The Effect of Acceptance and Commitment Therapy (ACT) on Increasing the Self-Compassion, Distress Tolerance, and Emotion Regulation in Students with Social Anxiety Disorder
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Background and Purpose: Social anxiety is one of the most debilitating anxiety disorders that cause incompatibility in personal life, social interactions, and professional.This study was to investigate the effect of acceptance and commitment therapy on increasing self-compassion, distress tolerance, and emotion regulation in students with social anxiety disorder.Methods: This study was a semi-experimental research with pretest-posttest control group design.The statistical population included all female secondary school students with social anxiety disorder in Tehran in 2016, among them 60 were selected and randomly divided into the experimental and control groups (30 per group).Social anxiety questionnaire (Connor et al., 2000), self-compassion scale (Norbala, 2013), distress tolerance scale (Simon et al., 2005), and emotion regulation scale (Garnfex et al., 2001) were used to gather the data.The experimental group underwent 8 sessions of commitment and acceptance therapy.Finally, the data were analyzed by univariate and multivariate analysis of covariance.Results: Results of the study showed that commitment and acceptance therapy had a significant effect on reducing the social anxiety and increasing the self-compassion, distress tolerance, and emotion regulation of the students.Also, results of covariance analysis showed that commitment and acceptance therapy had a significant effect on reducing social anxiety (F = 288.817,η = 0.535, p <0.05) and increasing the total self-compassion (F=149.196,η=0.62 ،p<0.05),distress tolerance (F = 352.88,η = 0.56, p <0.05) and emotion regulation (F = 185.842,η = 0.57, p <0.05).Conclusion: Based on the findings of this research, it can be concluded that by acceptance and commitment therapy, the students are taught to deal with the social anxiety through increasing the mental and subjective acceptance of the inner experiences rather than mentally avoiding the social thoughts and situations.Also, active and effective confrontation with the thoughts and feelings, changing attitudes to self, and review of life values and objectives are among the main effective factors of acceptance and commitment therapy.
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ACT may play an important role in reducing social anxiety and in increasing distress tolerance and emotional regulation in adolescents.
“Some studies have shown that ACT applied to adolescents with SAD is effective in treating this disorder in comparison to a control group (Oyetunde & Ajibola, 2019) and that ACT may play an important role in reducing social anxiety and in increasing distress tolerance and emotional regulation in adolescents (Roohi et al., 2019).”
From Psychological inflexibility explains social anxiety over time: a mediation analyses with a clinical adolescent sample (2024) · cites this paper as Roohi et al., 2019
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Cites
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · see citing works
Compassion: an evolutionary analysis and empirical review
Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010) · Psychological Bulletin · doi:10.1037/a0018807 · Cited by 2,200 · see citing works
The Distress Tolerance Scale: Development and Validation of a Self-Report Measure
Simons, J. S., & Gaher, R. M. (2005) · Motivation and Emotion · doi:10.1007/s11031-005-7955-3 · Cited by 1,730 · see citing works
Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale
Connor, K. M., Davidson, J. R. T., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.176.4.379 · Cited by 1,624 · cited 1× · see citing works
“Social anxiety questionnaire (Connor et al., 2000), self-compassion scale (Norbala, 2013), distress tolerance scale (Simon et al., 2005), and emotion regulation scale (Garnfex et al., 2001) were used to gather the data.”
MethodThe Cognitive Emotion Regulation Questionnaire
Garnefski, N., & Kraaij, V. (2007) · European Journal of Psychological Assessment · doi:10.1027/1015-5759.23.3.141 · Cited by 1,039 · see citing works
The Self-Compassion Scale is a Valid and Theoretically Coherent Measure of Self-Compassion
Neff, K. D. (2016) · Mindfulness · doi:10.1007/s12671-015-0479-3 · Cited by 805 · see citing works
Psychotherapeutic benefits of compassion-focused therapy: an early systematic review
Leaviss, J., & Uttley, L. (2015) · Psychological Medicine · doi:10.1017/s0033291714002141 · Cited by 546 · see citing works
Raes, F. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.01.023 · Cited by 535 · see citing works
Anxiety symptomatology: the association with distress tolerance and anxiety sensitivity
Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010) · Behavior Therapy · doi:10.1016/j.beth.2010.04.002 · Cited by 284 · see citing works
Neural circuits in anxiety and stress disorders: a focused review
Liberzon, I., Duval, E. R., & Javanbakht, A. (2015) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s48528 · Cited by 262 · see citing works
Anderson, E. R., & Hope, D. A. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.03.011 · Cited by 218 · see citing works
Rutherford, H. J. V., Goldberg, B., Luyten, P., Bridgett, D. J., & Mayes, L. C. (2013) · Infant Behavior and Development · doi:10.1016/j.infbeh.2013.06.008 · Cited by 167 · see citing works
