@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(3):149-155
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(3):149-155
Effectiveness of Integrated Meta-Diagnostic Therapy on Cognitive Emotion Regulation and Psychological Resilience of Veterans' Spouses
ARTICLE INFO
Article Type
Original ResearchAuthors
Mozaffari V. (1)Ghorban Shiiroudi Sh. (*2)
Shafiabadi A. (3)
(*2) Department of Psychology, Tonekabon Branch, Islamic Azad University, Mazandaran, Iran
(1) North Tehran Branch, Islamic Azad University, Tehran, Iran
(3) Faculty of Humanities, Allameh Tabatabai University, Tehran, Iran
Correspondence
Address: Islamic Azad University, Tonekabon Branch, Mazandaran, Iran Postal Code: 4684161167Phone: +98 (912) 1581822
Fax: -
drshohrehshiiroudi@gmail.com
Article History
Received: December 2, 2020Accepted: January 23, 2021
ePublished: May 7, 2021
ABSTRACT
Aims
The spouses of psychiatric veterans are exposed to various psychological traumas due to their spouses' special circumstances. This study aimed to investigate the effectiveness of integrated meta-diagnostic treatment on veterans' spouses' cognitive emotion regulation and psychological resilience.
Materials & Methods The present quasi-experimental study was conducted with a pretest-posttest with a control group on the spouses of psychiatric veterans in Tehran. Using the voluntary sampling method from June to September 2016, by referring to the Tehran's District 4 Veterans Medical Centers and distributing voluntary forms among the veterans' spouses, 30 veteran spouses were selected from among the volunteers and randomly selected in experimental groups, and Controls were assigned. Cognitive emotion regulation questionnaire and resilience scale were used to collect data. The experimental group received integrated meta-diagnostic treatment for two and a half months in 10 90-minute sessions, one session per week. Data were analyzed using SPSS 23 statistical software and analysis of covariance.
Findings The mean scores of cognitive regulation of emotion and its dimensions and psychological resilience of veterans' spouses increased in the experimental group. 57% changes in cognitive emotion regulation component (F=31.62; p=0.0001), 52% changes in psychological resilience component (F=26.05; p=0.0001), 37% changes in emotional inhibition dimension (F=13.21; p=0.001) and 49% changes in the cognitive reassessment dimension (F=21.45; p=0.0001) of veterans' spouses were explained by implementing integrated meta-diagnostic treatment.
Conclusion Integrated meta-diagnostic therapy can be used as an effective treatment to improve veterans' spouses' cognitive emotion regulation and psychological resilience.
Materials & Methods The present quasi-experimental study was conducted with a pretest-posttest with a control group on the spouses of psychiatric veterans in Tehran. Using the voluntary sampling method from June to September 2016, by referring to the Tehran's District 4 Veterans Medical Centers and distributing voluntary forms among the veterans' spouses, 30 veteran spouses were selected from among the volunteers and randomly selected in experimental groups, and Controls were assigned. Cognitive emotion regulation questionnaire and resilience scale were used to collect data. The experimental group received integrated meta-diagnostic treatment for two and a half months in 10 90-minute sessions, one session per week. Data were analyzed using SPSS 23 statistical software and analysis of covariance.
Findings The mean scores of cognitive regulation of emotion and its dimensions and psychological resilience of veterans' spouses increased in the experimental group. 57% changes in cognitive emotion regulation component (F=31.62; p=0.0001), 52% changes in psychological resilience component (F=26.05; p=0.0001), 37% changes in emotional inhibition dimension (F=13.21; p=0.001) and 49% changes in the cognitive reassessment dimension (F=21.45; p=0.0001) of veterans' spouses were explained by implementing integrated meta-diagnostic treatment.
Conclusion Integrated meta-diagnostic therapy can be used as an effective treatment to improve veterans' spouses' cognitive emotion regulation and psychological resilience.
