The effectiveness of emotion regulation training and acceptance and commitment therapy (ACT) on psychological pain in patients with multiple sclerosis (MS)

Dehghani Bidgoli, Toktam; Mahdian, Hossein; Shakiba, Abolghasem

doi:10.22098/jrp.2022.10367.1068

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	The effectiveness of emotion regulation training and acceptance and commitment therapy (ACT) on psychological pain in patients with multiple sclerosis (MS)
Journal of Research in Psychopathology
مقاله 5، دوره 3، شماره 7، اردیبهشت 2022، صفحه 35-46 اصل مقاله (893.26 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2022.10367.1068
نویسندگان
Toktam Dehghani Bidgoli¹؛ Hossein Mahdian^* ²؛ Abolghasem Shakiba³
¹PhD Student in Educational Psychology, Department of Psychological Counseling, Bojnourd Branch, Islamic Azad University of Bojnourd, Bojnourd, Iran.
²Assistant Professor of Psychology, Department of Counseling and Psychology, Bojnourd Branch, Islamic Azad University of Bojnourd, Bojnourd, Iran
³Assistant Professor of Psychology, Farhangian University, Sabzevar, Iran
چکیده
Multiple sclerosis is a chronic progressive disease of the central nervous system and its symptoms include pain and decreased functional capacity. The aim of this study was to compare the effectiveness of emotion regulation training and acceptance and commitment therapy on psychological pain in patients with MS. This research was a quasi-experimental study with pretest-posttest design and follow-up. The participants had an age range of 20-40 years and with a scale of physical disability (EDSS) of one to 5.5 and purposefully and voluntarily selected and randomly divided into experimental and control groups. Both groups answered the psychological pain questionnaires of Orbach et al. (2003) in the pre-test-post-test and 2-month follow-up stages. The experimental groups received 10 sessions of training on emotion regulation strategies and acceptance and commitment therapy once a week for 1.5 hours. The data were analyzed using SPSS software version 23 and multivariate analysis of covariance by repeated measures. The results of multivariate analysis of covariance with repeated measures showed that teaching emotion regulation and acceptance and commitment therapy is effective in reducing psychological pain in patients with multiple sclerosis (p < .001). The harm was also expressed as a significant reduction in significant psychological pain scores after the experiments of the experimental groups and these results were maintained in the follow-up phase. Based on the results of this study, it is possible to teach the strategies of emotional regulation and acceptance and commitment therapy along with drug interventions to reduce physical and psychological pain of multiple sclerosis patients in medical centers.
کلیدواژه‌ها
Pain؛ emotional regulation strategies؛ acceptance and commitment therapy؛ multiple sclerosis

مراجع
Amir, F., Ahadi, H., Nikkhah, K., & Seirafi, M. (2017). The Effectiveness of Acceptance and Commitment Group Therapy and Group Logotherapy in Reducing Perceived Stress among MS Patients. Caspian Journal of Neurological Sciences, 3(11), 175-184. doi: 10.29252/nirp.cjns.3.11.175 Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: emotion regulation following a focused breathing induction. Behaviour Research and Therapy. 44 (12), 1849-58. doi: 10.1016/j.brat.2005.12.007 Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review. 97 (1), 9 0–113.doi: 10.1037/0033-295x.97.1.90 Berard, J. A., Smith, A. M., Walker, L. A. S. (2019). Predictive Models of Cognitive Fatigue in Multiple Sclerosis. Arch Clin Neuropsychol. 34(1):31-38. doi: 10.1093/arclin/acy014 Boden, J.S. Fischer, J. L. & Niehuis, S.