Volume 11, Issue 2 (5-2021)                   PCNM 2021, 11(2): 65-74 | Back to browse issues page


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Tahmasebi zadeh B, Kooshki S, Nemat Tavousi M, Oraki M. The Effectiveness of Acceptance-commitment Therapy and Emotion Regulation Training on Impulsivity and Distress Tolerance in People with a History of Drug Addiction. PCNM 2021; 11 (2) :65-74
URL: http://nmcjournal.zums.ac.ir/article-1-713-en.html
Associate Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran , shi.koshki@iauctb.ir.com
Abstract:   (5212 Views)
Background: Substance abuse and addiction have created numerous social and psychological problems around the world, encouraging researchers to employ different psychological approaches.
Objectives: The aim of this study was to determine the effectiveness of acceptance-commitment therapy and emotion regulation training on impulsivity and distress tolerance in people with a history of drug addiction.
Methods: This was a multi-group experimental research with a pre-test/post-test design, conducted in a two-month follow-up period. The statistical population included men with substance abuse, who referred to private addiction rehabilitation clinics in Tehran in 2019. Two centers were selected by accessible sampling, and 63 people were purposefully chosen and randomly divided into two experimental groups and one control group after obtaining informed consent. Addiction drugs included opium, heroin, and tramadol. During the study period, all subjects were on methadone therapy. Assessment tools included Barratt Impulsivity Scale (BIS) and Distress Tolerance Scale (DTS). Data were analyzed using repeated-measures analysis of variance in SPSS software version 22.
Results: The results showed that there was no significant difference between the two experimental groups comparing post-test and follow-up impulsivity and distress tolerance (P≥0.05). There was a significant difference in impulsivity comparing pre-test vs. post-test and post-test vs. follow-up in the two experimental groups (P≤0.05). There was no significant difference comparing post-test and follow-up impulsivity in the two experimental groups (P≥0.05). There was a significant difference among the three stages of the study comparing distress tolerance in the acceptance-commitment therapy group (P≤0.05). There was a significant difference in distress tolerance comparing pretest vs. post-test and post-test vs. follow-up in the emotion regulation training group (P≤0.05). There was no significant difference comparing distress tolerance between post-test and follow-up in the emotion regulation training group (P≥0.05).Conclusion: According to these results, addiction therapists can use acceptance-commitment therapy to control impulsivity and employ emotion regulation training to control distress tolerance in people with a history of addiction.
Full-Text [PDF 650 kb]   (8851 Downloads)    
Type of Study: Orginal research | Subject: other
Received: 2021/01/21 | Accepted: 2021/05/31 | Published: 2021/05/31