CITATION LINKS
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[23]Nargesi F, Fathi Ashtiani A, Davoudi I, Ashrafi E. The effect of unfiled transdiagnostic treatment on anxiety sensitivity, distress tolerance and obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder. J Psychol Achiev. 2019;28(2):49-66. [Persian]
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[26]Hasanpoor P, Aghausefi A, Zamir O, Alipour A. The effectiveness of transdiagnostic treatment on experiential avoidance and cognitive emotion regulation in patients with obsessive-compulsive disorder and its comparison with exposure and prevention response therapy. J Clin Psychol. 2019;11(3):25-38. [Persian]
[27]Firoozi M, Biranvandi M. Integrate metacognition for cognitive emotional regulation in patients with cardiovascular disease. YAFTE. 2018;20(2):93-102. [Persian]
[28]Azimi A, Omidi A, Shafiei E, Nademi A. The effectiveness of transdiagnostic, emotion- focused treatment for emotional regulation and individual-social adjustment in female students. J Arak Uni Med Sci. 2018;20(10):62-73. [Persian]
[29]Otared N, Mikaeili N, Mohajeri N, Vojoudi B. The effect of unified transdiagnostic treatment on anxiety Disord and comorbid depression: Single-case design. J Torbatheidarie Univ Med Sci. 2017;4(4):54-62. [Persian]
[30]Sauer-Zavala S, Bentley KH, Steele SJ, Tirpak JW, Ametaj AA, Nauphal M, et al. Treating depressive disorders with the Unified Protocol: A preliminary randomized evaluation. J Affect Disord. 2020;264:438-45.
[31]Grossman RA, Ehrenreich-May J. Using the unified protocol for transdiagnostic treatment of emotional disorders with youth exhibiting anger and irritability. Cogn Behav Pract. 2019;27(2):184-201.
[32]Sakiris N, Berle D. A systematic review and meta-analysis of the Unified Protocol as a transdiagnostic emotion regulation based intervention. Clin Psychol Rev. 2019;72:101751.
[33]Steele SJ, Farchione TJ, Cassiello-Robbins C, Ametaj A, Sbi S, Sauer-Zavala S, et al. Efficacy of the unified protocol for transdiagnostic treatment of comorbid psychopathology accompanying emotional disorders compared to treatments targeting single disorders. J Psychiatr Res. 2018;104:211-6.
[34]Talkovsky AM, Green KL, Osegueda A, Norton PJ. Secondary depression in transdiagnostic group cognitive behavioral therapy among individuals diagnosed with anxiety disorders. J Anxiety Disord. 2017;46:56-64.
[35]de Ornelas Maia ACC, Nardi AE, Cardoso A. The utilization of unified protocols in behavioral cognitive therapy in transdiagnostic group subjects: A clinical trial. J Affect Disord. 2015;172:179-83.
[36]Liu X, Cao J, Xie C. Finite-time and fixed-time bipartite consensus of multi-agent systems under a unified discontinuous control protocol. J Franklin Instit. 2019;356(2):734-51.
[37]Kline G, Honaker J, Joseph A, Scheve K. Analyzing Incomplete Political Science Data: An Alternative Algorithm for Multiple Imputation. American Political Science Review. 2001;95(1):49-69.
[38]Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Person Soc Psychol. 2003;85(2):348-62.
[39]Soleimani A, Habibi Y. Relationship between emotion regulation and resilience with psychological well-being in students. J Sch Psychol Q. 2015;3(4):51-72. [Persian]
[40]Asli Azad M, Manshei G, Qamrani A. Effectiveness of acceptance and commitment therapy on cognitive emotion regulation and tolerance of uncertainty of the students with obsessive-compulsive disorder. Psychol Except Individ. 2020;9(36):33-53. [Persian]
[41]Conner KM, Davidson JRT. Development of a new resilience scale: The conner-davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82.
