Iranian Journal of Psychiatry and Behavioral Sciences

Published by: Kowsar

Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problems and Difficulties in Emotion Regulation Among University Students

Mohadeseh Norouzi 1 , * , Fatemeh Zargar 2 and Fatemeh Norouzi 3
Authors Information
1 Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran
2 Department of Psychiatry and Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
3 Department of Clinical Psychology, Islamic Azad University Bandargaz Branch, Bandargaz, IR Iran
Article information
  • Iranian Journal of Psychiatry and Behavioral Sciences: September 2017, 11 (3); e8005
  • Published Online: May 21, 2017
  • Article Type: Original Article
  • Received: August 6, 2016
  • Revised: January 14, 2017
  • Accepted: April 13, 2017
  • DOI: 10.5812/ijpbs.8005

To Cite: Norouzi M, Zargar F, Norouzi F. Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problems and Difficulties in Emotion Regulation Among University Students, Iran J Psychiatry Behav Sci. 2017 ; 11(3):e8005. doi: 10.5812/ijpbs.8005.

Copyright © 2017, Iranian Journal of Psychiatry and Behavioral Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Materials and Methods
4. Results
5. Discussion
  • 1. Rodriguez JO, Rodriguez JAP, Alcazar AR. Características sociodemográficas y psicológicas de la fobia social en adolescentes. Psicothema. 2006; 18(2): 207-12
  • 2. Cain NM, Ansell EB, Wright AG, Hopwood CJ, Thomas KM, Pinto A, et al. Interpersonal pathoplasticity in the course of major depression. J Consult Clin Psychol. 2012; 80(1): 78-86[DOI][PubMed]
  • 3. McKay M, Lev A, Skeen M. Acceptance and commitment therapy for interpersonal problems: Using mindfulness, acceptance, and schema awareness to change interpersonal behaviors. 2012;
  • 4. Gurtman MB. Trust, distrust, and interpersonal problems: a circumplex analysis. J Pers Soc Psychol. 1992; 62(6): 989-1002[PubMed]
  • 5. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. 2011;
  • 6. Diagnostic and statistical manual of mental disorders. 1980;
  • 7. Graling K. The Impact of Emotion Regulation and Interpersonal Problems on Behavioral Dysregulation in a College Student Sample: An Investigation of the Mediating Role of Mentalizing. 2013;
  • 8. Leahy RL. Introduction: Emotional Schemas, Emotion Regulation, and Psychopathology. Int J Cogn Ther. 2012; 5(4): 359-61[DOI]
  • 9. Gratz KL, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004; 26(1): 41-54[DOI]
  • 10. Ryff CD, Singer B. Emotion, social relationships, and health. 2001; [DOI]
  • 11. Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire – development of a short 18-item version (CERQ-short). Pers Individ Differ. 2006; 41(6): 1045-53[DOI]
  • 12. Wei M, Vogel DL, Ku TY, Zakalik RA. Adult Attachment, Affect Regulation, Negative Mood, and Interpersonal Problems: The Mediating Roles of Emotional Reactivity and Emotional Cutoff. J Counsel Psychol. 2005; 52(1): 14-24[DOI]
  • 13. Wei M, Heppner PP, Mallinckrodt B. Perceived coping as a mediator between attachment and psychological distress: A structural equation modeling approach. J Counsel Psychol. 2003; 50(4): 438-47[DOI]
  • 14. Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85(2): 348-62[DOI]
  • 15. Levenson H. Time-limited dynamic psychotherapy. The art and science of brief psychotherapies: An illustrated guide. 2012;
  • 16. Klerman GL, Weissman MM. Interpersonal psychotherapy of depression: A brief, focused, specific strategy. 1994;
  • 17. Bohus M, Haaf B, Simms T, Limberger MF, Schmahl C, Unckel C, et al. Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial. Behav Res Ther. 2004; 42(5): 487-99[DOI]
  • 18. Ruiz FJ. A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. Revista Internacional de Psicologia y Terapia Psicologica. 2010; 10(1): 125-62
  • 19. Leahy RL, Tirch D, Napolitano LA. Emotion regulation in psychotherapy: A practitioner's guide. 2011;
  • 20. Flaxman PE, Blackledge JT, Bond FW. Acceptance and commitment therapy: Distinctive features. 2010;
  • 21. Hayes SC, Villatte M, Levin M, Hildebrandt M. Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annu Rev Clin Psychol. 2011; 7: 141-68[DOI][PubMed]
