Effectiveness of Acceptance and Commitment-based Therapy Group Training on Drug Abuse Tendencies in Adolescent Girls
Subject Areas : Adolescent healthMaryam Nezami 1 , Leyla Pilechi 2 , Nahid Rahi 3 , Mohammad Ali Younesi 4
1 - - Corresponding author, PhD in Family Counseling, Educational Consultant, Qazvin, Iran, maryamnezami@gmail.com
2 - Senior expert in psychology, education consultant, Qazvin, Iran
3 - Senior expert in family counseling, education consultant, Qazvin, Iran
4 - Master of Psychology, Education Consultant, Qazvin, Iran
Keywords: acceptance and commitment therapy, drugs, drug abuse,
Abstract :
Abstract Introduction: Act psychology seeks to increase the quality of life by reducing the effect of effective control strategies, supporting behavior change based on values. The aim of this study was to investigate the effectiveness of group therapy based on acceptance and commitment on the tendency of drug abuse in adolescent girls. Research method: The research was a semi-experimental method with a pre-test and post-test design with a control group. The statistical population was all female students of the second secondary level of Qazvin city, who were studying in the academic year of 2001-2001. The sample group was 30 people who were selected using random multi-stage cluster sampling method. In order to collect information in this research, Zargar addiction readiness questionnaire was used, covariance analysis was used to analyze the data. The data was analyzed using SPSS version 28 software. Findings: The results of covariance analysis showed that there is a significant difference between the pre-test and post-test scores and group therapy training based on acceptance and commitment has reduced the tendency to abuse drugs in teenage girls. Conclusion: group therapy training based on acceptance and commitment by increasing acceptance and psychological flexibility and individual's commitment to perform meaningful actions based on human values leads to a decrease in the tendency to abuse drugs in teenagers.
© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
Reference
1. Shoemaker D.J. Theories of delinquency: an examination of explanations of delinquent behavior, 6th Ed. New York: Oxford University Press; 2010.
2. Bryan CJ. The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel. Journal of clinical psychology. 2011; 67(10): 981 -992. DOI:10.1002/jclp.20726
3. Buitron, V, Hill RM, Pettit JW, Green, KL, Hatkevich C, Sharp C. Interpersonal stress and suicidal ideation in adolescence: An indirect association through perceived burdensomeness toward others. Journal of affective disorders. 2016; 190: 143 -149. DOI: 10.29252/rbs. 19.2. 328.
4. Carbonella JY, Timpano KR. Examining the link between hoarding symptoms and cognitive flexibility deficits. Journal of behavior therapy. 2016; 47(2): 262 -273. DOI:10.1016/j.beth.2015.11.003
5. Chuang CWI, Sussman S, Stone MD, Pang RD, Chou CP, Leventhal AM, Kirkpatrick MG. Impulsivity and history of behavioral addictions are associated with drug use in adolescents. Addictive behaviors. 2017; 74: 41 -47. https://doi.org/10.5114/cipp.2017.70144
6. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research. 2010; 34(3): 241 -253. URL: http://salmandj.uswr.ac.ir/article-1-1190-en.html
7. Eades A. Suicide among older adults: An exploration of the effects of personality and self-esteem on thwarted belongingness, perceived burdensomeness, and suicidal ideation. Doctoral dissertation, University of Colorado, Colorado Springs; 2016.
8. Fallahzadeh M. The effect of cognitive errors avoidance through narrative therapy on depression and dysfunctional attitude of elementary girl students. International journal of children and adolescents. 2017; 3(4): 1 -8. DOI:10.3200/GNTP.167.1.47-63
9. Fazel M. The emerging evidence for narrative exposure therapy: A review. Clinical psychology review. 2010; 30(8), 1030 -1039. DOI:10.1016/j.cpr.2010.07.004