(2010). Predicting marital adjustment from young adults initial levels and changes in emotional intimacy over time: A 25-year longitudinal study. Journal of Adult Development, 17(3), 121-134. doi: 10.1007/s10804-009-9078-7 Briones-Buixassa, L., Milà, R., Aragonès, J. M., Bufill, E., Olaya, B., & Arrufat, F. X. (2015). Stress and multiple sclerosis: A systematic review considering potential moderating and mediating factors and methods of assessing stress. Health Psychology Open, 2, 1-16. doi: 10.1177/2055102915612271 Bruce JM, Lynch SHG. (2011). Personality traits in multiple sclerosis: Association with mood and anxiety disorders: J Psychosom. (70), 479–485. doi: 10.1016/j.jpsychores.2010.12.010 Cardaciotto LA. (2005) Assessing Mindfulness: The Development of a Bi-Dimensional Measure of Awareness and Acceptance [Thesis]. Philadelphia, PA: Drexel University. doi: 10.1177/1073191107311467 Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientificconstruct: Methodological challenges and directions for child developmentresearch. Child Development. 75 (2), 317–333. doi: 10.1111/j.1467-8624.2004.00673.x Dennison L, Moss-Morris R, Chalder T. (2009). A review of Psychological correlates of adjustment in oatients with multiple sclerosis. Clinacal Psychologi Review. 29, 141-153. doi: 10.1016/j.cpr.2008.12.001 Delavar, A. (2011). Theoretical and practical foundations of research in humanities and social sciences. Tehran: Roshd Publications. Ehde, D. M., Alschuler, K. N., Osborne, T. L., Hanley, M. A., Jensen, M. P., & Kraft, G. H. (2015). Utilization and patients' perceptions of the effectiveness of pain treatments in multiple sclerosis: A cross-sectional survey. Disability and health journal, 8(3), 452-456. doi: 10.1016/j.dhjo.2015.03.001 Foley, P. L., Vesterinen, H. M., Laird, B. J., Sena, E. S., Colvin, L. A., Chandran, S., . Fallon, M. T. (2013). Prevalence and natural history of pain in adults with multiple sclerosis: systematic review and meta-analysis. PAIN®, 154(5), 632-642. https://psycnet.apa.org/doi/10.1016/j.pain.2012.12.002 Forman EM, Herbert JD. (2008). New directions in cognitive behaviortherapy: acceptance based therapies, chapter to appear in w. o’donohue, je. fisher, (eds), cognitive behavior therapy:Applyingempirically supported treatments inyour practice, 2nd ed. Hoboken, NJ: Wiley. , 4 (1), 263-265. Gratz, K.L., Gunderson, J.G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self harm among women with borderline personality disorder. Journal of BehaviorTherapy, (37), 25–35.doi: 10.1016/j.beth.2005.03.002 Gross JJ, John OP. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol, 85(2), 348–62. doi: 10.1037/0022-3514.85.2.348 Gross, J. J. (1999). Emotion regulation: Past, present, future. Cogn Emot. 13(5):551-73.doi: 10.1080/026999399379186 Gross, J. J. (2013). Emotion regulation: Taking stock and moving forward. Emotion, 13 (3), 359–365. doi: 10.1037/a0032135 Harris, R. (2009). The House of ACT: Functional contextualism, ABA and RFT. Retrieved 20th December, 2010. Hayes SC. (2008). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy. 35(4): 639-65. doi: 10.1016/j.beth.2016.11.006 Hayes, SC., Levin, M. (2012). Mindfulness and Acceptance for Addictive Behaviors: Applying Contextual CBT to Substance Abuse and Behavioral Addictions. New Harbinger Publications. doi:10.1007/s12671-013-0220-z Jandaghi, F., Neshat-Doost, H., Kalantari, M., Jabal-Ameli, S. (2012). The Effectiveness of Cognitive-Behavioral Stress Management Group Training on Anxiety and Depression of Addicts under Methadone Maintenance Therapy (MMT). Journal of Clinical Psychology, 4(4), 41-50. doi: 10.22075/jcp.2017.2106 Karami, J., Bagian, M., Momeni, K., Elahi, A. (2018). Measurement of mental pain: Psychometric properties and confirmatory factor analysis of multidimensional mental pain questionnaire. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 7(25), 146-172. https://hpj.journals.pnu.ac.ir/article_4765.html?lang=fa Kemani, M., Hesser, H., Olsson, G., Lekander, M., & Wicksell, R. (2016). Processes of change in Acceptance and Commitment Therapy and Applied Relaxation for long‐ standing pain. European Journal of Pain, 20(4), 521-531. doi: 10.1002/ejp.754 Kroger, C., Schweiger, U.S., Valerija, A., Ruediger, K., Rudolf, S., & Reinecker, H. (2006). Effectiveness of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behaviour Research and therapy, 44(9), 1211-1217. doi: 10.1016/j.brat.2005.08.012 Leahy, R.L., Tirch, D., & Napolitano, LA. (2014). Emotion regulation in psychotherapy. Mansouri Rad A. Tehran: Arjmand. doi:10.5901/mjss.2016.v7n4p412 Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford Press Luoma, J. B., Hayes, S. C., & Walser, R. D. (2007). Learning ACT: An acceptance & commitment therapy skills-training manual for therapists. New Harbinger Publications. https://link.springer.com/article/10.1007/BF03395728 Lynch, T. R., Chapman, A. L., Rosental, M. Z., Kuo, J. R., Linehan, M.M. (2006). Mechanisms of change in dialectical behavior therapy: Theoretical and empirical observations. Journal of Clinical Psychology. 