The effectiveness of acceptance and commitment based therapy on social adjustment, mental turmoil and self-rupturing among people with transgender sexual disorder
Subject Areas : Ethics and Islamic EducationParvin Hemmat Afza 1 , ferozeh sepehrian 2 , Esmaeil Soleymaniyan 3
1 - mohageg
2 -
3 -
Keywords: acceptance and commitment therapy, mental turmoil, self-rupturing, transgender sexual disorder.,
Abstract :
Aim: Gender identity disorders (GID) are heterogeneous disorders that may be influenced by culture and social norms The purpose of the present research was to study the effectiveness of acceptance and commitment based therapy on social adjustment, mental turmoil and self-rupturing among people with transgender sexual disorder, Materials and Method: this research was a semi-experimental. The sample of the research included 30 individuals with Transgender sexual disorder in well-being organization of north Khorasan, they were selected by available sampling and were placed randomly in experimental and control group randomly. Data were obtained by mental health questionnaire SCL-25, self-rupturing questionnaire of Sadegh-zade et al. (2006), and Bell social adjustment inventory (1961). Findings were analyzed by SPSS software and multi-variate covariance analysis test. Results: The results show that acceptance and commitment based therapy significantly promoted social adjustment and mental turmoil and also reduced self-rupturing among people with transgender sexual disorder (P<0.01). discussion: according to the findings of the research it can be said that utilizing new treatments in psychotherapy and counseling such as acceptance and commitment based therapy may be effective on improving mental state of people with transgender sexual disorder, so due to their special problems in Iran it is necessary to utilize such treatments for them.
پایگاه خبری ایسکانیوز. تاریخ بازدید: 12/9/1395، به نقل از معاون اجتماعی سازمان بهزیستی ایران. http://www.iscanews.ir/
ترابی، ف؛ مندمی، ش؛ گرامی زاده شیرازی، ن. (1394). مقایسه سازگاری اجتماعی پدران دارای فرزند با و بدون کمتوانی ذهنی. تعلیم و تربیت استثنایی، سال پانزدهم، شماره 6، پیاپی 134، 22-29.
جواهری، ف؛ حسین زاده، م. (1390). پیامدهای اجتماعی اختلال هویت جنسی: سرمایه اجتماعی و کیفیت زندگی تغییر جنس خواهان در ایران. مجله مطالعات اجتماعی ایران، دوره پنجم، شماره 3، 3-22.
رئیسی، م. (1393). مقایسه خودپنداره و خودگسستگی در سه گروه زنان اهداکننده تخمک، دریافت کننده تخمک و زنان بارور مراجعه کننده به پژوهشکده رویان و مراکز بهداشتی- درمانی دانشگاه علوم پزشکی تهران. پایاننامه براي دریافت درجه کارشناسی ارشد در رشته مامایی گرایش پزشکی قانونی، دانشکده پرستاري و مامایی دانشگاه علوم پزشکی تهران.
ساعتچی، محمود؛ کامکاری، کامبیز؛ عسکریان، مهناز. (1395). آزمونهای روان شناختی. تهران: نشر ویرایش.
شایقیان، ز.، امیری، پ.، آگیلار وفایی، م.، و بشارت، م. ع. (1394). اثربخشی گروه درمانی مبتنی بر پذیرش و تعهد بر بهبود هموگلوبین گلیکوزیله و فعالیتهاي خود مراقبتی در مبتلایان به دیابت نوع دو. روانشناسی معاصر، 10(2)،41-50.
فلکسمن، پل. ا؛ بلک لج، ج. ت و باند، فرانک و. (1970). تند آموز درمان مبتنی بر پذیرش و پای بند. ترجمه مصلح میرزایی و سامان نونهال (1393)، تهران: انتشارات ارجمند.
نجاريان، بهمن؛ داوودي، ايران. (1380). ساخت و اعتباريابي SCL-25 (فرم كوتاه مدت SCL- 90-R). مجله روانشناسي، دوره 5، شماره 2، (پیاپی 18)، 136-149.
نوري، م. ح. ابراهيمي، ا. نشاط دوست، ح. ط. افشار، ح. عابدي، ا. (1393). اثربخشي درمان گروهي پذيرش و تعهد (ACT) بر پذيرش درد، اضطراب مرتبط با درد و شدت درد بيماران مرد مبتلا به درد مزمن. مجله دانشكده پزشكي اصفهان، شماره 295، هفته چهار، ص 1.
واثق رحیم پرور، ف؛ موسوی، م.س؛ رئیسی، ف؛ خدابنده، ف؛ بحرانی، ن. (1392). مقایسه کیفیت زندگی بیماران اختلال هویت جنسی پس از عمل جراحی تغییر جنسیت با زنان عادی در شهر تهران در سال 1391. مجله مامایی و نازایی زنان ایران. دوره شانزدهم، شماره 74، 10-19. Adli, M., Haidari, H., Zarei, E., & Sadeghifard, M. (2013). Relationship between emotional and social adjustment with marital satisfaction. Journal of Life Science and Biomedicine, 3(2), 118-122.
American Psychological Association. (2014). What does transgender mean? Retrieved from: http://www.apa.org/ topics/lgbt/transgender.aspx
Bockting, W., Coleman, E., Deutsch, M. B., Guillamon, A., Meyer, I., Meyer III, W., ... & Ettner, R. (2016). Adult development and quality of life of transgender and gender nonconforming people. Current Opinion in Endocrinology, Diabetes and Obesity, 23(2), 188-197.
Brown, M., Glendenning, A., Hoon, A. E., & John, A. (2016). Effectiveness of Web-Delivered Acceptance and Commitment Therapy in Relation to Mental Health and Well-Being: A Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 18(8).
