The Effectiveness of Acceptance and Commitment Therapy (ACT) on Lifestyle in Overweight Individuals

Document Type : Original Article (s)

Authors

1 MSc Student in Health Psychology, Department of Health Psychology School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Behavioral Sciences Research Center, Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 PhD in Psychology, Behavioral Sciences Research Center, Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Professor, Behavioral Sciences Research Center, Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Professor, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

6 MSc Student of Clinical Psychology, Islamic Azad University of Isfahan, Isfahan (Khorasgan) Branch, Isfahan, Iran

10.48305/jims.v43.i825.0920

Abstract

Background: Obesity is a global health challenge, with researchers increasingly emphasizing its psychological components. This study was conducted to investigate the effectiveness of acceptance and commitment therapy (ACT) on lifestyle, quality of life and body mass index in overweight individuals.
Methods: This clinical trial selected 60 participants (30 in the intervention group, 30 in the control group) from overweight and obese individuals referring to the Iranian Health Clinic in Isfahan, based on inclusion/exclusion criteria. Participants were assessed at pre-intervention, post-intervention, and follow-up stages using the Weight-Related Lifestyle Questionnaire (WEL). The intervention group received 10 sessions of 1.5-hour ACT specifically adapted for obesity. Data were analyzed using repeated measures ANOVA.
Findings: The results demonstrated that ACT intervention had a positive effect on lifestyle and its subscales (P < 0.05).
Conclusion: Based on the study findings, ACT appears to be effective in improving lifestyle among overweight individuals.

Highlights

Fatemeh Nikbakht: Google Scholar, PubMed

Amrollah Ebrahimi: Google Scholar, PubMed 

Keywords

Main Subjects


  1. Martins MIS, Vitoriano NAM, Martins CA, Carvalho EM, Jucá RVBdM, Alves JSM, et al. Aspects of motor development and quality of life in the context of child obesity J Hum Growth Dev 2021; 31(1): 58-65.
  2. Sarma S, Sockalingam S, Dash S. Obesity, Metabolism. Obesity as a multisystem disease: Trends in obesity rates and obesity‐related complications. Diabetes Obes Metab 2021; 23(Suppl 1): 3-16.
  3. Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metab 2022; 33(1): 18-35.
  4. Khalid SI, Maasarani S, Wiegmann J, Wiegmann AL, Becerra AZ, Omotosho P, et al. Association of bariatric surgery and risk of cancer in patients with morbid obesity. Ann Surg 2022; 275(1): 1-6.
  5. Wacker-Gussmann A, Oberhoffer-Fritz R. Cardiovascular Risk Factors in Childhood and

    J Clin Med 2022; 11(4): 1136.
  6. Heitkamp M, Siegrist M, Molnos S, Brandmaier S, Wahl S, Langhof H, et al. Obesity genes and weight loss during lifestyle intervention in children with obesity. JAMA Pediatr 2021; 175(1): e205142-e.
  7. Lourida I, Hannon E, Littlejohns TJ, Langa KM, Hyppönen E, Kuźma E, et al. Association of lifestyle and genetic risk with incidence of dementia. JAMA 2019; 322(5): 430-7.
  8. Bahador E, Saber M, FadakarDavarani MM, Khanjani N, Gohari BH, Safinejad H. The relationship between lifestyle and metabolic evaluation in women with a history of gestational diabetes. J Educ Health Promot 2021; 10: 403.
  9. Kasila K, Vainio S, Punna M, Lappalainen P, Lappalainen R, Kaipainen K, et al. Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting. Prim Health Care Res Dev 2020; 21: e12.
  10. Zhao C, Lai L, Zhang L, Cai Z, Ren Z, Shi C, et al. The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: a meta-analysis with trial sequential analysis. J Psychosom Res 2021; 140: 110304.
  11. Flaxman PE, Blackledge JT, Bond FW. Acceptance and commitment therapy: Distinctive features. London, UK: R outledge; 2010.
  12. Davoudi M. Investigation of the Effectiveness of Integrated Acceptance and Commitment Therapy (ACT) and Therapeutic Regime on Food Addiction Severity Index, Risky Decision Making and BMI in Adolescent Girls with Over Weight and Obesity. Clinical and Experimental Psychology 2021; 7(11): 1-11.
  13. Roemer L, Orsillo SM, Salters-Pedneault K. Psychology c. Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol 2008; 76(6): 1083-9.
  14. Navidian A, Abedi M, Baghban I, Fatehizadeh M, Poursharifi H. Reliability and validity of the weight efficacy lifestyle questionnaire in overweight and obese individuals [in Persian]. Journal of Behavioral Sciences 2009; 3(3): 217-22.
  15. Nourian L, Aghaei A, Ghorbani M. The efficacy of acceptance and commitment therapy on weight self-efficacy lifestyle in obese women [in Persian]. J Mazandaran Univ Med Sci 2015; 25(123): 159-69.
  16. Guerrini Usubini A, Cattivelli R, Giusti EM, Riboni FV, Varallo G, Pietrabissa G, et al. The ACT your CHANGE study protocol: promoting a healthy lifestyle in patients with obesity with Acceptance and Commitment Therapy—a randomized controlled trial. Trials 2021; 22(1): 290.
  17. Kasila K, Vainio S, Punna M, Lappalainen P, Lappalainen R, Kaipainen K, et al. Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting. Prim Health Care Res Dev 2020; 21: e12.

Yıldız E. The effects of acceptance and commitment therapy on lifestyle and behavioral changes: A systematic review of randomized controlled trials. Perspect Psychiatr Care 2020; 56(3): 657-90.