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The Effectiveness of "Cognitive-Behavioral Therapy" on the Difficulties of Emotional Regulation, Intolerance of Uncertainty and Thought Fusion in People Suffering From Comorbid Depression and Anxiety.
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Ali Nedaei    , Hoseyn Ghamri , Ali Sheykholeslami , Esmaeil Sadri |
| , h_ghamari@uma.ac.ir |
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Abstract: (268 Views) |
Introduction: One of the reasons for patients' resistance and the poor effectiveness of treatment approaches is the comorbidity of depression and anxiety disorder. Therefore, the purpose of the present study was to determine the effectiveness of "Cognitive Behavioral Therapy" on difficulties in emotion regulation, intolerance of uncertainty and thought fusion in people suffering from comorbid depression and anxiety.
Methods: The present research was semi-experimental with a pre-test, post-test design with a control group. The statistical population of this research included all the people who had referred to psychological centers in Isfahan city with comorbid symptoms of depression and anxiety in 2019. The samples were selected by convenience method from the counseling center of the 5th and 7th regions of Isfahan city. After passing a clinical interview according to DSM-5 and completing the "Beck Depression Inventory, Version 2" and "Beck Anxiety Inventory", finally, 32 people were eligible for the study. The samples were randomly assigned to intervention (16 people) and control (16 people) groups. Data collection was Done with demographic questionnaire, "Difficulties in Emotion Regulation Scale", "Intolerance of Uncertainty Scale" and "Thought Fusion Instrument". Content validity and face validity were measured by qualitative method and reliability was also measured by internal consistency method by calculating Cronbach's alpha coefficient. "Cognitive Behavioral Therapy" was implemented for 10 sessions of 90 minutes for the intervention group and the control group was on the waiting list. The data was analyzed with SPSS .21.
Results: “Cognitive-Behavioral Therapy” in the intervention group caused a significant improvement in the intolerance of uncertainty, difficulties in regulating emotions and mixing thoughts in the post-exam stage. However, the effectiveness of “Cognitive-Behavioral Therapy” was stable only on the uncertainty intolerance variable until the follow-up stage (P<0.05).
Conclusions: The effect of "Cognitive Behavioral Therapy" has shown more lasting changes on the uncertainty intolerance variable than other variables. Considering the negative prognosis and the high complexity of comorbid depression and anxiety, it is suggested that this intervention be combined and strengthened with complementary therapy for the long-term effectiveness of this intervention on other correlates of this disorder.
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| Keywords: Cognitive Behavioral Therapy, Uncertainty, Thought Fusion, Emotional Regulation, Comorbid Depression and Anxiety. |
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Full-Text [PDF 382 kb]
(166 Downloads)
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Type of Study: Research |
Subject:
health management
Received: 2022/09/17 | Accepted: 2023/01/28 | Published: 2025/01/29
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