References
1. Coco GL, Melchiori F, Oieni V, Infurna MR, Strauss B, Schwartze D, et al. Group treatment for substance use disorder in adults: A systemic review and meta-analysis of randomized-controlled trials. J Subst Abuse Treat. 2019; 99(10): 104-16. [Crossref]
2. Davazdah emami M, Rahnejat AM, Bolaghi Y, Ahmadi Tahorsoltani M, Kiani Moghadam A. The effect of dialectical behavior therapy based emotional management on anxiety and temptation in patients with drug abuse. J Res Behave Sci. 2018; 15(4):526-32. [In Persian]
3. Bagheri M, Sohrabi F. On the comparison of the effectiveness of medical and cognitive-behavioral rehabilitation approaches in spouses adjustment in families' volunteer for abstinence. J Res Addict. 2017; 11(41): 256-80. [In Persian].
4. Dawe S, Loxton NJ. The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev. 2004; 28(3): 343-51. [Crossref]
5. Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. Am J Psychiatry. 2001; 158(11):1783-93. [Crossref]
6. Weiss NH, Tull MT, Anestis MD, Gratz KL. The relative and unique contributions of emotion dysregulation and impulsivity to posttraumatic stress disorder among substance dependent inpatients. Drug Alcohol Depend . 2013; 128(1-2): 45-51. [Crossref]
7. Coffey SF, Gudleski GD, Saladin ME, Brady KT. Impulsivity and rapid discounting of delayed hypothetical rewards in cocaine-dependentindividuals. Exp Clin Psychopharmacol. 2003; 11(1): 18-25. [Crossref]
8. Simons JS, Gaher RM. The distress tolerance scale: Development and validation of a self-report measure. Motiv Emot. 2005; 20(9): 83-102. [Crossref]
9. Seo JW, Kwon SM. Testing an affective judgment model of distress tolerance in college heavy drinkers. Addict Behav.2016; 58(3):100-103. [Crossref]
10. Blanchard BE, Stevens A, Cann AT, Littlefield AK. Regulate yourself: Emotion regulation and protective behavioral strategies in substance use behaviors. Addict Behav. 2019; 92(6): 95-101. [Crossref]
11. Gross JJ. Handbook of emotion regulation. New York: The Guilford Press; 2007: 3-26.
12. Parker JDA, Taylor RN, Eastabrook JM, Schell SL, Wood LM. Problem Gambling In Adolescence: Relationships with Internet Misuse, Gaming Abuse And Emotional Intelligence. Pers Individ Differ.2008; 45(8): 174-180. [Crossref]
13. Zanjani Z, Sadeghi M. Predicting addiction readiness based on mindfulness and emotional regulation in students. Soc Health Addict. 2016; 2(8): 23-38. [In Persian].
14. Aazami Y, Sohrabi F, Borjali A, Chopan H. The effectiveness of teaching emotion regulation based on Gross model in reducing impulsivity in drug dependent people. J Res Addict. 2014; 8(30): 127-141.
15. Lee EB, An W, Levin ME, Twohig MP. An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders. Drug Alcohol Depend. 2015; 155(4): 1-7. [Crossref]
16. Morrison KL, Smith BM, Ong CW, Lee EB, Friedel JE, Odum A, et al. Effects of Acceptance and Commitment Therapy on Impulsive Decision-Making. Behav modif. 2020; 44(4): 600-23. [Crossref]
17. Amirian K, Mami Sh, Ahmadi V, Mohamad zadeh J. Effectiveness of group psychotherapy based on acceptance and commitment therapy on difficulties emotion regulation and distress tolerance in substance abuse. J Educ Community Health. 2018; 5(2): 53-61. [In Persian]. [Crossref]
18. Delavar A, kooski Sh. Mixed research method. 4 th ed. Tehran: Virayesh press; 2017: 230. [In Persian]
19. Patton JH, Stanford MS, Barrat ES. Factor structure of the barratt impulsivity scale. J Clin Psychol. 1995; 51(6): 768-74. https://doi.org/10.1002/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1 [Crossref]
20. Someya T, Sakado K, Seki T, Kojima M, Reist C, Tang SW, et al. The Japanese version of the Barratt impulsivity scale, 11th version (BIS-11): Its reliability and validity. Psychiatry Clin Neurosci. 2001; 55(2): 111- 4. [Crossref]
21. Javid, M., Mohamadi, N., & Rahimi, CH. Psychometric properties of an Iranian version of The Barratt Impulsivity Scale -11 (BIS-11). journal management system.2012; 2(8):23-34. [In Persian].
22. Azizi AR, Mirzaee A, Shams J. Correlation between distress tolerance and emotion regulation with students smoking dependence. Hakim Res J. 2010; 13(1): 11-18. [In Persian]
23. Hayes SC, Strosahl KD, Wilson KG. 1st ed. Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. New York: Guilford Press; 2003: 304.
24. Schreiber LRN, Grant JE, Odlaug BL. Emotion regulation and impulsivity in young adults. J Psychiatr Res. 2012; 46(4): 651- 8. [Crossref]
25. Hayes SC, Hofmann SG. The third wave of cognitive behavioral therapy and the rise of process-based care. World Psychiatry. 2017; 16(6): 245-6. [Crossref]
26. Jakubczyk A, Trucco EM, Kopera M, Kobyliński P, Suszek H, Fudalej S, et al. The association between impulsivity, emotion regulation, and symptoms of alcohol use disorder. J Subst Abuse Treat.2018; 91(6): 49-56.‌ [Crossref]
27. Ahmadi A, Raeisi Z. The effect of acceptance commitment therapy on distress tolerance in mothers of children with autism. J child ment health. 2018; 5(3): 69-79. [In Persian]
28. Shareh H, Dalalmoghadam F, Haghi E. Effectiveness of acceptance commitment therapy in the meaning in life, emotional distress tolerance and pain self-efficacy in patients with Multiple Sclerosis. J Clin Psychol. 2019; 11(3): 39-50. [In Persian].
29. Parsamanesh F, Keraskian A, Hakami M, Ahadi H. Effectiveness Gross emotion regulation on emotional distress and emotional eating behavior. J Psychol Model Methods. 2017; 8(3): 23-52. [In Persian].
30. Worden B, Levy HC, Das A, Katz BW, Stevens M, Tolin DF. Perceived emotion regulation and emotional distress tolerance in patients with hoarding disorder. J Obsessive Compuls Relat Disord. 2019; 22(2): 100-44.‌ [Crossref]
31. Grisham JR, Roberts L, Cerea S, Isemann S, Svehla J, Norberg MM. The role of distress tolerance, anxiety sensitivity, and intolerance of uncertainty in predicting hoarding symptoms in a clinical sample. Psychiatry Res. 2018; 267: 94-101. [Crossref]
32. Farris SG, Leyro TM, Allan NP, Overup CS, Schmidt NB, Zvolensky MJ. Distress intolerance during smoking cessation treatment. Behav Res Ther. 2016, 85: 33-42. [Crossref]

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