Effect of Acceptance and Commitment Therapy on Anxiety and Alexithymia of Mothers Having Children with Insecure Attachment
Downloads
Objective: Psychologically healthy mothers who create a happy and peaceful environment can raise children with a secure attachment style. This research investigates the impact of acceptance and commitment therapy on anxiety and alexithymia in mothers with children exhibiting insecure attachment styles.
Methods and Materials: The research employs a semi-experimental design with pre-test/post-test measures and control and experimental groups. The statistical population comprises mothers with children exhibiting insecure attachment styles in health, educational, therapeutic, and preschool centers in Tehran during the spring and summer of 2023. The data collection tools included Kappenberg and Halpern's attachment questionnaire (2006), Beck's anxiety scale questionnaire (1998), and the Toronto alexithymia scale questionnaire (1994). An intervention program utilizing Hadi Toroghi and Amiri Hashemi's (2021) acceptance and commitment therapy package was administered to the experimental group. This research employed the analysis of covariance method to examine the pre-test and post-test data with SPSS Software by Version 23.
Findings: The results indicated that the level of anxiety and alexithymia underwent significant changes following the intervention of ACT. Acceptance and commitment therapy was effective in reducing anxiety (F=24.720, P=0.001) and alexithymia (F=0.256, P=0.0358) in mothers with children exhibiting insecure attachment styles.
Conclusion: Counseling and psychotherapy centers should consider implementing these methods, particularly acceptance and commitment therapy, more widely and with a greater focus.
Downloads
Abdi Zarrin, S., & Nikkhah Siruei, Z. (2021). Psychological well-being: the role of self-differentiation, Alexithymia and ego-strength. Shenakht Journal of Psychology and Psychiatry, 8(3), 13-24. https://doi.org/10.32598/shenakht.8.3.13
Akbari, M., & Elmi, R. (2017). Herpes simplex virus and human papillomavirus coinfections in hyperimmunoglobulin E syndrome presenting as a conjunctival mass lesion. Case reports in medicine, 2017(1), 1650841. https://doi.org/10.1155/2017/1650841
Askari, M., & Karami, H. (2024). On the Relationship between Sensory Learning Styles and Reading Subskill Profiles: An Application of Fusion Model. Language Related Research, 15(3), 245-274. https://doi.org/10.2139/ssrn.4873700
Babaei, S., Varandi, S. R., Hatami, Z., & Gharechahi, M. (2015). Metacognition beliefs and general health in predicting alexithymia in students. Global journal of health science, 8(2), 117. https://doi.org/10.5539/gjhs.v8n2p117
Bagby, R. M., Taylor, G. J., & Parker, J. D. (1994). The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. Journal of psychosomatic research, 38(1), 33-40. https://doi.org/10.1016/0022-3999(94)90006-X
Bahreini, F., Azizi, A., & Roohafza, H. (2024). Effectiveness of Bioenergy Economy-based Health Improvement versus Mindfulness-based Stress Reduction on the Occupational Stress and Psychosomatic Symptoms of Distressed Employees? International Journal of Body, Mind & Culture (2345-5802), 11(2). https://doi.org/10.22122/ijbmc.v11i2.691
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology, 56(6), 893. https://doi.org/10.1037/0022-006X.56.6.893
Byrne, G., Ghráda, Á. N., O’Mahony, T., & Brennan, E. (2021). A systematic review of the use of acceptance and commitment therapy in supporting parents. Psychology and Psychotherapy: Theory, Research and Practice, 94, 378-407. https://doi.org/10.1111/papt.12282
Çiçek Gümüş, E., & Öncel, S. (2023). Effects of acceptance and commitment therapy-based interventions on the mental states of parents with special needs children: Randomized controlled trial. Current Psychology, 42(23), 19429-19442. https://doi.org/10.1007/s12144-022-03760-1
Darvishinia, N. (2023). AI in education: Cracking the code through challenges: A content analysis of one of the recent issues of Educational Technology and Society (ET&S) Journal. Partners Universal International Innovation Journal, 1(4), 61-71. https://doi.org/10.5281/zenodo.8264262
