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Effectiveness of Acceptance and Commitment Therapy (ACT) on Health- Related Locus of Control and Cognitive Regulation of Emotion in Women with Breast Cancer

Document Type : Research Article

Authors

1 Department of Psychology, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran

2 Department of Psychology, University of Hormozgan, Iran

Abstract

Background: Patients with breast cancer (BC) experience psychological challenges necessitating therapeutic interventions. This study evaluated the efficacy of Acceptance and Commitment Therapy (ACT) in influencing health-related locus of control and emotional regulation in women diagnosed with BC.
Methods: This semi-experimental research, employing a pre-test, post-test, and control group design, was conducted among women with BC receiving care at health centers in Dezful City, Iran in 2019. Forty participants were selected through convenience sampling and subsequently randomized via lottery into experimental and control groups, each comprising 20 individuals. The experimental group underwent an eight-session ACT-based treatment, with one 90-minute session per week. Assessment instruments utilized in this study included Wallston’s health-related locus of control questionnaire and Garnefski’s cognitive emotion regulation questionnaire. Data analysis was conducted using ANCOVA and SPSS version 24.
Results: No significant differences were observed between the groups in the pre-test concerning health-related locus of control and emotional regulation. In the post-test, the mean±SD score for the health-related locus of control in the ACT group was 61.80±7.23, demonstrating a significant difference compared to the control group (47.94±6.11) (P<0.001). Emotional regulation mean scores in the experimental and control groups were 87.35±9.28 and 59.74±7.38, respectively, signifying statistical significance (P=0.005). ACT significantly enhanced health-related locus of control and emotional regulation in women diagnosed with BC (P<0.001).
Conclusion: ACT effectively enhances health-related locus of control and emotional regulation in women with BC. Healthcare professionals and therapists may consider incorporating ACT into their comprehensive treatment strategies to augment healthrelated locus of control and emotional regulation in this patient population.

Highlights

How to Cite: Goodarzian M, Mohammadi K, Amirfakhraei A. Effectiveness of Acceptance and Commitment Therapy (ACT) on Health-Related Locus of Control and Cognitive Regulation of Emotion in Women with Breast Cancer. Women. Health. Bull. 2023;10(4):234-242. doi: 10.30476/WHB.2023.99974.1245.

