The Effectiveness of Acceptance and Commitment-Based Therapy on g reduce Cognitive Conflicts and Negative Self-coming Thoughts

Introduction: Depression in the elderly is one of the most important issues in the field of psychological science. A review of research has shown that more than thirty-two percent of the elderly suffer from clinical depression at least once. Depression affects the elderly with problems such as poor social skills, negative self-concept, mental-physical, cognitive, and severe anxiety. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) to reduce cognitive conflicts and negative self-coming thoughts elderly patients with depression city Khorramabad. Methods: This quasi-experimental study in which the pretest - posttest control group was used. The sample consisted of 30 subjects from among the elderly (60 years and above) with depression Sheltered well-being of Khorramabad were selected and randomly assigned to experimental groups (based on acceptance and commitment therapy) and control group were assigned. Intervention in the experimental group received eight sessions of treatment based on acceptance and commitment. During this period, the control group received no intervention. To collect data reduce cognitive conflicts and negative self-coming thoughts Scale and Beck depression Inventory II scales the pre-test and post-test for both experimental and control groups were used. Results: Data were analyzed using multivariate analysis of covariance. Data analysis software program (SPSS.21) was performed. The results of covariance analysis showed a significant difference between the two groups. The findings showed that the level of reduce cognitive conflicts and negative self-coming thoughts in the experimental group was significantly lower than the control group. Conclusions: Covariance analysis showed significant differences between the two groups. Results showed that treatment based on acceptance and commitment is effective in reducing cognitive conflicts and negative self-coming thoughts. It is suggested that acceptance and commitment therapy in relevant organizations, such as those of welfare, faced with elderly people with depression, be optimized to reduce cognitive conflicts and negative self-coming thoughts.