62 (4), 459-80. doi: 10.1002/jclp.20243 McCracken, L. M., & Gutiérrez-Martínez, O. (2011). Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy. Behaviour research and therapy. 49, 267-274.doi: 10.1016/j.brat.2011.02.004 Mee, S; Bunney, B. G., Bunney, W. E., Hetrick, W., Potkin, S. G., Reist, C. (2011). Assessment of psychological pain in major depressive episodes. Journal of Psychiatric Research 45:1504–1510. doi:10.1016/j.jpsychires.2011.06.011 Meerwijk, E. L, Ford, J. M, Weiss, S. J. (2015). Resting-state EEG delta power is associated with psychological pain in adults with a history of depression. Biological Psychology. 105, 106–114. doi:10.1016/j.biopsycho.2015.01.003 Orbach, I., Mikulincer, M., Sirota, P., Gilboa-Schechtman, E. (2003). Mental pain: A multidimensional operationalization and definition. Suicide Life Threatment Behavior. 33(3), 219–30. doi:10.1521/suli.33.3.219.23219 Ost LG.(2008). Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis. Behav Res Ther . 46(3): 296-321. doi:10.1016/j.brat.2007.12.005 Pak, S; Abdi, R and Chalbianloo, Gh.R. (2017). The effectiveness of acceptance and commitment-based therapy (ACT) on experiential avoidance and acceptance of the disease in people with multiple sclerosis (MS). Bi-Quarterly Journal of Contemporary Psychology, 12 (1), 72-63.https://www.sid.ir/en/journal/ViewPaper.aspx?ID=606123 Phillips LH, Henry JD, Nouzova E, Cooper C, Radlak B, Summers F. (2014). Difficulties with emotion regulation in multiple sclerosis: Links to executive function, mood, and quality of life. J Clin Exp Neuropsychol. 36(8): 831-42. doi:10.1080/13803395.2014.946891 Saber, M; Tehrani, H; Shojaeizadeh, R; Maleki, Z. and Esfandiarpour, Roya (2013). Evaluation of mental health status and the rate of exposure to stressful life events in nurses working in the emergency room 115. Journal of Health System Research, 9 (3), 294-300. http://hsr.mui.ac.ir/article-1-610-fa.html Sadeghi, M. (2013). Evaluation of the effectiveness of emotional regulation on improving quality of life, disease perception, and reducing cognitive emotion regulation problems in my patients. Master Thesis in Psychology, University of Guilan, Faculty of Literature and Humanities. Solaro, C., Cella, M., Signori, A., Martinelli, V., Radaelli, M., Centonze, D., Bonavita, S. (2018). Identifying neuropathic pain in patients with multiple sclerosis: a crosssectional multicenter study using highly specific criteria. Journal of Neurology, 265(4), 828-835.doi: 10.1007/s00415-018-8758-2 Soler, J., Pascual, J. C., Tiana, T., et al. (2009). Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behaviour Research and Therapy. 47, 353–358. doi:10.1016/j.brat.2009.01.013 Stoddard, J. A., & Afari, N. (2014). The Big Book of ACT Metaphors: A Practitioner's Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy. New Harbinger Publications. https://www.newharbinger.com/9781608825295/the-big-book-of-act-metaphors/ Thomas, P. W., Thomas, S., Hillier, C., Galvin, K., & Baker, R. (2006). Psychological interventions for multiple sclerosis. Cochrane Database Syst Rev, 1. doi:10.1002/14651858.cd004431.pub2 Tirch, D., Schoendorff, B., & Silberstein, R. L. (2014). The ACT Practitioner's Guide to the Science of Compassion: Tools for Fostering Psychological Flexibility. New Harbinger Publications. https://www.newharbinger.com/9781626250550/the-act-practitioners-guide-to-the-science-of-compassion/ Tossani, E. (2013). The Concept of Mental Pain. Psychother Psychosom. 82 (2), 67–73. doi:10.1159/000343003 Tröster, A. I., & Arnett, P. A. (2006). Assessment of Movement and Demyelinating Disorders. https://psycnet.apa.org/doi/10.1037/11299-010 Vosoughi R. (2008). Freedman MS. Therapy of MS. J Neurol neuros: Atlas multiple. (112), 365-85.
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The effectiveness of emotion regulation training and acceptance and commitment therapy (ACT) on psychological pain in patients with multiple sclerosis (MS)