
About the Journal
- E-ISSN: 2981-2569
- Editor-in-Chief: Dr. Hadi Nobari
- Owner: KMAN Research Institute
- Publisher: KMAN Publication Inc. (KMANPUB)
- Contact emails: healthnexus@kmanpub.com / healthnexusjournal@gmail.com
- Open access: YES
- Peer-review: Yes (Open Peer-review)
Health Nexus is a multidisciplinary journal dedicated to publishing and disseminating groundbreaking research in human health. This journal uniquely focuses on the synergistic relationship among four key areas: sports sciences, psychology, public health, and emerging technologies in health. By embracing this diverse yet interconnected scope, Health Nexus serves as a dynamic platform for researchers to present their latest findings and contribute significantly to the enhancement of human health and well-being.
The journal invites a wide array of submissions, including original research articles, comprehensive reviews, insightful meta-analyses, theoretical explorations, and practical applications. These contributions are expected to advance knowledge and understanding in each of the journal's core areas: sports sciences' role in physical and mental health, psychological perspectives on wellness, public health strategies for community and global health improvement, and the transformative impact of emerging technologies in healthcare.
Health Nexus is committed to fostering the development of evidence-based practices and interventions. By integrating research from sports sciences, psychology, public health, and emerging technologies in health, the journal aims to offer a holistic view of human health. This approach ensures the promotion of well-being in all aspects of life, encouraging innovative solutions to health challenges in today's rapidly evolving world.
The Relationship Between Self-Care Based on Illness Perception with Social Support, Shared Decision-Making, and Self-Efficacy in Patients with Type 2 Diabetes
Diabetes self-care is significantly influenced by various psychosocial factors. Therefore, the present study aimed to examine the relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy in patients with type 2 diabetes. The research method was descriptive-correlational. In a cross-sectional survey, 800 patients with type 2 diabetes (331 men and 469 women) were selected through random sampling from hospitals in Qom Province. Data were collected using a demographic and illness perception questionnaire, the Family Social Support Questionnaire, the Self-Efficacy in Diabetic Patients Questionnaire, the Diabetes Self-Care Questionnaire, and the Patient Participation in Treatment Decision-Making Questionnaire. Data analysis was conducted using SPSS 26 software. The results indicated a significant positive relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy. Considering the findings, it can be concluded that self-efficacy, belief in treatment effectiveness, social support, diabetes severity, and type of treatment are crucial factors in performing self-management behaviors and can explain a substantial proportion of the variability in diabetes self-management.
A Review of the Effectiveness of Acceptance and Commitment Therapy on Symptoms and Outcomes of Irritable Bowel Syndrome
The present study was conducted to review the effectiveness of Acceptance and Commitment Therapy (ACT) on the symptoms and outcomes of Irritable Bowel Syndrome (IBS). This review study examined the available literature on Acceptance and Commitment Therapy and Irritable Bowel Syndrome from 2000 to 2024 in both Persian and English languages. The keywords "therapy," "acceptance and commitment," "acceptance and commitment therapy," and "irritable bowel syndrome" were searched in reputable databases such as Science Direct, Wiley, PubMed, SID, and Magiran. A total of 25 articles addressing the effectiveness of Acceptance and Commitment Therapy on the symptoms and outcomes associated with Irritable Bowel Syndrome were identified. The results of these studies indicated that group-based or individual ACT interventions positively affected various aspects, including symptom severity, pain intensity, disease perception, immune function, body image, blood cortisol levels, treatment adherence, stress, anxiety, depression, rumination, cognitive flexibility, irrational beliefs, emotional regulation, schemas and emotional processing, experiential avoidance, sleep quality, hope, social capital, life satisfaction, psychological well-being, and quality of life in patients with IBS. The findings of this study suggest that Acceptance and Commitment Therapy can be utilized alongside pharmacotherapy and dietary modifications to alleviate symptoms and outcomes of Irritable Bowel Syndrome.
