نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشیارگروه روانشناسی بالینی، دانشکده تربیتی و روانشناسی، دانشگاه شیراز، شیراز،ایران
2 دانشجوی دکتری گروه روانشناسی بالینی،دانشکده علوم تربیتی و روانشناسی دانشگاه شیراز، ایران
3 استاد گروه روانشناسی بالینی، دانشکده تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
The aim of the present study was to determine the effectiveness of Unified trans diagnostic group therapy on positive meta-cognitions and meta-emotions and anxiety sensitivity in veterans with comorbid trauma-related disorder and depression. The research method was quasi-experimental, with a pre-test-post-test design with a control group and a two-month follow-up period. The sample consisted of 24 people who were selected in a targeted way from among the neuropsychiatric veterans who referred to or were hospitalized in the centers and hospitals affiliated to the Shahid Shiraz Foundation in 1402 and were randomly assigned to two experimental and control groups. Participants with Rees et al.'s (1986) Anxiety Sensitivity Scales, Beer and Moneta (2010) positive metacognitions and meta-emotions, Weiss and Marmar (1997) event trauma-revised, Military Edition PTSD, Beck depression et al. (1996) evaluation and data were analyzed using analysis of variance with repeated measures by SPSS software version 23. The results of the analysis showed that there is a significant difference between the experimental group and the control group in the pre-test stage compared to the post-test and the follow-up period (P<0.05) and the differences from the post-test to the follow-up are significant. They are not (p>0.05), which means that the stability of the treatment was maintained over time. Therefore, the therapeutic intervention has been effective on the research variables.
کلیدواژهها [English]
Abdi,R; Bakhshipour,A; Mahmood Alilou,M;& Farnam,A. (2014). Efficacy evaluation of unified transdiagnostic treatment on reduction of symptoms severity in women with generalized anxiety disorder, Journal of Research in Behavioural Sciences, 11(5), 375. magiran.com/p1240176. (In Persion).
Abolghasemi, A., Bakhshian, F., & Narimani, M. (2013). The Thought Control Strategies and Response Inhibition in the Patients with Acute Stress Disorder and Normal Persons.
Ahmadi, R; Saed,O; Rezaei,M;& Ahmadizadeh,R. (2020). Anxiety Sensitivity as a Transdiagnostic Construct in Development and Maintenance of Emotional Disorders: A Literature Review, Scientific Journal of Kurdistan University of Medical Sciences, 25(3), 44-60. magiran.com/p2153339. (In Persion).
Akbari,M; Roshan,R; Shabani,A; Fata,L; Shairi,M;& Zarghami, F. (2015). The Comparison of the Efficacy of Transdiagnostic Therapy Based on Repetitive Negative Thoughts with Unified Transdiagnostic Therapy in Treatment of Patients with Co-occurrence Anxiety and Depressive Disorders: A Randomized Clinical Trial, Iraninan Psychiatry and Clinical Psychology, 21(2), 88-107. magiran.com/p1507267. (In Persion).
Alavi,S M; Rafieinia,P; Makvand Hosseini,Sh; Sabahi, p. (2021). The Effectiveness of Unified Trans diagnostic Treatment on Social anxiety symptoms and Difficulty in Emotion Regulation: Single-Subject Design, Quarterly Journal of Psychological Studies, 16(2), 7-24. magiran.com/p2228250. (In Persion).
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: American Psychiatric Publishing.
Asgharisharabiani, A; atadokht, A. (2019). The role of the theory of mind and metacognition in predicting emotion dysregulation in male students with attention deficit/hyperactivity disorder. Journal of Psychological Science. 18(74), 181-191. (In Persion).
Ashena MS, Besharat MA, Malihialzuckerini S, rafezi Z. (2021). The effectiveness of unified transdiagnostic therapy on strategies cognitive emotion regulation in mothers of children with cancer. Journal of Psychological Science. 20 (104), 1383-1402. (In Persion).
