Effectiveness of acceptance and commitment therapy (ACT) on sleep disorder and quality of life in mothers of children with learning disabilities (LD)
Researcher Bulletin of Medical Sciences,
Vol. 30 No. 1 (2025),
20 Khordad 2026
,
Page e2
Abstract
Objective: The impact of learning disabilities, struggles with life changes, and difficulties in communicating one's needs has been documented in a wide range of health and social care evidence. Therefore, this study aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on sleep disorder and quality of life in mothers of children with learning disabilities.
Materials and Methods: The research approach is a quasi-experimental one, specifically a pre-test-post-test design with a control group. The research population consisted of all mothers with at least one child with learning disabilities who sought services at the Learning Disability Centers at District 2 of Tehran in the year 2023. A purposive sampling approach was employed, selecting 30 participants based on the inclusion and exclusion criteria for the study. These participants were then randomly divided into two groups: an experimental group and a control group. To gather data, the following instruments were used: Individual Clinical Characteristics Form, Pittsburgh Sleep Quality Index (PSQI). Multivariate Analysis of Covariance (MANCOVA) was used to analyze quantitative data using the SPSS statistical software, version 26.
Results: The findings of the study revealed that after controlling for the effect of the pre-test scores, the difference in the pre-test-post-test scores between the two groups for the variables of sleep quality and quality of life was statistically significant. Additionally, the mean scores of the Acceptance and Commitment Therapy (ACT) group on the sleep quality and quality of life variables were also significantly higher than those of the control group (p < 0.05).
Conclusion: Based on the research findings, it can be concluded that Acceptance and Commitment Therapy (ACT) is effective in improving sleep disorder and quality of life in mothers of children with learning disabilities.
- Acceptance and commitment therapy (ACT); Sleep disorder; Quality of life; Children; Learning disabilities
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References
1. Strnadová I. Stress and resilience in families of children with specific learning disabilities. Revista Complutense de Educación. 2006.
2. Bonifacci P, Storti M, Tobia V, Suardi A. Specific learning disorders: A look inside children’s and parents’ psychological well-being and relationships. Journal of learning disabilities. 2016;49(5):532-45.
3. Karande S, Kulkarni S. Quality of life of parents of children with newly diagnosed specific learning disability. Journal of Postgraduate Medicine. 2009;55(2):97.
4. Matteucci MC, Scalone L, Tomasetto C, Cavrini G, Selleri P. Health-related quality of life and psychological wellbeing of children with Specific Learning Disorders and their mothers. Research in developmental disabilities. 2019;87:43-53.
5. Karande S, Kumbhare N, Kulkarni M, Shah N. Anxiety levels in mothers of children with specific learning disability. Journal of Postgraduate Medicine. 2009;55(3):165.
6. Ginieri‐Coccossis M, Rotsika V, Skevington S, Papaevangelou S, Malliori M, Tomaras V, et al. Quality of life in newly diagnosed children with specific learning disabilities (SpLD) and differences from typically developing children: a study of child and parent reports. Child: care, health and development. 2013;39(4):581-91.
7. Organization WH. WHO recommendations on intrapartum care for a positive childbirth experience: World Health Organization; 2018.
8. Power N, Carr C, Millard E, Lawnmowers I, editors. Un-labelling the language: exploring labels, jargon and power through participatory arts research with arts therapists and people with learning disabilities. Voices: A World Forum for Music Therapy; 2022: Bergen Open Access Publishing.
9. Aftab R, Anam A. Adult learning disabilities. InnovAiT. 2019;12(11):651-5.
10. McKenzie K, Milton M, Smith G, Ouellette-Kuntz H. Systematic review of the prevalence and incidence of intellectual disabilities: current trends and issues. Current Developmental Disorders Reports. 2016;3:104-15.
11. Statistics OfN. Estimates of the population for the UK, England and Wales, Scotland and Northern Ireland. Office for National Statistics London; 2020.
12. Kinnear D, Morrison J, Allan L, Henderson A, Smiley E, Cooper S-A. Prevalence of physical conditions and multimorbidity in a cohort of adults with intellectual disabilities with and without Down syndrome: cross-sectional study. BMJ open. 2018;8(2):e018292.
13. Emerson E, Baines S, Allerton L, Welch V. Health inequalities and people with learning disabilities in the UK. 2011.
14. Cox J. ‘Someone cares if I'm not there’: addressing loneliness in disabled people. British Journal of Healthcare Assistants. 2017;11(10):503-11.
15. Wigham S, Emerson E. Trauma and life events in adults with intellectual disability. Current Developmental Disorders Reports. 2015;2:93-9.
