The Effectiveness of Acceptance and Commitment Therapy on Reducing the Depression and Improving the Quality of Life in Patients with Multiple Sclerosis

Elham Nozad, O. Moradi
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Abstract

Background & Aims : This study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on reducing depression and improving the quality of life in patients with multiple sclerosis (MS). Materials & Methods : This was a quasi-experimental study with the pre-test post-test control group design. The study population consisted of all people with MS who were registered in the MS Society of Sanandaj in 2017 (N = 40). Twenty patients who had higher depression scores and lower quality of life scores were selected by purposive sampling. The participants were randomly assigned to either experimental group or control group (n=10 per group). Patients allocated to the experimental group were treated individually for 10 sessions once a week for three months. Patients in the control group did not receive any intervention. The data were collected using the Beck depression inventory-II and the World Health Organization quality of life questionnaire. The data were analyzed using SPSS and multivariate analysis of covariance. Results : ACT had a significant effect on reducing depression and improving the quality of life in patients with MS (p <0.05). Conclusion : It could be concluded that ACT was effective in reducing depression and improving the quality of life in patients with MS.
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接受承诺疗法对多发性硬化症患者减轻抑郁、提高生活质量的效果
背景与目的:本研究旨在探讨接受与承诺疗法(ACT)在多发性硬化症(MS)患者中减轻抑郁和改善生活质量的有效性。材料与方法:本研究为准实验研究,采用前测后测对照组设计。研究人群包括2017年在Sanandaj MS Society注册的所有MS患者(N = 40)。采用有目的抽样的方法,选取抑郁评分较高、生活质量评分较低的患者20例。参与者随机分为实验组和对照组(每组10人)。被分配到实验组的患者分别接受10次治疗,每周一次,持续3个月。对照组患者不接受任何干预。数据采用贝克抑郁量表ii和世界卫生组织生活质量问卷收集。采用SPSS统计软件和多变量协方差分析对数据进行分析。结果:ACT对减轻MS患者抑郁、改善MS患者生活质量有显著作用(p <0.05)。结论:ACT能有效减轻MS患者的抑郁情绪,改善患者的生活质量。
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