Bagley, A. (2023). Trauma Informed Practice Training and Its Impact on Teachers’ Beliefs and Approaches to Discipline (Doctoral dissertation, Southern Illinois University at Edwardsville).
Bahadori, Z; Robatmili, S;& Ghorban jahromi, R. (2019).The effectiveness of transdiagnostic treatment by Unified Protocol on Symptoms of anxiety and depression comorbidity in housewives mothers. NPWJM 2019; 7 (24):82-92. (In Persion).
Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382-392.
Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Latin, H. M., Ellard, K. K., Bullis, J. R., Bentley, K. H., Boettcher, H. T., & Cassiello-Robbins, C. (2017). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide (2nd ed). Oxford University Press.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory- II. San Antonio: Psychological Corporation.
Beer, N., & Moneta, G. B. (2010). Construct and concurrent validity of the positive metacognitions and positive meta-emotions questionnaire. Personality and Individual Differences, 49(8), 977-982.
Black, D. W., & Grant, J. E. (2014). DSM-5® guidebook: the essential companion to the diagnostic and statistical manual of mental disorders. American Psychiatric Pub
Boffa, J. W., Stanley, I. H., Smith, L. J., Mathes, B. M., Tran, J. K., Buser, S. J.,... & Vujanovic, A. A. (2018). PTSD symptoms and suicide risk in male firefighters: The mediating role of anxiety sensitivity. The Journal of nervous and mental disease, 206(3), 179.
Bonanno, G. A., & Mancini, A. D. (2012). Beyond resilience and PTSD: Mapping the heterogeneity of responses to potential trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 74–83. https://doi.org/10.1037/a0017829.
Boswell, J. F., Farchione, T. J., Sauer-Zavala, S., Murray, H. W., Fortune, M. R., & Barlow, D. H. (2013). Anxiety sensitivity and interoceptive exposure: A transdiagnostic construct and change strategy. Behavior therapy, 44(3), 417-431.
Bryant, R. A., O’Donnell, M. L., Creamer, M., McFarlane, A. C., Clark, C. R., & Silove, D. (2010). The psychiatric sequelae of traumatic injury. American Journal of Psychiatry, 167(3), 312–320. https://doi.org/10.1176/appi. ajp.2009.09050617.
Bullis, J. R., Fortune, M. R., Farchione, T. J., & Barlow, D. H. (2014). A preliminary investigation of the long-term outcome of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Comprehensive psychiatry, 55(8), 1920-1927.
Dipti, P., & Kumar, J. A. (2018). Role of positive metacognitions and meta-emotions in predicting alexithymia. Int J Sci Res Rev, 7(3), 487-98.
Fata,L; Birashk,B; Atefvahid, M K. & Dabson,K. (2005). Meaning Assignment Structures/ Schema, Emotional States and Cognitive Processing of Emotional Information: Comparing Two Conceptual Frameworks, Iraninan Psychiatry and Clinical Psychology, 11(3), 312. magiran.com/p323348. (In Persion).
Frieze, S. (2015). How Trauma Affects Student Learning and Behaviour. BU Journal of Graduate Studies in Education, 7(2), 27-34.
Galatzer-Levy, I. R., Huang, S. H., & Bonanno, G. A. (2018). Trajectories of resilience and dysfunction following potential trauma: A review and statistical evaluation. Clinical psychology review, 63, 41-55.
Gallagher, M. W., Thompson-Hollands, J., Bourgeois, M. L., & Bentley, K. H. (2015). Cognitive behavioral treatments for adult posttraumatic stress disorder: Current status and future directions. Journal of Contemporary Psychotherapy, 45, 235-243.
Gallegirian,S; Deireh,E; Ghamarani,A; & Poladi Reishahri,A. (2022). The Effect of Unified Trans-Diagnostic Treatment on the Experiential Avoidance And Suicidal Ideation in the Girls Victim of Domestic Violence, Journal of Psychological Models and Methods, 12(46), 69-84. magiran.com/p2402899. (In Persion).