  • 22. Hayes SA, Orsillo SM, Roemer L. Changes in proposed mechanisms of action during an acceptance-based behavior therapy for generalized anxiety disorder. Behav Res Ther. 2010; 48(3): 238-45[DOI][PubMed]
  • 23. Luoma JB, Hayes SC, Walser RD. Learning ACT: An acceptance & commitment therapy skills-training manual for therapists. 2007;
  • 24. Forman EM, Herbert JD, Moitra E, Yeomans PD, Geller PA. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behav Modif. 2007; 31(6): 772-99[DOI][PubMed]
  • 25. Niles AN, Burklund LJ, Arch JJ, Lieberman MD, Saxbe D, Craske MG. Cognitive mediators of treatment for social anxiety disorder: comparing acceptance and commitment therapy and cognitive-behavioral therapy. Behav Ther. 2014; 45(5): 664-77[DOI][PubMed]
  • 26. Wetherell JL, Afari N, Ayers CR, Stoddard JA, Ruberg J, Sorrell JT, et al. Acceptance and Commitment Therapy for generalized anxiety disorder in older adults: a preliminary report. Behav Ther. 2011; 42(1): 127-34[DOI][PubMed]
  • 27. Vakili Y, Gharraee B. The effectiveness of acceptance and commitment therapy in treating a case of obsessive compulsive disorder. Iran J Psychiatry. 2014; 9(2): 115-7[PubMed]
  • 28. Peterson AL. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cognitive and Behavioral Practice. 2009; 16(4): 479-80[DOI]
  • 29. Kocak C, Onen AS. The Analysis on Interpersonal Relationship Dimensions of Secondary School Students According to their Ruminative Thinking Skills. Proc Soc Behav Sci. 2014; 143: 784-7[DOI]
  • 30. Gullo S, Lo Coco G, Salerno L, La Pietra F, Bruno V. A study of personality subtypes in treatment seeking obese patients. Res Psychother Psychopathol Proc Outcome. 2014; 16(2): 85[DOI]
  • 31. Barkham M, Hardy GE, Startup M. The IIP-32: a short version of the Inventory of Interpersonal Problems. Br J Clin Psychol. 1996; 35 ( Pt 1): 21-35[PubMed]
  • 32. Fath N, Azadfallah P, Rasoolzadeh TK, Rahimi CH. Validity and Reliability of the Inventory of Interpersonal Problems (IIP-32). J Clin Psycol. 2013; 5(3): 69-80
  • 33. Khanzadeh M, Saeediyan M, Hosseinchari M, Edrissi F. Factor structure and psychometric properties of difficulties in emotional regulation scale. Int J Behav Sci. 2012; 6(1): 87-96
  • 34. Lev A. A New Group Therapy Protocol Combining Acceptance and Commitment Therapy (ACT) and Schema Therapy in the Treatment of Interpersonal Disorders: A Randomized Controlled Trial. 2011;
  • 35. Borge FM, Hoffart A, Sexton H, Clark DM, Markowitz JC, McManus F. Residential cognitive therapy versus residential interpersonal therapy for social phobia: a randomized clinical trial. J Anxiety Disord. 2008; 22(6): 991-1010[DOI][PubMed]
  • 36. McEvoy PM, Burgess MM, Nathan P. The relationship between interpersonal problems, negative cognitions, and outcomes from cognitive behavioral group therapy for depression. J Affect Disord. 2013; 150(2): 266-75[DOI][PubMed]
  • 37. Blackledge JT, Hayes SC. Emotion regulation in acceptance and commitment therapy. J Clin Psychol. 2001; 57(2): 243-55[PubMed]
  • 38. Gratz KL, Gunderson JG. Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behav Ther. 2006; 37(1): 25-35[DOI][PubMed]
  • 39. Gratz KL, Tull MT. Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change. 2010;
  • 40. Mohammadi L, Salehzade Abarghoei M, Nasirian M. Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation in Men under Methadone Treatment [In Persian]. SSUJ. 2015; 23(9): 853-61
  • 41. Hofmann SG, Asmundson GJ. Acceptance and mindfulness-based therapy: new wave or old hat? Clin Psychol Rev. 2008; 28(1): 1-16[DOI][PubMed]
  • 42. Roemer L, Orsillo SM, Salters-Pedneault K. Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol. 2008; 76(6): 1083-9[DOI][PubMed]
  • 43. George B, de Guzman RG. Effectiveness of acceptance and commitment therapy based intervention program (ACTP) on perceived stress and emotion regulation among alcoholics in Kerala, India. Indian J Pos Psychol. 2015; 6(1): 10
  • 44. McMullen J, Barnes-Holmes D, Barnes-Holmes Y, Stewart I, Luciano C, Cochrane A. Acceptance versus distraction: brief instructions, metaphors and exercises in increasing tolerance for self-delivered electric shocks. Behav Res Ther. 2008; 46(1): 122-9[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments