Volume 21, Issue 2 (June 2023)                   Iranian Rehabilitation Journal 2023, 21(2): 223-230 | Back to browse issues page

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Kabusi M, Razavi Nasab S A, Saber E, Ivanbagha R, Khedri B, Khezerlou Z, et al . Assessing the Effects of Acceptance-commitment and Psychodrama Therapies in Nurses With Social Anxiety Disorder. Iranian Rehabilitation Journal 2023; 21 (2) :223-230
URL: http://irj.uswr.ac.ir/article-1-1555-en.html
1- Department of Geriatric Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
2- Department of Clinical Sciences, Faculty of Sirjan Medical Sciences, Sirjan, Iran.
3- Department of Occupational Health Engineering, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
4- Department of Midwifery, School of Nursing, Khalkhal University of Medical Sciences, Khalkhal, Iran.
5- Department of Social Work, Faculty of Social Studies, Hanze University of Applied Science, Groningen, Netherlands.
6- Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
7- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
8- Department of Pediatric and Neonatal Intensive Care Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
9- Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
10- Health Sciences Research Center, Student Research Committee, Tabriz University of Medical Sciences,Tabriz, Iran.
11- Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Abstract:   (1764 Views)
Objectives: Social anxiety disorder (SAD) is one the most prevalent psychiatric disorders and generates severe negative effects on patients' mental, individual, and social health. Decreased responsibility, absenteeism, and poor life quality can be the consequences of this disorder. Considering the effective empirical background of both therapeutic approaches in reducing social anxiety symptoms and the lack of research on combining both interventions to reduce anxiety, this study was performed to determine the effects of acceptance-commitment therapy (ACT) and psychodrama therapy on nurses' social anxiety.
Methods: This randomized trial research was conducted at Torbat Heydarieh University of Medical Sciences in 2017 with a pre-test-post-test design. A total of 48 nurses with SAD who were referred to the university counseling center were chosen at random and entered into 4 equal groups (12 subjects) (an intervention group and 3 control groups). The intervention group received a combination of psychodrama and ACT therapies in twelve 90-minute treatment sessions (2 meetings every week). The control groups were provided with psychodrama therapy, ACT, and no treatment. The study data were collected by Connor's social anxiety questionnaire (2000). The collected data were analyzed by analyses of variance and covariance.
Results: A decrease was observed in the social anxiety scores in the four groups of the study after psychological therapies. The Mean±SD of the social anxiety score in the treatment group based on psychodrama was 64.75±13.37 before the study period and 49.08±6.71 after that. While in the ACT group, it was 59.65±12.21 and 42.66±8.05 before and after the study, respectively, and in the group provided with a combination of both therapies, it was 62.75±13.49 before the study period and 35.75±7.19 after that. A lack of significant difference (P=0.86) could be detected in the mean anxiety score in the group of control. However, the social anxiety score of the group with a combination of both therapies significantly decreased (P<0.001) compared to other studied control groups. 
 Discussion: The data analysis showed that a combination of ACT and psychodrama therapies significantly reduced the social anxiety of nurses.

Coresponding author: Samaneh Eshaghzadeh, E-mail: s.eshaghzadeh@gmail.com

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Article type: Original Research Articles | Subject: Psychology
Received: 2021/12/29 | Accepted: 2022/12/7 | Published: 2023/03/19

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