Journal of Health And Care
Volume 27, Issue 2 (Summer 2025)
JHC 2025, 27(2): 140-153 |
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Ethics code: IR.IAU.TABRIZ.REC.1403.365
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Aghaei H, alivandi vafa M, farzadi L, aghdasi A. Comparing the effectiveness of Logo Therapy, Acceptance and Commitment Therapy, and Processing Emotion Regulation Strategies Training on Spiritual health in Women with Infertility. JHC 2025; 27 (2) :140-153
URL: http://hcjournal.arums.ac.ir/article-1-1617-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1617-en.html
Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
Abstract: (24 Views)
Background: Infertility is a negative event in human life that leads to psychological and emotional stress and problems; therefore, finding an empirical, evidence-based, and effective intervention is of great importance. This study aimed to compare the effectiveness of logo therapy, acceptance and commitment therapy, and processing emotion regulation strategies training on the spiritual health of women with infertility.
Methods: The research design was a quasi-experimental pre-test-post-test and a two-month follow-up design with a control group. The study population included all women with infertility referring to Dena and Zeinbiyeh hospitals (2024) in Shiraz City. A total of 60 participants were selected using purposive non-random sampling method. Among them, 45 women with infertility were randomly assigned to three experimental groups (15 people in each group) and 15 to control group. The intervention groups received eight 90-minute sessions of the regarding treatment protocol independently. The research tools included logo therapy (Frankel, 1979), acceptance and commitment therapy (Hayes et al., 1999), and processing emotion regulation strategies training (Gross, Ghaedi Jahromi et al, 2012), and the Spiritual Well-being Questionnaire (Polotzion and Ellison, 1982) was administered in three stages: pre-test, post-test, and follow-up. Data were analyzed using repeated measures analysis of variance in SPSS-24.
Results: The results showed that all three treatment methods affected the spiritual health level of weomen with infertility (p<0.05), but the post-hoc results revealed that acceptance and commitment therapy was more effective than the others.
Conclusion: According to the results, acceptance and commitment therapy which were more effective among the studied treatments, therefore, it can be used as an effective therapy to increase the spiritual health of women with infertility.
Methods: The research design was a quasi-experimental pre-test-post-test and a two-month follow-up design with a control group. The study population included all women with infertility referring to Dena and Zeinbiyeh hospitals (2024) in Shiraz City. A total of 60 participants were selected using purposive non-random sampling method. Among them, 45 women with infertility were randomly assigned to three experimental groups (15 people in each group) and 15 to control group. The intervention groups received eight 90-minute sessions of the regarding treatment protocol independently. The research tools included logo therapy (Frankel, 1979), acceptance and commitment therapy (Hayes et al., 1999), and processing emotion regulation strategies training (Gross, Ghaedi Jahromi et al, 2012), and the Spiritual Well-being Questionnaire (Polotzion and Ellison, 1982) was administered in three stages: pre-test, post-test, and follow-up. Data were analyzed using repeated measures analysis of variance in SPSS-24.
Results: The results showed that all three treatment methods affected the spiritual health level of weomen with infertility (p<0.05), but the post-hoc results revealed that acceptance and commitment therapy was more effective than the others.
Conclusion: According to the results, acceptance and commitment therapy which were more effective among the studied treatments, therefore, it can be used as an effective therapy to increase the spiritual health of women with infertility.
Keywords: Processing Emotion Regulation Strategies Training, Acceptance and Commitment, Spiritual Health, Logo Therapy, Infertility
Type of Study: article |
Subject:
Pregnancy and childbirth
Received: 2025/01/9 | Accepted: 2025/07/13 | Published: 2025/06/23
Received: 2025/01/9 | Accepted: 2025/07/13 | Published: 2025/06/23
References
1. Kolanska K, Uddin J, Dabi Y, d'Argent EM, Dupont C, Selleret L, et al. Secondary infertility with a history of vaginal childbirth: ready to have another one? Journal of Gynecology Obstetrics and Human Reproduction. 2022;51(1):1-16. [DOI:10.1016/j.jogoh.2021.102271] [PMID]
2. Choobforoushzadeh A, Nasimi P. Comparing the effectiveness of education based on acceptance and commitment with mindfulness-based stress reduction in reducing anxiety and depression of infertile women. Journal of Research in Behavioural Sciences. 2023;21(2):275-88. [Persian]
3. Bagade T, Mersha AG, Majeed T. The social determinants of mental health disorders among women with infertility: a systematic review. BMC Women's Health. 2023;23(1):668. [DOI:10.1186/s12905-023-02828-9] [PMID] []
4. Pejušković B, Tošković O, Ivanišević M, Lero M, Durutović O. Depression and distress in couples with infertility-who suffers more? Srpski Arhiv Za Celokupno Lekarstvo. 2023;151(11-12):684-88. [DOI:10.2298/SARH230601110P]
5. Yilmaz T, Yazici S, Benli T. Factors associated with infertility distress of infertile women: a cross-sectional study. Journal of Psychosomatic Obstetrics & Gynecology. 2020;41(4):275-81. [DOI:10.1080/0167482X.2019.1708318] [PMID]
6. Aramfar B, Hosseini PD, Afsharinia PD, Kakabaraee PD. A meta-analysis of the effectiveness of psychological interventions in the effectiveness of spiritual intelligence training on coping with stress and self-actualization in adolescent girls. Quarterly Journal of Education. 2022;38(2):139-58. [Persian]
7. Safara M, Ghasemi-Yazdabadi M, Heyrat A, Rezaeinasab A. Reexamining the influential components of spiritual health in human health. Journal of Pizhūhish Dar Dīn Va Salāmat. 2022;8(1):130-46.
