scholarly journals Comparison of the Effects of the Choice Theory and Behavioral Activation Therapies with and without Guided Imagery Rescripting on the Adversity Quotient and Cognitive Emotion Regulation of MS Patients in Ahvaz, Iran

2021 ◽  
Vol 25 (4) ◽  
Author(s):  
Rahil Bahadori ◽  
Parvin Ehteshamzadeh ◽  
Zahra Eftekhar Saadi ◽  
Reza Pasha
Keyword(s):  
Emotion Regulation ◽  
Behavioral Activation ◽  
Guided Imagery ◽  
Choice Theory ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Sample Population ◽  
Cognitive Emotion Regulation ◽  
Significant Difference ◽  
Imagery Rescripting

Background: Complications of multiple sclerosis (MS) severely impact self-image and have debilitative effects on the adversity quotient. Objectives: The present study aimed to investigate the effects of the choice theory and behavioral activation therapies with and without guided imagery rescripting on the adversity quotient and cognitive emotion regulation of MS patients in Ahvaz, Iran. Methods: This quasi-experimental study was conducted with a pretest-posttest design and a control group. The sample population included the male and female MS patients visiting the Caspian Physiotherapy Center of Ahvaz, Iran in 2019. In total, 60 MS patients were selected via convenience sampling and randomly divided into three experimental groups and one control group (15 per each). Data were collected using the Adversity Response Profile Questionnaire (ARPQ) and the Cognitive Emotion Regulation Questionnaire (CERQ). Data analysis was performed using the multivariate analysis of covariance. Results: A significant difference was observed between the effects of the choice theory (CT) and behavioral activation (BA) therapies with and without guided imagery rescripting (ImRs) on the improvement of the adversity quotient (AQ) and positive cognitive emotion regulation (CER) of the MS patients, as well as the reduction of negative CER (P < 0.001). Compared to the CT and BA therapies without guided ImRs, the BA therapy with guided ImRs more effectively enhanced the AQ and positive CER of the MS patients and decreased their negative CER (P < 0.001). Conclusions: According to the results, BA with ImRs is a more effective method for enhancing the AQ and positive CER of MS patients and mitigating their negative CER compared to other approaches.

scholarly journals Comparison of the Effectiveness of Metacognitive Therapy and Behavioral Activation on Depression in Elderly with Type 2 Diabetes

2019 ◽  
pp. 9-14
Keyword(s):  
Type 2 Diabetes ◽  
Repeated Measures ◽  
Behavioral Activation ◽  
The Elderly ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Metacognitive Therapy ◽  
Significant Difference ◽  
And Control

Background and Aims: Generalized anxiety and depression are prevalent in patients with type 2 diabetes. Type 2 diabetes is one of the most common chronic diseases leading to many complications. This study aimed to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design using a follow-up and control group. The study population consisted of elderly with type 2 diabetes who referred to five endocrine and metabolism clinics in region 11 of Tehran, Iran, during 2017. A total of 45 males and females were selected by purposive sampling method based on the inclusion criteria. Then they were assigned randomly to one control and two case groups. The Beck Depression Inventory (Second Edition) was utilized to measure the depression scale. In total, eight 90-min group intervention sessions were held weekly. The data were analyzed in SPSS software (version 25) through analysis of covariance and repeated measures ANOVA. Results: The results showed that metacognitive therapy (F=15.07, P<0.001) and behavioral activation (F=7.09, P<0.008) were significantly effective on depression in the elderly with type 2 diabetes, and there was a significant difference between the experimental and control groups in this regard (P<0.001). Conclusions: This study was conducted to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. The results showed that metacognitive therapy and behavioral activation were significantly effective on depression in this population with type 2 diabetes. Moreover, behavioral activation was more effective than metacognitive therapy on depression reduction.