Keywords

References
  1. Kabraji S, Ni J, Sammons S, Li T, Van Swearingen AE, Wang Y, et al. Preclinical and clinical efficacy of trastuzumab deruxtecan in breast cancer brain metastases. Clin Cancer Res. 2023;29(1):174-182. doi: 10.1158/1078-0432.CCR-22-1138. PubMed PMID: 36074155; PubMed Central PMCID: PMC9811155. ##
  2. Ebrahimpour S, Shabani R, Saeidi Saedi H, Dehghnzadeh S. Effect of Twelve Weeks Concurrent Yoga and Pilates Training on Glucose Homeostasis and Insulin Resistance in Breast Cancer Survivors: A Clinical Trial Study. J Rafsanjan Univ Med Sci. 2020;19(8):791-806. doi. ‎10.29252/jrums.19.8.791. Persian. ##
  3. Pourfereydoun MH, Dasht Bozorgi Z. Effectiveness of Cognitive Rehabilitation Therapy on Psychological Distress and Self-Compassion in Mastectomized Women with Depression. Women Health Bull. 2023;10(2):87-95. doi: 10.30476/WHB.2023.97735.1219. ##
  4. Azhar S, Wyatt LC, Jokhakar V, Patel S, Raveis VH, Kwon SC, et al. Associations between spiritual health locus of control, perceived discrimination and breast and cervical cancer screening for muslim american women in New York city. Clin Breast Cancer. 2022;22(4):e586-e96. doi: 10.1016/j.clbc.2021.12.012. PubMed PMID: 35078722; PubMed Central PMCID: PMC9149053. ##
  5. Mani A, Ahsant N, Nakhlparvar N, Asadi Pooya A. The investigation of the properties of form C psychometrics from the multi-dimensional scale of the locus of health control on normal adults. Sadra Medical Journal. 2018;7(1):47-58. Persian. ##
  6. Hoang G, Luu TT, Le TTT, Tran AKT. Dark Triad traits affecting entrepreneurial intentions: The roles of opportunity recognition and locus of control. Journal of Business Venturing Insights. 2022;17:e00310. doi: 10.1016/j.jbvi.2022.e00310. ##
  7. Zali R, Esmaeili A, Saberi H. Mediating Role of Cognitive Emotion Regulation Strategies in the Relationship Between Anxiety and Body Image in Women With Breast Cancer Volunteered for Mastectomy. Journal of Research & Health. 2022;12(2):85-94. doi: 10.32598/JRH.12.2.1935.1. ##
  8. Abooie B, Amiri M. Relationship between perceived stress, frustration tolerance, cognitive emotion regulation with depression syndrome. MEJDS. 2019;9:79. Persian. ##
  9. McComb SE, Mills JS. Young women’s body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation. Body Image. 2021;38:49-62. doi: 10.1016/j.bodyim.2021.03.012. PubMed PMID: 33798801. ##
  10. Jabalameli S, Ghasemi L. Effect of acceptance and commitment therapy on sexual desire in women with breast cancer after mastectomy. ijbd. 2020;12(4):39-51. doi: 10.30699/ijbd.12.4.39. Persian. ##
  11. Fernández-Rodríguez C, Coto-Lesmes R, Martínez-Loredo V, González-Fernández S, Cuesta M. Is activation the active ingredient of transdiagnostic therapies? A randomized clinical trial of behavioral activation, acceptance and commitment therapy, and transdiagnostic cognitive-behavioral therapy for emotional disorders. Behav Modif. 2023;47(1):3-45. doi: 10.1177/01454455221083309. PubMed PMID: 35426318. ##
  12. Zarling A, Russell D. A randomized clinical trial of acceptance and commitment therapy and the Duluth Model classes for men court-mandated to a domestic violence program. J Consult Clin Psychol. 2022;90(4):326-338. doi: 10.1037/ccp0000722. PubMed PMID: 35446078. ##
  13. Hamedi rostami FZ, Mohammadian Akerdi E, Dehrouyeh Sh, Andalib Sahnesaraee M. The Effectiveness of Acceptance and Commitment Therapy on Body Deformity and Psychological Well-Being in Women Seeking Cosmetic Surgery: A Quasi-Experimental Study. J Rafsanjan Univ Med Sci. 2022;20(12):1323-38. doi: 10.52547/jrums.20.12.1323. Persian. ##
  14. Lotfi F, Goldoost AN, Mousazadeh T, Kazemi R. The effectiveness of acceptance and commitment group therapy on cognitive fusion and health locus of control in patients with type 2 diabetes. EBNESINA. 2022;24(1):16-25. doi: 10.22034/24.1.16. Persian. ##
  15. Younesi J, Kazemi J, Khanjani MS, Dadkhah A, Biglarian A, Ebrahimi Barmi B. The effects of acceptance and commitment therapy on the sense of coherence, locus of control, and posttraumatic growth in patients with multiple sclerosis. Iranian Rehabilitation Journal. 2020;18(4):445-454. doi. 10.32598/irj.18.4.1016.2. ##
  16. Azandaryani M, Khajoei-Nejad G, Akbariamarghan H. Comparison of the effectiveness of emotion-based therapy and acceptance and commitment-based therapy on emotional self-regulation, psychological well-being in couples. Journal of Applied Family Therapy. 2022;3(1):223-242. doi: 10.22034/aftj.2021.299592.1164. Persian. ##
  17. Wallston KA, Stein MJ, Smith CA. Form C of the MHLC scales: a condition-specific measure of locus of control. J Pers Assess. 1994;63(3):534-53. doi: 10.1207/s15327752jpa6303_10. PubMed PMID: 7844739. ##
  18. Abdoshahi M. The Impact of Pilates Training on Mental Health and Happiness among Untrained Menopausal Women. Women Health Bull. 2023;10(2):96-103. doi: 10.30476/whb.2023.97578.1211. ##
  19. Moshki M, Mousavi SA, Momen Bilandi J. Design and evaluation of the spiritual health locus of control scale (SHLCS) in the Iranian Students. Religion and Health. 2019;7(1):20-30. Persian. ##
  20. Towey-Swift KD, Lauvrud C, Whittington R. Acceptance and commitment therapy (ACT) for professional staff burnout: a systematic review and narrative synthesis of controlled trials. J Ment Health. 2023;32(2):452-464. doi: 10.1080/09638237.2021.2022628. PubMed PMID: 35105253. ##
  21. Bayazidi P, Aliakbari Dehkordi M, Alipur A. Effectiveness of acceptance and commitment-based therapy on the difficulty of emotion regulating and character strengths of mothers of children with ADHD. Empowering Exceptional Children. 2022;13(2):43-35. doi: 10.22034/ceciranj.2022.296943.1569. Persian. ##
  22. Garnefski N, Koopman H, Kraaij V, ten Cate R. Brief report: Cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. J Adolesc. 2009;32(2):449-54. doi: 10.1016/j.adolescence.2008.01.003. PubMed PMID: 18775562. ##
  23. Hasani J. The psychometric properties of the cognitive emotion regulation questionnaire (CERQ). Journal of clinical psychology. 2010;2(3):73-84. doi: 10.22075/jcp.2017.2031. Persian. ##
  24. Kousha MD, Shahabizadeh F, Ahi G. Effectiveness of Group Cognitive Behavioral Therapy on Depression, Cognitive Flexibility, and Cognitive Regulation of Emotion in Women with Breast Cancer. Health Tech Ass Act. 2023;6(3). doi: 10.18502/htaa.v6i3.12433. ##
Women’s Health Bulletin
Volume 10, Issue 4 - Serial Number 40
October 2023
Pages 234-242
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