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:: Volume 16, Issue 2 (summer 2025) ::
j.health 2025, 16(2): 161-172 Back to browse issues page
The Effectiveness of Acceptance and Commitment Therapy on Self-Conscious Emotions and Self-Compassion in Married Women with Breast Cancer in Ardabil
Nasrin Homayounfar * , Somayyeh Taklavi* , Vakil Nazari
Islamic Azad University, Ardabil, Iran
Abstract:   (18 Views)
Background & objectives: Chronic illnesses, such as breast cancer, can lead to significant psychological and emotional challenges, adversely affecting both mental health and social functioning. This study investigated the impact of Acceptance and Commitment Therapy (ACT) on self-conscious emotions-such as guilt and shame-and self-compassion among married women diagnosed with breast cancer in Ardabil.
Methods: A quasi-experimental design was employed, including pre-test, post-test, and follow-up assessments with an unequal control group. The study population consisted of married women in Ardabil who had undergone modified radical mastectomy and were attending follow-up appointments in April 2024. Thirty-nine participants were randomly assigned to either the trial group (n=19) or the control group (n=20) through simple random sampling. The trial group participated in eight 75-minute ACT sessions. Data were collected using the Guilt and Shame Proneness Scale and the Self-Compassion Scale-Short Form. Statistical analyses were performed using repeated measures ANCOVA in SPSS-22.
Results: ACT significantly reduced self-conscious emotions and increased self-compassion in the trial group compared to the control group (p<0.01). These improvements remained stable during the follow-up phase (p<0.05; p<0.01), indicating the lasting effectiveness of the intervention.
Conclusion: The findings highlight the therapeutic value of ACT in alleviating negative self-conscious emotions and promoting self-compassion among married women coping with breast cancer. These results provide practical implications for mental health professionals seeking evidence-based interventions to enhance emotional resilience in oncology settings.
 
Keywords: Acceptance and Commitment Therapy, Self-conscious Emotions, Self-compassion, Breast Cancer, Psychological Intervention
Full-Text [PDF 259 kb]   (15 Downloads)    
Type of Study: Research | Subject: General
Received: 2025/09/17 | Accepted: 2025/09/1 | Published: 2025/09/1
References
1. Khan SZ, Lengyel CG. Challenges in the management of colorectal cancer in low-and middle-income countries. Cancer Treatment and Research Communications. 2023;35:100705. [DOI:10.1016/j.ctarc.2023.100705] [PMID]
2. Kocarnik JM, Compton K, Dean FE, Fu W, Gaw BL, Harvey JD, et al. Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the global burden of disease study 2019. JAMA oncology. 2022;8(3):420-44. [DOI:10.1001/jamaoncol.2021.6987] [PMID] []
3. Huang J, Ssentongo P, Sharma R. Cancer burden, prevention and treatment in developing countries. Frontiers Media SA; 2023: 1124473. [DOI:10.3389/fpubh.2022.1124473] [PMID] []
4. Abdollahzadeh H, Kabirinasab Y. The Effectiveness of acceptance and Commitment Therapy on internalized Shame and Sexual self-esteem of Women with Breast Cancer after Mastectomy Surgery. Health Psychology. 2019;7(28):184-99.
5. Loeloe MS, Jamshidi M, Jamshidi A, Amyanpoor M, Danehchin L, Daneshi N, et al. Investigating the Epidemiology and Mortality of Cancers in the Southeast of Khuzestan in 2014-2019. Journal of health research in community. 2023;9(2):28-38.
6. Tsang JY, Gary MT. Molecular classification of breast cancer. Advances in anatomic pathology. 2020;27(1):27-35. [DOI:10.1097/PAP.0000000000000232] [PMID]
7. Asgharian M, Moslemi D, Jahani M-A, Bijani A, Nikbakht H-A, Mehdizadeh H. The 30-year incremental pattern of breast cancer: a study in the northern of Iran. Caspian Journal of Internal Medicine. 2023;14(4):720.
8. Grinda T, Aizer AA, Lin NU, Sammons SL. Central Nervous System Metastases in Breast Cancer. Current Treatment Options in Oncology. 2025:1-22. [DOI:10.1007/s11864-024-01286-1] [PMID]
9. Yavari Y, Khoshakhlagh H. The Effectiveness of Treatment Based on Emotion Regulation and Compassion Therapy on the Self-Conscious Affect of Cancer Patients in Isfahan City. Journal of Health and Care. 2022; 4(1): 212-135.
10. Sznycer D. Forms and functions of the self-conscious emotions. Trends in cognitive sciences. 2019;23(2):143-57. [DOI:10.1016/j.tics.2018.11.007] [PMID]
11. Cherry MG, Taylor PJ, Brown SL, Rigby JW, Sellwood W. Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties: A systematic review. Psychiatry research. 2017;249:139-51. [DOI:10.1016/j.psychres.2016.12.056] [PMID]
12. Chaudhuri PG, Datta A. Making sense of self-conscious and emotion: linking theory of mind and emotion in women with breast cancer. Annals of Oncology, 2018;29:560-561. [DOI:10.1093/annonc/mdy296.012]
13. Slepian ML, Kirby JN, Kalokerinos EK. Shame, guilt, and secrets on the mind. Emotion. 2020;20(2):323. [DOI:10.1037/emo0000542] [PMID]
14. Lewis, M. (2008). Self-conscious emotions: Embarrassment, pride, shame, and guilt. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (3rd ed., pp. 742-756). The Guilford Press.