Gallegirian,S; Deireh,E; Ghamarani,A;& Poladi Reishahri,A. (2022). The Effect of Unified Trans-Diagnostic Treatment on the Signs of Post-Traumatic Stress Disorder and Action Resilience in the Girls Victim of Domestic Violence, Medical Journal of Mashhad University of Medical Sciences, 64(5), 3989-4000. magiran.com/p2685891. (In Persion).
Geng, F., Zhou, Y., Liang, Y., Zheng, X., Li, Y., Chen, X., & Fan, F. (2019). Posttraumatic stress disorder and psychiatric comorbidity among adolescent earthquake survivors: a longitudinal cohort study. Journal of abnormal child psychology, 47(4), 671-681.
Ghadiri Zabihi,S; Abolghasemi,A;& Aghajani,S. (2015). A comparison of behavioral activation-inhibition systems and emotional clarity in students with and without trauma, Journal of School Psychology, 4(2), 69. magiran.com/p1441034. (In Persion).
Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian‐language version of the Beck Depression Inventory‐Second edition: BDI‐II‐PERSIAN. Depression and anxiety, 21(4), 185-192.
Ghezelseflo,M; Nejatifar, S;& Aghaziarati,A. (2022). The efficacy of unified transdiagnostic treatment on distress tolerance and emotion regulation of students with internalized behavioral problems, Journal of Psychological Sciences, 21(111), 525-542. magiran.com/p2426705. (In Persion).
Gohari,Sh; Hosseini Almadani,S.A; Afkari,F. (2023). Efficacy of Child-Oriented Unified Trans-Diagnostic Treatment for Alexithymia in Divorce-Engaged Children with Emotional Self-Regulation Difficulties, Journal of Applied Psycology Research, 14(2), 179-194. magiran.com/p2630120. (In Persion).
Gregg, B. T., Kitzman, P. H., & Shordike, A. (2016). Well-being and coping of student veterans readjusting into academia: A pilot survey. Occupational Therapy in Mental Health, 32(1), 86-107.
Gutner, C. A., & Presseau, C. (2019). Dealing with complexity and comorbidity: opportunity for transdiagnostic treatment for PTSD. Current treatment options in psychiatry, 6(2), 119-131.
Hatami M; Hasani, J; Arjomandnia,N;& Torabi,Z. (2016). The effects of educating Cognitive Emotion Regulation strategies in anxiety sensitivity in patients with Post-Traumatic Stress Disorder, Journal of Military Psychology, 6(24), 5-13. magiran.com/p1570661. (In Persion).
Henshaw, L. A. (2019). The Complexity of Unrecognized Trauma: Survivors' Narratives (Doctoral dissertation, Adelphi University).
Huseth, R. C. (2018). The Relationship between Physical Activity and Posttraumatic Stress Disorder in Veterans (Doctoral dissertation, Middle Tennessee State University.
Ito, M., Horikoshi, M., Kato, N., Oe, Y., Fujisato, H., Yamaguchi, K.,... & Takebayashi, Y. (2023). Efficacy of the unified protocol for transdiagnostic cognitive-behavioral treatment for depressive and anxiety disorders: a randomized controlled trial. Psychological Medicine, 53(7), 3009-3020.
Ivanova, J. I., Birnbaum, H. G., Chen, L., Duhig, A. M., Dayoub, E. J., Kantor, E. S., Schiller, M.B. & Phillips, G. A. (2011). Cost of post-traumatic stress disorder vs major depressive disorder among patients covered by medicaid or private insurance. The American Journal of Managed Care, 17(8), e314-23.
Jiang, M. Y., Kandris, E., El-Masry, Y., Drobny, J., St. Clare, T., & Chen, J. T. (2021). Effectiveness of transdiagnostic group cognitive-behavioural therapy for anxiety disorders in a naturalistic clinical setting. Clinical Psychologist, 25(1), 69-77.
Kerr, N. C., Ashby, S., Gerardi, S. M., & Lane, S. J. (2020). Occupational therapy for military personnel and military veterans experiencing post‐traumatic stress disorder: A scoping review. Australian Occupational Therapy Journal, 67(5), 479-497.
