The Effectiveness of Acceptance and Commitment Therapy (ACT) on High-Risk Behaviors and Self-Esteem in University Students

Document Type : Original Article

Authors

1 MA in Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.

2 Assistant professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.

Abstract

The findings revealed that ACT significantly reduced high-risk behaviors and led to a sustained increase in self-esteem among participants in the experimental group. These improvements were evident not only at post-test but also during the follow-up phase, indicating the durability of therapeutic effects. Compared to the control group, the ACT group demonstrated statistically significant gains in both outcome measures, underscoring the efficacy of the intervention.This quasi-experimental study employed a pre-test, post-test, and follow-up design with a control group. Participants were first-semester undergraduate and graduate students at Islamic Azad University, Neyshabur Branch, during the 1403–1404 academic year. A convenience sample of 36 students was randomly assigned to experimental (n = 18) and control (n = 18) groups. The experimental group received twelve weekly ACT sessions based on a structured group protocol. Data were collected using the Risk-Taking Behavior Questionnaire (RT-18) and the Rosenberg Self-Esteem Scale. Repeated measures ANOVA was used to analyze changes across time points and between groups.

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