8. Kütmeç Yılmaz C, Kara FŞ. The effect of spiritual well-being on adaptation to chronic illness among people with chronic illnesses. Perspectives in Psychiatric Care. 2021;57(1):318-25. [DOI:10.1111/ppc.12566] [PMID]
9. Zhao C, Lai L, Zhang L, Cai Z, Ren Z, Shi C, et al. The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: a meta-analysis with trial sequential analysis. Journal of Psychosomatic Research. 2021;140(1):1-11. [DOI:10.1016/j.jpsychores.2020.110304] [PMID]
10. Xu W, Shen W, Wang S. Intervention of adolescent' mental health during the outbreak of covid-19 using aerobic exercise combined with acceptance and commitment therapy. Children and Youth Services Review. 2021;124:1-8. [DOI:10.1016/j.childyouth.2021.105960] [PMID] []
11. Bahattab M, AlHadi AN. Acceptance and commitment group therapy among saudi muslim females with mental health disorders. Journal of Contextual Behavioral Science. 2021;19:86-91. [DOI:10.1016/j.jcbs.2021.01.005]
12. Keleynikov M, Benatov J, Cohen N. Emotion regulation among parents raising a child with disability: a systematic review and conceptual model. Journal of Child and Family Studies. 2023;32(3):858-75. [DOI:10.1007/s10826-022-02530-8]
13. Paley B, Hajal NJ. Conceptualizing emotion regulation and coregulation as family-level phenomena. Clinical Child and Family Psychology Review. 2022;25(1):19-43. [DOI:10.1007/s10567-022-00378-4] [PMID] []
14. Veisiy N, Arjmandnia A, Vakili S, Gholamali Lavasani M. The effect of training emotional self-regulation strategies on social competence, academic performance, and behavioral problems of students with learning disabilities with comorbidity of attention deficit/hyperactivity disorder. Journal of Psychological Science. 2022;21(116):1613-29. [Persian] [DOI:10.52547/JPS.21.116.1613]
15. Ghaderi M, Dokaneifard F, Jahangir P, Vosough T, Dizaj A. A model for predicting psychological distress based on emotional regulation mediated by adjustment to infertility in infertile women. Psychological Advances. 2022;4(30):223-44. [Persian]
16. Samuel P, Yew RY, Hooley M, Hickey M, Stokes MA. Sensory challenges experienced by autistic women during pregnancy and childbirth: a systematic review. Archives of Gynecology and Obstetrics. 2022:305(2):299-311. [DOI:10.1007/s00404-021-06109-4] [PMID]
17. Yalom ID, Leszcz M. The theory and practice of group psychotherapy: Hachette UK; 2020.
18. Sepahvand F, Rezaei F, Mirderikvand F. Evaluation of the effectiveness of spiritual therapy based on positive thinking on spiritual health, psychological hardiness, and death anxiety in women with beta thalassemia major. Scientific Journal of Iran Blood Transfus Organ. 2022;19(3):224-33. [Persian]
19. Chavoshi S, Mahmoudi M, Karimi Khoyagani R. The effectiveness of group semantic therapy on spiritual health and social adjustment of female students with physical and motor disabilities. Quarterly Journal of Psychological Dynamics in Mood Disorders. 2023;2(4):55-64. [Persian] [DOI:10.61838/kman.pdmd.2.4.6]
20. Javanbakht Keshikani S, Haqjoo F. The effectiveness of group semantic therapy on fear of disease progression, pain, and suffering control in patients with breast cancer. Quarterly Journal of New Ideas in Psychology. 20021;8(12):1-12. [Persian]