[42]Yousefian Z, Ahadi H, Keraskian Mojmanari A. The effectiveness of spirituality therapy on psychological distress and resilience of thalassemia patients. J Psychol Sci. 2020;18(84):23-35. [Persian]
[2]Dehghan F, Piri Kamrani M, Goli R, Rahmani H. The impact of life skills training on marital satisfaction, marital dissatisfaction and mental health of veteran’s wife. Q J Woman Soc. 2017;7(4):1-11. [Persian]
[3]Showani E, Zahrakar K, Rasooli M. Effectiveness of acceptance and commitment therapy on reducing the components of couple burnout in veterans spouses. Iran J War Public Health. 2016;8(2):111-8. [Persian]
[4]Abbasi S, Dokaneifard F, Shafiabadi A. The comparison of the effectiveness of emotionally focused therapy and cognitive behavioral therapy on family cohesion and marital satisfaction of veteran' wives in Khoramabad city. J Psychol Sci. 2019;17(71):823-9. [Persian]
[5]Moghanloo M, Hosseini SM. Prediction of emotional empathy in the wives of veterans by cognitive emotion regulation strategies and resilience. Iran J War Public Health. 2019;11(2):93-9. [Persian]
[6]Joormann J, Stanton CH. Examining emotion regulation in depression: A review and future directions. Behav Res Ther. 2016;86:35-49.
[7]Li D, Li D, Wu N, Wang Z. Intergenerational transmission of emotion regulation through parents' reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects. Child Youth Serv Rev. 2019;101:113-22.
[8]Malesza M. Stress and delay discounting: The mediating role of difficulties in emotion regulation. Person Individ Differ. 2019;144:56-60.
[9]Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. J Context Behav Sci. 2021;19:17-27.
[10]Herwig U, Opialla S, Cattapan K, Wetter TC, Jäncke L, Brühl AB. Emotion introspection and regulation in depression. Psychiatry Res Neuroimaging. 2018;277:7-13.
[11]Kirwan M, Pickett SM, Jarrett NL. Emotion regulation as a moderator between anxiety symptoms and insomnia symptom severity. Psychiatry Res. 2017;254:40-7.
[12]Moghtader L. Relationship between religious beliefs and stress coping strategies in psychological resilience and marital satisfaction of veterans wives. J Guilan Univ Med Sci. 2017;26(103):37-45. [Persian]
[13]Diener E, Lucas R, Schimmack U, Helliwell J. Well-being for Public policy. Oxford: Oxford University Press; 2009.
[14]Thomas LJ, Asselin M. Promoting resilience among nursing students in clinical education. Nurs Educ Pract. 2018;28:231-4.
[15]Tlapek SM, Auslander W, Edmond T, Gerke D, Schrag RV, Threlfall J. The moderating role of resiliency on the negative effects of childhood abuse for adolescent girls involved in child welfare. Child Youth Serv Rev. 2017;73:437-44.
[16]Wright M, Masten AS, Narayan AJ. Resilience processes in development: Four waves of research on positive adaptation in the context of adversity. In: Goldstein S, Brooks RB, editors. Handbook of Resilience in Children. New York: Springer; 2013.
[17]Steensma H, Heijer MD, Stallen V. Effects of resilience training on the reduction of stress and depression among Dutch workers. Int Q Commun Health Educ. 2007;27(2):145-59.
[18]Dey NEY, Amponsah B. Sources of perceived social support on resilience amongst parents raising children with special needs in Ghana. Heliyon. 2020;6(11):e05569.
[19]Backmann J, Weiss M, Schippers MC, Hoegl M. Personality factors, student resiliency, and the moderating role of achievement values in study progress. Learn Individ Differ. 2019;72:39-48.
[20]Allen LB, McHugh RK, Barlow DH. Emotional disorders: A unified protocol. In: Barlow DH, Editor. Clinical handbook of psychological disorders: A step-by-step treatment manual. New York: Guilford Press; 2007.
[21]Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Thompson-Hollands J, Carl JR, et al. Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy. 2020;43(3):666-78.
[22]Cassiello-Robbins C, Southward MW, Tirpak JW, Sauer-Zavala S. A systematic review of Unified Protocol applications with adult populations: Facilitating widespread dissemination via adaptability. Clin Psychol Rev. 2020;78:101852.