Eskandari, F., Aali, M., Hadisadegh, S. N., & Azadeh, M. (2024). Advances in breast cancer research using CRISPR/Cas9 system. Nano Select, 5(10), 2400015. https://doi.org/10.1002/nano.202400015
Feyzabadi, Z. N., Nickzad, Z., Rejali, M., Behshahrian, A., & Amanat, A. (2025). Pessimism about Marriage as a Mediator Between Insecure Attachment and Marriage Age in Children of Divorced Parents: A Structural Equation Model. International Journal of Body, Mind & Culture, 12(6), 61-70. https://doi.org/10.61838/ijbmc.v12i6.1007
Gould, E. R., Tarbox, J., & Coyne, L. (2018). Evaluating the effects of acceptance and commitment training on the overt behavior of parents of children with autism. Journal of contextual behavioral science, 7, 81-88. https://doi.org/10.1016/j.jcbs.2017.06.003
Hahs, A. D., Dixon, M. R., & Paliliunas, D. (2019). Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders. Journal of contextual behavioral science, 12, 154-159. https://doi.org/10.1016/j.jcbs.2018.03.002
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25. https://doi.org/10.1016/j.brat.2005.06.006
Jiang, X., Sun, J., Song, R., Wang, Y., Li, J., & Shi, R. (2024). Acceptance and commitment therapy reduces psychological distress in patients with cancer: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Psychology, 14, 1253266. https://doi.org/10.3389/fpsyg.2023.1253266
Kappenberg, E. S., & Halpern, D. F. (2006). Kinship Center Attachment Questionnaire: Development of a caregiver-completed attachment measure for children younger than 6 years. Educational and Psychological Measurement, 66(5), 852-873. https://doi.org/10.1177/0013164405285545
Karimian, Z., Haghayegh, S. A., Emami-Najafi-Dehkordi, S. M. H., & Raisi, M. (2023). The Comparison of the Effectiveness of Trans-diagnostic Treatment and the Acceptance and Commitment Therapy (ACT) on Quality of Life in Patients with Irritable Bowel Syndrome (IBS). Journal of Sabzevar University of Medical Sciences, 30(1), 22-34. https://doi.org/10.30468/jsums.2023.1552
Loas, G., Baelde, O., & Verrier, A. (2015). Relationship between alexithymia and dependent personality disorder: a dimensional analysis. Psychiatry research, 225(3), 484-488. https://doi.org/10.1016/j.psychres.2014.11.062
Lumley, M. A., Gustavson, B. J., Partridge, R. T., & Labouvie-Vief, G. (2005). Assessing alexithymia and related emotional ability constructs using multiple methods: interrelationships among measures. Emotion, 5(3), 329. https://doi.org/10.1037/1528-3542.5.3.329
Malik, S., Wells, A., & Wittkowski, A. (2015). Emotion regulation as a mediator in the relationship between attachment and depressive symptomatology: A systematic review. Journal of affective disorders, 172, 428-444. https://doi.org/10.1016/j.jad.2014.10.007
Marino, F., Failla, C., Chilà, P., Minutoli, R., Puglisi, A., Arnao, A. A., Pignolo, L., Presti, G., Pergolizzi, F., & Moderato, P. (2021). The effect of acceptance and commitment therapy for improving psychological well-being in parents of individuals with autism spectrum disorders: a randomized controlled trial. Brain sciences, 11(7), 880. https://doi.org/10.3390/brainsci11070880
Marsero, S., Ruggiero, G., Scarone, S., Bertelli, S., & Sassaroli, S. (2011). The relationship between alexithymia and maladaptive perfectionism in eating disorders: A mediation moderation analysis methodology. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 16(3), e182-e187. https://doi.org/10.1007/BF03325130
MEHRABIZADEH, H. M., Taghavi, S., & ATARI, Y. A. (2009). Effect of group assertive training on social anxiety, social skills and academic performance of female students. https://www.behavsci.ir/article_67620.html
Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World psychiatry, 11(1), 11-15. https://doi.org/10.1016/j.wpsyc.2012.01.003
Moghadam, H. I. (2024). Investigating the Relationship between Parenting Styles and Suicide Ideation with the Mediation of Avoidant Insecure Attachment Style. International Journal of Body, Mind & Culture, 11(2), 171-179.