A New Reading of Abortion in the Metropolis of Tehran: Based on the Lived Experiences of Women Born in the 1980s
This study aims to examine abortion in the metropolis of Tehran using the grounded theory method, employing purposive and snowball sampling, and conducting semi-structured interviews with 17 women born in the 1980s who underwent at least one elective abortion in a clinic under the supervision of a specialist physician between 2021 and 2024. The data analysis, conducted using the interpretive analysis method of Strauss and Corbin, revealed two distinct pregnancy patterns among the respondents. In the first group, the causal factor was the convergence toward the discourse of definitive childlessness or low fertility. The contextual factors included the hardships of childbearing, economic difficulties, women's employment, and idealism in child-rearing. The intervening factors comprised a non-supportive environment for childbearing in society, marital life, and women's social networks. The interactions were characterized by changes in fertility behavior and a shift in women's perspective on childbearing. In the second group, the causal factor was the existence of extramarital relationships. The contextual factors included the dysfunctionality of marital life, prolonged suppression of sexual and emotional needs, husbands' extramarital affairs, and the perceived positive functions of extramarital relationships. The intervening factor was the obstacles to divorce. The interactions involved engagement with peer social networks, shifts in women's attitudinal and behavioral frameworks, and resistance to traditional and religious socialization. The core category derived from the study is "a new reading of abortion," which encompasses both the physical and non-physical consequences experienced by the actors involved.
The Effectiveness of Schema Therapy on Obsessive-Compulsive Disorder in Individuals with Borderline Personality Disorder
Borderline personality disorder, a severe and pervasive mental health condition, has attracted the interest of many researchers. Therefore, the present study aimed to examine the effectiveness of schema therapy on obsessive-compulsive disorder in individuals with borderline personality disorder. This study employed a quasi-experimental design with a pretest-posttest control group structure. The statistical population included all married women diagnosed with borderline personality disorder who visited the Family Green Psychological Services Center in Semnan in 2024. From this population, 30 individuals were selected using purposive sampling based on inclusion and exclusion criteria and were randomly assigned to either the experimental or control group (15 participants per group). The research instrument was the Maudsley Obsessive-Compulsive Inventory (MOCL). The schema therapy sessions were conducted based on the schema therapy protocol developed by Young et al. (2003; translated by Hamidpour, 2007). Data analysis was performed using SPSS-24 software and multivariate analysis of covariance (MANCOVA) while ensuring statistical assumptions were met. The results indicated that after controlling for the pretest effect, the difference in pretest-posttest scores in the experimental group for obsessive-compulsive disorder was statistically significant. Additionally, the posttest mean scores for obsessive-compulsive disorder in the experimental group were significantly lower than those in the control group (p < .001). Based on the study findings, schema therapy has a significant impact on the research variables. To enhance the external validity of the findings, further studies in this area are recommended.
The Effect of Selected Exercises on the Motor Development of Overweight and Obese Iraqi Children Aged 8 to 9 Years: The Moderating Role of Gender
The objective of this study was to examine the effect of selected exercises on the motor development of overweight and obese Iraqi children aged 8 to 9 years, considering the moderating role of gender. This research employed a quasi-experimental design with a pre-test and post-test structure, including both control and experimental groups. The statistical population consisted of overweight and obese children aged 8 to 9 years in the city of Baghdad. The sample included 40 children from Baghdad, selected voluntarily and based on inclusion and exclusion criteria using convenience sampling. To measure motor development, the short form of the second edition of the Bruininks-Oseretsky Test of Motor Proficiency was utilized. The selected exercises were derived from the SPARK training protocol. Data analysis was conducted using factorial analysis of variance (ANOVA) and univariate analysis of covariance (ANCOVA). All statistical procedures were performed using SPSS version 25, with a significance level set at p < 0.05. The results indicated a significant difference in fine motor skills between the experimental and control groups following the implementation of the selected exercises (p < 0.05). However, the effect of gender was not significant (p > 0.05). Furthermore, the mean scores of the experimental group in both gross motor skills and fine motor skills were significantly higher than those of the control group (p < 0.001). The effect of gender was significant for gross motor skills (p < 0.05) but not for fine motor skills (p > 0.05). The findings suggest that the selected exercises effectively enhance the fine motor skills of overweight and obese Iraqi children aged 8 to 9 years, with no significant difference between boys and girls. However, the effectiveness of the selected exercises on gross motor skills differs between overweight and obese boys and girls in this age group.
