was higher than acceptance and commitment therapy (P <0.05).  
Conclusions: According to the research findings, it can be concluded that schema therapy and acceptance and commitment therapy interventions can be effective in improving perfectionism of patients with obsessive-compulsive personality disorder; It is recommended that therapists and counselors use these therapies for improving the perfectionism of patients with obsessive-compulsive personality disorder. 
 

---

Introduction: Patients with multiple sclerosis(MS) experience many physical and emotional disorders. Therefore, this study aimed the effectiveness of acceptance and commitment therapy on emotional dysregulation in multiple sclerosis patients.
Methods: The research method in present study was based on the practical aim, the experiment of type the single-subject with ABA design. The statistical population included all individuals 20 to 50 years with multiple sclerosis disorder who attended the MS Association of Tehran in 2022. Among them, 5 patients with multiple sclerosis (two men and three women) were selected based on inclusion criteria and by purposive sampling. The multiple sclerosis intervention was performed for each patient in 8 sessions of 2.5 hours. The research instrument included demographic questionnaire and difficulties in emotion regulation scale (DERS).  The data were analyzed using visual analysis at both within-condition and between- condition levels in SPSS and Excel software.  
Results: The results showed that acceptance and commitment therapy intervention reduced the emotional dysregulation in patients with multiple sclerosis. So that the scores had a significant decrease compared to the baseline scores in the 8 intervention sessions and follow-up after the treatment (P<0.05).    
Conclusions: The results of this study showed that acceptance and commitment therapy can be effective in reducing the emotional dysregulation in multiple sclerosis patients; And it is suggested that therapists and counselors use this treatment in order to improve the emotional dysregulation of these patients along with other therapeutic interventions.       
 

---

Introduction: The treatment processes and complications of heart failure are associated with tension, mood problems, anxiety and feeling of hopelessness. Due to the importance of psychological health and hope in dealing with the consequences of the disease and the effect of mindfulness-based interventions on them, the aim of this study was to compare the effect of mindfulness-based cognitive therapy with acceptance and commitment therapy on psychological distress and hope in males with heart failure.
Method: This research was semi-experimental with a pretest-posttest design with a control group on three-month follow-up. 45 males aged 35 to 55 with stage B heart failure in Isfahan city, were purposefully selected and placed in three groups of 15 (two experiment groups and one control group) by simple random method. Data were collected with depression, anxiety and stress scale, Loybond & Loybond's (1995) and Hope scale Snyder et al. (1991), in the three stages of pre-test, post-test and follow-up. The interventions performed for test groups. The control group did not receive any intervention. Data analysis was done with mixed analysis of variance and Bonferroni's post hoc test.
Findings: Findings showed a significant difference for depression, anxiety, stress and hope in both interventions compared to the control group in the post-test and follow-up (P˂0.05). Comarsion of mindfulness-based cognitive therapy with acceptance and commitment therapy showed a significant difference in the treatment of depression (P=0.005), anxiety (P=0.034) and hope (P=0.007). However no significant difference was observed for Stress (P=0.451).
Conclusion: Both interventions reduced depression, anxiety, stress, and increased hope in males with heart failure. Therefore the suggested treatments should be used in medical centers along with common medical treatments as complementary interventions. For anxiety problems, the preferred method is mindfulness-based cognitive therapy and for hope, mood and depression problems, acceptance and commitment therapy.