LinkedIn

 آمار

تعداد نشریات21
تعداد شماره‌ها1,276
تعداد مقالات11,673
تعداد مشاهده مقاله82,487,604
تعداد دریافت فایل اصل مقاله121,434,233
Amiri, Nasrin, Hafezi, Fariba, Sharifi Fard, Amal, Asgari, Parviz. (1405). The Comparison of Acceptance and Commitment Therapy and the Unified Protocol in Improving Distress Tolerance in Women with Social Anxiety. سامانه مدیریت نشریات علمی, 13(2), 92-101. doi: 10.30476/whb.2026.108634.1375
Nasrin Amiri; Fariba Hafezi; Amal Sharifi Fard; Parviz Asgari. "The Comparison of Acceptance and Commitment Therapy and the Unified Protocol in Improving Distress Tolerance in Women with Social Anxiety". سامانه مدیریت نشریات علمی, 13, 2, 1405, 92-101. doi: 10.30476/whb.2026.108634.1375
Amiri, Nasrin, Hafezi, Fariba, Sharifi Fard, Amal, Asgari, Parviz. (1405). 'The Comparison of Acceptance and Commitment Therapy and the Unified Protocol in Improving Distress Tolerance in Women with Social Anxiety', سامانه مدیریت نشریات علمی, 13(2), pp. 92-101. doi: 10.30476/whb.2026.108634.1375
Amiri, Nasrin, Hafezi, Fariba, Sharifi Fard, Amal, Asgari, Parviz. The Comparison of Acceptance and Commitment Therapy and the Unified Protocol in Improving Distress Tolerance in Women with Social Anxiety. سامانه مدیریت نشریات علمی, 1405; 13(2): 92-101. doi: 10.30476/whb.2026.108634.1375

The Comparison of Acceptance and Commitment Therapy and the Unified Protocol in Improving Distress Tolerance in Women with Social Anxiety

Women’s Health Bulletin
مقاله 3، دوره 13، شماره 2 - شماره پیاپی 49، تیر 2026، صفحه 92-101    اصل مقاله (605.37 K)
نوع مقاله: Research Article
شناسه دیجیتال (DOI): 10.30476/whb.2026.108634.1375
نویسندگان
Nasrin Amiri1؛ Fariba Hafezi* 1؛ Amal Sharifi Fard2؛ Parviz Asgari1
1Department of Psychology, Ahv.C., Islamic Azad University, Ahvaz, Iran
2Department of Psychology, Ramh.C., Islamic Azad University, Ramhormoz, Iran
چکیده
Background: Social Anxiety Disorder (SAD), a widespread psychiatric issue, involves excessive fear of judgment and social withdrawal, which markedly diminishes quality of life. The aim of this study was to compare Acceptance and Commitment Therapy (ACT) and Unified Protocol (UP) in improving distress tolerance in women with SAD.
Methods: A quasi-experimental pretest-posttest design, including a three-month follow-up and control group, was used. The participants comprised 45 women diagnosed with SAD in Ahvaz, Iran, during 2024, selected through convenience sampling technique and randomly allocated (simple randomization) to three groups: ACT (n=15), UP (n=15), and control (n=15). The experimental groups received eight weekly 90-minute sessions of the assigned therapy; the control group had no intervention. Distress tolerance was measured with the Distress Tolerance Scale (DTS). Analysis involved repeated-measures ANOVA, Bonferroni post-hoc tests, Shapiro-Wilk, Levene’s, and Mauchly’s tests via SPSS version 27.
Results: Both ACT and UP significantly improved distress tolerance across all subscales—Tolerance (ACT: 13.46±0.92 vs. 10.76±1.21, UP: 13.40±0.51 vs. 10.76±1.21), Absorption (ACT: 14.07±1.03 vs. 10.80±1.01, UP: 14.00±0.66 vs. 10.80±1.01), Appraisal (ACT: 28.07±0.80 vs. 22.03±1.80, UP: 27.27±1.28 vs. 22.03±1.80), and Regulation (ACT: 12.07±0.59 vs. 9.47±0.64, UP: 12.16±0.70 vs. 9.47±0.64)— as compared with the control group (all P=0.001). No significant differences were observed between the effectiveness of the two interventions. Also, follow-up assessments confirmed the sustained efficacy of both treatments.
Conclusion: Both ACT and UP are effective in enhancing distress tolerance in women with SAD, highlighting the value of transdiagnostic interventions targeting core emotional processes. These findings support their application in clinical settings to alleviate SAD symptoms.