Khorsand Noobahar,B; Roushan,R;& Khodabakhshi-Koolaee,A. (2023). Effectiveness of Narrative Exposure Therapy (NET) on the Improvement of Post-Traumatic Symptoms, Interpersonal Reactivity and Negative Emotions in Veterans with Post-Traumatic Stress Disorder (PTSD): A Single-Subject Research Study, Journal of Military Psychology, 14(55), 33-59. magiran.com/p2670423. (In Persion).
Laposa, J. M., Mancuso, E., Abraham, G., & Loli-Dano, L. (2017). Unified protocol transdiagnostic treatment in group format: a preliminary investigation with anxious individuals. Behavior modification, 41(2), 253-268.
Lavaf Arani,M J; Sadeghi,S; Laki,M; Dehghani Sanij,N; Rajabi,F. (2023). The effectiveness of unified trans-diagnostic treatment on anxiety sensitivity, sleep quality and emotion regulation in patients with post-traumatic stress disorder, Rooyesh-e-Ravanshenasi, 11(10), 193-202. magiran.com/p2545075. (In Persion).
Lenz, A. S., & Hollenbaugh, K. M. (2015). Meta-analysis of trauma-focused cognitive behavioral therapy for treating PTSD and co-occurring depression among children and adolescents. Counseling Outcome Research and Evaluation, 6(1), 18-32.
Marshall, G. N., Miles, J. N., & Stewart, S. H. (2010). Anxiety sensitivity and PTSD symptom severity are reciprocally related: evidence from a longitudinal study of physical trauma survivors. Journal of abnormal psychology, 119(1), 143.
Zemestani,M;& Imani,M. (2016). Effectiveness of transdiagnostic treatment on depression/anxiety symptoms and emotion regulation, Contemporary psychology, 11(1), 15-28. magiran.com/p1593424. (In Persion).
Moradimanesh, F; Mirjaafari, Guderzi,M; & Mohammadi,M. (2007). Examining the psychometric properties of the Revised Anxiety Sensitivity Index (ASIR). Psychology, 44(11), 426-446. (In Persion).
Nargesi, F; Fathiashtiani,A; Davodi,I;& Ashrafi,E. (2019). The effect of unifled transdiagnostic treatment on anxiety sensitivity, distress tolerance and obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder, Journal of Psychological Achievements, 26(2), 49-66. magiran.com/p2068137. (In Persion).
Nazari,I; Mohammadi,M; Naziri,Q. (2014). Effectiveness of Gestalt therapy on Post Traumatic Stress Disorder (PTSD) symptoms on veterans of Yasuj city, Armaghane-danesh, 19(4), 295. magiran.com/p1289366. (In Persion).
Noohi,S; Miraghaie,A M; Arabi,A. (2016). The Effectiveness of Neurofeedback on Anxiety, Depression, and War Post- Traumatic Stress Disorder Symptoms, Journal of Research in Behavioural Sciences, 14(2), 195-203. magiran.com/p1625802. (In Persion).
Norris, F. H. (1992). Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology, 60(3), 409-418. doi: 10.1037/0022-006X.60.3.409.
O’Donnell, M. L., Alkemade, N., Creamer, M. C., McFarlane, A. C., Silove, D., Bryant, R. A., & Forbes, D. (2016). The long-term psychiatric sequelae of severe injury: A 6-year follow-up study. The Journal of Clinical Psychiatry, 77(4), 473–479. https://doi.org/10.4088/JCP.14m09721.
O'donnell, M. L., Lau, W., Chisholm, K., Agathos, J., Little, J., Terhaag, S., ... & Gallagher, M. W. (2021). A pilot study of the efficacy of the unified protocol for transdiagnostic treatment of emotional disorders in treating posttraumatic psychopathology: a randomized controlled trial. Journal of traumatic stress, 34(3), 563-574.