Monfaredi, Z., Malakouti, J., Farvareshi, M., & Mirghafourvand, M. (2022). Effect of acceptance and commitment therapy on mood, sleep quality and quality of life in menopausal women: a randomized controlled trial. BMC psychiatry, 22(1), 108. https://doi.org/10.1186/s12888-022-03768-8
Oskis, A., Clow, A., Hucklebridge, F., Bifulco, A., Jacobs, C., & Loveday, C. (2013). Understanding alexithymia in female adolescents: The role of attachment style. Personality and Individual Differences, 54(1), 97-102. https://doi.org/10.1016/j.paid.2012.08.023
Pace, C. S., Cavanna, D., Guiducci, V., & Bizzi, F. (2015). When parenting fails: alexithymia and attachment states of mind in mothers of female patients with eating disorders. Frontiers in Psychology, 6, 1145. https://doi.org/10.3389/fpsyg.2015.01145
Perry, R. E., Blair, C., & Sullivan, R. M. (2017). Neurobiology of infant attachment: attachment despite adversity and parental programming of emotionality. Current opinion in psychology, 17, 1-6. https://doi.org/10.1016/j.copsyc.2017.04.022
Roshani, F., Najafi, M., Naqshbandi, S., & Malekzade, P. (2017). Comparison of alexithymia in individuals with and without attention deficit/hyperactivity disorder. Journal of Clinical Psychology, 9(2), 73-82. 10.22075/jcp.2017.11204.1109
Rostamifar, R., & Sajjadian, P. Investigation Role of Thought Control, Mindfulness, Distress Tolerance, in Prediction Signs of Borderline Personality Disorder in Female Students of Three Public High Schools in Golpayegan City. International Journal of Health Sciences(II), 6989-7003. https://doi.org/10.53730/ijhs.v6nS2.6680
Snow, M., Sullivan, K., Martin, E., & Helm, H. (2005). The adult scale of parental attachment: Psychometric properties, factor analysis, and multidimensional scaling. Unpublished manuscript, Department of Leadership and Counselor Education, The University of Mississippi, University, Mississippi.
Suslow, T., & Junghanns, K. (2002). Impairments of emotion situation priming in alexithymia. Personality and Individual Differences, 32(3), 541-550. https://doi.org/10.1016/S0191-8869(01)00056-3
Taylor, G. J., & Bagby, R. M. (2004). New trends in alexithymia research. Psychotherapy and psychosomatics, 73(2), 68-77. https://doi.org/10.1159/000075537
Thorberg, F. A., Young, R. M., Sullivan, K. A., & Lyvers, M. (2009). Alexithymia and alcohol use disorders: A critical review. Addictive behaviors, 34(3), 237-245. https://doi.org/10.1016/j.addbeh.2008.10.016
Vanheule, S., Desmet, M., Meganck, R., & Bogaerts, S. (2007). Alexithymia and interpersonal problems. Journal of Clinical Psychology, 63(1), 109-117. https://doi.org/10.1002/jclp.20324
Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour research and therapy, 49(4), 281-288. https://doi.org/10.1016/j.brat.2011.01.007
Wijk, I., Amsberg, S., Johansson, U.-B., Livheim, F., Toft, E., & Anderbro, T. (2023). Impact of an Acceptance and Commitment Therapy programme on HbA1c, self-management and psychosocial factors in adults with type 1 diabetes and elevated HbA1c levels: a randomised controlled trial. BMJ open, 13(12), e072061. https://doi.org/10.1136/bmjopen-2023-072061
Wiltgen, A., Arbona, C., Frankel, L., & Frueh, B. C. (2015). Interpersonal trauma, attachment insecurity and anxiety in an inpatient psychiatric population. Journal of anxiety disorders, 35, 82-87. https://doi.org/10.1016/j.janxdis.2015.07.010
Zeidner, M., Matthews, G., & Roberts, R. D. (2012). What we know about emotional intelligence: How it affects learning, work, relationships, and our mental health. MIT press. https://books.google.com/books?id=7n7icwxvd2sC&lpg=PR7&ots=yx8ESXbcP8&dq=Zeidner%2C%20M.%2C%20Matthews%2C%20G.%2C%20%26%20Roberts%2C%20R.%20D.%20(2012).%20What%20we%20know%20about%20emotional%20intelligence%3A%20How%20it%20affects%20learning%2C%20work%2C%20relationships%2C%20and%20our%20mental%20health.%20MIT%20press.%20&lr&pg=PR7#v=onepage&q&f=false
Zhao, B., Wang, Q., Wang, L., Chen, J., Yin, T., Zhang, J., Cheng, X., & Hou, R. (2023). Effect of acceptance and commitment therapy for depressive disorders: a meta-analysis. Annals of general psychiatry, 22(1), 34. https://doi.org/10.1186/s12991-023-00462-1
Copyright (c) 2026 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.