16. Buckles J, Luckasson R, Keefe E. A systematic review of the prevalence of psychiatric disorders in adults with intellectual disability, 2003–2010. Journal of Mental Health Research in Intellectual Disabilities. 2013;6(3):181-207.
17. Cooper SA, Smiley E. The Prevalence, Incidence and Factors Predictive of Mental Ill‐Health in Adults with Profound Intellectual Disabilities. Prospective Study. Journal of Applied Research in Intellectual Disabilities. 2007;20(6):505-9.
18. Einfeld SL, Ellis LA, Emerson E. Comorbidity of intellectual disability and mental disorder in children and adolescents: A systematic review. Journal of Intellectual and Developmental Disability. 2011;36(2):137-43.
19. Parish C. Commissioners to receive guidance on learning disability care services. Learning Disability Practice (through 2013). 2012;15(1):7.
20. Bowring DL, Painter J, Hastings RP. Prevalence of challenging behaviour in adults with intellectual disabilities, correlates, and association with mental health. Current Developmental Disorders Reports. 2019;6:173-81.
21. Ali A, Blickwedel J, Hassiotis A. Interventions for challenging behaviour in intellectual disability. Advances in psychiatric treatment. 2014;20(3):184-92.
22. Caicedo C. Families with special needs children: family health, functioning, and care burden. Journal of the American Psychiatric Nurses Association. 2014;20(6):398-407.
23. Manor-Binyamini I, Benatov J, Abu-Kaf S. Social support, depression, and somatisation among Bedouin mothers of adolescents with or without developmental disabilities. Journal of Intellectual & Developmental Disability. 2020;45(3):245-53.
24. Strunk JA, Pickler R, McCain NL, Ameringer S, Myers BJ. Managing the health care needs of adolescents with autism spectrum disorder: The parents’ experience. Families, Systems, & Health. 2014;32(3):328.
25. Gau SS-F, Chou M-C, Chiang H-L, Lee J-C, Wong C-C, Chou W-J, et al. Parental adjustment, marital relationship, and family function in families of children with autism. Research in Autism spectrum disorders. 2012;6(1):263-70.
26. Levin ME, Hildebrandt MJ, Lillis J, Hayes SC. The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior therapy. 2012;43(4):741-56.
27. A-tjak JG, Davis ML, Morina N, Powers MB, Smits JA, Emmelkamp PM. A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. S. Karger AG Basel, Switzerland; 2015. p. 30-6.
28. Jiménez FJR. Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International journal of psychology and psychological therapy. 2012;12(3):333-58.
29. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006;44(1):1-25.
30. Low CA, Beran T, Stanton AL. Adaptation in the face of advanced cancer. Handbook of cancer survivorship: Springer; 2007. p. 211-28.
31. Powers MB, Zum Vörde Sive Vörding MB, Emmelkamp PM. Acceptance and commitment therapy: A meta-analytic review. S. Karger AG Basel, Switzerland; 2009. p. 73-80.
32. Rafihi-Ferreira E, Morin CM, Toscanini AC, Lotufo Neto F, Brasil IS, Gallinaro JG, et al. Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial. Brazilian Journal of Psychiatry. 2020;43:504-9.
33. Mottaghi R, Maredpour A, Karamin S. A Comparison Study on the Effectiveness of Acceptance and Commitment Therapy and Sleep Hygiene Education on Sleep Quality and Physiological Parameters in Older Adults. Salmand: Iranian Journal of Ageing. 2022;17(2):170-85.
34. Akbarian M, Mohammadi shir mahalleh F, Borjali A, Hassanabadi H, Abolghasemi S. Effectiveness of Acceptance and Commitment Therapy on the Anxiety, Sleep and Severity of Pain in Patients with Fibromyalgia. Health Psychology. 2022;10(40):111-30.
35. Najafi Khorramabad H, Jayervand H, Sadat Marashian F. Comparison of the Effectiveness of Self-determination Theory Training and Acceptance and Commitment Therapy on Sleep Quality and Academic Hope in Students with Internet Gaming Disorder with and without Comorbidity of Attention Deficit / Hyperactivity Disorder. Quarterly Journal of Child Mental Health. 2022;9(1):67-83.
36. Ruan J, Chen S, Liang J, Mak YW, Yee Ho FY, Chung KF, et al. Acceptance and commitment therapy for insomnia and sleep quality: A systematic review and meta-analysis. Journal of Contextual Behavioral Science. 2022.