Ogle, C. M., Rubin, D. C., Berntsen, D., & Siegler, I. C. (2013). The frequency and impact of exposure to potentially traumatic events over the life course. Clinical Psychological Science, 1(4), 426- 434. doi: 10.1177/2167702613485076.
Osma, J., Peris-Baquero, O., Suso-Ribera, C., Farchione, T. J., & Barlow, D. H. (2021). Effectiveness of the Unified Protocol for transdiagnostic treatment of emotional disorders in group format in Spain: Results from a randomized controlled trial with 6-months follow-up. Psychotherapy Research, 1-14.
Otared, N; Mikaeili, N; Mohajeri,N;& Vojoudi, B. (2017). The Effect of Unified Transdiagnostic Treatment on Anxiety Disorders and Comorbid Depression: Single-Case Design, Journal of Torbat Heydariyeh University of Medical Sciences, 4(4), 54-62. magiran.com/p1706613. (In Persion).
Panaghi,L;Hakim shooshtari,M;& Atari Mogadam,J. (2006). Persian version validation in impact of event Scale-Revised. Tehran Univ Med J; 64 (3):52-60. (In Persion).
Paulus, D. J., Brandt, C. P., Lemaire, C., & Zvolensky, M. J. (2020). Trajectory of change in anxiety sensitivity in relation to anxiety, depression, and quality of life among persons living with HIV/AIDS following transdiagnostic cognitive-behavioral therapy. Cognitive behaviour therapy, 49(2), 149-163.
Peris-Baquero, O., & Osma, J. (2023). Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Group Format in Spain: Results of a Noninferiority Randomized Controlled Trial at 15 Months after Treatment Onset. Depression and Anxiety, 2023.
Phelps, A., Steel, Z., Metcalf, O., Alkemade, N., Kerr, K., O’Donnell, M., Nursey, J., Cooper, J., Howard, A., & Armstrong, R. (2018). Key patterns and predictors of response to treatment for military veterans with posttraumatic stress disorder: A growth mixture modelling approach. Psychological Medicine, 48(1), 95–103. https://doi.org/10.1017/S0033291717001404.
Priebe, S., Matanov, A., Gavrilović, J. J., Mccrone, P., Ljubotina, D., Knežević, G., & Schützwohl, M. (2009). Consequences of untreated posttraumatic stress disorder following war in former Yugoslavia: Morbidity, subjective quality of life, and care costs. Croatian Medical Journal, 50(5), 465-475. doi:10.3325/ cmj.2009.50.465.
Rahmanian,Z;& Vaezmousavi,M. (2015). Psychometric Properties of the Metacognition Applied to Thysical Activity Scale, Sport Psychology Studies, 3(9), 11-26. magiran.com/p1356099. (In Persion).
Rahnejat,A M; Rabiei,M; Salimi,S H; Fathi Ashtiani,A; Donyavi,V;& Mirzai,J. (2015). Causal Metacognitive Model War-related Chronic Posttraumatic Stress Disorder, Iraninan Psychiatry and Clinical Psychology, 20(4), 317-325. magiran.com/p1415620. (In Persion).
Raines, A. M., Capron, D. W., Stentz, L. A., Walton, J. L., Allan, N. P., McManus, E. S., ... & Franklin, C. L. (2017). Posttraumatic stress disorder and suicidal ideation, plans, and impulses: The mediating role of anxiety sensitivity cognitive concerns among veterans. Journal of Affective Disorders, 222, 57-62.
Raines, A. M., Walton, J. L., McManus, E. S., Cuccurullo, L. A. J., Chambliss, J., Uddo, M., & Franklin, C. L. (2017). Associations between lower order anxiety sensitivity dimensions and DSM-5 posttraumatic stress disorder symptoms. Cognitive Behaviour Therapy, 46(2), 162-173.
Rajabi,Gh; & Karjo Kasmai, S. (2013). Psychometric Properties of a Persian-Language Version of the Beck Depression Inventory - Second Edition (BDI-II-Persian), Educational Measurement, 3(10), 139. magiran.com/p1112320. (In Persion).
