RESEARCH PAPER
Comparison of the effectiveness of positive thinking training and acceptance and commitment therapy on quality of life and resilience of people living with HIV
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1
Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran
2
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran
Submission date: 2021-08-10
Final revision date: 2021-10-09
Acceptance date: 2021-10-24
Publication date: 2022-01-04
HIV & AIDS Review 2022;21(1):50-57
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The purpose of this research was to know the effectiveness of positive thinking training and acceptance and commitment therapy (ACT) on quality of life and resilience of people living with HIV (PLHIV).
Material and methods:
This study employed a quasi-experimental method, with pre-test/post-test design. Statistical sample size was 45 PLHIV, who were selected using purposive sampling method. They were randomly assigned into positive thinking (n = 15), ACT (n = 15), and control (n = 15) groups. Quality of life questionnaire by Ware and Sherbourne (1991) and Conner-Davidson resilience scale (2003) were used for all three groups (pre-test). Participants of the experimental groups attended eight 90-minute sessions of group training. Post-test was implemented two weeks after training. Multivariate and univariate analyses of variance (MANCOVA) were used to analyze the data.
Results:
The results showed that positive thinking group training was effective in promoting quality of life and resilience. The results also demonstrated that acceptance and commitment therapy was effective in promoting quality of life and resilience. According to the findings, there was no significant difference between the effectiveness of positive thinking group training and acceptance and commitment therapy on quality of life and resilience of PLHIV (p > 0.05).
Conclusions:
According to the obtained results, both training approaches (positive thinking and ACT) promoted quality of life and resilience of PLHIV, and there was no significant difference between the effectiveness of the two intervention approaches. Therefore, both interventions had beneficial impacts on lives of PLHIV.
REFERENCES (34)
1.
Riddell J, Rivet Amico K, Mayer KH. HIV preexposure prophylaxis: a review. JAMA 2018; 319: 1261-1268.
2.
Paydary K, Khaghani P, Emamzadeh-Fard S, Alinaghi SA, Baesi K. The emergence of drug resistant HIV variants and novel anti-retroviral therapy. Asian Pac J Trop Biomed 2013; 3: 515-522.
3.
Mishel MH. Theories of uncertainty in illness. In: Smith M, Liehr P (eds.). Middle range theory for nursing. 3rd ed. New York: Springer; 2013, p. 53-86.
4.
Alizadeh N, Farrokhi NA. Investigating the predictive pattern of psychological well-being based on the culture of perceived parenting styles in people living with HIV (HIV). International Conference on Psychopathological Culture and Education. Iranian Psychological Association, Al-Zahra University, 2017.
5.
Andersson GZ, Reinius M, Eriksson LE, et al. Stigma reduction interventions in people living with HIV to improve healthrelated quality of life. Lancet HIV 2019, doi: 10.1016/s2352-3018 (19)30343-1.
6.
Ghisvand H, Higgs P, Noroozi M, et al. Social and demographical determinants of quality of life in people who live with HIV/AIDS infection: evidence from a meta-analysis. Biodemography Soc Biol 2020; 65: 57-72.
7.
Mwesiga EK, Mugenyi L, Nakasujja N, et al. Depression with pain co morbidity effect on quality of life among HIV positive patients in Uganda: a cross sectional study. Health Qual Life Outcomes 2015; 13: 206.
8.
Khalili H, Rohani R, Seyedalinaghi S, Hajiabdolbaghi M, Dashti-Khavidaki S, Talasaz AH. Adherence to Antiretroviral Therapy Among Iranian HIV/AIDS Patients. Curr Clin Pharmacol 2012; 7: 111-115.
9.
Lan GL, Yuan ZK, Clements-Nolle KD, et al. Social capital and quality of life among people living with HIV/AIDS in Southeast China. Asia Pac J Public Health 2016; 28: 325-335.
10.
Rüütel K, Pisarev H, Loit HM, Uusküla A. Factors influencing quality of life of people living with HIV in Estonia: A cross-sectional survey. J Int AIDS Soc 2009; 12: 13.
11.
Dale S, Cohen M, Weber K, Cruise R, Kelso G, Brody L. Abuse and resilience in relation to HAART medication adherence and HIV viral load among women with HIV in the United States. AIDS Patient Care STDs 2014; 28: 136-143.
12.
Langebeek N, Gisolf EH, Reiss P, et al. Predictors and correlates of adherence to combination antiretroviral therapy (ART) for chronic HIV infection: a meta-analysis. BMC Med 2014; 12: 142.