Dialectical Behavior Therapy: Effect on Emotion Regulation and Death Anxiety in Older Female Adults

2022 ◽  
pp. 003022282110659
Author(s):  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Falsafinejad ◽  
Tina Zoljalali ◽  
Cobra Ghazizadeh
Keyword(s):  
Emotion Regulation ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Death Anxiety ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Control Groups ◽  
Therapy Effect ◽  
Significant Difference ◽  
And Control

This study examined the effectiveness of dialectical behavior therapy intervention on emotion regulation and death anxiety in old women. This quasi-experimental study was conducted using a pretest-posttest design with a control group. The research population included elderly women aged 60–75 years who were members of the Tehran Municipality Retirees Association in 2020. A total of 30 women were assigned to intervention and control groups (15 persons in each group). The participants in the intervention group received the dialectical behavior therapy (DBT) intervention for 10 sessions while the participants in the control group did not receive any intervention. The results of the analysis of covariance (ANCOVA) showed that there was a significant difference between the women in the intervention and control groups in terms of cognitive emotion regulation and death anxiety on the posttest. This therapy can be used for the elderly living in nursing homes and aging associations and institutions.

scholarly journals Comparing the Effectiveness of Behavioral Activation and Acceptance and Commitment Therapy in Cognitive-Attentional Syndrome in Patients with Depression

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Amiri ◽  
Parvin Ehteshamzadeh ◽  
Fariba Hafezi ◽  
Mohammad Reza Borna
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Activation ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Background: Cognitive-attentional syndrome (CAS) is one of the primary constructs of depression, the treatment of which is highly challenging because of its high prevalence and the emergence of symptoms such as feelings of sadness, emptiness, and hopelessness. Objectives: The present study aimed to investigate the effectiveness of behavioral activation (BA) and acceptance and commitment therapy (ACT) in CAS in patients with depression. Methods: This quasi-experimental research utilized a pretest, posttest, and two-month follow-up design with a control group. The study population comprised 260 patients with a diagnosis of depression who referred to the psychological centers of Ahvaz in 2019. The sample consisted of 45 patients with depression selected by convenience sampling. We randomly divided the participants into two experimental groups (BA and ACT) and a control group (n = 15 per group). The research instrument included the cognitive-attentional syndrome (CAS-1) questionnaire. Data were analyzed using SPSS version 24.0 with descriptive and inferential statistics, such as mean, standard deviation, and multivariate analysis of covariance (MANCOVA). Results: In terms of CAS and its components, there was a significant difference between the experimental and control groups in the posttest and follow-up phases (P = 0.0001). Besides, ACT and BA significantly reduced CAS and its components in the posttest phase (P = 0.0001). However, the effectiveness of BA in decreasing CAS and its components remained during the follow-up phase. Furthermore, the results showed that ACT was more effective in reducing attention to threat and metacognitive beliefs during the posttest phase. Conclusions: According to research findings, both BA and ACT are efficient therapies in reducing CAS in patients with depression. Thus, both approaches can be used to strengthen treatment interventions to reduce CAS in patients with depression.

scholarly journals Comparison of the Effectiveness of Nursing Consultation and Guided Imagery-Based Training on Stress and Anxiety in Angiography Candidates: A Clinical Trial

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Malihe Nikfarjam ◽  
Mohammadreza Firouzkouhi ◽  
Hossein Shahdadi ◽  
Abdolghani Abdollahimohammad
Keyword(s):  
Clinical Trial ◽  
Coronary Angiography ◽  
Guided Imagery ◽  
Statistical Tests ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Audio File ◽  
Positive Effects ◽  
Significant Difference ◽  
The Mean