تازه های تحقیق

Fariba Hafezi: (Google Scholar)

کلیدواژه‌ها
Acceptance and Commitment Therapy؛ Anxiety؛ Stress؛ Women
مراجع
  1. Alomari NA, Bedaiwi SK, Ghasib AM, Kabbarah AJ, Alnefaie SA, Hariri N, et al. Social Anxiety Disorder: Associated Conditions and Therapeutic Approaches. Cureus. 2022;14(12):e32687. doi: 10.7759/cureus.32687. PubMed PMID: 36660516; PubMed Central PMCID: PMC9847330. ##
  2. Patel TA, Schubert FT, Hom MA, Cougle JR. Correlates of treatment seeking in individuals with social anxiety disorder: Findings from a nationally representative sample. J Anxiety Disord. 2022;91:102616. doi: 10.1016/j.janxdis.2022.102616. PubMed PMID: 36007388. ##
  3. Alboushoke SF, Safarzadeh S, Hafezi F, Ehteshamzadeh P. The Effectiveness of Emotional Schema Therapy in Reducing Anxiety Sensitivity and Body Checking Behaviors in Adolescent Girls with Social Anxiety Disorder. Women Health Bull. 2024;11(4):272–280. doi: 10.30476/whb.2024.103485.1302. ##
  4. Farmer AS, Kashdan TB, Weeks JW. Chapter 19 - Positivity Deficits in Social Anxiety: Emotions, Events, and Cognitions. In: Hofmann SG, DiBartolo PM, editors. Social Anxiety 3rd ed. San Diego: Academic Press; 2014. p. 551–78. ##
  5. Asher M, Aderka IM. Gender differences in social anxiety disorder. J Clin Psychol. 2018;74(10):1730–1741. doi: 10.1002/jclp.22624. PubMed PMID: 29667715. ##
  6. Weissbrod CS, Colangelo A. Understanding and Treating Social Anxiety in Female Adolescents. Journal of Health Service Psychology. 2020;46(2):93–101. doi: 10.1007/s42843-020-00008-z. ##
  7. Li Y, Ju R, Hofmann SG, Chiu W, Guan Y, Leng Y, et al. Distress tolerance as a mechanism of mindfulness for depression and anxiety: Cross-sectional and diary evidence. Int J Clin Health Psychol. 2023;23(4):100392. doi: 10.1016/j.ijchp.2023.100392. PubMed PMID: 37456917; PubMed Central PMCID: PMC10345371. ##
  8. Mousavi S, Mousavi S, Shahsavari MR. Effects of Compassion-Focused Therapy on Resilience and Distress Tolerance in Female Heads of Households. Women Health Bull. 2023;10(3):200–209. doi: 10.30476/whb.2023.99466.1238. ##
  9. Brown RJ, Burton AL, Abbott MJ. The relationship between distress tolerance and symptoms of depression: Validation of the Distress Tolerance Scale (DTS) and short-form (DTS-SF). J Clin Psychol. 2022;78(12):2609–2630. doi: 10.1002/jclp.23370. PubMed PMID: 35510827; PubMed Central PMCID: PMC9790670. ##
  10. Basting EJ, Stuart GL. Incorporating distress tolerance into exposure-based cognitive behavioral therapy for social anxiety disorder: A case study. Clinical Case Studies. 2025;24(8):117–34. doi: 10.1177/15346501251317492. ##
  11. Katz D, Rector NA, Laposa JM. The interaction of distress tolerance and intolerance of uncertainty in the prediction of symptom reduction across CBT for social anxiety disorder. Cogn Behav Ther. 2017;46(6):459–477. doi: 10.1080/16506073.2017.1334087. PubMed PMID: 28641047. ##
  12. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and Validation of a Self-Report Measure. Motivation and Emotion. 2005;29(2):83-102. doi: 10.1007/s11031-005-7955-3. ##
  13. Mehdizadeh S, Naseri A. Effect of Acceptance and Commitment Education on Psychological Resilience and Loneliness Feelings among Housewives. Women Health Bull. 2025;12(4):239-249. doi: 10.30476/whb.2025.104299.1317. ##
  14. Pourabdol S, Azarkolah A, Ghaedi GH. The effectiveness of acceptance and commitment therapy (ACT) on intolerance of uncertainty and psychological inflexibility in individuals with generalized anxiety disorder (GAD). Journal of Research in Psychopathology. 2025;6(3):29–37. doi: 10.22098/jrp.2025.15476.1245. ##
  15. Mostafazadeh P, Sotoudehasl N, Ghorbani R. A Comparative Analysis of the Efficacy of Acceptance and Commitment Therapy (ACT) and Metacognitive Therapy (MCT) on Worry and Quality of Life in Women Diagnosed with Generalized Anxiety Disorder. Women Health Bull. 2023;10(4):255–265. doi: 10.30476/whb.2023.99636.1239. ##