21. Hayes S, Strosahl KD, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. New York: The Guilford Press; 1999.
22. Ghaedniay JA, Nouri R, Hasani J, Farmani SS. The effectiveness of group training of procedural emotion regulation strategies in cognitive coping of individuals suffering from substance abuse. Quarterly Journal of Addiction Studies. 2014;8(31):71-90. [Persian]
23. Frankl VE. The unheard cry for meaning: psychotherapy and humanism. New York: Simon and Touchstone; 1979.
24. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: L.A. Peplau, D. Perlman (Eds.), Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York: John Wiley & Sons; 1982.
25. McClain CS, Rosenfeld B, Breitbart W. Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. The Lancet. 2003;361(9369):1603-607. [DOI:10.1016/S0140-6736(03)13310-7] [PMID]
26. Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. A survey on the relationship between spiritual well-being and quality of life in multiple sclerosis patients. Zahedan Journal of Research in Medical Sciences. 2010;12(3):33-39. [Persian]
27. Alp HH, Tran MTC, Markus C, Ho CS, Loh TP, Zakaria R, et al. Clinical vs. statistical significance: considerations for clinical laboratories. Clinical Chemistry and Laboratory Medicine (CCLM). 2025. doi: 10.1515/cclm-2025-0219. Online ahead of print. [DOI:10.1515/cclm-2025-0219] [PMID]
28. Cohen J. Things I have learned (so far). In: A. E. Kazdin (Ed.). Methodological issues and strategies in clinical research. 4th ed. American Psychological Association; 2016.
29. 29. Aghili SM, Malek F. Comparison of the effectiveness of treatment based on acceptance and commitment and cognitive therapy based on mindfulness on spiritual health and blood pressure of hemodialysis patients in gorgan. Journal of Psychology and Psychiatry. 2018;8(5):81-94. [Persian] [DOI:10.32598/shenakht.8.5.81]
30. Barbosa C, Santos S, Pedro J. Mapping acceptance and commitment therapy outcomes in the context of infertility: a systematic review. Current Psychology. 2024;43(16):14634-44. [DOI:10.1007/s12144-023-05294-6]
31. Balsom AA, Klest B, Sander B, Gordon JL. Acceptance and commitment therapy adapted for women with infertility: a pilot study of the infertility action program. Reproductive Health. 2024;21(1):1-11. [DOI:10.1186/s12978-024-01766-5] [PMID] []
32. Thomas C, Zolkoski S. Preventing stress among undergraduate learners: the importance of emotional intelligence, resilience, and emotion regulation. Frontiers in Education. 2020;5(94):1-8. [DOI:10.3389/feduc.2020.00094]
33. Nasirnia Samakoosh A, Yousefi N. The effectiveness of acceptance and commitment therapy on death anxiety, happiness, and resilience of the elderly. Aging Psychology. 2022;8(2):149-161. [Persian]
34. Dinarvand N, Bargi Irani Z, Forstemia Z. Comparing the effectiveness of positive approach therapy and acceptance and commitment therapy on death anxiety and depression in elderly residents of nursing homes. Aging Psychology. 2022;8(2):189-203. [Persian]
35. Hashemi Z, Afshari A, Aini S. The effectiveness of acceptance and commitment-based education on improving mental health and quality of life of elderly people with cancer. Health Education and Health Promotion. 2019;2(8):160-71. [Persian] [DOI:10.29252/ijhehp.8.2.160]
36. Heidari P, Latifnejad R. Relationship between psychosocial factors and marital satisfaction in infertile women. Journal of Inflammatory Diseases. 2010;14(1):26-32. [Persian]
37. Zecca C, Panicari L, Disanto G, Maino P, Singh A, Digesu GA. Posterior tibial nerve stimulation in the management of lower urinary tract symptoms in patients with multiple sclerosis. International Urogynecology Journal. 2016;27(4):521-27. [DOI:10.1007/s00192-015-2814-6] [PMID]
38. Mohamadi SY, Rahimzada Tehrani K. The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychology. 2018;7(25):106-20. [Persian]
39. Feizikhah F, Hasanzadeh R, Abbasi G. The comparison of the effectiveness of acceptance and commitment therapy with resilience training on individual cohesion and emotional divorce among women seeking a divorce. Community Health. 2021;8(2):152-66. [Persian]
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