Ceglie, D. D. (2000) “Gender Identity Disorder in Young People”, Journal of Advances in Psychiatric Treatment, (6): 458-466.
Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., ... & Monstrey, S. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. International Journal of Transgenderism, 13(4), 165-232.
Colizzi, M., Costa, R., & Todarello, O. (2014). Transsexual patients’ psychiatric comorbidity and positive effect of cross-sex hormonal treatment on mental health: results from a longitudinal study. Psychoneuroendocrinology, 39, 65-73.
Eilenberg, T., Fink, P., Jensen, J. S., Rief, W., & Frostholm, L. (2016). Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychological medicine, 46(01), 103-115.
Emerson, E., & Liewellyn, G. (2008). Mental health of Australian mothers and fathers of young children at risk of disability. Australian and New Zealand Journal of Public Health, 32, 53-59.
Ettner, R., & Wylie, K. (2013). Psychological and social adjustment in older transsexual people. Maturitas, 74(3), 226-229.
Feusner, J. D., Dervisic, J., Kosidou, K., Dhejne, C., Bookheimer, S., & Savic, I. (2016). Female-to-male transsexual individuals demonstrate different own body identification. Archives of sexual behavior, 45(3), 525-536.
Fisher, A. D., Castellini, G., Ristori, J., Casale, H., Cassioli, E., Sensi, C., ... & Dèttore, D. (2016). Cross-Sex Hormone Treatment and Psychobiological Changes in Transsexual Persons: Two-Year Follow-Up Data. The Journal of Clinical Endocrinology & Metabolism, 101(11), 4260-4269.
Forman, E. M., & Herbert, D. (2008). New directions in cognitive behavior therapy: acceptance based therapies, chapter to appear in W. O’donohue, Je. Fisher, (Eds), cognitive behavior therapy: Applying empirically supported treatments in your practice, 2nd ed. Hoboken, NJ: Wiley, 263-26.
George, N. I., & Ukpong, D. E. (2012). Adolescents’ sex differential social adjustment problems and academic performance of junior secondary school students in Uyo Metropolitan City. International Journal of Business and Social Science, 3(19), 245-251.
Gooren, L. J., Sungkaew, T., & Giltay, E. J. (2013). Exploration of functional health, mental well-being and cross-sex hormone use in a sample of Thai male-to-female transgendered persons (kathoeys). Asian J Androl, 15(2), 280Á5.
Green, R. (2009). Gender identity disorders. In: J. S. Sadock, & J. S. Sadock, (Eds.). Kaplan & Sadock’s Comprehensive Textbook of Psychiatry. Lippincott Williams, Philadelphia, 2099-2111.
Harris R. )2006(. Embracing your demons: An overview of aceeptance and commitment therapy. Psychotherapy in Australia; 21(4):2-8.
Hayes, S., Hogan, M., Dowd, H., Doherty, E., O'Higgins, S., Gabhainn, S. N., ... & Newell, J. (2014). Comparing the clinical-effectiveness and cost-effectiveness of an internet-delivered Acceptance and Commitment Therapy (ACT) intervention with a waiting list control among adults with chronic pain: study protocol for a randomised controlled trial. BMJ open, 4(7), e005092.
Hayes, S.C. Levin, M.E. Plumb-Vilardaga, J. Villatte, J.L. and Pistorello, J. (2013) Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cogni- tive Therapy. Behavior Therapy, 44, 180-196.
Heylens, G., Elaut, E., Kreukels, B. P., Paap, M. C., Cerwenka, S., Richter-Appelt, H., ... & De Cuypere, G. (2014). Psychiatric characteristics in transsexual individuals: multicentre study in four European countries. The British Journal of Psychiatry, 204(2), 151-156.
Higgins, E. T., Tykocinski, O., & Vookles, J. (2013, March). Patterns of Self-Beliefs: The Psychological. In Self-Inference Processes: The Ontario Symposium (Vol. 6, p. 153). Psychology Press.
Higgins, E.T. (1998). When do self-discrepancies have specific relations to emotions? The second generation question of Tangney, Niedenthal, Covert, and Barlow. J Pers Social Psychol 1999; 77(6): 1313-17.
Kolaitis, G., Giannakopoulos, G., Tomaras, V., Christogiorgos, S., Pomini, V., Layiou-Lignos, E., ... & Trowell, J. (2014). Self-Esteem and Social Adjustment in Depressed Youths: A Randomized Trial Comparing Psychodynamic Psychotherapy and Family Therapy. Psychotherapy and psychosomatics, 83(4), 249-251.
Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M., Tolvanen, A., & Lappalainen, R. (2014). ACT Internet-based vs face-to-face? A randomized controlled trial of two ways to deliver Acceptance and Commitment Therapy for depressive symptoms: An 18-month follow-up. Behaviour research and therapy, 61, 43-54.
Livheim, F., Hayes, L., Ghaderi, A., Magnusdottir, T., Högfeldt, A., Rowse, J., ... & Tengström, A. (2015). The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes. Journal of Child and Family Studies, 24(4), 1016-1030.
Petit, A. C. (2016). Acute mental confusion, circadian rhythm reversal, restlessness, and a worsening of dysarthria and abnormal movements: case report. Reactions, 1627, 44-12.
Ruiz, F. J. (2010). A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10(1).
Smith, E. S., Junger, J., Derntl, B., & Habel, U. (2015). The transsexual brain–A review of findings on the neural basis of transsexualism. Neuroscience & Biobehavioral Reviews, 59, 251-266.
Solomon-Krakus, S., Sabiston, C. M., Brunet, J., Castonguay, A. L., Maximova, K., & Henderson, M. (2016). Body Image Self-Discrepancy and Depressive Symptoms Among Early Adolescents. Journal of Adolescent Health.