Eifert, G. H., Forsyth, J. P., Arch, J., Espejo, E., Keller, M., & Langer, D. (2009) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.06.001 · Cited by 153 · see citing works
Research Diagnostic Criteria and DSM-III
Williams, J. B. W. (1982) · Archives of General Psychiatry · doi:10.1001/archpsyc.1982.04290110039007 · Cited by 103 · see citing works
Freeth, M., Bullock, T., & Milne, E. (2012) · Autism · doi:10.1177/1362361312445511 · Cited by 91 · see citing works
(2009) · Cited by 88 · see citing works
Arch, J. J., Landy, L. N., & Brown, K. W. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.03.009 · Cited by 63 · see citing works
THE PSYCHOMETRIC PROPERTIES OF THE COGNITIVE EMOTION REGULATION QUESTIONNAIRE (CERQ)
Hasani, J. (2010) · Journal of Clinical Psycology · doi:10.22075/jcp.2017.2031 · Cited by 52 · see citing works
Social phobia, fear of negative evaluation and harm avoidance
Faytout, M., Tignol, J.-P., Swendsen, J. D., Grabot, D., Aouizerate, B., & Lépine, J. (2006) · European Psychiatry · doi:10.1016/j.eurpsy.2005.07.009 · Cited by 41 · see citing works
Kozak, A. T., & Fought, A. (2011) · Appetite · doi:10.1016/j.appet.2011.07.008 · Cited by 40 · see citing works
CORRELATION BETWEEN DISTRESS TOLERANCE AND EMOTIONAL REGULATION WITH STUDENTS SMOKING DEPENDENCE
Azizi, A., Azadeh, M., & Shams, J. (2010) · Hakim Research Journal · Cited by 38 · see citing works
Hoffmann, D., Halsboe, L., Eilenberg, T., Jensen, J. S., & Frostholm, L. (2014) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2014.04.004 · Cited by 17 · see citing works
Mohammadi, L., Abarghoei, M. S., & Nasirian, M. (2015) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 10 · see citing works
(2014) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 9 · see citing works
Asnaani, A., Aderka, I. M., Marques, L. M., Simon, N. M., Robinaugh, D. J., & Hofmann, S. G. (2015) · Transcultural Psychiatry · doi:10.1177/1363461515576823 · Cited by 8 · see citing works
Zad, A. H. E., Shams, G., Meysami, A. P., & Erfan, A. (2017) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.18869/nirp.ijpcp.22.4.270 · Cited by 8 · see citing works
Havaiy, A., Kazemi-Zahrani, H., Habibollahi, A., & Izadikhah, Z. (2017) · University of Southern Queensland ePrints (University of Southern Queensland) · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Priestley J. Acceptance and commitment therapy for public speaking anxiety: a case series study of effects on self-reported, implicit, imaginal, and in-vivo outcomes [Doctoral thesis]. [Lincoln, England]: University of Lincoln; 2016. [Link]
- Kelishadi F, Yazdkhasti F. Impact of perception of parental rejection-acceptance and control on moral intelligence and distress tolerance. Strategy for Culture. 2016; 9(33): 155-169. [Persian]. [Link]
- Sheydayi Aghdam S, Shamseddini Lory S, Abassi S, Yosefi S, Abdollahi S, Moradi Joo M. The effectiveness of treatment based on acceptance and commitment in reducing distress and inefficient attitudes in patients with MS. Thoughts and Behavior in Clinical Psychology. 2015; 9(34): 57-66. [Persian]. [Link]
- Karami J, Heidarisharaf P, Shafeei B. Relationship between emotion regulation strategies and emotional intelligence with social phobia in the blind and deaf students. Exceptional Education. 2015; 1(129): 5-14. [Persian]. [Link]
- Hassanvand Amouzadeh M. Validity and reliability of social phobia inventory in students with social anxiety. Journal of Mazandaran University of Medical Sciences. 2016; 26(139): 166-177. [Persian]. [Link]
- Noorbala F, Borjali A, Noorbala AA. The interaction effect between "Self-Compassion" and "Rumination" of depressed patients in "Compassion Focused Therapy". Daneshvar Medicine. 2013; 20(104): 77- 84. [Persian]. [Link]
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Department of Educational Sciences, F. O. E. S. A. P., Pourfarahani, M., Shareh, H., Department of Educational Sciences, F. O. L. A. H., Haji Arbabi, F., & Department of Educational Sciences, F. O. E. S. A. P. (2023) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.32598/ijpcp.29.1.225.13 · Cited by 2 · see citing works
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“The results are consistent with the findings of York (2021), Deng et al. (2020), and Babakhani (2019), confirming the effectiveness of ACT, along with those of Roohi et al. (2019), Izakiyan et al. (2019), and Bai et al. (2020) confirming the effectiveness of mindfulness-based cognitive therapy.”
- Authors
- Roohi, R., Kerman Branch, I. A. U., Soltani, A. A., Department of Psychology, K. B., Zinedine Meimand, Z., Department of Psychology, K. B., Razavi Nematollahi, V., & Department of Psychology, K. B.
- Affiliations
- Islamic Azad University Kerman (IR)
- Venue
- Quarterly Journal of Child Mental Health
- Publisher
- CMV Verlag
- Published
- 2019-11-01
- Volume
- 6
- Issue
- 3
- Pages
- 173-187
- ISSN
- 2423-3552 (ISSN-L)
- 2476-5740
- OpenAlex
- W2999849222
- Cited by
- 16
- References
- 27
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 5 · 2021: 5
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Quarterly Journal of Child Mental Health (publishedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- acceptance and commitment therapy, social anxiety disorder, self-compassion, distress tolerance, emotion regulation, high school students, adolescent girls, psychotherapeutic interventions
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