Background: Despite the use of various pharmacological and non-pharmacological methods for reducing stress among patients, one of the most important nursing challenges is how to control anxiety and stress in patients undergoing coronary angiography. Objectives: The present study aimed to compare the effectiveness of nursing consultation and guided imagery-based training on the level of stress and anxiety in patients undergoing coronary angiography. Methods: The participants in this clinical trial included 60 angiography candidates, admitted to the coronary care unit (CCU) of Ali-Ibn Abi-Taleb Hospital in Zahedan, southeast of Iran, in 2019. The participants were selected using convenience sampling and randomly assigned to three groups: nursing consultation, guided imagery, and control groups. The instruments used to collect the data included a demographic information form and the Depression, Anxiety, and Stress scale (DASS-21). The questionnaires were completed by the participants in all three groups on the day of hospitalization and one hour before angiography. A guided imagery audio file was played one day before angiography for each participant in the nursing consultation group for a maximum of two hours. On the other hand, the guided imagery group, besides receiving routine care, listened to the same audio file for 30 - 45 minutes. However, the participants in the control group only received routine hospital training. The collected data were analyzed in SPSS version 25, using statistical tests, such as analysis of variance (ANOVA), Tukey’s post hoc test, analysis of covariance (ANCOVA), paired samples t-test, Fisher’s exact test, and chi-square test at a significance level of less than 0.05 (P < 0.05). Results: After controlling for the significant effect of pretest scores, the results of ANCOVA test showed significant differences between the two intervention groups in terms of the mean scores of anxiety and stress after the intervention (P < 0.001). Also, the mean scores of anxiety and stress decreased in the guided imagery and nursing consultation groups as compared to the control group. However, the two interventions were not significantly different in reducing anxiety and stress among patients undergoing coronary angiography (P = 1). Conclusions: In this study, nursing consultation and guided imagery interventions led to a reduction in the stress and anxiety of patients undergoing angiography. Although the two interventions showed no significant difference in terms of effectiveness, they had positive effects on the mental health of angiography candidates. Therefore, these techniques can be employed by nurses, depending on their ease of use and conditions, to reduce stress and anxiety among angiography candidates.

scholarly journals Effectiveness of Schema Therapy and Acceptance and Commitment Therapy in Components of Cognitive Emotion Regulation among Patients with Anxiety Disorder

2020 ◽  
pp. 225-230
Keyword(s):  
Emotion Regulation ◽  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Analysis Of Covariance ◽  
Measurement Tool ◽  
Schema Therapy ◽  
Cognitive Emotion Regulation ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference

Introduction: Health anxiety is a broad cognitive disorder that is formed as a misconception about the symptoms and physical changes resulting from a personchr('39')s beliefs about illness or health. Objectives: This study aimed to compare the efficacy of schema therapy and acceptance and commitment therapy (ACT) in cognitive emotion regulation components in patients with an anxiety disorder. Materials and Methods: This quasi-experimental study was carried out with a three-group pretest-posttest design. The study population included individuals referring to Bavar and Bamdad counseling centers located in Sari, Iran, in 2019. A sample size of 45 participants was selected using nonrandom sampling (i.e., targeted and voluntary sampling). The measurement tool used was Emotional Cognitive Regulation Questionnaire (Garnefsky and Craig; 2006). Multivariate analysis of covariance and univariate analysis of covariance was used to analyze the data by SPSS software (version 22). Results: The obtained results of the present study showed that schema therapy and ACT were effective in cognitive emotion regulation in patients with an anxiety disorder (P<0.001). The ACT was more effective than schema therapy in the reduction of blaming others (P<0.0001) and focus on catastrophe (P<0.010) and increase of positive refocus (P<0.012). There was no significant difference in other emotional regulation components between the groups (P>0.05). Conclusions: Considering the role of beliefs and thoughts in the anxiety disorder, it is suggested that therapists consider schema therapy and ACT in psychological interventions, including cognitive emotion regulation, for this group of patients.

scholarly journals Effectiveness of Choice Theory Training on Suicidal Tendency

2020 ◽  
pp. 172-177
Keyword(s):  
High School ◽  
Choice Theory ◽  
Analysis Of Covariance ◽  
Male Students ◽  
Control Group ◽  
Suicidal Tendency ◽  
Statistical Population ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Academic Year

