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Abstract

Background: In the modern societies, the seniors are as one of the growing social groups that according to the age pyramid have increasingly become important. Accordingly, this study was conducted with the purpose of investigating the effectiveness of protocol based on integrated view on reducing psychological distress in the elderly.

Materials and Methods: The type of this study was semi-experimental with pre-test post-test plan along with the control group. The statistical population includes all elderly that referred to Karaj Takht-e Jamshid hospital in the second half of the year 2016. Among them, 30 people were selected in form of available; then, randomly were placed in two 15 people experimental and control groups. Control group were treated based on integrated view protocol (three combination therapies consisting of cognitive- behavioral therapy, spiritual therapy and acceptance and commitment therapy). In this research, the short form questionnaire of psychological distress (DASS) was used for gathering the data in two stages of pre-test and post-test. The data were analyzed by using SPSS19 software and was analyzed by the covariance analysis method.

Results: The results of covariance analysis showed that the protocol based on integrated view has led to the statistical significant difference (p<0.05) between the pre-test and post-test stages in the psychological distress score.

Conclusion: According to the obtained results, the protocol-based on integrated view can be used as a proper and effective treatment method for the reduction of psychological distress in seniors.

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Background and Aim: Despite numerous advances in treating various diseases and increased life expectancy, obesity will be the leading cause of hopelessness in the next 100 years. The present study aimed to compare the effects of Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT) on lifestyle habits, disordered eating behavior, and health-promoting lifestyle in obese women. 
Methods & Materials: The statistical population consisted of all women referring to obesity clinics in district 2 of Tehran City, Iran, in 2019. Forty-Five patients were selected by convenience sampling method and replaced in 3 groups of 15 (two experimental & one control groups). The study participants were assessed using the Assessment of Life Habits Scale (LIFE-H)), the Eating Attitudes Test (EAT), and the Health Promoting Lifestyle Profile-II (HPLP-II). The ACT group underwent nine 90-minute sessions and the CBT group received eight 90-minute sessions. The control group received no training. The collected data were analyzed using Mixed Design and repeated-measures Analysis of Variance (ANOVA) in SPSS.
Ethical Considerations This study was approved by the Research Ethics Committee of Islamic Azad University, Karaj Branch (Code: IR.IAU.K.REC.1398.039).
Results: The present research results signified that ACT and CBT were effective on the habits of eating disorders and health-promoting lifestyles in the explored obese women. The achieved changes remained stable until the follow-up phase (P<0.001). Moreover, ACT was more successful than CBT in improving the components of life habits and health responsibilities in the study subjects (P<0.001). 
Conclusion: Considering the significant effect of group-based ACT and CBT, it is recommended to use these methods to increase the mental health of obese individuals.