15. Curtis GJ. Guilt, shame and academic misconduct. Journal of Academic Ethics. 2023;21(4):743-57. [DOI:10.1007/s10805-023-09480-w] [PMID] []
16. Goebel S, Mehdorn HM. Fear of disease progression in adult ambulatory patients with brain cancer: prevalence and clinical correlates. Supportive Care in Cancer. 2019;27:3521-9. [DOI:10.1007/s00520-019-04665-9] [PMID]
17. Germer C, Neff K. Mindful self-compassion (MSC). Handbook of mindfulness-based programmes: Routledge; 2019: 357-67. [DOI:10.4324/9781315265438-28]
18. Gilbert P, Simos G. Compassion focused therapy: Clinical practice and applications: Routledge; 2022: 462-85. [DOI:10.4324/9781003035879]
19. Neff KD. Self-compassion: Theory, method, research, and intervention. Annual review of psychology. 2023;74(1):193-218. [DOI:10.1146/annurev-psych-032420-031047] [PMID]
20. Cormier DL, Kowalski KC, Ferguson LJ, Mosewich AD, McHugh T-LF, Röthlin P. Self-compassion in sport: A scoping review. International Review of Sport and Exercise Psychology. 2023:1-40. [DOI:10.1080/1750984X.2022.2161064]
21. Morrison AE, Zaccardi F, Chatterjee S, Brady E, Doherty Y, Robertson N, et al. Self-compassion, metabolic control and health status in individuals with type 2 diabetes: A UK observational study. Experimental and Clinical Endocrinology & Diabetes. 2021;129(06):413-9. [DOI:10.1055/a-0897-3772] [PMID]
22. Narimani M, Eyni S. Relationship between meaning of life, self-compassion and sense of coherence with perceived stress in cancer patients. Iranian Journal of Cancer Care (ijca). 2022;1(3):1-10. [DOI:10.29252/ijca.1.3.1]
23. Hayes SC. Acceptance and commitment therapy: towards a unified model of behavior change. World psychiatry. 2019;18(2):226. [DOI:10.1002/wps.20626] [PMID] []
24. Morris EM, Johns LC, Gaudiano BA. Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions. Psychology and Psychotherapy: Theory, Research and Practice. 2024;97(1):41-58. [DOI:10.1111/papt.12479] [PMID]
25. Macri JA, Rogge RD. Examining domains of psychological flexibility and inflexibility as treatment mechanisms in acceptance and commitment therapy: A comprehensive systematic and meta-analytic review. Clinical Psychology Review. 2024:102432. [DOI:10.1016/j.cpr.2024.102432] [PMID]
26. Ghorbani V, Farnoodimehr R, Soltanabadi S, Yeganeh N. Efficacy of acceptance and commitment therapy (ACT) on anxiety, stress, and marital satisfaction in married people with breast cancer. Rooyesh-e-Ravanshenasi Journal (RRJ). 2021;10(8):103-14.
27. Bai Z, Luo S, Zhang L, Wu S, Chi I. Acceptance and commitment therapy (ACT) to reduce depression: A systematic review and meta-analysis. Journal of affective disorders. 2020;260:728-37. [DOI:10.1016/j.jad.2019.09.040] [PMID]
28. Khamoshi Ghalenoei S, Mansouri A. The effectiveness of acceptance and commitment therapy on self-compassion and self-criticism in individuals with opioid use disorder. Scientific Quarterly Research on Addiction. 2020;14(57):237-54. [DOI:10.29252/etiadpajohi.14.57.237]
29. Hoseinzad A, Khademi A, Tasbihsazan R, Khalilzadeh R. Effectiveness of Acceptance and Commitment Therapy in the sense of coherence and self-compassion of women with multiple sclerosis. Avicenna Journal of Nursing and Midwifery Care. 2023;31(3):208-16. [DOI:10.32592/ajnmc.31.3.208]
30. Delavar A. Theoretical and practical foundations of research in humanities and social sciences. Seventeen Edition. Tehran: Roshd; 2017: 131-138.
31. Hayes SC, Strosahl KD. A practical guide to acceptance and commitment therapy. (A. Khamseh, Trans.). Tehran: Arjmand; 2019:410-441.
32. Cohen TR, Wolf ST, Panter AT, Insko CA. Introducing the GASP scale: a new measure of guilt and shame proneness. Journal of personality and social psychology. 2011;100(5):947. [DOI:10.1037/a0022641] [PMID]
33. Jokar H, Ghanbari Zarandi Z. The Effectiveness of Reality -Based Pre-marital Instruction on Marriage Tendency, Mind Image of Ideal Spouse, Pre-marriage Worries in Single Boys. Journal of Nursing Education. 2024;12(5):110-20.
34. Neff KD. The development and validation of a scale to measure self-compassion. Self and identity. 2003;2(3):223-50. [DOI:10.1080/15298860309027]
35. Khosravi S, Sadeghi M, Yabandeh M. Self-compassion scale (SCS) psychometric adequacy. Psychological Methods and Models. 2013;3(13):59-47.
36. Abosaidi Moghadam N, Sanagouye Moharer G, Shirazi M. Effectiveness of Acceptance and Commitment Therapy (ACT) on feelings of loneliness, shame, and guilt in female applicants for divorce. Applied Psychology. 2020;14(1):35-54.
37. Mousavi MS, Bakhshipour A, Mahdian H. Comparing the Effectiveness of "Acceptance and Commitment Therapy" and "Compassion-Focused Therapy" and "Compassion-Enriched Accep-tance and Commitment Therapy" on Communication Patterns of Married Women Suffering from Depression and Marital Conflicts. Journal of Health Promotion Management. 2023;12(1):95-112.
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Homayounfar N, Taklavi* S, Nazari V. The Effectiveness of Acceptance and Commitment Therapy on Self-Conscious Emotions and Self-Compassion in Married Women with Breast Cancer in Ardabil. j.health 2025; 16 (2) :161-172
URL: http://healthjournal.arums.ac.ir/article-1-3026-en.html
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 16, Issue 2 (summer 2025) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
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