[23]Nargesi F, Fathi Ashtiani A, Davoudi I, Ashrafi E. The effect of unfiled transdiagnostic treatment on anxiety sensitivity, distress tolerance and obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder. J Psychol Achiev. 2019;28(2):49-66. [Persian]
[24]Kamrani Z, Bahrami F, Goodarzi K, Farrokhi N. Effectiveness of transdiagnostic educational package on communication patterns and secure bond of couples referred to family counseling centers. J Psychol Sci. 2019;18(81):1057-67. [Persian]
[25]Kamrani Z, Bahrami F, Goodarzi K, Farrokhi N. Effectiveness of transdiagnostic educational package on communication patterns and secure bond of couples referred to family counseling centers. J Psychol Sci. 2019;18(81):1057-67. [Persian]
[26]Hasanpoor P, Aghausefi A, Zamir O, Alipour A. The effectiveness of transdiagnostic treatment on experiential avoidance and cognitive emotion regulation in patients with obsessive-compulsive disorder and its comparison with exposure and prevention response therapy. J Clin Psychol. 2019;11(3):25-38. [Persian]
[27]Firoozi M, Biranvandi M. Integrate metacognition for cognitive emotional regulation in patients with cardiovascular disease. YAFTE. 2018;20(2):93-102. [Persian]
[28]Azimi A, Omidi A, Shafiei E, Nademi A. The effectiveness of transdiagnostic, emotion- focused treatment for emotional regulation and individual-social adjustment in female students. J Arak Uni Med Sci. 2018;20(10):62-73. [Persian]
[29]Otared N, Mikaeili N, Mohajeri N, Vojoudi B. The effect of unified transdiagnostic treatment on anxiety Disord and comorbid depression: Single-case design. J Torbatheidarie Univ Med Sci. 2017;4(4):54-62. [Persian]
[30]Sauer-Zavala S, Bentley KH, Steele SJ, Tirpak JW, Ametaj AA, Nauphal M, et al. Treating depressive disorders with the Unified Protocol: A preliminary randomized evaluation. J Affect Disord. 2020;264:438-45.
[31]Grossman RA, Ehrenreich-May J. Using the unified protocol for transdiagnostic treatment of emotional disorders with youth exhibiting anger and irritability. Cogn Behav Pract. 2019;27(2):184-201.
[32]Sakiris N, Berle D. A systematic review and meta-analysis of the Unified Protocol as a transdiagnostic emotion regulation based intervention. Clin Psychol Rev. 2019;72:101751.
[33]Steele SJ, Farchione TJ, Cassiello-Robbins C, Ametaj A, Sbi S, Sauer-Zavala S, et al. Efficacy of the unified protocol for transdiagnostic treatment of comorbid psychopathology accompanying emotional disorders compared to treatments targeting single disorders. J Psychiatr Res. 2018;104:211-6.
[34]Talkovsky AM, Green KL, Osegueda A, Norton PJ. Secondary depression in transdiagnostic group cognitive behavioral therapy among individuals diagnosed with anxiety disorders. J Anxiety Disord. 2017;46:56-64.
[35]de Ornelas Maia ACC, Nardi AE, Cardoso A. The utilization of unified protocols in behavioral cognitive therapy in transdiagnostic group subjects: A clinical trial. J Affect Disord. 2015;172:179-83.
[36]Liu X, Cao J, Xie C. Finite-time and fixed-time bipartite consensus of multi-agent systems under a unified discontinuous control protocol. J Franklin Instit. 2019;356(2):734-51.
[37]Kline G, Honaker J, Joseph A, Scheve K. Analyzing Incomplete Political Science Data: An Alternative Algorithm for Multiple Imputation. American Political Science Review. 2001;95(1):49-69.
[38]Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Person Soc Psychol. 2003;85(2):348-62.
[39]Soleimani A, Habibi Y. Relationship between emotion regulation and resilience with psychological well-being in students. J Sch Psychol Q. 2015;3(4):51-72. [Persian]
[40]Asli Azad M, Manshei G, Qamrani A. Effectiveness of acceptance and commitment therapy on cognitive emotion regulation and tolerance of uncertainty of the students with obsessive-compulsive disorder. Psychol Except Individ. 2020;9(36):33-53. [Persian]
[41]Conner KM, Davidson JRT. Development of a new resilience scale: The conner-davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82.
[42]Yousefian Z, Ahadi H, Keraskian Mojmanari A. The effectiveness of spirituality therapy on psychological distress and resilience of thalassemia patients. J Psychol Sci. 2020;18(84):23-35. [Persian]