Comparison of the Effectiveness of Acceptance and Commitment Therapy (ACT) and Emotion-Focused Therapy (EFT) on Cognitive Distortions and Emotion Regulation in Women with Social Anxiety Disorder
Keywords:
Social anxiety disorder, Acceptance and Commitment Therapy, Emotion-Focused Therapy, Cognitive distortion, Emotion regulationAbstract
The present study was conducted with the aim of determining the effectiveness of a task-based cognitive rehabilitation program on improving executive functions in children diagnosed with high-functioning autism spectrum disorder. This research employed a quasi-experimental design with a pretest–posttest structure and a control group. From the population of children with high-functioning autism spectrum disorder who attended rehabilitation centers and clinics in Tehran in 2024, a total of 30 children were selected using convenience sampling and were randomly assigned to experimental and control groups. The experimental group received 12 sessions of a 45-minute task-based cognitive rehabilitation intervention, whereas the control group did not receive any intervention. The Go/No-Go Test (Menon, Adleman, & White, 2001), the Color–Word Test (Stroop, 1935), and the N-Back Test (Kirchner, 1985) were employed as research instruments. Data were analyzed using repeated-measures analysis of variance. The findings indicated that the task-based cognitive rehabilitation program had a significant effect on improving components of executive functions (including attention, inhibition, and visuospatial working memory) in children with high-functioning autism (P ≤ .05). Based on the results, it can be concluded that the task-based cognitive rehabilitation program can be used as an effective intervention for enhancing executive functions in children with high-functioning autism spectrum disorder.
Downloads
References
Akbari Dehghi, A., & Molaei, M. (2025). The effectiveness of acceptance and commitment therapy in enhancing emotional regulation and academic motivation in adolescents. Achievements in Clinical Psychology, 11(2), 33-48. https://doi.org/10.22055/jacp.2025.48800.1443
Conradi, H. J., Dingemanse, P., Noordhof, A., Finkenauer, C., & Kamphuis, J. H. (2018). Effectiveness of the 'Hold me Tight' relationship enhancement program in a self‐referred and a clinician‐referred sample: An Emotionally Focused Couples Therapy‐based approach. Family Process, 57(3), 613-628. https://doi.org/10.1111/famp.12305
Doshmanfana, S., Mosafer, A., Mostafaei, N., Samadifard, N., & Yekta, M. R. (2025). The effectiveness of emotion-focused therapy on emotion dysregulation and resilience in patients with chronic pain and depressive symptoms. Health Nexus, 3(1), 123-130. https://doi.org/10.61838/kman.hn.3.1.13
Ebrahimi, A. (2020). The effectiveness of emotion-focused therapy on fear of negative evaluation and anxiety sensitivity in individuals with social anxiety Department of Psychology, Bahar Higher Education Institute]. https://www.researchgate.net/publication/378836693_The_effectiveness_of_emotion-focused_therapy_on_anxiety_sensitivity_distress_tolerance_and_coping_strategies_in_betrayed_women
Hosseini Ardakani, A. (2020). The effectiveness of emotion-focused therapy on social anxiety and interpersonal dependency in women visiting health houses. New Ideas in Psychology, 4(8), 1-11. https://jnip.ir/browse.php?a_id=265&sid=1&slc_lang=fa
Jahedi, R., & Badri-Gorgari, R. (2023). A meta-analysis of the effectiveness of acceptance and commitment therapy interventions on social anxiety. Social Psychology Research, 13(50), 76-57. https://www.socialpsychology.ir/article_178110_714fc25c83ce25ce3385a97343f4460d.pdf
Kebritchi, A., Abolghasemi, S., & Shahriari Ahmadi, M. (2024). Investigating the effectiveness of emotion-focused therapy on cognitive flexibility and distress tolerance in married women with social anxiety disorder. Journal of Psychological Science, 23(143), 97-113. https://psychologicalscience.ir/browse.php?a_id=2527&sid=1&slc_lang=en
