Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

See all formats and pricing
More options …
Ahead of print


The effect of acceptance and commitment therapy on the mental health of students with an emotional breakdown

Seyedeh Maryam Noormohamadi
  • Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Mokhtar Arefi
  • Corresponding author
  • Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran, Phone: +98-9183308112
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Karim Afshaini
  • Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Keivan Kakabaraee
  • Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2019-06-08 | DOI: https://doi.org/10.1515/ijamh-2019-0096



Mental health is a significant part of one’s health and it is very important to pay attention to mental health.


The aim of the study was to examine the effect of acceptance and commitment therapy (ACT) on the mental health of adolescents with an emotional breakdown (EB).


This was a semi-experimental study, in which the students with an EB were divided into two groups: the experimental and control groups. Twenty people were selected using the convenience sampling method and randomly assigned to the ACT and control groups (each with 10 people). After obtaining consent to participate in the study, they were asked to fill the questionnaires as a pre-test. Then, the experimental group was treated for nine individual sessions (weekly one session). As this was a repeated measurement method, in sessions 3, 6 and 9, the questionnaires were completed again and the follow-up period was 1 month after the end of the interventions.


Before the intervention, there was no difference between the score of the impact of love and rumination among the students in the experimental and control groups (p > 0.05); but after the intervention, the score of the impact of love and rumination in the experimental group decreased (p < 0.05).


It is suggested that ACT should be used at counseling centers of universities and educational institutions.

Keywords: acceptance and commitment therapy; adolescent; student


  • [1]

    Borji M. Investigating the effect of home care on death anxiety in patients with gastrointestinal cancer. Govaresh. 2017;22(2):131–2.Google Scholar

  • [2]

    Borji M, Nourmohammadi H, Otaghi M, Salimi AH, Tarjoman A. Positive effects of cognitive behavioral therapy on depression, anxiety and stress of family caregivers of patients with prostate cancer: a randomized clinical trial. Asian Pac J Cancer Prev. 2017;18(12):3207–12.PubMedGoogle Scholar

  • [3]

    Barqamadi M, Asadi J, Moosazadeh H. The effect of mindfulness on the mental health in derelict and unsupervised adolescents in Gorgan city. J Fundam Mental Health. 2017;19:174–83.Google Scholar

  • [4]

    Ventis WL. The relationships between religion and mental health. J Soc Issues. 1995;51(2):33–48.CrossrefGoogle Scholar

  • [5]

    Mehdipour RR, Dehghan M, Nematollahi M. Nursing students’ ethical challenges in the clinical settings: a mixed-methods study. Nurs Ethics. 2018. DOI: .CrossrefPubMedGoogle Scholar

  • [6]

    Shahhosseini Z, Simbar M, Ramezankhani A. Female adolescents health-information needs: a qualitative study. JMUMS. 2011;20(80):82–5.Google Scholar

  • [7]

    Kelly WE. Worry and sleep length revisited: worry, sleep length, and sleep disturbance ascribed to worry. J Genet Psychol. 2002;163(3):296–304.PubMedCrossrefGoogle Scholar

  • [8]

    Mogaddam F, Zamani S, Saei M. Effect of group discussion on health concerns of teenage girls 18–15 years old in Zanjan in 2015. Avicenna J Nurs Midfery Care. 2016;24(3):201–11.Google Scholar

  • [9]

    Gilani R, Motaghi M. The relationship between social skills and misconduct with their teachers in high school students in the City Aligudarz 2018. Int J Adolesc Med Health. 2019. DOI: 10.1515/ijamh-2018-0242.PubMedGoogle Scholar

  • [10]

    Jabarooty F, Alizadeh M. Collection Guidelines of adolescents’ health for health professionals and manager. Tehran Ministry of Health and Medical Education Publisher; 1998. p. 5–25.Google Scholar

  • [11]

    Abedi H, Abbaszadeh A, Motaghi M. Factors influencing school health in elementary schools in Isfahan, Iran: a qualitative study. Int J Community Based Nurs Midwifery. 2016;4(4):352–62.PubMedGoogle Scholar

  • [12]

    Hatefi M, Abdi A, Tarjoman A, Borji M. Prevalence of depression and pain among patients with spinal cord injury in Iran: a systematic review and meta-analysis. Trauma Mon. 2019;24(4):18–23. DOI: .CrossrefGoogle Scholar

  • [13]

    Khalighi E, Tarjoman A, Abdi A, Borji M. The prevalence of delirium in patients in Iran: a systematic review and meta-analysis. Future Neurol. 2019;14(3):15–21. DOI: .CrossrefGoogle Scholar

  • [14]

