Comparison of the Effectiveness of Acceptance and Commitment Therapy and Rational-Emotional-Behavioral Therapy on Depression and Anxiety in Patients with Hypertension

Document Type : Research Paper


1 Assistant Professor, Department of Psychology, Farhangian University, Tehran, Iran

2 Associate Professor, Department of psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran.

3 Assistant Professor, Departent of Psychology, Birjand Branch, Islamic Azad University, Birjand,Iran

4 Associate Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran

5 Assistant Professor, Internal Medicin Department, Birjand University Medical Science, Birjand, Iran


Introduction: High blood pressure is one of the most common risk factors for cardiovascular disease that leads to many problems and problems, Therefore, the aim of the present study was to compare the effectiveness of acceptance and commitment therapy and rational-emotional-behavioral therapy on depression and anxiety in patients with hypertension.
Material and Methods: The present study was a quasi-experimental pre-test-post-test and follow-up with a control group. A total of 36 patients with hypertension in Birjand in the second six months of 2020 were selected by convenience sampling method and randomly divided into three groups of acceptance and commitment therapy (12 patients), rational-emotional-behavioral therapy (12 patients) and Witnesses (12 people) were replaced. The experimental groups were trained in 8 sessions of 60 minutes with acceptance and commitment and rational-emotional-behavioral methods, respectively, and the group did not receive a training certificate. Data collection tools were Beck Depression Inventory - Second Edition Beck et al. (2000) and Beck et al. (1988) Anxiety Inventory. Data were analyzed using SPSS software version 24 and repeated measures analysis of variance test .
Results: The results showed that acceptance, commitment and rational-emotional-behavioral therapies reduced depression and anxiety in patients with hypertension compared to the control group (p <0.01); But there was no difference between acceptance and commitment therapy and rational-emotional-behavioral therapy in reducing depression and anxiety in patients with hypertension (p <0.01).
Conclusion: The results showed the importance of both acceptance and commitment and rational-emotional-behavioral therapies in reducing anxiety and depression in patients with hypertension


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