Effects of Acceptance and Commitment Therapy and Transcranial Direct Current Stimulation on Craving and Problematic Pornography Use in Young Men: A Randomized Clinical Trial

IF 0.5 Q4 PSYCHIATRY

Iranian Journal of Psychiatry and Clinical Psychology Pub Date : 2023-07-01 DOI:10.32598/ijpcp.29.2.4585.1

Seyed Iman Seyedzadeh Dalooyi, Hamidreza Aghamohammadian Sharbaaf, Mohammad Saeed Abdekhodaei, Ali Ghanaei Chamanabad

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引用次数: 0

Abstract

Objectives Problematic pornography use (PPU) is one of the emerging clinical concerns that can negative affect individual performance. Therefore, it is necessary to use emerging behavioral and technological treatments. This study aims to investigate the effectiveness of acceptance and commitment therapy (ACT) and transcranial direct current stimulation (tDCS) in reducing craving and PPU in young men. Methods This is a clinical trial with a pre-test/post-test/follow-up design. The study population consists of all men aged 18-24 years referred to the counseling clinic of Ferdowsi University of Mashhad, Iran in 2022 with diagnosed PPU. Of these, 9 were selected purposefully based on the entry criteria. They were placed in three groups of ACT, tDCS, and ACT±tDCS, using the computerized random number generator in SAS software, version 9.4 and the sequentially numbered, opaque, sealed envelopes (SNOSE) to preserve random allocation concealment. The data were analyzed based on visual analysis, percentage of non-overlapping data index, and mean percentage reduction (MPR). Results The ACT led to a decrease in craving (MPR=26.2% with an effect size of 0.63) and PPU (MPR=27.05% with an effect size of 0.62). Also, tDCS led to a decrease in craving (MPR=22.7% with an effect size of 0.56) and PPU (MPR=21.2% with an effect size of 0.53). The combined treatment (ACT±tDCS) led to a decrease in craving (MPR=33.4% with an effect size of 0.72) and PPU (MPR=29.3% with an effect size of 0.67). The effects in all groups were significant (P<0.05). Conclusion The combination of ACT and tDCS can lead to a more significant reduction in craving and PPU in young men than ACT and tDCS alone. ACT is more effective than tDCS in reducing craving and PPU.

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接受与承诺疗法和经颅直流电刺激对年轻男性色情渴求和问题性色情使用的影响：随机临床试验

目标有问题地使用色情制品（PPU）是新出现的临床问题之一，会对个人表现产生负面影响。因此，有必要采用新兴的行为和技术疗法。本研究旨在探讨接受与承诺疗法（ACT）和经颅直流电刺激（tDCS）对减少年轻男性的渴求和色情使用的有效性。方法这是一项采用前测/后测/随访设计的临床试验。研究对象包括 2022 年转诊到伊朗马什哈德费尔道西大学心理咨询诊所并确诊为 PPU 的所有 18-24 岁男性。其中，9 人是根据入选标准特意挑选出来的。他们被分为 ACT、tDCS 和 ACT±tDCS 三组，使用 9.4 版 SAS 软件中的计算机随机数生成器和顺序编号、不透明、密封信封（SNOSE）来保持随机分配的隐蔽性。数据分析基于视觉分析、非重叠数据百分比指数和平均减少百分比（MPR）。结果 ACT导致渴求减少（MPR=26.2%，效应大小为0.63）和PPU减少（MPR=27.05%，效应大小为0.62）。此外，tDCS也导致渴求度下降（MPR=22.7%，效应大小为0.56）和PPU下降（MPR=21.2%，效应大小为0.53）。联合治疗（ACT±tDCS）可降低渴求度（MPR=33.4%，效应大小为0.72）和PPU（MPR=29.3%，效应大小为0.67）。各组的效果均显著（P<0.05）。结论与单独使用 ACT 和 tDCS 相比，联合使用 ACT 和 tDCS 能更显著地减少年轻男性的渴求和 PPU。在减少渴求和PPU方面，ACT比tDCS更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Psychiatry and Clinical Psychology PSYCHIATRY-

CiteScore

1.50

自引率

22.20%

发文量