Background and Objective: Suicide is not an uninvited guest entering unannounced rather it always occurs following a previous background. Suicide is interpreted as an action in order to accredit life or give up everything. Suicide happens because of determinism or full anxiety and depression. The present study aimed to investigate the effect of Choice Theory training on the suicidal tendency of first high school male students in Sonqor County, Kermanshah Province, Iran. Materials and Methods: This quasi-experimental study was conducted using a pretest-posttest design with a control group. The statistical population of the study consisted of all boys of the first high school in Sonqor County, Kermanshah Province, Iran, in the academic year of 2017-18. According to available statistics, about 500 students were studying at six male high schools from which one high school was selected randomly. After implementing the Multiple Attitude Questionnaire of suicidal tendency in adolescents, 30 students were divided into two groups (15 cases per group) randomly. The obtained data were then analyzed through single-variable and multivariate analysis of covariance. Results: The results of this study showed that the implementation of the Choice Theory Education to first high school male students influenced their suicidal tendency (P<0.01), and suicidal tendency decreased in the students of the experimental group. Furthermore, the results from the comparison of the attraction to death at posttest in two groups by controlling the pretest effect indicated no significant difference between the two groups in terms of the attraction to death scores (F=0.175; P<0.01). Conclusions: Considering the findings, this intervention is a suitable method to modify the behavior and improve adaptation in male students.

scholarly journals Effectiveness of Cognitive Emotion Regulation on Emotional Intelligence in Students With Hearing Impairment

2020 ◽  
Vol 18 (3) ◽  
pp. 239-248
Author(s):  
Mohammad Ashori ◽  
◽  
Azam Rashidi ◽  
Keyword(s):  
Emotional Intelligence ◽  
Emotion Regulation ◽  
Hearing Impairment ◽  
Intervention Group ◽  
Data Gathering ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Cognitive Emotion Regulation ◽  
Control Group Design ◽  
And Control

Objectives: Cognitive emotion regulation plays an important role in the emotional intelligence of students with hearing impairment. The present study was conducted to determine the effect of cognitive emotion regulation on emotional intelligence in students with hearing impairment. Methods: The present study was a quasi-experimental research with pre-test-post-test and control group design. This sample consisted of 30 students with a hearing impairment aged 16-20 years from the deaf school of Mir in Isfahan City, Iran in the 2018-2019 academic year. They were selected by convenient sampling method. The subjects were randomly divided into the intervention and control groups, and each group consisted of 15 students. The intervention group received a cognitive emotion regulation program in 8 sessions (45 minutes per session), while the control group did not participate in this intervention and was kept in the waiting list. Data gathering tools were an emotional intelligence test, administered before and after the training sessions. The obtained data were analyzed using a multivariate analysis of covariance and analysis of covariance in SPSS. Results: The results indicated that cognitive emotion regulation had a positive and significant effect on emotional intelligence and its subscales of students with hearing impairment in the intervention group after the intervention (P<0.0001). Discussion: Cognitive emotion regulation improved the emotional intelligence of students with hearing impairment. This program facilitates the improvement of the emotional intelligence in these students. Thus, paying attention to the cognitive emotion regulation program is essential for students with hearing impairment.

Exploring Particular Facets of Cognitive Emotion Regulation and Their Relationships With Nonsuicidal Self-Injury Among Adolescents

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Nir Madjar ◽  
Nicole Segal ◽  
Gilad Eger ◽  
Gal Shoval
Keyword(s):  
Emotion Regulation ◽  
High School Students ◽  
Analysis Of Covariance ◽  
Depression Symptoms ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
School Students ◽  
Self Injury ◽  
Regulation Strategies ◽  
Nonsuicidal Self Injury

