Efficacy of Acceptance and Commitment Therapy on the Emotional Expression and Sexual Function in Infertile Women’s Abstract

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.

2 Department of Psychology, Faculty of Medical Sciences, Rodhan Branch, Islamic Azad University, Tehran, Iran.

Abstract

The present study was to investigate the efficacy of acceptance and commitment therapy in the context of infertile women’s emotional expression and sexual function. The study was a quasi-experimental design with pretest-posttest and control group design, with a two-month follow-up period. The statistical population included infertile women who submitted referrals to the infertility clinics at Mother and Child Hospital and Samar infertility clinic in Shiraz during the winter of 2021. The experimental and control groups were randomly assigned to 36 infertile women who were selected through the voluntary sampling procedure. Over the course of two and a half months, the experimental group was subjected to ten sessions of acceptance and commitment therapy. In this study, the Emotional Expression Questionnaire (EEQ) (King, Emmons, 1990) and the Sexual Function Questionnaire (Keraskian, Mojembari, and Kaiballah, 2014) were implemented. The SPSS23 software was used to analyze the collected data using mixed ANOVA. The findings indicated that acceptance and commitment therapy has a substantial impact on the emotional expression and sexual function of infertile women (p<0.001). Through the development of psychological resilience and mental acceptance, acceptance and commitment therapy can be employed as an effective approach to enhance the emotional expression and sexual function of infertile women, as indicated by the study’s results.
 

