Health Technology Assessment in Action (Jul 2022)
Effectiveness of Acceptance and Commitment Therapy and Cognitive Behavioral Therapy on Individual and Social Adaptation of Addicts
Abstract
Introduction: Addiction is a pervasive problem and not only causes physical problems, but also affects the adaptation of these people. This study tries to investigate the effectiveness of acceptance and commitment group therapy (ACT) and cognitive-behavioral therapy (CBT) on individual and social adaptation of addicts referring to comprehensive health service centers in Birjand. Methods: The present study is a quasi-experimental with a pretest-posttest design with a control group. To conduct the present study, all addicted people referring to health centers located on the suburb of Birjand, which are among vulnerable areas of Birjand, were selected in 1397-1398. Sample was selected by available method; but the groups were selected randomly, so that addicts were divided into three groups of 32 persons according to the objectives of the study. The questionnaire used in this study is: California test of personality and cognitive-behavioral group therapy and acceptance and commitment therapy based on the treatment protocol which was held in 12 sessions of 60 minutes. Findings: The mean of social adaptation after the intervention in ACT and CBT groups were12.33±57.47 and 5.93±47.90, respectively. The results of variance analysis test showed that the mean score of social adaptation before and after the intervention were significantly different in three groups (P<0.001), and also its showed that the mean score of social adaptation in the ACT group after the intervention was significantly higher than before the intervention (P = 0.02), but there was no significant difference between two times before and after the intervention in the CBT and control groups. The mean of individual adaptation after intervention in ACT and CBT groups were12.19±54.97 and 5.75±47.40, respectively. The results also indicated that individual adaptation score in the ACT, CBT and control group in two times before and after the intervention were not significantly different. In addition, the results of variance analysis test after controlling social and individual adaptations variables before the intervention showed that there was a significant difference in the score of social adaptation in three groups of ACT, CBT and control (p <0.001). There was also a significant difference in individual adaptation score between three groups (p <0.001). Conclusion: The results showed that both treatments based on acceptance and commitment and cognitive-behavioral therapy have been effective on individual-social adaptation of addicts. But the therapeutic approach of acceptance and commitment plays a greater role in the social adaptation of addicts.
