Comparing the Effectiveness of Treatment based on Acceptance and Commitment and Schema Therapy on Quality of Life and General Compliance in bese Women

Background and Objective: Obesity is a complex multifactorial disease in which accumulated excess body fat leads to adverse effects on health. Obesity continues to accelerate, resulting in an unprecedented epidemic that shows no significant signs of slowing down any time soon. Therefore, the present study aimed to compare the effectiveness of acceptance and commitment therapy (ACT) and schema therapy in quality of life and general compliance in obese women. Materials and Methods: In this study, we adopted a quasi-experimental pretest-posttest control group with a one-month follow-up. The research population consisted of obese women referring to Ayatollah Rouhani Hospital in Sari. Out of this population, 45 cases were selected by targeted non-random sampling and randomly assigned to two experimental groups (ACT and schema therapy) and a control group. The data collection instruments were the Quality of Life Questionnaire (SF-36) and the General Adherence Scale. The first experimental group underwent intervention in eight 60-90-minute ACT sessions, the second experimental group underwent eight 90-minute schema therapy sessions, and the control group did not receive any intervention. The data were analyzed in SPSS software (version 26) using the repeated measures ANOVA. Results: The findings demonstrated that ACT and schema therapy were effective in quality of life and overall compliance (P<0.05). Moreover, it was revealed that the schema therapy was more effective than ACT in overall compliance (P<0.05). Conclusions: As evidenced by the results of this study, ACT and schema therapy are effective in improving quality of life and overall compliance in women with obesity, and schema therapy is more effective in overall compliance. Therefore, these approaches can be used in medical centers alongside medical interventions for treatment and care.

Comparing the Effectiveness of Treatment based on Acceptance and Commitment and Schema Therapy on Quality of Life and General Compliance in bese Women Keywords:

Acceptance and commitment , Obesity , Quality of life , Schema therapy