The Effect of Emotional Intelligence Training on Academic Commitment, Emotional Self-Regulation, and Academic Performance of Male Students at Farhangian University in Khuzestan Province
This study aimed to examine the effect of emotional intelligence training on academic commitment, emotional self-regulation, and academic performance in male students at Farhangian University in Khuzestan. The study utilized an experimental field design with a pretest-posttest control group structure. The statistical population included all male students at Farhangian University in Ahvaz during the 2017–2018 academic year. A total of 72 students were randomly selected and assigned to either the experimental group (n = 36) or the control group (n = 36). The intervention consisted of ten one-hour sessions of emotional intelligence training based on Bar-On’s model. The data collection instruments included the Academic Commitment Scale (Fredricks et al., 2004), the Emotional Self-Regulation Scale (Gross & John, 2003), and academic performance measured by students' semester grade point averages. Data analysis was conducted using multivariate analysis of covariance (MANCOVA) and analysis of covariance (ANCOVA) to determine the effectiveness of the intervention. The results showed that emotional intelligence training had a significant positive effect on academic commitment (F(1, 64) = 7.14, p = 0.009), emotional self-regulation (F(1, 64) = 8.21, p = 0.006), and academic performance (F(1, 64) = 9.48, p = 0.004). The experimental group demonstrated higher scores in all three variables compared to the control group. The intervention was particularly effective in enhancing students' ability to regulate emotions and remain committed to their academic responsibilities. The findings suggest that emotional intelligence training can improve students’ academic commitment, enhance their emotional self-regulation, and lead to better academic performance. Implementing emotional intelligence training in teacher education programs at Farhangian University may foster long-term improvements in both students' personal development and their future impact as educators
Examining the Relationship Between the Effectiveness of Compassion-Focused Therapy and Emotion-Focused Therapy on Enhancing Flexibility in Individuals with Psychoactive Substance Intoxication
The present study aims to compare the effectiveness of Compassion-Focused Therapy (CFT) and Emotion-Focused Therapy (EFT) on flexibility in individuals with psychoactive substance intoxication in Ahvaz. This study is an experimental research with a pre-test, post-test, and follow-up design with a control group. The statistical population of this study includes all individuals dependent on psychoactive substances who visited outpatient addiction treatment centers in Ahvaz and were admitted to these centers. Based on the research objective, a sample of 45 individuals was selected from the target population using purposive sampling, considering inclusion and exclusion criteria. The participants were randomly assigned to three groups: experimental group 1 (CFT), experimental group 2 (EFT), and a control group. The measurement instrument used in the study was the second version of the Acceptance and Action Questionnaire developed by Bond et al. (2011). The first experimental group underwent a compassion-focused therapy intervention based on Gilbert’s (2009, as cited in Golpour et al., 2014) compassion-focused therapy protocol, which consisted of eight weekly 60-minute sessions. The second experimental group received emotion-focused therapy based on the EFT protocol by Greenberg and Watson (2006, as cited in Salasi, Ramazani, & Jahan, 2022) over twelve 60-minute sessions. The control group did not receive any training during this period. A pre-test was administered to all 45 participants before the intervention, and a post-test was conducted after the completion of the sessions in all three groups. The results indicated that there was no significant difference between the effectiveness of Compassion-Focused Therapy and Emotion-Focused Therapy in improving flexibility in individuals with psychoactive substance intoxication in Ahvaz.
