Comparison of the effectiveness of acceptance and commitment therapy with compassion-focused therapy on psychological well-being and internalized shame in female students with vitiligo

Abkhooy, Shahla; Bagherzadeh Hamamchi, Naeimeh; Smkhani Akbarinejhad, Hadi

doi:10.48307/FMSJ.2023.27.4.406

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Volume 27, Issue 4 (Bimonthly 2023)

Feyz Med Sci J 2023, 27(4): 406-415

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Comparison of the effectiveness of acceptance and commitment therapy with compassion-focused therapy on psychological well-being and internalized shame in female students with vitiligo

Shahla Abkhooy

, Naeimeh Bagherzadeh Hamamchi

, Hadi Smkhani Akbarinejhad ^*

University College of Nabi AKram, Tabriz, Iran , hadiakbarinejhad@yahoo.com

Abstract: (1076 Views)

Background and Aim: Vitiligo aggravates psychological problems such as anxiety and depression and ultimately reduces the quality of life in patients. This study aimed to compare the efficacy of acceptance and commitment therapy (ACT) with compassion-focused therapy (CFT) on psychological well-being and internalized shame in female students with vitiligo.
Methods: This semi-experimental study was performed based on a pre-test, post-test, and follow-up design with a control group. The study population consisted of all female students with vitiligo in the secondary high school in Tabriz, Iran, in the academic year of 2022. The research sample was 45 students who were selected by purposive sampling method and were randomly divided into experimental and control groups of 15 people. Both experimental groups received their treatment in eight 1.5-h sessions, but the control group did not receive any treatment.
Results: Compared to the control group, both treatments (ACT and CFT) increased the psychological well-being of female students with vitiligo in the post-test (P<0.001) and decreased their internalized shame (P<0.001). In the follow-up phase, the effect of these two treatments on the quality of psychological well-being and internalized shame was lasting (P<0.001). The effect of these two treatments on psychological well-being and internalized shame was the same in post-test and follow-up phases (P>0.05).
Conclusion: Due to the effectiveness of these two treatments (ACT and CFT) on psychological well-being and internalized shame in girls with vitiligo, it can be used to increase psychological well-being and reduce internalized shame in these people.

Keywords: Acceptance and commitment therapy, Compassion-focused therapy, Psychological well-being, Internalized shame, Vitiligo

Full-Text [PDF 434 kb] (647 Downloads)

Type of Study: Research | Subject: General
Received: 2023/08/1 | Revised: 2023/10/30 | Accepted: 2023/09/5 | Published: 2023/10/23

References

1. Patel R, Pandya AG, Sikirica V, Gandhi K, Daniel SR, Anastassopoulos KP, et al. Prevalence of Vitiligo among Children and Adolescents in the United States. Dermatology 2023; 239(2): 227-234. doi:10.1159/000528180 PMid:36630928 PMCid:PMC10210084

2. Mazzei Weiss ME. Vitiligo: to biopsy or not to biopsy? Cutis 2020; 105(4): 189-90.

3. Kang H, Lee S. Prevalence and incidence of vitiligo and associated comorbidities: a nationwide population-based study in Korea Get access Arrow. Clin Experimental Dermatol 2023; 48(5): 484-9. doi:10.1093/ced/llad028 PMid:36656897

4. Feng Y, Lu Y. Advances in vitiligo: Update on therapeutic targets. Front Immunol 2023; 13: 986918. doi:10.3389/fimmu.2022.986918 PMid:36119071 PMCid:PMC9471423

5. Diotallevi F, Gioacchini H, De Simoni E, Marani A, Candelora M, Paolinelli M, et al. Vitiligo, from Pathogenesis to Therapeutic Advances: State of the Art. Int J Mol Sci 2023; 24(5): 4910. doi:10.3390/ijms24054910 PMid:36902341 PMCid:PMC10003418

6. Bidaki R, Majidi N, Moghadam Ahmad A, Bakhshi H, Sadr Mohammadi R, Mostafavi S-, et al. Vitiligo and social acceptance. Clin Cosmet Investig Dermatol 2018; 11: 383-86. doi:10.2147/CCID.S151114 PMid:30046249 PMCid:PMC6054323

7. Alhetheli G. The Impact of Vitiligo on Patients' Psychological Status and Sexual Function: Cross-Sectional Questionnaire-Based Study. DRMTOJ 2021; 15: 23-30.doi:10.2174/1874372202115010023

8. Al-Shammari SA, Alotaibi HM, Assiri MA, Altokhais MI, Alotaibi MS, Alkhowailed MS. Quality of life in vitiligo patients in central Saudi Arabia. Saudi Med J 2021; 42(6): 682-7. doi:10.15537/smj.2021.42.6.20200833 PMid:34078732 PMCid:PMC9149719

9. Scheinfeld E. The Role of Shame, Stigma, and Family Communication Patterns in the Decision to Disclose STIs to Parents in Order to Seek Support. Int J Environ Res Public Health 2023; 20(6): 4742. doi:10.3390/ijerph20064742 PMid:36981650 PMCid:PMC10048974

10. Aberer E, Hiebler-Ragger M, Zenker M, Weger W, Hofer A, Unterrainer HF. Facets of shame are differently expressed in dermatological disease: a prospective observational study. BJD 2020; 183(1): 169-71. doi:10.1111/bjd.18899 PMid:31997342 PMCid:PMC7383988

11. Gausel N, Vignoles VL, Leach CE. Resolving the paradox of shame: Differentiating among specific appraisal-feeling combinations explains pro-social and self-defensive motivation. Motivation Emotion 2016; 40(1): 118-39.doi:10.1007/s11031-015-9513-y