Keywords


ابراهیمی‌فر، م.، حسینیان، س.، صفاریان طوسی، م.، و عابدی، م. (1398). مقایسۀ اثربخشی آموزش مبتنی بر «درمان پذیرش و تعهد» و «درمان متمرکز بر شفقت» بر خودکارآمدی، کیفیت روابط و معنای زندگی در زنان نابارور. مدیریت ارتقای سلامت. 8(3)، 15-10. http://jhpm.ir/article-1-1001-fa.html
استرآبادی، م.، امیرفخرایی، آ.، کرامتی، ک.، و سماوی، ع. (1399). اثربخشی درمان مبتنی بر پذیرش و تعهد بر استرس ناباوری و افسردگی زوجین نابارور. پژوهشنامۀ زنان. 11(1)، 28-16. https://doi.org/10.30465/ws.2020.5344
اصلی آزاد، م.، منشئی، غ.، و قمرانی، ا. (1398). اثربخشی درمانگری مبتنی بر پذیرش و تعهد بر نشانگان وسواس - ناخودداری و درآمیختگی فکر و عمل در دانش‌آموزان مبتلا به اختلال وسواس-ناخودداری. فصلنامۀ علوم روان‌شناختی. ۱۸(۷۳)، 76-67. http://psychologicalscience.ir/article-1-135-fa.html
اصلی آزاد، م.، منشئی، غ.، و قمرانی، ا. (1398). اثربخشی درمان مبتنی بر پذیرش و تعهد بر تنظیم شناختی هیجان و تحمل ابهام دانش‌آموزان مبتلا به اختلال وسواس فکری-عملی. فصلنامۀ روان‌شناسی افراد استثنایی. 9(36)، 53-33. http://dorl.net/dor/20.1001.1.17357462.1398.18.73.9.4
شعبان‌نژاد، آ.، فضل‌علی، م.، و میرزاییان، ب. (1400). نقش میانجی انعطاف‌پذیری روان‌شناختی در رابطه خودکارآمدی و رفتارهای ارتقادهندۀ سلامت در زنان نابارور. ابن‌سینا. 23(3)، 62-52. http://ebnesina.ajaums.ac.ir/article-1-968-fa.html
شاهی صنوبری، س.، آقامحمدیان، ح.، و معینی‌زاده، م. (1400). اثربخشی روان‌درمانی مثبت‌گرا مبتنی بر خیرباوری بر سلامت روان و کیفیت زناشویی زنان نابارور. فیض. 25(1)، 760-752. http://feyz.kaums.ac.ir/article-1-4206-fa.html
طاهری، م.، و جبل عاملی، ش. (1400). اثربخشی درمان مبتنی بر پذیرش و تعهد غنی‌شده با شفقت بر رضایت جنسی بیماران مبتلا به سرطان روده بزرگ بعد از جراحی کولوستومی. سلامت و مراقبت. 23(1)، 77-66. http://hcjournal.arums.ac.ir/article-1-1234-fa.html
فلاحت، ع. (1400). مقایسۀ اثربخشی آموزش راهبرد خودنظم‌دهی و آموزش مهارت حل همیارانۀ تعارضات بین‌فردی بر احساس شایستگی اجتماعی، قلدری و ابرازگری هیجانی دانش‌آموزان پسر دارای نشانه‌های قلدری مقطع متوسطۀ اول شهر یاسوج. رسالۀ دورۀ دکتری تخصصی روان‌شناسی. دانشکدۀ روان‌شناسی و علوم تربیتی. دانشگاه آزاد اسلامی واحد بوشهر.
قره‌بیگلو، آ. (1398). تأثیر آموزش گروهی به شیوه و تعهد و پذیرش (ACT) بر بهبود اختلال خواب، کیفیت زندگی و عملکرد جنسی زنان پرستار. پایان‌نامۀ کارشناسی ارشد روان‌شناسی عمومی. دانشکدۀ روان‌شناسی و علوم تربیتی. دانشگاه آزاد اسلامی. واحد مرند.
کوهی کمالی، ش.، سوداگر، ش.، پورشریفی، ح.، و عشایری، ح. (1399). اثربخشی درمان مبتنی بر پذیرش و تعهد بر رضایت جنسی زنان نابارور. طب پیشگیری. 7(4)، 67-56. http://jpm.hums.ac.ir/article-1-481-fa.html
کراسکیان موجمباری، آ.، و کیب الهی، ط. (1393). تدوین و هنجاریابی پرسشنامۀ سنجش عملکرد جنسی زنان متأهل شهر تهران. فصلنامۀ مراقبت‌های نوین. 11(1)، 56-44. https://sid.ir/paper/205989/fa
نقوی، م.، اسدپور، ا.، و کسایی، ع. (1398). اثربخشی مشاورۀ گروهی مبتنی بر درمان پذیرش و تعهد بر افزایش انعطاف‌پذیری روان‌شناختی و صمیمیت زناشویی زنان نابارور. روان‌شناسی سلامت. 8(4)، 126-105.            https://doi.org/10.30473/hpj.2020.42918.4188
References
Allmann, A. E., Coyne, L. W., Michel, R., & McGowan, R. (2020). Acceptance and commitment therapy Enhanced exposures for children and adolescents. In T. S. Peris, E. A. Storch, & J. F. McGuire (Eds.), Exposure therapy for children with anxiety and OCD: Clinician’s guide to integrated treatment (pp. 405–431). Elsevier Academic Press. https://doi.org/10.1016/B978-0-12-815915-6.00017-2
Asli Azad, M., Manshaei, G.R., & Ghamarani, A. (2019). Effectiveness of acceptance and commitment therapy on the signs of obsessive-compulsive disorder and thought-action fusion in the students with obsessive-compulsive disorder. Journal of Psychological Science. 18(73), 67-76. http://psychologicalscience.ir/article-1-135-fa.html (In Persian)
Asli Azad, M., Manshaei, G. R., & Ghamarani, A. (2020). Effectiveness of acceptance and commitment therapy on cognitive emotion regulation and intolerance of uncertainty of the students with obsessive-compulsive disorder. Psychology of Exceptional Individuals, 9(36), 33-53. https://doi.org/10.22054/jpe.2019.44480.2027 (In Persian)
Bahattab, M., & AlHadi, A. N. (2021). Acceptance and commitment group therapy among Saudi Muslim females with mental health disorders. Journal of Contextual Behavioral Science, 19, 86-91. https://doi.org/10.1016/j.jcbs.2021.01.005
Berger, E., Garcia, Y., Catagnus, R., & Temple, J. (2021). The effect of acceptance and commitment training on improving physical activity during the COVID-19 pandemic. Journal of Contextual Behavioral Science, 20, 70-78. https://doi.org/10.1016/j.jcbs.2021.02.005
Brodahl, K., Finset, A., Storøy, H. E., & Pedersen, R. (2019). Medical students’ expressions of empathy: A qualitative study of verbal interactions with patients expressing emotional issues in a medical interview. Patient Education and Counseling, 104(12), 2936-2943. https://doi.org/10.1016/j.pec.2021.03.042