The Effectiveness of Compassion-Focused Therapy on Shame in Women with Body Dysmorphic Disorder Seeking Cosmetic Surgery
Given the lack of randomized controlled trials on the effectiveness of compassion-focused therapy in managing shame associated with body dysmorphic disorder and the necessity and importance of this issue, it became essential to investigate the effectiveness of compassion-focused psychodynamic therapy on shame in individuals with body dysmorphic disorder. The present study employed a randomized controlled experimental design. The statistical population included all women seeking cosmetic surgery with body dysmorphic disorder who experienced high levels of shame and had referred to cosmetic clinics in Tehran during the fall of 2023. The research sample consisted of 30 participants, selected using G*power software through cluster random sampling based on inclusion criteria. Participants were randomly assigned to either the intervention or control group, with the intervention group receiving compassion-focused psychotherapy. The Guilt and Shame Proneness Scale (GASP) was used to measure pre-test and post-test scores. Data were analyzed using SPSS-26 software through covariance analysis tests. The covariance analysis test for between-group changes in the shame variable was significant (F = 75.66, P = 0.04). The effect of the covariate (pre-test) on the dependent variable was not significant (P > 0.05). Therefore, compassion-focused therapy can be considered an effective and generalizable treatment for improving shame in individuals with body dysmorphic disorder.
The Relationship Between Self-Care Based on Illness Perception with Social Support, Shared Decision-Making, and Self-Efficacy in Patients with Type 2 Diabetes
Diabetes self-care is significantly influenced by various psychosocial factors. Therefore, the present study aimed to examine the relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy in patients with type 2 diabetes. The research method was descriptive-correlational. In a cross-sectional survey, 800 patients with type 2 diabetes (331 men and 469 women) were selected through random sampling from hospitals in Qom Province. Data were collected using a demographic and illness perception questionnaire, the Family Social Support Questionnaire, the Self-Efficacy in Diabetic Patients Questionnaire, the Diabetes Self-Care Questionnaire, and the Patient Participation in Treatment Decision-Making Questionnaire. Data analysis was conducted using SPSS 26 software. The results indicated a significant positive relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy. Considering the findings, it can be concluded that self-efficacy, belief in treatment effectiveness, social support, diabetes severity, and type of treatment are crucial factors in performing self-management behaviors and can explain a substantial proportion of the variability in diabetes self-management.
A Review of the Effectiveness of Acceptance and Commitment Therapy on Symptoms and Outcomes of Irritable Bowel Syndrome
The present study was conducted to review the effectiveness of Acceptance and Commitment Therapy (ACT) on the symptoms and outcomes of Irritable Bowel Syndrome (IBS). This review study examined the available literature on Acceptance and Commitment Therapy and Irritable Bowel Syndrome from 2000 to 2024 in both Persian and English languages. The keywords "therapy," "acceptance and commitment," "acceptance and commitment therapy," and "irritable bowel syndrome" were searched in reputable databases such as Science Direct, Wiley, PubMed, SID, and Magiran. A total of 25 articles addressing the effectiveness of Acceptance and Commitment Therapy on the symptoms and outcomes associated with Irritable Bowel Syndrome were identified. The results of these studies indicated that group-based or individual ACT interventions positively affected various aspects, including symptom severity, pain intensity, disease perception, immune function, body image, blood cortisol levels, treatment adherence, stress, anxiety, depression, rumination, cognitive flexibility, irrational beliefs, emotional regulation, schemas and emotional processing, experiential avoidance, sleep quality, hope, social capital, life satisfaction, psychological well-being, and quality of life in patients with IBS. The findings of this study suggest that Acceptance and Commitment Therapy can be utilized alongside pharmacotherapy and dietary modifications to alleviate symptoms and outcomes of Irritable Bowel Syndrome.