  16. Petersen JM, Pimentel SS. Acceptance and Commitment Therapy for Adolescent Anxiety. Current Treatment Options in Psychiatry. 2024;11(4):366–372. doi: 10.1007/s40501-024-00335-8. ##
  17. Barlow DH, Farchione TJ, Bullis JR, Gallagher MW, Murray-Latin H, Sauer-Zavala S, et al. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Compared with Diagnosis-Specific Protocols for Anxiety Disorders: A Randomized Clinical Trial. JAMA Psychiatry. 2017;74(9):875–884. doi: 10.1001/jamapsychiatry.2017.2164. PubMed PMID: 28768327; PubMed Central PMCID: PMC5710228. ##
  18. Zohrabiy S, Abolghasemi A, Kafi Masoole M, Khosrojavid M. Comparing the Effectiveness of Emotion-focused Therapy and the Unified Trans-diagnostic Treatment on Fear of Negative and Positive Evaluation of Patients with Social Anxiety Disorder. Journal of Practice in Clinical Psychology. 2023;11(4):329-340. doi: 10.32598/jpcp.11.4.914.1. ##
  19. Farchione TJ, Long LJ, Spencer-Laitt D, Moreno J, Barlow DH. State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Behav Ther. 2024;55(6):1189–1204. doi: 10.1016/j.beth.2024.04.007. PubMed PMID: 39443061. ##
  20. Zemestani M, Ezzati S, Nasiri F, Gallagher MW, Barlow DH, Kendall PC. A culturally adapted unified protocol for transdiagnostic treatment of anxiety disorders in adolescents (UP-A): a randomized waitlist-controlled trial. Psychol Med. 2024;54(2):385–398. doi: 10.1017/s0033291723001903. PubMed PMID: 37458212. ##
  21. Masoudizadeh F, Hafezi F, Safarzadeh S, Dasht Bozorgi Z. Self-Compassion Therapy as a Transformative Intervention for Adolescent Girls’ Body Image. Women Health Bull. 2025;12(2):129–136. doi: 10.30476/whb.2025.104550.1322. ##
  22. Azizi AR. Reliability and validity of the Persian version of distress tolerance scale. Iran J Psychiatry. 2010;5(4):154-8. PubMed PMID: 22952509; PubMed Central PMCID: PMC3395925. ##
  23. Dindo L, Van Liew JR, Arch JJ. Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. Neurotherapeutics. 2017;14(3):546–553. doi: 10.1007/s13311-017-0521-3. PubMed PMID: 28271287; PubMed Central PMCID: PMC5509623. ##
  24. Sarabadani A, Hasanzadeh R, Ghanadzadegan H. The effectiveness of acceptance and commitment therapy on distress tolerance and cognitive emotion regulation in women with generalized anxiety disorder. Applied Family Therapy Journal (AFTJ). 2023;4(2):96–114. doi: 10.61838/kman.aftj.4.2.6. ##
  25. Harris KR, Norton PJ. Transdiagnostic cognitive behavioral therapy for the treatment of emotional disorders: A preliminary open trial. J Behav Ther Exp Psychiatry. 2019;65:101487. doi: 10.1016/j.jbtep.2019.101487. PubMed PMID: 31132511. ##
  26. Antuña-Camblor C, Gómez-Salas Francisco J, Burgos-Julián Francisco A, González-Vázquez A, Juarros-Basterretxea J, Rodríguez-Díaz Francisco J. Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta-Analysis. Clin Psychol Psychother. 2024;31(3):e2997. doi: 10.1002/cpp.2997. PubMed PMID: 38747373. ##
  27. Dalgleish T, Black M, Johnston D, Bevan A. Transdiagnostic approaches to mental health problems: Current status and future directions. J Consult Clin Psychol. 2020;88(3):179–195. doi: 10.1037/ccp0000482. PubMed PMID: 32068421; PubMed Central PMCID: PMC7027356. ##
  28. Nikdanesh M, Ashuri A, Gharraee B, Farahani H. Investigating the pattern of transdiagnostic related to emotion regulation of adolescents with high-risk behavior and effectiveness of integrated transdiagnostic protocol on reduction of their anxiety, depression, and emotional dysregulation. J Educ Health Promot. 2025;14:83. doi: 10.4103/jehp.jehp_203_24. PubMed PMID: 40144166; PubMed Central PMCID: PMC11940083. ##
آمار
تعداد مشاهده مقاله: 47
تعداد دریافت فایل اصل مقاله: 44


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب