Comparing the Effectiveness of Treatment based on Acceptance and Commitment and Reality Therapy on Adherence to Treatment in Women with Multiple Sclerosis

Subject Areas : women health

Maryam Bagheri ¹ , Farah Lotfi Kashani ² , Mohammad Ismail Ebrahimi ³

1 -
2 - (Corresponding author): Associate Professor, Department of Psychology, Medical Branch, Islamic Azad University, Tehran, Iran, [e-mail], tell: 02122006660
3 - Assistant Professor, Department of Psychology, Hamedan Branch, Islamic Azad University, Hamedan, Iran

Received: 2024-08-30 Accepted : 2024-11-12 Published : 2024-11-16

Keywords: Acceptance and Commitment, Reality Therapy, Public Health, Multiple Sclerosis,

Abstract :

Introduction: Multiple sclerosis is one of the most important diseases of the nervous system, the prevalence of which in women is two to three times that of men. The root cause of this disease is not fully known and there is no definitive treatment for it. The purpose of the present study was to compare the effectiveness of group-based acceptance and commitment therapy and group-based reality therapy on the general health of women with multiple sclerosis.

Research method: The research method was semi-experimental with a pre-test-post-test design and follow-up with a control group. The research population consisted of all married women with multiple sclerosis in Hamadan city in 1400. From this number, 3 groups of 15 people were selected by available sampling method and randomly divided into experimental and control groups and answered the Goldberg General Health Questionnaire (1979) in three pre-test, post-test and follow-up sessions. The subjects of the experimental group were treated with the approach of treatment based on acceptance and commitment and reality therapy, during 8 sessions, 1 session of 60 minutes per week, but no training was given to the control group. The data were statistically analyzed with SPSS software and using mixed analysis of variance test and a significant level of p < 0.05.

Findings: The results showed that there is a significant difference between the general health scores in the pre-test, post-test and follow-up stages, and the difference between the post-test and follow-up scores is significant. 

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