A New Reading of Abortion in the Metropolis of Tehran: Based on the Lived Experiences of Women Born in the 1980s
This study aims to examine abortion in the metropolis of Tehran using the grounded theory method, employing purposive and snowball sampling, and conducting semi-structured interviews with 17 women born in the 1980s who underwent at least one elective abortion in a clinic under the supervision of a specialist physician between 2021 and 2024. The data analysis, conducted using the interpretive analysis method of Strauss and Corbin, revealed two distinct pregnancy patterns among the respondents. In the first group, the causal factor was the convergence toward the discourse of definitive childlessness or low fertility. The contextual factors included the hardships of childbearing, economic difficulties, women's employment, and idealism in child-rearing. The intervening factors comprised a non-supportive environment for childbearing in society, marital life, and women's social networks. The interactions were characterized by changes in fertility behavior and a shift in women's perspective on childbearing. In the second group, the causal factor was the existence of extramarital relationships. The contextual factors included the dysfunctionality of marital life, prolonged suppression of sexual and emotional needs, husbands' extramarital affairs, and the perceived positive functions of extramarital relationships. The intervening factor was the obstacles to divorce. The interactions involved engagement with peer social networks, shifts in women's attitudinal and behavioral frameworks, and resistance to traditional and religious socialization. The core category derived from the study is "a new reading of abortion," which encompasses both the physical and non-physical consequences experienced by the actors involved.
The Effectiveness of Schema Therapy on Obsessive-Compulsive Disorder in Individuals with Borderline Personality Disorder
Borderline personality disorder, a severe and pervasive mental health condition, has attracted the interest of many researchers. Therefore, the present study aimed to examine the effectiveness of schema therapy on obsessive-compulsive disorder in individuals with borderline personality disorder. This study employed a quasi-experimental design with a pretest-posttest control group structure. The statistical population included all married women diagnosed with borderline personality disorder who visited the Family Green Psychological Services Center in Semnan in 2024. From this population, 30 individuals were selected using purposive sampling based on inclusion and exclusion criteria and were randomly assigned to either the experimental or control group (15 participants per group). The research instrument was the Maudsley Obsessive-Compulsive Inventory (MOCL). The schema therapy sessions were conducted based on the schema therapy protocol developed by Young et al. (2003; translated by Hamidpour, 2007). Data analysis was performed using SPSS-24 software and multivariate analysis of covariance (MANCOVA) while ensuring statistical assumptions were met. The results indicated that after controlling for the pretest effect, the difference in pretest-posttest scores in the experimental group for obsessive-compulsive disorder was statistically significant. Additionally, the posttest mean scores for obsessive-compulsive disorder in the experimental group were significantly lower than those in the control group (p < .001). Based on the study findings, schema therapy has a significant impact on the research variables. To enhance the external validity of the findings, further studies in this area are recommended.
The Effect of Selected Exercises on the Motor Development of Overweight and Obese Iraqi Children Aged 8 to 9 Years: The Moderating Role of Gender
The objective of this study was to examine the effect of selected exercises on the motor development of overweight and obese Iraqi children aged 8 to 9 years, considering the moderating role of gender. This research employed a quasi-experimental design with a pre-test and post-test structure, including both control and experimental groups. The statistical population consisted of overweight and obese children aged 8 to 9 years in the city of Baghdad. The sample included 40 children from Baghdad, selected voluntarily and based on inclusion and exclusion criteria using convenience sampling. To measure motor development, the short form of the second edition of the Bruininks-Oseretsky Test of Motor Proficiency was utilized. The selected exercises were derived from the SPARK training protocol. Data analysis was conducted using factorial analysis of variance (ANOVA) and univariate analysis of covariance (ANCOVA). All statistical procedures were performed using SPSS version 25, with a significance level set at p < 0.05. The results indicated a significant difference in fine motor skills between the experimental and control groups following the implementation of the selected exercises (p < 0.05). However, the effect of gender was not significant (p > 0.05). Furthermore, the mean scores of the experimental group in both gross motor skills and fine motor skills were significantly higher than those of the control group (p < 0.001). The effect of gender was significant for gross motor skills (p < 0.05) but not for fine motor skills (p > 0.05). The findings suggest that the selected exercises effectively enhance the fine motor skills of overweight and obese Iraqi children aged 8 to 9 years, with no significant difference between boys and girls. However, the effectiveness of the selected exercises on gross motor skills differs between overweight and obese boys and girls in this age group.
