Community Health Journal

Community Health Journal

Comparing the Efficacy of Acceptance and Commitment Therapy with Spiritual Therapy on Cognitive Attentional Syndrome Indicators in Patients with Idiopathic Pain

Document Type : Original Article

Authors
FS shahMoradi 1
A shokrgozar 2
M Ali Mehdi 3
M Narimani Zaman-Abadi 4
1 PhD Student, Dept. of Health Psychology, Tonekabon Branch, Islamic Azad University,Tonekabon, Iran.
2 Assisant Prof., Dept. of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
3 Assistant Prof., Dept. of Psychology, Faculty of Medicine, Islamic Azad University, Tehran Department of Medicine, Tehran, Iran.
4 Assistant Prof., Dept. of Anesthesia and Pain, Faculty of Medicine, Islamic Azad University, Tehran Department of Medicine, Tehran, Iran.
10.22123/chj.2024.392283.2006
Abstract
Introduction: Muscle pain is considered one of the basic problems of the health system in many countries. Considering that cognitive-attentional syndrome predicts the severity of health-related symptoms and behaviors, it is important to identify the most effective treatment methods for managing these syndromes. Therefore, this research was conducted with the aim of comparing the effectiveness of acceptance and commitment therapy with spiritual therapy on cognitive-attentional syndrome in patients with idiopathic pain.
Material and Methods: This study was a quasi-experimental study with pretest, posttest and control group with 6-month follow-up. The statistical population included all patients with muscle pain who referred to pain clinics affiliated to Tehran University of Medical Sciences. 45 people were selected by purposive sampling and randomly assigned to three equal groups. Acceptance and commitment therapy based on the Hayes protocol and spiritual therapy based on the Richards protocol were applied to the experimental groups during 8 sessions each (two 1-hour sessions per week), But the control group did not receive any intervention. Demographic information checklist and Wells CASQ were used to collect data. Data were analyzed by analysis of variance/ repeated measures ANOVA.
Results: Acceptance and commitment therapy and spiritual therapy reduced cognitive-attentional syndrome, perception of worry, perception of threat and ineffective coping in patients with idiopathic pain compared to the control group (P<0.05). Also, acceptance and commitment therapy was more effective than spiritual therapy in reducing cognitive-attentional syndrome (P<0.05).
Conclusion: Both treatment methods were effective on cognitive-attentional syndrome in patients with idiopathic pain. The findings can be promising in planning rehabilitation-therapeutic interventions for these patients along with drug treatment.
Keywords
Acceptance and commitment therapy
Spiritual therapy
Cognitive attentional syndrome
Idiopathic pain
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Community Health Journal
Volume 18, Issue 1
Summer 2024
Pages 22-33