Caletti, E., Massimo, C., Magliocca, S., Moltrasio, C., Brambilla, P., & Delvecchio, G. (2022). The role of the acceptance and commitment therapy in the treatment of social anxiety: An updated scoping review. Journal of Affective Disorders, 310, 374-382. https://doi.org/10.1016/j.jad.2022.05.008
Cheng, C. Y.,  Lowndes, E., Cheng-Ta, S., & Shwu-RuLiou, Y.(2018). Stress and Quality of Life for Taiwanese Women Who Underwent Infertility Treatment. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(4), 498-508. https://doi.org/10.1016/j.jogn.2018.03.005
Ebrahimifar, M., Hosseinian, S., Saffariyan Tousi, M. R., & Abedi, M. R. (2019). To compare of the effectiveness of training based on “acceptance and commitment therapy” and “compassion focused therapy” on self-efficacy, quality of relations and meaning in life in infertile women. Journal of Health Promotion Management, 8(3), 10-18. http://jhpm.ir/article-1-1001-en.html (In Persian)
Falahat, E. (2021). Comparing the effectiveness of self-regulation strategy training and interpersonal conflict resolution skills training on the feeling of social competence, bullying and emotional expression of male students with signs of bullying in the first secondary school of Yasouj city. Dissertation of the specialized doctoral course in psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Bushehr branch. (In Persian)
Gharebaghlo, A. (2018). The effect of group training in the method of commitment and acceptance (ACT) on the improvement of sleep disorder, quality of life and sexual performance of female nurses. Master's Thesis of General Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Marand Branch. (In Persian)
Graaf, D. L., Trompetter, H. R., Smeets, T., & Mols, F. (2021). Online Acceptance and Commitment Therapy (ACT) interventions for chronic pain: A systematic literature review. Internet Interventions, 26, 1004-1009. https://doi.org/10.1016/j.invent.2021.100465
Huiyuan, L., Wong, C. L., Jin, X., Chen, J., Chong, Y. Y., & Bai, Y. (2021). Effects of Acceptance and Commitment Therapy on health-related outcomes for patients with advanced cancer: A systematic review. International Journal of Nursing Studies, 115, 1038-1044. https://doi.org/10.1016/j.ijnurstu.2021.103876
Karaskian Mojmbari, A., & Kib Elahi, T. (2013). Compilation and standardization of the sexual performance measurement questionnaire of married women in Tehran. Modern Care Journal, 11(1), 44-56. https://sid.ir/paper/205989/en (In Persian)
Kim, M., Moon, S., & Kim, J. (2020). Effects of psychological intervention for Korean infertile women under In Vitro Fertilization on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Archives of Psychiatric Nursing, 34(4), 211-217. https://doi.org/10.1016/j.apnu.2020.05.001
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: Psychological and physical correlates. Journal of Personality and Social Psychology, 58(5), 864-877. https://psycnet.apa.org/doi/10.1037/0022-3514.58.5.864
Kleinplatz, P. J., Charest, M., Paradis, N., Ellis, M., Rosen, L., Ménard, A. D., & Ramsay, T. O. (2020). Treatment of low sexual desire or frequency using a sexual enhancement group couples therapy approach. The Journal of Sexual Medicine, 17(7), 1288-1296. https://doi.org/10.1016/j.jsxm.2020.02.012
Koohi Kamali, S., Sodagar, S., Poursharifi, H., & Ashayeri, H. (2020). The effectiveness of acceptance and commitment-based therapy on sexual satisfaction of infertile women. Journal of Preventive Medicine, 7(4), 67-56. http://dx.doi.org/10.29252/jpm.7.4.67 (In Persian)
Lawson, A. K., Klock, S. C., Pavone, M. E., Hirshfeld-Cytron, J., Smith, K. N., & Kazer, R. R. (2014). Prospective study of depression and anxiety in female fertility preservation and infertility patients. Fertility and Sterility, 102(5), 1377-1384. https://doi.org/10.1016/j.fertnstert.2014.07.765
Li, G., Jiang, Z., Kang, X., Ma, L., Han, X., & Fang, M. (2021). Trajectories and predictors of anxiety and depression amongst infertile women during their first IVF/ICSI treatment cycle. Journal of Psychosomatic Research, 142, 1103-1107. https://doi.org/10.1016/j.jpsychores.2021.110357
Li, G., Zhao, D., Wang, Q., Zhou, M., Kong, L., Fang, M., & Li, P. (2022). Infertility-related stress and quality of life among infertile women with polycystic ovary syndrome: Does body mass index matter? Journal of Psychosomatic Research, 158, 1109-1113. https://doi.org/10.1016/j.jpsychores.2022.110908
Maroufizadeh, S., Ghaheri, A., Almasi-Hashiani, A., Mohammadi, M., Navid, B., Ezabadi, Z., & Omani Samani, R. (2018). The prevalence of anxiety and depression among people with infertility referring to Royan Institute in Tehran, Iran: A cross-sectional questionnaire study. Middle East Fertility Society Journal, 23(2), 103-106. https://doi.org/10.1016/j.mefs.2017.09.003
