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year 14, Issue 10 (Winter D 2026 2025)
Rooyesh 2025, 14(10): 191-200 |
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Sadighi A, Shokrgozar A, Sodagar S, Bahrami Hidaji M, Raeissadat S A. (2025). Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Sleep Quality and Anxiety in Patients with Fibromyalgia. Rooyesh. 14(10), 191-200.
URL: http://frooyesh.ir/article-1-6557-en.html
URL: http://frooyesh.ir/article-1-6557-en.html
Anbar Sadighi1 
, Alireza Shokrgozar *2 , Sheida Sodagar1 , Maryam Bahrami Hidaji3 , Seyed Ahmad Raeissadat4
, Alireza Shokrgozar *2 , Sheida Sodagar1 , Maryam Bahrami Hidaji3 , Seyed Ahmad Raeissadat4
1- Department of Clinical Health Psychology, Ka.C., Islamic Azad University, Karaj, Iran.
2- Department of Clinical Health Psychology, Ka.C., Islamic Azad University, Karaj, Iran. ,dralirezashokrgozar@iau.ac.ir
3- Department of Psychology, Ka.C., Islamic Azad University, Karaj, Iran.
4- Department of Physical Medicine and Rehabilitation, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Clinical Health Psychology, Ka.C., Islamic Azad University, Karaj, Iran. ,
3- Department of Psychology, Ka.C., Islamic Azad University, Karaj, Iran.
4- Department of Physical Medicine and Rehabilitation, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (13 Views)
The present study aimed to compare the effectiveness of Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on anxiety and sleep quality in patients with fibromyalgia. This semi-experimental study employed a pretest-posttest design with a control group and a three-month follow-up period. The study population consisted of patients with fibromyalgia who attended the rehabilitation clinic of Modarres Hospital in Tehran during 2023–2024. Using purposive sampling, 45 participants were selected and randomly assigned to three groups of 15 each. The research instruments included the Beck Anxiety Inventory (BAI; Beck, 1998) and the Pittsburgh Sleep Quality Index (PSQI; Buysse et al., 1989). The experimental groups each received the intervention as a group for 8 90-minute sessions. Data were analyzed using repeated measures ANOVA and Bonferroni post hoc tests. The results showed that the pretest scores of anxiety and sleep quality differed significantly from the posttest and follow-up scores (p<0.01). Moreover, the findings indicated a significant difference between the two treatments over time (p<0.01), suggesting greater effectiveness of cognitive-behavioral therapy compared to the other therapeutic approach. Therefore, it can be concluded that both treatments serve as stable interventions for reducing anxiety and improving sleep quality in patients with fibromyalgia; however, cognitive-behavioral therapy is more effective.
Keywords: Sleep Quality, Anxiety, Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy, Fibromyalgia.
Type of Article: Research |
Subject:
Health
Received: 2025/09/8 | Accepted: 2025/11/3 | ePublished: 2025/12/31
Received: 2025/09/8 | Accepted: 2025/11/3 | ePublished: 2025/12/31
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