Efficacy of Acceptance and Commitment Therapy on Depression and Anxiety of Patients with Celiac (Coeliac) and It’s Relation to Therapeutic Response in Yazd

Author Info

Hamid Mirhosseini Maryam Barakati Maryam Hadavi Reza Bidaki

Corresponding Author

Maryam Hadavi
Molecular Medicine Research Center, Research Institute of Basic Medical Sciences, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

A B S T R A C T

Background: Celiac is an inflammatory bowel disease and an autoimmune disorder which is genetically stimulated by gluten-free protein synthesis. Patients with this disease usually suffer from anxiety and depression. Cognitive-behavioural therapy focusing on mindfulness and considering psychological flexibility have been more effective than other treatments on depression and anxiety of psychiatric patients. The aim of this study was to evaluate the efficacy of acceptance and commitment therapy on depression and anxiety in celiac disease. Method: This Quasi-Experimental study was carried out on celiac patients admitted to the celiac committee, celiac and gastroenterologists' clinics of Yazd in Iran. Thirty participants selected by available sampling and randomly allocated to two experimental and control groups. Hospital Anxiety and Depression Inventory (HADS) and Gastrointestinal Symptom Scale (GIS) Scale used to collect data. The data analysed by Fisher’s exact test, Independent t test and ANOVA. Result: In the experimental group, the mental health variable (anxiety, depression and therapeutic response) significantly improved after the intervention in the post-test. Conclusion: Acceptance and commitment therapy was effective in improving depression and anxiety in celiac disease. Probability, the participation of the patient in a group of people with the same illness and the sharing of therapeutic experiences led to reduction of anxiety and depression and, consequently, improved patient function in their treatment.

Article Info

Article Type

Research Article

Publication history

Received: Wed 30, Dec 2020
Accepted: Sat 20, Feb 2021
Published: Fri 05, Mar 2021

Copyright

© 2023 Maryam Hadavi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.PDR.2021.01.03