Comparing the effectiveness of schema therapy in comparison with acceptance and commitment therapy (ACT) on the psychological distress of women with Bulimia nervosa

Document Type : Original Article

Authors

• rozita goharshahi ¹
• Abdollah Mafakheri ²
• mohammad mohammadipour ³

¹ PhD Candidate in Psychology, Department of Psychology, Azad University of Bojnord, Bojnord, Iran.

² Assistant Professor, Department of Psychology, PayamNoor University of Tehran, Tehran, Iran.

³ Associate Professor, Department of Psychology, Azad University of Qochan, Qochan, Iran.

10.22067/tpccp.2024.84361.1560

Abstract

Introduction The purpose of this research was to determine the effectiveness of schema therapy training in comparison to acceptance and commitment approach training (ACT) with the psychological distress of women with bulimia nervosa.

Method

The current research was a semi-experimental study with a pre-test-post-test design and a control group with a two-month follow-up. The statistical population was all women with bulimia nervosa in Mashhad city in the year of 2023 who had visited the treatment centers, 45 of whom were randomly selected and randomly assigned to schema therapy (15 people), acceptance and commitment therapy (15 people) And the control group (15 people) was divided. The experimental group of schema therapy was subjected to the intervention of Yang et al.'s educational package (2003) and the experimental group of acceptance and commitment was subjected to the therapeutic intervention of Hayes et al, (2012) for ten one-hour sessions. Data were analyzed using repeated measures analysis of variance.

Results

The results showed that the intervention of schema therapy and acceptance and commitment is effective on psychological disturbance (P=0.001), (F=49.83) and this effect is stable in the follow-up phase. The results of Shefe's follow-up test showed that there is a significant difference between the two groups of acceptance and commitment and schema therapy in the effectiveness of reducing psychological disturbance (P=0.05); Therefore, acceptance and commitment have had a greater effect on reducing women's psychological turmoil.

Discussion and Conclusion

According to the results, it can be said: by teaching psychological treatment approaches such as schema and acceptance and commitment to women, it is possible to help them lose weight and prevent their bulimia nervosa. Also, by controlling bulimia, they can be protected from the side effects of physical, psychological and social damage of bulimia, thus having healthier mothers and a healthier society.

Keywords

• schema therapy
• acceptance and commitment
• psychological distress
• bulimia nervosa

Main Subjects

• Cognetive Psy

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