Morgan, T.A., Dalrymple, K., D’Avanzato, C., Zimage, S., Balling, C., Ward, M., & Zimmerman, M. (2021). conducting outcomes research in a clinical practice setting: the effectiveness and acceptability of acceptance and commitment therapy (ACT) in a partial hospital program. Behavior Therapy, 52(2), 272-285. https://doi.org/10.1016/j.beth.2020.08.004
Naghavi, M., Asadpour, E., & Kasaee, A. (2020). The effectiveness of group counselling based on acceptance and commitment therapy on increasing psychological flexibility and marital intimacy of infertile women. Quarterly Journal of Health Psychology, 8(4), 105-126. https://doi.org/10.30473/hpj.2020.42918.4188 (In Persian)
Nayar, K. D., Nayar, P., Gupta, S., Singh, M., Bhattacharya, R., Kant, G., Gahlot, M. S. R., & Nayar, K. D. (2020). Impact of endometriosis on anxiety, depression and quality of life and its association with pregnancy outcomes in infertile patients at a tertiary level infertility centre in India. Fertility and Sterility, 114(3), 211-215. https://doi.org/10.1016/j.fertnstert.2020.08.598
Nikolaeva, A. (2014). Realization of the category of expressivity in communicative situations. Social and Behavioral Sciences, 158(19), 12-17. https://doi.org/10.1016/j.sbspro.2014.12.025
Ozturk, A., Aba, Y. A., & Sik, B.A. (2021). The relationship between stigma, perceived social support and depression in infertile Turkish women undergoing in vitro fertilization-embryo transfer. Archives of Psychiatric Nursing, 35(5), 434-440. https://doi.org/10.1016/j.apnu.2021.05.009
Pinks, D., Warren-James, M., & Katsikitis, M. (2021). Does a peer social support group intervention using the cares skills framework improve emotional expression and emotion-focused coping in paramedic students? Australasian Emergency Care, 24(4), 308-313. https://doi.org/10.1016/j.auec.2021.03.005
Riley, T. N., Sullivan, T. N., Hinton, T. S., &Kliewer, W. (2019). Longitudinal relations between emotional awareness and expression, emotion regulation, and peer victimization among urban adolescents. Journal of Adolescence, 72, 42-51. https://doi.org/10.1016/j.adolescence.2019.02.005
Shabannezhad, A., Fazlali, M., & Mirzaian, B. (2021). The mediating role of psychological flexibility in the relationship between self-efficacy and health-promoting behaviors in infertile women. Ebnesina, 23(3), 52-62. http://dx.doi.org/10.22034/23.3.52 (In Persian)
Shahi Senobari, S., Aghamohammadian Sharbaf, H. R., & Moeenizadeh, M. (2021). The effectiveness of positive psychotherapy based on belief to good on the mental health and marital quality of infertile women. Feyz, 25(1), 752-760. http://feyz.kaums.ac.ir/article-1-4206-en.html (In Persian)
Shin, H., Lee, J., Kim, S., & Jo, M. (2021). Associations of symptoms of depression, social support, and quality of life among korean women who experience infertility. Journal of Obstetric, Gynecologic & Neonatal Nursing, 50(6), 1-12. https://doi.org/10.1016/j.jogn.2021.06.007
Slavinskiene, J. A., & Zardeckaite-Matulaitiene, K. (2014). Importance of alcohol-related expec-tations and emotional expressivity for prediction of motivation to refuse alcohol in alcohol dependent patients. Department of Theoretical Psychology, 50, 169-174. https://doi.org/10.1016/j.medici.2014.07.002
Starabadi, M., Aminfakhraei, A., Keramati, K., & Samavi, A. (2020). Effectiveness of acceptance and commitment therapy on stress and depression in infertile couples. Womans Studies, 11(1), 16-28. https://doi.org/10.30465/ws.2020.5344 (In Persian)
Swift, A., Reis, P., & Swanson, M. (2021). Infertility stress, cortisol, coping, and quality of life in u.s. women who undergo infertility treatments. Journal of Obstetric, Gynecologic & Neonatal Nursing, 50(3), 275-288. https://doi.org/10.1016/j.jogn.2020.12.004
Taheri, M., & Jabalameli, S. (2021). Effectiveness of acceptance and commitment therapy enriched with compassion on sexual satisfaction of patients with colorectal cancer after colostomy surgery. Journal of Health & Care, 23(1), 66-77. http://dx.doi.org/10.52547/jhc.23.1.66 (In Persian)
Xu, H., O'Brien, W.H., & Chen, Y. (2020). Chinese international student stress and coping: A pilot study of acceptance and commitment therapy. Journal of Contextual Behavioral Science, 15, 135-141. https://doi.org/10.1016/j.jcbs.2019.12.010
Zhao, C., Lai, L., Zhang, L., Cai, Z., Ren, Z., Shi, C., Luo, W., & Yan, Y. (2021). The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: A meta-analysis with trial sequential analysis. Journal of Psychosomatic Research, 140, 110-114. https://doi.org/10.1016/j.jpsychores.2020.110304
 
Volume 15, Issue 2
2024
Pages 1-16
  • Receive Date: 24 June 2022
  • Revise Date: 23 September 2022
  • Accept Date: 08 October 2022
  • First Publish Date: 07 April 2024
  • Publish Date: 22 August 2024