Tue, Aug 25, 2026
| فارسی
Afsaneh Sadat Modaber Vahed1 
, Mohammad Ismail Ebrahimi *2 , Saeed Yazdi Ravan3 , Ahmad Ali Jadidian44
, Mohammad Ismail Ebrahimi *2 , Saeed Yazdi Ravan3 , Ahmad Ali Jadidian44
1- Islamic Azad University, Sa.C., Sanandaj, Iran
2- Islamic Azad University, Hamedan, Iran
3- Hamadan University of Medical Sciences, Hamadan, Iran
4- Islamic Azad University, Kangavar, Iran
2- Islamic Azad University, Hamedan, Iran
3- Hamadan University of Medical Sciences, Hamadan, Iran
4- Islamic Azad University, Kangavar, Iran
Abstract: (13 Views)
Introduction: Given the prevalence of psychological disorders, especially depression and deficits in cognitive flexibility in patients with multiple sclerosis, this study compared the effectiveness of compassion-focused acceptance and commitment group therapy and group reality therapy on cognitive flexibility and depression in women with multiple sclerosis.
Methods: The present study was a quasi-experimental study with a pre-test-post-test design and follow-up with a control group. From the study population, which were married women aged 20 to 60 years with multiple sclerosis in Hamedan province, 54 people were randomly selected in three groups of 18 people using a purposive method. Compassion-focused acceptance and commitment therapy was performed according to the Hess (2004) intervention and group reality therapy according to the Woebolding intervention (2013). The research tools included the cognitive flexibility questionnaires of Dennis and Vanderwaal (2010) and Beck et al. (1961) depression.
Results: The results showed that compassion-focused acceptance and commitment group therapy and reality therapy group had an effect on cognitive flexibility (F = 9.748, p < 0.001) and depression (F = 5.011, p < 0.01) in women with multiple sclerosis, and in terms of depression, there was a significant difference between compassion-focused acceptance and commitment therapy and reality therapy.
Conclusion: Both group-based interventions of acceptance and commitment therapy focused on compassion and reality therapy significantly reduced and increased depression and cognitive flexibility, respectively, and in the context of depression, reality therapy performed better than acceptance and commitment therapy focused on compassion. Therefore, it is suggested that these interventions be used in medical centers and relevant associations to improve patients' symptoms
Methods: The present study was a quasi-experimental study with a pre-test-post-test design and follow-up with a control group. From the study population, which were married women aged 20 to 60 years with multiple sclerosis in Hamedan province, 54 people were randomly selected in three groups of 18 people using a purposive method. Compassion-focused acceptance and commitment therapy was performed according to the Hess (2004) intervention and group reality therapy according to the Woebolding intervention (2013). The research tools included the cognitive flexibility questionnaires of Dennis and Vanderwaal (2010) and Beck et al. (1961) depression.
Results: The results showed that compassion-focused acceptance and commitment group therapy and reality therapy group had an effect on cognitive flexibility (F = 9.748, p < 0.001) and depression (F = 5.011, p < 0.01) in women with multiple sclerosis, and in terms of depression, there was a significant difference between compassion-focused acceptance and commitment therapy and reality therapy.
Conclusion: Both group-based interventions of acceptance and commitment therapy focused on compassion and reality therapy significantly reduced and increased depression and cognitive flexibility, respectively, and in the context of depression, reality therapy performed better than acceptance and commitment therapy focused on compassion. Therefore, it is suggested that these interventions be used in medical centers and relevant associations to improve patients' symptoms
Keywords: acceptance and commitment therapy focused on compassion, reality therapy, cognitive flexibility, depression, multiple sclerosis
Type of Study: Research |
Received: 2025/12/29 | Accepted: 2026/08/25
Received: 2025/12/29 | Accepted: 2026/08/25
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