13.
Fletcher D, Sarkar M. Psychological resilience: a review and critique of definitions, concepts, and theory. European Psychologist 2013; 18: 12-23.
14.
Yu X, Lau JT, Mak WW, Cheng Y, Lv Y, Zhang J. A pilot theory-based intervention to improve resilience, psychosocial well-being, and quality of life among people living with HIV in rural China. J Sex Marital Ther 2014; 40: 1-16.
15.
Fang X, Vincent W, Calabrese SK, et al. Resilience, stress, and life quality in older adults living with HIV/AIDS. Aging Mental Health 2015; 19: 1015-1021.
16.
Mohammadkhani S, Haddadi Kuhsar AA, Soleimani H, Eatemadi A, Seyd Ali Naghei SA. A Prediction of resilience from cognitive emotion regulation in individuals with HIV infection. Health Psychology 2017; 6: 104-115.
17.
Seligman MEP, Rashid TAC. Positive psychotherapy. American Psychologists 2006; 61: 774-788.
18.
Ghasemi Khaneghah B. The effectiveness of positive psychotherapy on resilience and psychosocial adjustment of cancer patients. Fifth National Conference on Recent Innovations Recent National Innovations in Psychology, Applications and Empowerment with a Focus on Psychotherapy; 2019.
19.
Hendriks T, Schotanus-Dijkstra M, Hassankhan A, et al. Resilience and well-being in the Caribbean: findings from a randomized controlled trial of a culturally adapted multi-component positive psychology intervention. Journal of Positive Psychology 2020; 15: 238-253.
20.
Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies – republished article. Behav Ther 2016; 47: 869-885.
21.
Sri Suyanti T, Anna Keliat B, Catharina Daulima NH. Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enferm Clin 2018; 28 (Suppl 1): 98-101.
22.
Faezipour M, Ghanbaripanah A, SeyedAlinaghi SA, Hajiabdolbaghi M, Voltareli F. Effectiveness of acceptance and commitment therapy on reducing depression among people living with HIV/AIDS. J Int Transl Med 2018; 6: 125-129.
23.
Smkhani Akbarinejhad H, Faroughi P. Comparison of the effectiveness of acceptance and commitment therapy and logotherapy on the psychological well-being and death anxiety of women with AIDS. Qom Univ Med Sci J 2021; 4: 48-60.
24.
Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-483.
25.
Karimpour J. The effectiveness of mindfulness-based stress reduction (MBSR) program on quality of life, perceived stress and psychological well-being of cardiovascular patients. Islamic Azad University ofScience and Research Campus (Hormozgan) Master Thesis (M.A.); 2014.
26.
Connor KM, Davidson JR. Development of a new resilience scale: the conner-davidson resilience scale (CD-RISC). Depress Anxiety 2003; 18: 76-82.
27.
Kurdmirza Nikozadeh E. Comparison of the effectiveness of an intervention program based on positive psychology and Adlerian group therapy in promoting resilience of drug addicts. Culture of Counseling 2011; 2: 1-27.
28.
Asarzadegan M, Raeisi Z. The effectiveness of education based on positive psychotherapy on quality of life and happiness in patients with type 2 diabetes. Health Psychology 2019; 8: 98-116.
29.
Mohammadpour Doghabadi N. Evaluation of the effectiveness of group therapy with the intervention of hope method on quality of life and hope of women living with HIV. Master Thesis in Clinical Psychology majoring in Family Therapy. University of Knowledge and Culture; 2016.
30.
Arjun BY, Unnikrishnan B, Ramapuram JT, et al. Factors influencing quality of life among people living with HIV in coastal South India. J Int Assoc Provid AIDS Care 2017; 16: 247-253.
31.
Hayes SC, Strosahl KD. A practical guide to acceptance and commitment therapy. New York: Springer Press; 2010.
32.
Mohammadinejad M, Nikonejad F. The effectiveness of treat-ment based on acceptance and commitment (ACT) on psychological well-being and resilience of mothers with deaf girls in Isfahan. Knowledge and Research in Applied Psychology 2020; 21: 22-31.
33.
Yıldırım M, Arslan G. Exploring the associations between resilience, dispositional hope, preventive behaviors, subjective well-being, and psychological health among adults during early stage of COVID-19. Curr Psychol 2020. DOI:
https://doi.org/10.1007/s12144....
34.
Heyes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: an Experiential Approach to Behavior Change. New York: Guilford; 1999.