The Effect of Emotional Intelligence Training on Academic Commitment, Emotional Self-Regulation, and Academic Performance of Male Students at Farhangian University in Khuzestan Province
This study aimed to examine the effect of emotional intelligence training on academic commitment, emotional self-regulation, and academic performance in male students at Farhangian University in Khuzestan. The study utilized an experimental field design with a pretest-posttest control group structure. The statistical population included all male students at Farhangian University in Ahvaz during the 2017–2018 academic year. A total of 72 students were randomly selected and assigned to either the experimental group (n = 36) or the control group (n = 36). The intervention consisted of ten one-hour sessions of emotional intelligence training based on Bar-On’s model. The data collection instruments included the Academic Commitment Scale (Fredricks et al., 2004), the Emotional Self-Regulation Scale (Gross & John, 2003), and academic performance measured by students' semester grade point averages. Data analysis was conducted using multivariate analysis of covariance (MANCOVA) and analysis of covariance (ANCOVA) to determine the effectiveness of the intervention. The results showed that emotional intelligence training had a significant positive effect on academic commitment (F(1, 64) = 7.14, p = 0.009), emotional self-regulation (F(1, 64) = 8.21, p = 0.006), and academic performance (F(1, 64) = 9.48, p = 0.004). The experimental group demonstrated higher scores in all three variables compared to the control group. The intervention was particularly effective in enhancing students' ability to regulate emotions and remain committed to their academic responsibilities. The findings suggest that emotional intelligence training can improve students’ academic commitment, enhance their emotional self-regulation, and lead to better academic performance. Implementing emotional intelligence training in teacher education programs at Farhangian University may foster long-term improvements in both students' personal development and their future impact as educators
Examining the Relationship Between the Effectiveness of Compassion-Focused Therapy and Emotion-Focused Therapy on Enhancing Flexibility in Individuals with Psychoactive Substance Intoxication
The present study aims to compare the effectiveness of Compassion-Focused Therapy (CFT) and Emotion-Focused Therapy (EFT) on flexibility in individuals with psychoactive substance intoxication in Ahvaz. This study is an experimental research with a pre-test, post-test, and follow-up design with a control group. The statistical population of this study includes all individuals dependent on psychoactive substances who visited outpatient addiction treatment centers in Ahvaz and were admitted to these centers. Based on the research objective, a sample of 45 individuals was selected from the target population using purposive sampling, considering inclusion and exclusion criteria. The participants were randomly assigned to three groups: experimental group 1 (CFT), experimental group 2 (EFT), and a control group. The measurement instrument used in the study was the second version of the Acceptance and Action Questionnaire developed by Bond et al. (2011). The first experimental group underwent a compassion-focused therapy intervention based on Gilbert’s (2009, as cited in Golpour et al., 2014) compassion-focused therapy protocol, which consisted of eight weekly 60-minute sessions. The second experimental group received emotion-focused therapy based on the EFT protocol by Greenberg and Watson (2006, as cited in Salasi, Ramazani, & Jahan, 2022) over twelve 60-minute sessions. The control group did not receive any training during this period. A pre-test was administered to all 45 participants before the intervention, and a post-test was conducted after the completion of the sessions in all three groups. The results indicated that there was no significant difference between the effectiveness of Compassion-Focused Therapy and Emotion-Focused Therapy in improving flexibility in individuals with psychoactive substance intoxication in Ahvaz.
