اثربخشی درمان مبتنی بر پذیرش و تعهد بر تنظیم شناختی هیجان در افراد با معلولیت جسمی و حرکتی

Background and Aims: Today, we are facing the third generation of psychological therapies, which in this study used the therapy based on acceptance and commitment. In these therapies, instead of changing cognitions, we try to increase the psychological relationship between the person and his thoughts and feelings. Which has recently become the focus of serious attention of researchers, is the treatment of acceptance and commitment, the basis of this treatment is the theory of communication system; According to this theory, many of the methods we use to solve our problems lead us into traps that offend us. This treatment considers the avoidance of pain and stress as the main problem of patients, which leads to disability and reduced life satisfaction. According to this theory, avoidance occurs when negative thoughts and emotions have an excessive and inappropriate effect on behavior, so the main method of treatment is the patient's acceptance and commitment to dealing with situations that are more avoided than other treatments that reduce or control Symptoms emphasize that acceptance and commitment therapy focuses on increasing the acceptance of negative reactions (thoughts, emotions, senses) in favor of engaging in meaningful activities that cannot be directly altered, although this may cause a great deal of pain and stress. The goal of treatment is to improve patient function by increasing mental flexibility.

Materials and Methods: The statistical population of the physically and physically disabled covered by the Welfare Organization of Islamabad West, which includes 700 people, 30 as an experimental group in two groups of 15 people undergoing acceptance and commitment therapy training and 15 physically disabled and Motion was selected as a control group by purposive sampling and random replacement. To test the research hypothesis, the Cognitive Emotion Regulation Scale (Garnafsky, Kraj and Spin, Hoon, 2001) was used and the data were analyzed using SPSS software using multivariate analysis of covariance.

Results: On acceptance and commitment on the components of emotional cognitive regulation showed that there is a significant difference between the components of blaming oneself after removing the pre-test effect, and there is a significant difference in the component of blaming others, there is a significant difference in the component of acceptance. There is a significant difference in planning, there is also a significant difference in the positive attention component, and there is a significant difference in putting yourself in the right place.

Conclusion Acceptance and commitment-based therapy has an effect on cognitive regulation of emotion in people with physical and motor disabilities. Post-test, Levin variance homogeneity test was used. The calculated Levin test was not statistically significant for any of the studied variables, so the assumption of homogeneity of variances is also confirmed. The results of covariance test on the effectiveness of treatment based on acceptance and commitment on the components of emotional cognitive regulation showed that there is a significant difference between blaming oneself after eliminating the effect of pre-test and there is a significant difference in blaming others. There is a significant difference and there is a significant difference in the component of reconsideration of planning. Also, there is a significant difference in the component of positive reconsideration and there is a significant difference in putting oneself in the right place. Therefore, the mean post-test scores of the experimental group were significantly lower than the mean scores of the control group and vice versa. In other words, it can be said that acceptance and commitment therapy has an effect on cognitive emotion regulation in people with physical and motor disabilities. Whenever they learn to manage these emotions, by managing, adjusting and regulating emotions, they can reduce the intensity of unpleasant and painful emotions and experience more positive emotions. One of the strategies to increase emotion regulation skills is acceptance and commitment therapy, which due to its underlying mechanism such as acceptance, awareness raising, present presence, unobtrusive observation, and committed action based on values and avoidance of empirical avoidance can help clients. Equipped with beliefs, behaviors and values that have more control over their emotions when they have unpleasant and threatening emotional well-being, such as psychological, emotional and social consequences of physical and motor disabilities, and regulate emotion constructiveness. Emotions can effectively deal with stressful situations that exist in the lives of people with physical disabilities, and will increase activity in response to stressful situations. In fact, acceptance and commitment therapy helps people with disabilities to be less affected by their stressful circumstances and environment by creating values and meaning in life, and to be more able to regulate and manage their emotions. In fact, this method of treatment, due to the training of value-based practice combined with the desire to act as important personal goals before eliminating unwanted experiences, caused people with disabilities to directly value themselves when expressing problems by expressing their thoughts and feelings. Self-preservation reduce the problems caused by difficult life events, which first maintain health and energy and improve performance in the face of risky problems, and ultimately increase cognitive emotion regulation. Another explanation is the use of practical educational strategies that are taught to people in the treatment of acceptance and commitment. Instead of intellectual and practical avoidance of thoughts and social situations, increase psychological acceptance of inner experiences to improve their life situation and achieve personal values. And eliminate less avoidable problems, thereby increasing their emotion regulation. In fact, active and effective coping with emotions, avoiding avoidance, changing attitudes toward oneself and challenges, rethinking life values and goals, and finally committing to a social goal can be considered as the main factors in this method that helped subjects regulate emotions. Achieve better.