The Effectiveness of Acceptance and Commitment Therapy (ACT) on Health-Related Quality of Life in Infertile Women

Document Type : Original Article

Authors

1 PhD student, Dept of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.

2 Associate Prof, Dept of Health Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

3 Assistant Prof, Dept of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

4 Prof, Dept of Speech Therapy, Iran University of Medical Sciences, Tehran, Iran.

10.22123/chj.2022.265268.1645

Abstract

Introduction: Infertility is one of the major health problems causing many psychological problems and poor quality of life in couples. Due to the need for effective interventions to reduce these problems, the present study was conducted to investigate the effectiveness of acceptance and commitment therapy on the health-related quality of life in infertile women.
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design and follow-up with a control group. The study population included all infertile women admitted to infertility centers in Isfahan in 2019-2020. 40 women were selected using the availability sampling method and then randomly assigned to an experimental group and a control group. The experimental group underwent 9 sessions of 120-minute commitment and acceptance treatment. Health-related quality of life questionnaire (SF-36) was used to collect data. Data analysis was performed using SPSS-26 software and Mixed Design.
Results: The results of statistical analysis showed that with pre-test control, there was a significant difference between the mean scores of quality of life components in infertile women in the experimental and control groups (p<0.05). Acceptance and commitment therapy improved the quality of life in infertile women in the experimental group.
Conclusion: Accordingly, acceptance and commitment therapy can improve the quality of life of infertile women, and using this intervention can be effective in reducing psychological damage caused by infertility.

Keywords


  1. Patel A, Sharma PS, Narayan P, Binu VS, Dinesh N, Pai PJ. Prevalence and predictors of infertility-specific stress in women diagnosed with primary infertility: A clinic-based study. JHRS 2016; 9(1):28.
  2. Sun H, Gong TT, Jiang YT, Zhang S, Zhao YH, Wu QJ. Global, regional, and national prevalence and disability-adjusted life-years for infertility in 195 countries and territories, 1990–2017: results from a global burden of disease study, 2017. Aging (Albany NY) 2019; 11(23):10952.
  3. Akhondi MM, Ranjbar F, Shirzad M, Ardakani ZB, Kamali K, Mohammad K. Practical difficulties in estimating the prevalence of primary infertility in Iran. IJFS 2019; 13(2):113.
  4. Casu G, Gremigni P. Screening for infertility‐related stress at the time of initial infertility consultation: psychometric properties of a brief measure. JAN 2016; 72(3):693-706.
  5. Lee M. I wish I had known sooner: stratified reproduction as a consequence of disparities in infertility awareness, diagnosis, and management. Women & Health 2019; 59(10):1185-98.
  6. Punab M, Poolamets O, Paju P, Vihljajev V, Pomm K, Ladva R, Et Al. Causes of male infertility: a 9-year prospective monocentre study on 1737 patients with reduced total sperm counts. JHR 2017; 32(1):18-31.
  7. Kitchen H, Aldhouse N, Trigg A, Palencia R, Mitchell S. A review of patient-reported outcome measures to assess female infertility-related quality of life. HQLO 2017; 15(1):86.
  8. Porat-Katz A, Paltiel O, Kahane A, Eldar-Geva T. The effect of using complementary medicine on the infertility-specific quality of life of women undergoing in vitro fertilization. IJGO 2016; 135(2):163-7.
  9. de Farias Rodrigues MP, Vilarino FL, Munhoz AD, da Silva Paiva L, de Alcantara Sousa LV, Zaia V, Et Al. Clinical aspects and the quality of life among women with endometriosis and infertility: a cross-sectional study. BMC Women's Health 2020; 20(1):1-7.
  10. Whoqol Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. JSSM 1995; 41(10):1403-9.
  11. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. JPOG 2010; 31(2):101-10.
  12. Solati K, Lo’Bat Ja’Farzadeh AH. The effect of stress management based on group cognitive-behavioural therapy on marital satisfaction in infertile women. Journal of clinical and diagnostic research: JCDR 2016; 10(7): 01-03.
  13. Keshavarz Mohammadi R, Agha Bozorgi S, Shariat S, Hamidi M. The effectiveness of positive psychotherapy on mental endurance, self-compassion and resilience of infertile women. JSBCH 2018; 2(2):235-44. [Persian]
  14. Hamid N. The effectiveness of stress management on depression, anxiety and fertilization of infertile women. APJB Sci 2011; 5(1):55-60. [Persian]
  15. Mezreji HS, Toozandehjani H. Efficacy of group reality therapy on anxiety in infertile women undergoing treatment with assisted reproductive techniques IUI. MJSS 2016; 7(3 S3):127.
  16. Livheim F, Hayes L, Ghaderi A, Magnusdottir T, Högfeldt A, Rowse J, Et Al. The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes. JCFS 2015; 24 (4):1016-30.
  17. Griffiths C, Williamson H, Zucchelli F, Paraskeva N, Moss T. A systematic review of the effectiveness of Acceptance and Commitment Therapy (ACT) for body image dissatisfaction and weight self-stigma in adults. JCP 2018; 48 (4):189-204.
  18. Ito M, Muto T. Effectiveness of acceptance and commitment therapy for irritable bowel syndrome non-patients: A pilot randomized waiting list controlled trial. JCBS 2020; 15:85-91.
  19. Nezhadmohammad Namegi A. The Effectiveness of Acceptance and Commitment Therapy on Increasing the Psychological Flexibility of Infertile Females: Designing a Therapeutic Protocol. IJNR 2018; 13(3):41-8. [Persian]
  20. Peterson BD, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. CBP 2011; 18(4):577-87.
  21. Samadi H, Doustkam M. Investigating the effectiveness of Acceptance and Commitment Therapy (ACT) on marital compatibility and life expectancy in infertile women. JTBCP 2017; 3(5):16-27. [Persian]
  22. Abdollahzadeh H, Kabirinasab Y. The Effectiveness of acceptance and Commitment Therapy on internalized Shame and Sexual self-esteem of Women with Breast Cancer after Mastectomy Surgery. QJHP 2019; 4(1):148-99. [Persian]
  23. Karlin BE, Walser RD, Yesavage J, Zhang A, Trockel M, Taylor CB. Effectiveness of acceptance and commitment therapy for depression: Comparison among older and younger veterans. JAMH 2013; 17(5):555-63.
  24. Delavar, A. Theoretical and practical foundations of research in humanities and social sciences.1nd ed. Tehran: Roshd publication; 2009. [Persian]
  25. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care 1992:473-83.
  26. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. QLR 2005; 14(3):875-82. [Persian]