چکیده:
Objective: The current research investigated the effectiveness of Acceptance and Commitment Therapy (ACT) on psychosomatic symptoms and mindfulness in patients with psychosomatic disorders.
Methods: A randomized clinical trial was conducted at Kashan University of Medical Sciences clinics in Kashan City, Iran, from December 1, 2017, to March 30, 2018. In total, 66 patients with psychosomatic disorders were selected by purposive sampling method. The selected patients were divided into three groups (each 22 samples which were selected randomly). The subjects had a medical record at Kashan Beheshti Hospital. The experimental group received ACT with medicinal treatment. The first control group received psychological interventions and the second control group received medicinal treatment without any psychological interventions. The results were obtained using the Freiburg Mindfulness Inventory (FMI)-short Form and Diagnostic Criteria for Psychosomatic Research in the Pre-test and Post-Test phases and the three-month follow-up.
Results: In the follow-up and Post-Test phases, mindfulness improved in the intervention group, compared to the active and neutral control groups (P<0.001). Moreover, the active control group demonstrated more ability to mindfulness than the neutral control group (P<0.001). Furthermore, the obtained results were similar for psychosomatic symptoms.
Conclusion: ACT can improve psychosomatic symptoms and mindfulness level in patients with psychosomatic disorders.
خلاصه ماشینی:
Research Paper: Effectiveness of Acceptance and Commitment Therapy on Psychosomatic Symptoms and Mindfulness in Patients With Psychosomatic Disorders Samira Sayyar Khesmakhi1 /, Hamid Afshar zanjani2,3, Farzad Goli4,5, Abdollah Omidi2,6, Carl Eduard Scheidt7, Reza Givehki2* / 1.
Effectiveness of Acceptance and Commitment Therapy on Psychosomatic Symptoms and Mindfulness in Patients With Psychosomatic Disorder.
Furthermore, up to 20% of the patients referring to medical centers report the high prevalence and the importance of such disorders (Fava, Cosci, & Sonino, 2017; Hüsing, Löwe, Piontek, & Shedden‐Mora, 2018; Sadock & Ruiz, 2014).
Psycho-logical interventions are often applied in the treatment of SSDs. Thus, Cognitive Behavioral Therapy (CBT) as one of the widely-used approaches in the treatment of most psychiatric disorders is of special importance in treating psychosomatic symptoms (Matsuoka, Chiba, Sakano, Toyofuku, & Abiko, 2017; Silverstein, Brown, Roth, & Britton, 2011).
ACT with an experien-tial nature (without challenging thoughts), is beneficial for many people (Eifert & Forsyth, 2005; Hayes, Luoma, Bond, Masuda, & Lillis, 2006).
it is a treatment in which awareness and acceptance of the body are important and can affect mental health (Blackledge, Ciarrochi, & Deane, 2009; Davoudi, Omidi, Sehat, & Sepehrmanesh, 2017).
Thus, the present study examined the effectiveness of ACT on psychosomatic symptoms and mindfulness in patients with psychiatric disorders.
The study population included (View the image of this page) all patients diagnosed with psychosomatic disorders by a psychiatrist, an internal medicine specialist, or a clinical psychologist at the treatment center in Kashan City, Iran, from December 1, 2017, to March 30, 2018.