Abstract. Background: Nonsuicidal self-injury (NSSI) has been found to be associated with poor emotion regulation. Aims: The goal of this study was to examine the association of multidimensional cognitive emotion regulation strategies with NSSI among adolescents and compare the different patterns of NSSI. Method: A sample of 594 high-school students (54.4% boys; mean age = 14.96 years), from five regional schools across Israel, were assessed for five facets of cognitive emotion regulation strategies (acceptance, refocus on planning, positive refocusing, putting into perspective, and positive reappraisal) and NSSI behaviors using validated scales. Participants were allocated into three groups: repetitive NSSI (more than six occasions of NSSI; 7.1%), occasional NSSI (at least one incident but less than six; 8.3%), and no NSSI (84.6%). Results: Analysis of covariance, controlling for gender and depression symptoms, revealed that students with NSSI reported higher levels of acceptance, but lower levels of refocus on planning and putting into perspective. Limitations: The study used a cross-sectional design, which was a limitation. Conclusion: These findings demonstrate that particular cognitive emotion regulation strategies differ substantially in their relationship with NSSI. Adolescents who focus on planning and putting stressful situations into perspective may have increased resilience, whereas adolescents who are accepting of negative events that have happened may be more prone to maladaptive coping behaviors.

Effects of Relationship Enrichment Training on Improving Marital Satisfaction of Infertile Couples: A Randomized Control Trial

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi
Keyword(s):  
Marital Satisfaction ◽  
Intervention Group ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Chi Square ◽  
Significance Level ◽  
Significant Difference ◽  
The Mean ◽  
Infertile Couples ◽  
Relationship Enrichment

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.

The Effect of Acceptance and Commitment Therapy on Psychological Flexibility and Emotional Regulation in Patients with Spinal Cord Injuries: A Randomized Controlled Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Saeed Khanjani ◽  
Javad Kazemi ◽  
Jalal Younesi ◽  
Asghar Dadkhah ◽  
Akbar Biglarian ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Emotion Regulation ◽  
Emotional Regulation ◽  
Spinal Cord Injuries ◽  
Psychological Flexibility ◽  
Control Group ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
Cord Injury ◽  
And Control

Background: Patients with spinal cord injuries suffer from some psychological problems, such as inadequate emotional regulation and flexibility for adapting to the post-injury condition. In this regard, acceptance and commitment therapy (ACT) can improve psychological flexibility and emotional regulation. Objectives: The main goal of this study was to analyze the effectiveness of ACT in improving psychological flexibility and emotional regulation in patients with spinal cord injuries. Methods: This quasi-experimental design study was based on a pretest-posttest method with a control group. The study population consisted of all patients with spinal cord injury referred to Jalaeipour Rehabilitation Center in Tehran. The study sample included 30 patients with spinal cord injury selected by the purposive sampling method. The inclusion criteria were patients aged 20 to 55 years, residing in Tehran, and with at least a high school diploma. The injury duration varied between one and five years, and the injuries were thoracic and lumbar injuries and an intermediate score of psychological flexibility and emotion regulation. The exclusion criteria were patients with cervical spinal cord injuries, as well as patients who were simultaneously receiving another psychological treatment together with the subjects who suffered from brain damage. Patients were randomly assigned to the experimental and control groups based on random numbers. There were 15 patients in each group. The intervention group received ACT during eight sessions (1.5-hour group therapy) held once a week at Jalaeipour Rehabilitation Center in Tehran (2018), while the control group received routine care. Dennis and Vander Wal’s cognitive flexibility inventory (CFI) and Gross and John’s emotion regulation questionnaire (ERQ) were completed before and one week after the intervention. The data were analyzed using multivariate analysis of covariance (MANCOVA). Results: There was a significant difference in demographic indicators between the two groups. Based on MANCOVA with the baseline score, the mean scores of psychological flexibility and emotion regulation had a significant difference regarding the results of ACT between the experimental and control groups (P < 0.05). Conclusions: According to the findings, ACT can improve psychological flexibility and emotional regulation in patients with spinal cord injuries.

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