Richey, J. A., Schmidt, N. B., Hofmann, S. G., & Timpano, K. R. (2010). Journal of Anxiety Disorders Temporal and structural dynamics of anxiety sensitivity in predicting fearful responding to a 35% CO 2 challenge. Journal of Anxiety Disorders, 24, 423-432.
Shahabi Vand,S; Afshari,A;& Cheragh Molaei,L. (2021). The Efficiency of Trauma Focused-Cognitive Behavioral therapy on Mood and Somatic Symptoms of Children with Interpersonal Trauma, Journal of Psychology, 25(2), 236-254. magiran.com/p2323349. (In Persion).
Simpson, T., Jakupcak, M., & Luterek, J. A. (2006). Fear and avoidance of internal experiences among patients with substance use disorders and PTSD: The centrality of anxiety sensitivity. Journal of Traumatic Stress, 19, 481–491. http://dx.doi.org/10.1002/(ISSN)1573-6598.
Stanley, I. H., Hom, M. A., Spencer-Thomas, S., & Joiner, T. E. (2017). Examining anxiety sensitivity as a mediator of the association between PTSD symptoms and suicide risk among women firefighters. Journal of anxiety disorders, 50, 94-102.
Stegelin, D., Leggett, C., Ricketts, D., Bryant, M., Peterson, C., & Holzner, A. (2020). Trauma-Informed Preschool Education in Public School Classrooms: Responding to Suspension, Expulsion, and Mental Health Issues of Young Children. Journal of At-Risk Issues, 23(2), 9-24.
Stein, N. R., Dickstein, B. D., Schuster, J., Litz, B. T., & Resick, P. A. (2012). Trajectories of response to treatment for posttraumatic stress disorder. Behavior Therapy, 43(4), 790–800. https://doi.org/10.1016/j.beth.2012.04.003.
Taghvainiya,A; Mohamadebrahimi Gahromi,S. (2020). The Mediating Role of Coping Strategies in the Relationship between Emotional Dysregulation and Quality of Life in Disabled Veterans with Post-Traumatic Stress Disorder, Journal of Military Psychology, 10(40), 5-19. magiran.com/p2138110. (In Persion).
Varkovitzky, R. L., Sherrill, A. M., & Reger, G. M. (2018). Effectiveness of the unified protocol for transdiagnostic treatment of emotional disorders among veterans with posttraumatic stress disorder: A pilot study. Behavior Modification, 42(2), 210-230.
Viana, A. G., Woodward, E. C., Hanna, A. E., Raines, E. M., Alfano, C. A., & Zvolensky, M. J. (2018). The moderating role of anxiety sensitivity in the co-occurrence of anxiety and depression symptoms among clinically anxious children. Journal of Experimental Psychopathology, 9(3), 2043808718791049.
Weiss, D. M. C. R., Marmar, C., Wilson, J. P., & Keane, T. M. (1997). The impact of event scale—Revised, assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford.
Yehuda, R., Hoge, C. W., McFarlane, A. C., Vermetten, E., Lanius, R. A., Nievergelt, C. M., Hyman, S. E. (2015). Post-traumatic stress disorder. Nature Reviews Disease Primers, 1, 15057. Retrieved from https://doi.org/10.1038/nrdp.2015.57.
Zemestani, M;& Imani,M. (2016). Effectiveness of transdiagnostic treatment on depression/anxiety symptoms and emotion regulation, Contemporary psychology, 11(1), 15-28. magiran.com/p1593424. (In Persion)
Ziaei,F; Sharifi Amadadi,P; Farrokhi,N.A. (2023). Comparison of the Effectiveness of Emotional Memory Management Training Package on Emotional Intelligence in Women and Men With Depressive Symptoms, Journal of Military Psychology, 13(51), 179-197. magiran.com/p2550209. (In Persion)
Zohrabi,M; Sarafraz,M. (2021). Impulsivity Prediction Model: The Role of Perfectionism Dimensions and Coping Strategies, Journal of Military Psychology, 12(47), 97-117. magiran.com/p2379995. (In Persion)