    Raes F. Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Pers Individ Dif. 2010;48(6):757–61.CrossrefGoogle Scholar

  • [15]

    Rajabi G, Gashtil K, Amanallahi A. The relationship between self-compassion and depression with mediating’s thought rumination and worry in female nurses. Iran J Nurs. 2016;29(99):10–21.CrossrefGoogle Scholar

  • [16]

    Leary MR, Tate EB, Adams CE, Batts Allen A, Hancock J. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. J Pers Soc Psychol. 2007;92(5):887–904.PubMedCrossrefGoogle Scholar

  • [17]

    Sbarra DA, Smith HL, Mehl MR. When leaving your ex, love yourself: Observational ratings of self-compassion predict the course of emotional recovery following marital separation. Psychol Sci. 2012;23(3):261–9.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [18]

    Aghajani M, Akbari B, Khalatbari J, Sadighi A. Effectiveness of group logo therapy on symptoms of love trauma and emotion cognitive regulation of the girls suffering from emotional failure. Armaghane Danesh. 2018;23(4):428–44.Google Scholar

  • [19]

    Ghadiri M, Motaghi M. Homeopathy impact on physical health aspects of quality of life of patients with chronic headache in Isfahan in 2015. Biomed Pharmacol J. 2016;9(1):269–74.CrossrefGoogle Scholar

  • [20]

    Hatefi M, Jaafarpour M, Khani A, Khajavikhan J, Kokhazade T. The effect of whole body massage on the process and physiological outcome of trauma ICU patients: a double-blind randomized clinical trial. J Clin Diagn Res. 2015;9(6):UC05.PubMedWeb of ScienceGoogle Scholar

  • [21]

    Mahmoud AM, Hashemi NT, Sohrabi F. Effectiveness of combined intervention based acceptance and commitment therapy (ACT) with exposure techniques on patient’s anxiety symptoms intensity and sensitivity dimensions in general anxiety disorder (GAD). 2016.Google Scholar

  • [22]

    Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25.PubMedCrossrefGoogle Scholar

  • [23]

    Dehghani M. Effectiveness of short-term psychotherapy on symptoms of love trauma syndrome. Ph.D. Dissertation, Tehran Psychiatric Institute, 2010. p. 1–92. (Persian), 2010.Google Scholar

  • [24]

    Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. J Pers Soc Psychol. 1991;61(1):115–21.PubMedCrossrefGoogle Scholar

  • [25]

    Luminet O. Measurement of depressive rumination and associated constructs. In: Papageorgiou C, Wells A, editors. Depressive Rumination, 2004. DOI: 10.1002/9780470713853.ch10. p. 187.Google Scholar

  • [26]

    Bagherinezhad M, Salehi FJ, Tabatabaee S. Relationship between rumination and depression in a sample of Iranian students. Stud Educ Psychol. 2010;11:21–38.Google Scholar

  • [27]

    Besharat MA, Issazadegan A, Etemadinia M, Golssanamlou S, Abdolmanafi A. Risk factors associated with depressive symptoms among undergraduate students. Asian J Psychiatr. 2014;10:21–6.CrossrefPubMedGoogle Scholar

  • [28]

    Vasigh A, Abdi A, Borji M, Tarjoman A. The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis. Int J Adolesc Med Health. 2019. DOI: .CrossrefPubMedGoogle Scholar

  • [29]

    Sabzevari S, Nematollahi M. The burden of care: mothers’ experiences of children with congenital heart disease. Int J Community Based Nurs Midwifery. 2016;4(4):374–85.PubMedGoogle Scholar

  • [30]

    Golkari T, Kalantari M, Abedi A. The effect of cognitive-behavioral interventions on emotional-behavioral problems in bereaved adolescent girls. Knowledge &amp; Research in Applied Psychology. 2015;15(57):17–25.Google Scholar

  • [31]

    Moghtader L. The effectiveness of mindfulness-based cognitive therapy in reducing rumination, dysfunctional attitude and negative automatic thoughts in patients with generalized anxiety disorders. Urmia Med J. 2016;27(9):825–35.Google Scholar

  • [32]

    Falsafi A, DashtBozorgi Z. The effect of mindfulness training on rumination, body image and sexual satisfaction in women with recurrent pregnancy loss. Iran Int J Rehab Res Nurs. 2019;5(3):48–54.Google Scholar

About the article

Received: 2019-05-02

Accepted: 2019-05-16

Published Online: 2019-06-08

Conflict of interests: No conflict of interests is reported.

Funding/support: Islamic Azad University, Kermanshah, Iran.

Citation Information: International Journal of Adolescent Medicine and Health, 20190096, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2019-0096.

Export Citation

©2019 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in