10. Flaskas C. Family therapy beyond postmodernism: Practice challenges theory. New York: Taylor & Francis Inc; 2022.
11. Ghandehari M, Moosavi L, Jazi FR, Arefi M, Ahmadzadeh S. The effect of narrative therapy on resiliency of women who have referred to counseling centers in Isfahan. International journal of educational and psychological researches. 2018; 4(2): 65 -80. https://kumel.medlib.dsmc.or.kr/bitstream/2015.oak/42224/1/oak-2018-1774.pdf
12. Hawkins KA, Hames JL, Ribeiro JD, Silva C, Joiner TE, Cougle JR. An examination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. Journal of psychiatric research. 2014; 50: 59 -65. DOI: 10.4103/2395-2296.204124
13. Hill RM, Rey Y, Marin CE, Sharp C, Green KL, Pettit JW. Evaluating the Interpersonal Needs Questionnaire: Comparison of the reliability, factor structure, and predictive validity across five versions. Suicide and life -threatening behavior. 2015; 45(3): 302 -314 https://doi.org/10.1371/journal.pone.0279272
14. Steinberg L, Monahan KC. Age differences in resistance to peer influence. Developmental psychology. 2007; 43(6):15 -31. DOI:10.1037/0012-1649.43.6.1531
15. Khazem LR, Law KC, Green BA, Anestis MD. Examining the relationship between coping strategies and suicidal desire in a sample of United States military personnel. Comprehensive psychiatry. 2015; 57: 2 -9. https://doi.org/10.1016/j.psychres.2019.01.067
16. Lamis DA, Lester D. Risk factors for suicidal ideation among African American and European American college women. Psychology of women quarterly. 2012; 36(3): 337 -349. https://doi.org/10.1017/prp.2019
17. Lee JK, Orsillo SM. Investigating cognitive flexibility as a potential mechanism of mindfulness in generalized anxiety disorder. Journal of behavior therapy. 2014; 45(1): 208 -216. DOI:10.1016/j.brat.2014.07.006
18. Mahmoudi Souran H, Sanagouyemoharer GR, Shirazi M. Acceptance and commitment therapy improves psychological flexibility of students with thalassemia major: a randomized controlled trial. Practice in clinical psychology. 2019; 7(2): 107 -116. URL: http://ijpcp.iums.ac.ir/article-1-2776-en.html
19. Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychological reports. 1995; 76(2): 623 -626. URL: http://intjmi.com/article-1-751-en.html
20. Park Y, Kim H. S. Validation of the Korean version interpersonal needs questionnaire. Suicide and life‐threatening behavior. 2019; 49(3):739 - 758. DOI:10.1111/sltb.12473
21. Pellerin N, Raufaste E, Corman M, Teissedre F, Dambrun M. Psychological resources and flexibility predict resilient mental health trajectories during the French covid -19 lockdown. Scientific reports. 2022; 12(1):1 -16. DOI:10.1016/j.jrurstud.2017.07.007
22. Rashid S, Khorramdel K, Gholami F, Senobar L. The relationship between interpersonal psychological theory of suicide constructs (loneliness, perceived social support, thwarted belongingness and burdensomeness) and suicidal behavior among Iranian students. Health education and health promotion. 2016; 4(2): 35 -48. URL: http://hehp.modares.ac.ir/article-5-5037-en.html
23. Rhodes A, Rozell T. Cognitive flexibility and undergraduate physiology students: increasing advanced knowledge acquisition within an ill -structured domain. Advances physiology education. 207; (41): 375 -382. https://doi.org/10.3390/ijerph17030931
24. Seo JW. Thwarted belongingness and perceived burdensomeness in Korean college students: Psychometric properties and cultural considerations for the interpersonal needs Questionnaire -10. Death studies. 2019; 44(5):261-269. 10.22098/JHRS.2022.9519.1017
25. Shakeri J, Ahmadi SM, Maleki F, Hesami MR, Moghadam AP, Ahmadzade A, Elahi A. Effectiveness of group narrative therapy on depression, quality of life, and anxiety in people with amphetamine addiction: a randomized clinical trial. Iranian journal of medical sciences. 2020; 45(2): 91 -100. https://doi.org/10.30476/ijms.2019.45829
26. Tripp MK. Tanning addiction in adolescents: directions for measurement and intervention development. Journal of investigative dermatology. 2018; 138(7): 1463 -1467. https://doi.org/10.1101/2021.12.07.21267399
27. Van Orden KA, Cukrowicz KC, Witte TK, Joiner Jr TE. Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological assessment. 2022; 24(1): 197 -210. https://www.frontiersin.org/articles/10.3389/fpsyt.2022.833400/full.
28. Degenhardt L, Baxte AJ, Lee YY, Hall W, Sara GE, Johns N, Vos T. The global epidemiology and burden of psycho -stimulant dependence: findings from the Global Burden of Disease Study 2010 Drug and alcohol dependence. 2014; 137: 36 -47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662521/
29. DiClemente CC, Schlundt D, Gemmell, L. Readiness and stages of change in addiction treatment. American journal on addictions. 2004; 13(2), 103 -119. URL: http://imtj.gmu.ac.ir/article-1-3262-en.html
30. Downey L, Rosengren DB, Donovan DM. To thine own self be true: Self-concept and motivation for abstinence among substance abusers. Addictive behaviors. 2004; 25(5): 743−757. DOI:10.1016/S0306-4603(00)00091-5
31. Drieschner KH, Lammers SM, Van Der Staak CP. Treatment motivation: An attempt for clarification of an ambiguous concept. Clinical psychology review. 2004; 23(8): 1115 -1137.
32. Fortuna LR, Vallejo Z. Treating co -occurring adolescent PTSD and addiction: Mindfulness -based cognitive therapy for adolescents with trauma and substance -abuse disorders. Oakland: New Harbinger Publications; 2015.
33. Gan WQ, Buxton JA, Scheuermeyer FX, Palis H, Zhao B, Desai R, Slaunwhite AK. Risk of cardiovascular diseases in relation to substance use disorders. Drug and alcohol dependence. 2021; 229: 109 -132. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2201-8
34. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner Jr TE. The interpersonal theory of suicide. Psychological review. 2010; 117(2): 575 -586. DOI:10.1016/j.drugalcdep.2021.109132
