Volume 17, Issue 1 (5-2026)
JAP 2026, 17(1): 13-25 |
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Ethics code: IR.IAU.H.REC.1404
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Azhdari S, Kani vine H, Ebadi Z. The effect of group therapy with an integrated model of acceptance and commitment and schema therapy on perceived stress, suicidal thoughts, and hopelessness in women with chronic pain in Tehran.. JAP 2026; 17 (1) :13-25
URL: http://jap.iums.ac.ir/article-1-5812-en.html
URL: http://jap.iums.ac.ir/article-1-5812-en.html
1- Department of Cli3nical Psychology, Ha.c, Islamic Azad University, Hamedan, Iran , sabaazh1@gmail.com
2- Department of Cli3nical Psychology, Ha.c, Islamic Azad University, Hamedan, Iran
2- Department of Cli3nical Psychology, Ha.c, Islamic Azad University, Hamedan, Iran
Abstract: (26 Views)
Background and Objectives: Chronic pain significantly reduces the quality of life of individuals and is associated with psychological pressures such as perceived stress, hopelessness, and suicidal thoughts. Psychological therapies based on acceptance and commitment (ACT) along with schema therapy have been introduced as effective approaches in reducing pain and improving individual adjustment. The aim of the present study was to investigate the effect of group therapy with an integrated model of acceptance and commitment (ACT) and schema therapy on perceived stress, suicidal thoughts, and hopelessness in women with chronic pain in Tehran.
Methods: The present study was an experimental study with a pretest-posttest design with a control group and a follow-up phase.The statistical population of the study was women with chronic pain in Tehran in 1403-1404. 60 people were selected through purposive sampling and randomly divided into two groups of 30 people. The experimental group underwent 10 120-minute intervention sessions once a week. The control group did not receive any intervention. The follow-up phase was conducted 3 months after the intervention. A repeated-measures analysis of variance was used to analyze the data using SPSS-26 statistical software.
Results: Statistical findings showed that the combined intervention of ACT and schema therapy was significantly effective in reducing perceived stress and suicidal thoughts and increasing hope compared to the control group (p < 05). The effects were maintained consistently in the short-term follow-up, although the effect sizes varied depending on the measurement indicator and follow-up time.
Conclusion: ACT group intervention combined with schema therapy as an integrated approach can produce significant improvement in the psychological processes and clinical status of individuals with chronic pain.
Keywords: Perceived stress, suicidal thoughts, hopelessness, chronic pain, acceptance and commitment, schema therapy
Type of Study: Original |
Subject:
Chronic pain managment
Received: 2025.11.29 | Accepted: 2025.12.19 | Published: 2026.05.31
Received: 2025.11.29 | Accepted: 2025.12.19 | Published: 2026.05.31
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