The Effectiveness of Compassion-Focused Therapy on Shame in Women with Body Dysmorphic Disorder Seeking Cosmetic Surgery
Given the lack of randomized controlled trials on the effectiveness of compassion-focused therapy in managing shame associated with body dysmorphic disorder and the necessity and importance of this issue, it became essential to investigate the effectiveness of compassion-focused psychodynamic therapy on shame in individuals with body dysmorphic disorder. The present study employed a randomized controlled experimental design. The statistical population included all women seeking cosmetic surgery with body dysmorphic disorder who experienced high levels of shame and had referred to cosmetic clinics in Tehran during the fall of 2023. The research sample consisted of 30 participants, selected using G*power software through cluster random sampling based on inclusion criteria. Participants were randomly assigned to either the intervention or control group, with the intervention group receiving compassion-focused psychotherapy. The Guilt and Shame Proneness Scale (GASP) was used to measure pre-test and post-test scores. Data were analyzed using SPSS-26 software through covariance analysis tests. The covariance analysis test for between-group changes in the shame variable was significant (F = 75.66, P = 0.04). The effect of the covariate (pre-test) on the dependent variable was not significant (P > 0.05). Therefore, compassion-focused therapy can be considered an effective and generalizable treatment for improving shame in individuals with body dysmorphic disorder.
The Relationship Between Self-Care Based on Illness Perception with Social Support, Shared Decision-Making, and Self-Efficacy in Patients with Type 2 Diabetes
Diabetes self-care is significantly influenced by various psychosocial factors. Therefore, the present study aimed to examine the relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy in patients with type 2 diabetes. The research method was descriptive-correlational. In a cross-sectional survey, 800 patients with type 2 diabetes (331 men and 469 women) were selected through random sampling from hospitals in Qom Province. Data were collected using a demographic and illness perception questionnaire, the Family Social Support Questionnaire, the Self-Efficacy in Diabetic Patients Questionnaire, the Diabetes Self-Care Questionnaire, and the Patient Participation in Treatment Decision-Making Questionnaire. Data analysis was conducted using SPSS 26 software. The results indicated a significant positive relationship between self-care based on illness perception with social support, shared decision-making, and self-efficacy. Considering the findings, it can be concluded that self-efficacy, belief in treatment effectiveness, social support, diabetes severity, and type of treatment are crucial factors in performing self-management behaviors and can explain a substantial proportion of the variability in diabetes self-management.
A Review of the Effectiveness of Acceptance and Commitment Therapy on Symptoms and Outcomes of Irritable Bowel Syndrome
The present study was conducted to review the effectiveness of Acceptance and Commitment Therapy (ACT) on the symptoms and outcomes of Irritable Bowel Syndrome (IBS). This review study examined the available literature on Acceptance and Commitment Therapy and Irritable Bowel Syndrome from 2000 to 2024 in both Persian and English languages. The keywords "therapy," "acceptance and commitment," "acceptance and commitment therapy," and "irritable bowel syndrome" were searched in reputable databases such as Science Direct, Wiley, PubMed, SID, and Magiran. A total of 25 articles addressing the effectiveness of Acceptance and Commitment Therapy on the symptoms and outcomes associated with Irritable Bowel Syndrome were identified. The results of these studies indicated that group-based or individual ACT interventions positively affected various aspects, including symptom severity, pain intensity, disease perception, immune function, body image, blood cortisol levels, treatment adherence, stress, anxiety, depression, rumination, cognitive flexibility, irrational beliefs, emotional regulation, schemas and emotional processing, experiential avoidance, sleep quality, hope, social capital, life satisfaction, psychological well-being, and quality of life in patients with IBS. The findings of this study suggest that Acceptance and Commitment Therapy can be utilized alongside pharmacotherapy and dietary modifications to alleviate symptoms and outcomes of Irritable Bowel Syndrome.
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