The effectiveness of acceptance and commitment therapy on perceived stress, resilience, and the quality of life in thalassemia major patients

Abstract

Background and aims: The present study aimed to determine the effect of acceptance and commitment therapy on perceived stress, resilience, and the quality of life in thalassemia major patients in Lordegan during 2015-2016. Methods: This semi-experimental study used the pre-test and post-test designs with a control group and period. The samples included 40 patients with thalassemia major who referred to Lordegan Shohada hospital, were selected by the purposeful sampling technique based on the inclusion and exclusion criteria, and were randomly assigned to experimental and control groups. The experimental group received eight-week sessions of the acceptance and commitment-based therapy, while the control group received no intervention until the end of the study. The data were collected by the perceived stress questionnaire (Cohen et al), Researcher Conner and Davison Resilience Scale, and the World Health Organization Quality of Life (SF-26). Finally, the obtained data were analyzed using the SPSS software, repeated measure, and covariance tests Results: The results showed that there was a significant difference between the experimental and control groups in terms of the perceived stress, resilience, and the quality of life (P<0.001). In addition, based on the results, 66% of the changes in the perceived stress scores, 81% of the difference in the resiliency scores, and 75% of the difference in the quality of life scores were related to the impact of therapy based on the acceptance and group commitment. Further, the results of the analysis variance of the internal group revealed that the effect of therapy based on the acceptance and commitment on the perceived stress, resilience, and the quality of life had a significant difference in pretest, posttest, and follow-up stages. Conclusion: In general, the therapy based on the acceptance and commitment is found to be a useful practice in reducing the perceived stress while increasing the resilience and improving the quality of life in patients with thalassemia major.

The effect of mindfulness-based stress reduction on rejection sensitivity and resilience in patients with thalassemia: a randomized controlled trial

“…Resilience can be seen in all kinds of behaviors, thoughts and actions throughout the life cycle [37]. Jabbarifard et al (2019) were the only ones who measured the impact of mindfulness-based cognitive therapy counseling on the resilience of patients with thalassemia and reported that mindfulness-based cognitive therapy reduced perceived stress, improved resilience and quality of life in patients with thalassemia [15]. Other researchers measured the impact of mindfulness-based stress reduction counseling on resilience in patients with cancer [24], systemic lupus erythematosus [26], vulnerable women [18], and employees [38].…”

“…Reduced resilience is another problem experienced by patients with thalassemia [3,15]. Resilience refers to maintaining proper functioning, avoiding underlying stressors, and successfully adapting to difficult life experiences.…”

“…Naghibi et al (2020) [4] found that mindfulness-based stress reduction had a significant effect on the reduction of anxiety, depression and pain intensity in patients with thalassemia (4). Jabbarifard et al (2019) [15] indicated that mindfulness-based cognitive therapy had a significant effect on perceived stress, resilience and quality of life of patients with thalassemia major [15]. Adelian et al (2021) [18] demonstrated the impact of mindfulness-based stress reduction on the resilience of vulnerable women referring to drop-in centers in southeastern Iran [18].…”

Hubungan Antara Tingkat Kesadaran Orang Tua dengan Perilaku Pencegahan Berulang Thalasemia

“…Anak dengan thalasemia dapat mengalami berbagai perubahan pada dirinya, seperti perubahan penampilan anak, kelainan bentuk tulang, perawakan badan anak yang pendek, citra diri rendah, kunjungan yang sering ke rumah sakit untuk transfusi, tertunda atau tidak adanya perkembangan seksual, gangguan kesuburan, dan komplikasi lainnya yang terkait dengan penyakitnya seperti penyakit jantung, penyakit tulang, diabetes, infeksi, dan lain-lain (Meiyanti et al, 2020). Masalah psikologis pada anak dengan thalassemia yaitu merasa rendah diri, isolasi social, merasakan cemas terhadap penyakitnya, dan juga stress (Hakeem et al, 2018;Jabbarifard et al, 2019;Renylda, 2018).…”

Uncertain crisis time affects psychosocial dimensions in beta-thalassemia patients during Covid-19 pandemic: A cross-sectional study

“…Psychosocial equilibrium in patients with b-TM is constantly threaten by concerns regarding life goals, expectation, and standard of life compared to non-affected peers (Ahmadi et al, 2020). In view of this, biopsychosocial components have gained increased interest in clinical research context and different psychological interventions have been promoted to increase b-TM patient quality of life (Gharaibeh et al, 2009; Jabbarifard et al, 2019).…”