The Effectiveness of Acceptance and Commitment Therapy on Stress Coping Strategies in Women with Ulcerative Colitis

maryam ghorbani, rokhsare amin pur



The main purpose of the present paper is to examine the effectiveness of acceptance and commitment therapy on perceived stress, stress coping strategies and illness perception in women with Ulcerative Colitis.


Materials and Methods:

This is an experimental study performed as pretest and post-test. The population consists of woman suffering from Ulcerative Colitis in Isfahan. The sample includes 37 Colitis selected by multi-stage random sampling and randomly assigned to experiment and control groups (control=20, experimental=17). The acceptance and commitment therapy was performed in the experimental group within two months once a week. The tools applied by this study include Perceived Stress Scale, Brief Illness Perception Scale Stress Coping Strategies Scale and Brief Illness Perception Scale.


The results of this research showed that the means of coping strategies in experimental group has changed significantly in comparison with control group (p<0/05).


Conclusion :

Thus, the acceptance and commitment therapy could be used along with other methods of the treatment for the women with Ulcerative Colitis.



Acceptance and commitment therapy, ACT, Stress coping strategies , Ulcerative Colitis

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World Health Organization. Cause of death. Center for global. Info Regional Studies at the University of California Santa; 2002.P. 120-140.

Kerr J. Community health promotion changes for practice. Bailliere Tindal 2000: 5-23.

Mikocka-Walus AA, Turnbull DA, Moulding NT, Wilson IG, Andrews JM , Holtmann GJ. Controversies surrounding the comorbidity of depression and anxiety in Inflammatory Bowel Disease: a literature review. Inflamm Bowel Dis 2007; 13:225-234.

Spiro HM. Six physicians with inflammatory bowel disease. J Clin Gastroenterol 1990; 12: 636–42.

Kiebles JL, Doerfler B, Keefer L. Preliminary Evidence supporting a framework of psychological adjustment to inflammatory bowel disease. Inflamm Bowel Dis 2010; 16:1685-95.

Drossman DA, Patrick DL, Mitchell CM, Appelbeum MI. Health related quality of life inflammatory bowel disease: functional status and patients worries and concerns. Dig Sci 1989; 34:1379-86.

Drossman DA, Ringle Y. Psychological factors in ulcerative colitis and Crohn’ diseas. In: Sartor R, Sandborn W, Editors. Kirsners. inflammatory bowel disease.6th ed. Philadelphia: WB. Suanders. 2004.340-56.

Kuroki T, Ohta A, Aoki Y, Ootani H, Iwakiri R, Fujimoto K. Stress maladjustment in the pathoetiology of ulcerative colitis. J Gastroenterol 2007; 42): 522-527.

, Bitton A, Sewitch MJ, Peppercon M A. Psychosocial determinants of relaps in ulcerative colits: a longitudinal study. Am J Gastroenterol 2003; 93: 2203-8.

Mawdsley JE, Rampton DS. Psychological stress in Inflammatory Bowel Disease: new insights and therapeutic implications. Gut 2005; 54:1481-91.

Folkman S, Lazarus RS, Gruen RJ, Delongis A. Appraisal, coping, health status, & psychological symptoms. J Pers Soc Psychol 1986;50:571-9.

Birgitte B. Do personality traits predict general Quality of life (short form-36) in distressed pations with ulcerative colitis and Crohn, Scand J Gastroenterol 2008;43:1505-13.

Sainsbury A, Heatley RV. Psychological factors in the quality of life of patients with inflammatory bowel disease. Aliment Pharmacol Ther 2005;21:499-508.

Bitton A, Sewitch MJ, Peppercon M A. Psychosocial determinants of relaps in ulcerative colits: a longitudinal study. Am J Gastroenterol 2003; 93:2203-8.

Hayes SC. How empirically oriented are the new behavior therapy technologies? Behav Thera 2008; 35:35-54.

Hayes SC. A contextual approach to therapeutic change. In N. Jacobson (ED), Psychotherapists in Clinical Practice: Cogitive and Behavioral Perspectives (pp.327-387). New York: Guilford Press.1987.

Hayes SC, Strosahl K, Eilson K. Experiential avoidance and behavioral disorder: A functional dimensional approach to diagnosis and treatment. J Consul Clin Psychol 2010; 64:1152-68.

Kashdan TB, Barrios V, Forsyth JP, Steger MF. Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behav Res Thera 2006; 9:1301-20.

Hayes SC. Psychometric properties of the Acceptance and Action Quaestionnaire (AAQ).Manuscript submitted for publication.2005

Delavar A. Applied Probability and Statistics in Psychology and Education. Publication of Tehran. 2011.

Endler NS, Parker JD. Multidimensional assessment of coping: a critical evaluation. J Pers Soc Psychol 1990;58:844-54.

Jafarnejad P. Factors Associated With Premature Discharge of Patients With. Psychiatry and Psychology Research Center,Department of Psychiatry, Roozbeh Hospital,Tehran University of Medical Sciences. Psychosis Against Medical Advice. Iran J Psychiat 2006;27-30.

Schwarz SP, Blanchrd EB. Optimism and resources: effects on each other and health over 10 years. J Res in Personality 1991; 41:722-86.

Shaw L, Ehrlich A. Relaxation traning as a treatment for chronic pain caused by ulcerative colitis.Pain 1987; 29:287-93.

Hayes SC. Dysfunctional control by client verbal behavior: The context of reason-giving. The Anal Verbal Behav 1994; 4:30-8.

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