Laurito, L. D., Loureiro, C. P., Dias, R. V., Vigne, P., de Menezes, G. B., Freire, R. C., & Fontenelle, L. F. (2018). Predictors of benzodiazepine use in a transdiagnostic sample of panic disorder, social anxiety disorder, and obsessive-compulsive disorder patients. Psychiatry research, 262, 237-245. https://doi.org/10.1016/j.psychres.2018.02.013
Mennin, D. S., Holaway, R. M., Fresco, D. M., Moore, M. T., & Heimberg, R. G. (2017). Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior therapy, 38(3), 284-302. https://doi.org/10.1016/j.beth.2006.09.001
Mohammadi, Z., Pasha, R., Bakhtiarpour, S., & Askari, P. (2022). The effectiveness of acceptance and commitment therapy on difficulties in emotion regulation and rumination in women with social anxiety disorder. Knowledge and research in applied psychology, 23(2), 62-52. https://www.sid.ir/paper/1032929/fa
Niles, A. N., Burklund, L. J., Arch, J. J., Lieberman, M. D., Saxbe, D., & Craske, M. G. (2014). Cognitive mediators of treatment for social anxiety disorder: Comparing acceptance and commitment therapy and cognitive-behavioral therapy. Behavior therapy, 45(5), 664-677. https://doi.org/10.1016/j.beth.2014.04.006
Razaqi, S., Mansoubi Far, M., Havasie Sumar, N., & Tahmorsi, N. (2023). The effectiveness of Emotion-Focused Therapy on emotional regulation and quality of life in music students exhibiting social anxiety disorder traits. Journal of Psychological Sciences, 22(27), 1335-1352. http://psychologicalscience.ir
Rozen, N., & Aderka, I. M. (2023). Emotions in social anxiety disorder: A review. Journal of anxiety disorders, 95, 102696. https://doi.org/10.1016/j.janxdis.2023.102696
Salehi, S., Vaziri, S., & Nasri, M. (2025). Comparing the Effectiveness of Acceptance and Commitment Therapy and Paradoxical Timetable Therapy on Worry in Individuals with Social Anxiety Disorder. Sadra Medical Journal, 13(1), 138-154. https://doi.org/10.30476/smsj.2025.101698.1495
Shadfar, Z., Emami, F., Kojouri, A., Koohestani, F., & Khandehroy Lafmegani, S. (2025). Comparison of Emotion-Focused Therapy Approach and Meta-Diagnostic Protocol on Emotion Regulation in Adolescents with Borderline Personality Disorder. International Journal of Body, Mind & Culture, 12(2). https://search.ebscohost.com
Shahar, B. (2014). Emotion‐focused therapy for the treatment of social anxiety: An overview of the model and a case description. Clinical Psychology & Psychotherapy, 21(6), 536-547. https://doi.org/10.1002/cpp.1853
Vaqe, F. (2022). The effectiveness of acceptance and commitment therapy on emotional regulation, self-efficacy, and severity of symptoms in students with social anxiety disorder in Tehran Department of General Psychology, Payame Noor University]. https://cjhr.gums.ac.ir/article-1-423-en.pdf
Vatankhah, S., Bakhshipour Roodsari, A., Hashemi Nosratabad, T., & Shalchi, B. (2025). The Effectiveness of Emotion-Focused Therapy (EFT) on Body Image Dissatisfaction, Cognitive Emotion Regulation and Impulsivity in Women with Bulimia Nervosa: A Single Case Study. Journal of Clinical Psychology, 17(65). https://jcp.semnan.ac.ir
Yadolahi, S., Mirzaei, S. H., & Soleimianian, A. A. (2025). Comparing the efficacy of counseling based on acceptance commitment approach and the compassion approach in a group way on emotion regulation and the quality of marital relationship in infertile women. Journal of Psychological Science, 24(149), 287-305. https://psychologicalscience.ir/article-1-2488-en.html
Yousefpouri, M., Zomorodi, S., & Bazzāziān, S. (2024). Effectiveness of Acceptance and Commitment-Based Couples Therapy on Attitudes Towards Marital Infidelity and Emotional Regulation in Married Women. Aftj, 5(2), 103-111. https://doi.org/10.61838/kman.aftj.5.2.12
Yuan, J., Li, H., Zhang, Y., & Zhou, X. (2024). Effect of acceptance and commitment therapy on emotion regulation in adolescent patients with nonsuicidal self-injury. Frontiers in psychology, 15, 1189. https://doi.org/10.5152/alphapsychiatry.2024.231324