12. Sun S, Chen J, Johannesson M, Kind P, Burström K. Subjective well-being and its association with subjective health status, age, sex, region, and socio-economic characteristics in a Chinese population study. J Happiness Stud 2016; 17(2): 833-73. doi:10.1007/s10902-014-9611-7

13. Ryff CD. Articolo Target. Psychological well-being and health: Past, present and future. JPDS 2016; 1: 7-26. doi:10.3280/PDS2016-001002

14. Kubelis-López DE, Zapata-Salazar NA, Said-Fernández SL, Sánchez-Domínguez CN, Salinas-Santander MA, Martínez-Rodríguez HG, et al. Updates and new medical treatments for vitiligo (Review). Exp Ther Med 2021; 22(2): 797. doi:10.3892/etm.2021.10229 PMid:34093753 PMCid:PMC8170669

15. Ayisha N Mahama AN, Haller CN, Ahmed AM. Psychosocial considerations in the management of vitiligo. Clin Dermatol 2023; 41(1): 82-8. doi:10.1016/j.clindermatol.2023.02.008 PMid:36878455

16. Prochaska J, Norcross, J. Theories of Psychotherapy (Psychotherapy Systems): An Interdisciplinary Analysis. (Translated by Yahya SeyedMohammadi). 56en ed. Tehran: Ravan; 2022: 219-20. [In Persian]

17. Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. 2en ed. New York: Guilford Press: 2016. 23-4.

18. Nozari S, Shamsian M, Chaghmaghi Yazdi M, Nozari F. The effectiveness of acceptance and commitment therapy based on mental health in patients with vitiligo. 6th Iranian Conference on Educational Sciences and Technology of Social Studies and Psychology, Tehran. 2020; 134.

19. Nozari S, Shamsian M, Chaghmaghi Yazdi M, Nozari F. The effectiveness of acceptance and commitment-based therapy on self-esteem in patients with vitiligo. 6th Iranian Conference on Educational Sciences and Technology of Social Studies and Psychology, Tehran. 2020; 211. [in Persian]

20. Daneshi R, Hafezi F, Homayi R. Efficacy was based on Acceptance and Commitment (ACT) of body dysmorphic disorder and rumination on the skin disease vitiligo patients (Lak and PC). JHRC 2021; 7(3): 15. [in Persian]

21. Daneshi R, Hafezi F, Homayi R. Comparing the Effect of Schema Therapy and Acceptance and Commitment Treatment on Psych ological Well-Being among Individuals with Vitiligo Skin Disease: A Pilot Study. Community Health 2021; 8(1): 104-15. [in Persian]

22. Gilbert P, Simos G. Compassion focused therapy: Clinical practice and applications. Routledge; 2020: 17.

23. Shirkavand F, Makvand Hosseini Sh. The effectiveness of compassion-focused therapy on selfcriticism of patients with vitiligo. Fifth National Conference on Recent Innovations in Psychology, Applications and Empowerment with a focus on psychotherapy, Tehran. 2019; 87. [in Persian]

24. Shirkavand F, Makvand Hosseini Sh. The effectiveness of compassion-focused therapy on Resilience of patients with vitiligo. Fifth National Conference on Recent Innovations in Psychology, Applications and Empowerment with a focus on psychotherapy, Tehran. 2019; 87. [in Persian]

25. Ahmadi R, Sajjadian I, Jaffari F. The effectiveness of compassion-focused therapy on anxiety, depression and suicidal thoughts in women with vitiligo. JDC 2019; 10(1): 18-29. [in Persian]

26. Barzamini M, Hosseinaei A. The Effectiveness of Group Compassion-Focused Therapy (CFT) on Internalized Shame in Patients with Psoriasis. Armaghane Danesh 2019; 24(5): 998-1012.

27. Ryff C. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. JPSP 1989; 57: 1069-81. doi:10.1037/0022-3514.57.6.1069

28. Bayani AA, Mohammad Koochekya A, Bayani A. Reliability and Validity of Ryff's Psychological Well-being Scales. IJPCP 2008; 14(2): 146-51. [in Persian]

29. Cook DR. Internalized shame scale: Technical Manual. WI: Channel Press: 1993. 65-66.

30. Rajabi G, Abbasi G. Investigating the relationship between self-criticism, social anxiety and fear of failure with internal shame in students. JRCPC 2010; (2): 171-82. [in Persian]

31. Peterson BD, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. Cogn Behav Pract 2011; 18(4): 577-87. doi:10.1016/j.cbpra.2010.03.004

32. Hayes-Skelton SA, Orsillo SM, Roemer L. An acceptance-based behavioral therapy for individuals with generalized anxiety disorder. Cogn Behav Pract 2013; 20(3): 264-81.doi:10.1016/j.cbpra.2011.02.005 PMid:31588170 PMCid:PMC6777746

33. Irons C, Lad S. Using compassion focused therapy to Work with shame and self-criticism in complex trauma. Australian Clin Psychologist 2017; 3: 47-54.

34. Gilbert P. The origins and nature of compassion focused therapy. Br J Clin Psychol 2014; 53: 6-41. doi:10.1111/bjc.12043 PMid:24588760

35. Neff KD, Germer CK. A pilot study and randomized controlled trial of the mindful selfcompassion program. J Clin Psychol 2013; 69: 28-44.doi:10.1002/jclp.21923 PMid:23070875

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Abkhooy S, Bagherzadeh Hamamchi N, Smkhani Akbarinejhad H. Comparison of the effectiveness of acceptance and commitment therapy with compassion-focused therapy on psychological well-being and internalized shame in female students with vitiligo. Feyz Med Sci J 2023; 27 (4) :406-415
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