عنوان

اثربخشی درمان مبتنی بر پذیرش و تعهد بر بهزیستی روانشناختی و تاب آوری زنان مبتلا به اختلال مصرف مواد افیونی در مراکز کوتاه مدت ترک اعتیاد

The aim of this study was to investigate the effectiveness of acceptance and commitment based treatment on increasing psychological well-being and resilience of women with opioid disorders hospitalized in short-term residential addiction treatment centers in Tehran. The design of the present study is a quasi-experimental pretest-posttest with a control group. The statistical population includes all women with opioid use disorders in short-term residential addiction treatment centers in Tehran in the academic year 2019-2020 and the statistical sample includes 24 women with opioid use disorders by purposive non-random sampling as a group. Samples were selected and 12 people in the experimental group and 12 people in the control group were randomly replaced. The experimental group was trained in acceptance and commitment therapy for 8 sessions and the control group was placed on a waiting list for intervention. Ryff Questionnaire (1995) was used to measure psychological well-being and Carner and Diodson (2003) Questionnaire was used for resilience. Descriptive statistics and analysis of covariance were used to analyze the data. Findings from data analysis based on multivariate analysis of covariance showed that acceptance and commitment therapy had a significant effect on increasing psychological well-being and resilience (p<.001). The effect rate was 80% on psychological well-being and 70% on resilience. Also, multivariate analysis of covariance test showed that acceptance and commitment-based therapy for the subscales of autonomy (impact rate 0.35), mastery of the environment (impact rate 0.25), personal growth (impact rate 0.40), positive relationships with others (impact rate 0.33), and self-acceptance (impact rate 0.45) was significant (p<.001). But the difference between groups in the post-test stage was not significant for the purposeful subscale in life (p>0.001). In addition, the results of multivariate analysis of covariance showed that acceptance and commitment-based therapy for subscales of perception of individual competence (impact rate 0.33), positive acceptance of change and safe relationships (impact rate 0.38), control (impact rate 0.27), and spiritual effects (impact rate 0.34) were significant (p<.001). But the difference between groups in the post-test stage was not significant for the subscale of trust in individual instincts (p>.001).Keywords: Acceptance and Commitment Therapy, psychological well-being, Resilience, Opioids, Short-Term Accommodation Centers