37. Wang D, Lin B, Xiong F, Deng Y, Zhang L. Effectiveness of Internet-delivered self-help acceptance and commitment therapy (iACT) on nurses' obsessive-compulsive symptoms and sleep quality: A randomized controlled trial with 3-month follow-up. Journal of Affective Disorders. 2023;341:319-28.
38. Sarizadeh MS, Rafienia P, Sabahi P, Tamaddon MR. The Effectiveness of Acceptance and Commitment Therapy on Hemodialysis Patients’ Quality of Life: A Randomized Educational Trial Study. Journal of Rafsanjan University of Medical Sciences. 2018;17(3):241-52.
39. Jamshidi m, Khayatan F, Aghaie A. Comparison of the effectiveness of combination of acceptance and commitment therapy with theraplay and acceptance and commitment therapy on quality of life in depressed children. Journal of Nursing Education. 2020;8(1):106-18.
40. Esmali Kooraneh A, Alizadeh M, Khanizadeh Balderlou K. THE EFFECTIVENESS OF GROUP PSYCHOTHERAPY BASED ON ACCEPTANCE AND COMMITMENT ON QUALITY OF LIFE IN WOMEN WITH BREAST CANCER. Studies in Medical Sciences. 2016;27(5):365-74.
41. Nikrah N, Bahari F, Shiri A. Effectiveness of the acceptance and commitment therapy on resilience and quality of life in patients with post-acute COVID-19 syndrome. Applied Nursing Research. 2023;73:151723.
42. Konstantinou P, Ioannou M, Melanthiou D, Georgiou K, Almas I, Gloster AT, et al. The impact of acceptance and commitment therapy (ACT) on quality of life and symptom improvement among chronic health conditions: A systematic review and meta-analysis. Journal of Contextual Behavioral Science. 2023.
43. Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: a review. Psychiatric clinics. 2017;40(4):751-70.
44. Lin Y-Y, Rogge RD, Swanson DP. Cross-cultural flexibility: Validation of the traditional Mandarin, simplified Mandarin, and Japanese translations of the Multidimensional Psychological Flexibility Inventory. Journal of Contextual Behavioral Science. 2020;15:73-84.
45. Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior therapy. 2004;35(4):639-65.
46. Armstrong AB. Acceptance and commitment therapy for adolescent obsessive-compulsive disorder: Utah State University; 2012.
47. Zou J, Yuan X, Hu Z, Hu M. Effects of Acceptance and Commitment Therapy and Repetitive Transcranial Magnetic Stimulation on Obsessive–Compulsive Disorder. Frontiers in Psychiatry. 2022;12:720518.
48. Zhang X, Haixia M, Yee LC, Wk HG, Mak YW. Effectiveness of Acceptance and Commitment Therapy on self-care, psychological symptoms, and quality of life in patients with cardiovascular disease: A systematic review and meta-analysis. Journal of Contextual Behavioral Science. 2023.
49. Philip J, Cherian V. Acceptance and commitment therapy in obsessive–compulsive disorder: A case study. Indian Journal of Psychological Medicine. 2022;44(1):78-82.
50. Mosher CE, Secinti E, Wu W, Kashy DA, Kroenke K, Bricker JB, et al. Acceptance and commitment therapy for patient fatigue interference and caregiver burden in advanced gastrointestinal cancer: Results of a pilot randomized trial. Palliative medicine. 2022;36(7):1104-17.
51. Davoudi M, Taheri AA, Foroughi AA, Ahmadi SM, Heshmati K. Effectiveness of acceptance and commitment therapy (ACT) on depression and sleep quality in painful diabetic neuropathy: a randomized clinical trial. Journal of Diabetes & Metabolic Disorders. 2020;19:1081-8.
52. McCracken LM, Vowles KE. Acceptance and commitment therapy and mindfulness for chronic pain: model, process, and progress. American psychologist. 2014;69(2):178.
53. Paulos-Guarnieri L, Linares IMP, El Rafihi-Ferreira R. Evidence and characteristics of Acceptance and Commitment Therapy (ACT)-based interventions for insomnia: A systematic review of randomized and non-randomized trials. Journal of contextual behavioral science. 2022;23:1-14.
54. Li H, Jin X, Ng MSN, Mann KF, Wang N, Wong CL. Effects of Acceptance and Commitment Therapy on fatigue interference and health-related quality of life among patients with advanced lung cancer: A pilot randomized controlled trial. Asia-Pacific Journal of Oncology Nursing. 2022;9(8):100102.
55. Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psycho‐oncology. 2013;22(2):459-64.
56. Hulbert‐Williams NJ, Storey L, Wilson KG. Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy. European journal of cancer care. 2015;24(1):15-27.
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