Comparing Acceptance and Commitment Group Therapy and 12-Steps Narcotics Anonymous in Addict’s Rehabilitation Process: A Randomized Controlled Trial
Objective: Substance abuse is a socio-psychological disorder. The aim of this study was to compare the effectiveness of acceptance and commitment therapy with 12-steps Narcotics Anonymous on psychological well-being of opiate dependent individuals in addiction treatment centers in Shiraz, Iran.
Method: This was a randomized controlled trial. Data were collected at entry into the study and at post-test and follow-up visits. The participants were selected from opiate addicted individuals who referred to addiction treatment centers in Shiraz. Sixty individuals were evaluated according to inclusion/ exclusion criteria and were divided into three equal groups randomly (20 participants per group). One group received acceptance and commitment group therapy (Twelve 90-minute sessions) and the other group was provided with the 12-steps Narcotics Anonymous program and the control group received the usual methadone maintenance treatment. During the treatment process, seven participants dropped out. Data were collected using the psychological well-being questionnaire and AAQ questionnaire in the three groups at pre-test, post-test and follow-up visits. Data were analyzed using repeated measure analysis of variance.
Results: Repeated measure analysis of variance revealed that the mean difference between the three groups was significant (P<0.05) and that acceptance and commitment therapy group showed improvement relative to the NA and control groups on psychological well-being and psychological flexibility.
Conclusion: The results of this study revealed that acceptance and commitment therapy can be helpful in enhancing positive emotions and increasing psychological well-being of addicts who seek treatment.
Mohammadkhani P. THE PERSONAL-RELATIONSHIPS PROBLEMS OF WOMEN WHO HAD ADDICTED HUSBAND: A Perspective to Their Rehabilitation. Research on Addiction 2009; 3.
Turel O, Serenko A, Bontis N. Family and work-related consequences of addiction to organizational pervasive technologies. Information & Management 2011; 48: 88-95.
Cohen DA, Reporting A. Substance Abuse and Mental Health Services Administration 6. 2002.
Health WHODoM, Abuse S, Organization WH, Board INC, Drugs UNOo, Crime. Guidelines for the psychosocially assisted pharmacological treatment of opioid dependence. ed. editor^editors.: World Health Organization; 2009.
Use FAT. Substance Abuse & Mental Health Services Administration 2010.
Teesson M, Hall W, Slade T, Mills K, Grove R, Mewton L, et al. Prevalence and correlates of DSM-IV alcohol abuse and dependence in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing. Addiction 2010; 105: 2085-2094.
Zapf D. Emotion work and psychological well-being: A review of the literature and some conceptual considerations. Human resource management review 2002; 12: 237-268.
Ryff CD, Singer B. Psychological well-being: meaning, measurement, and implications for psychotherapy research. Psychother Psychosom 1996; 65: 14-23.
Ryff CD. Psychological well-being in adult life. Current directions in psychological science 1995; 4: 99-104.
Perez-Blasco J, Viguer P, Rodrigo MF. Effects of a mindfulness-based intervention on psychological distress, well-being, and maternal self-efficacy in breast-feeding mothers: results of a pilot study. Arch Womens Ment Health 2013; 16: 227-236.
Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clin Psychol Rev 2015; 37: 1-12.
JG AT, Davis ML, Morina N, Powers MB, Smits JA, Emmelkamp PM. A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychother Psychosom 2015; 84: 30-36.
Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. ed. editor^editors.: Guilford Press; 2011.
Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behav Ther 2013; 44: 180-198.
Hayes SC, Lillis J. Acceptance and commitment therapy: American Psychological Association Washington, DC; 2012.
Bayani AA, Mohammad Koochekya A, Bayani A. Reliability and validity of Ryff’s psychological well-being scales. Iranian Journal of Psychiatry and Clinical Psychology 2008; 14: 146-151.
Hayes SC, Strosahl K, Wilson KG, Bissett RT. Measuring experiential avoidance: A preliminary test of a working model. The psychological record 2004; 54: 553-578.
Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011; 42: 676-688.
Arch JJ, Eifert GH, Davies C, Plumb Vilardaga JC, Rose RD, Craske MG. Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. J Consult Clin Psychol 2012; 80: 750-765.
Twohig MP, Hayes SC, Plumb JC, Pruitt LD, Collins AB, Hazlett-Stevens H, et al. A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. J Consult Clin Psychol 2010; 78: 705-716.
Weineland S, Arvidsson D, Kakoulidis TP, Dahl J. Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obes Res Clin Pract 2012; 6: e1-e90.
Zettle RD. Acceptance and commitment therapy (ACT) vs. systematic desensitization in treatment of mathematics anxiety. The Psychological Record 2012; 53: 3.
Kaminer Y. Challenges and opportunities of group therapy for adolescent substance abuse: a critical review. Addict Behav 2005; 30: 1765-1774.
Hayes SC. Acceptance and Commitment Therapy and the New Behavior Therapies: Mindfulness, Acceptance, and Relationship. 2004.
Forman EM, Herbert JD, Moitra E, Yeomans PD, Geller PA. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behav Modif 2007; 31: 772-799.
Dalrymple KL, Herbert JD. Acceptance and commitment therapy for generalized social anxiety disorder: a pilot study. Behav Modif 2007; 31: 543-568.