Effectiveness of the Emotion-regulation Group Therapy on Symptom Recovery and Quality of Life of Panic Disordered Patients

Document Type : Original Article

Authors

1 PhD in Clinical Psychology, Department of Clinical Psychology, Faculty of Education and Psychology, Shiraz University, Shiraz, Iran

2 Professor, Department of Clinical Psychology, Faculty of Education and Psychology, Shiraz University, Shiraz, Iran

3 Professor, Department of Clinical Psychology, Faculty of Science, Education and Psychology, Shiraz University, Shiraz, Iran

4 Assistant Professor, Department of Clinical Psychology, Faculty of Science - Education and Psychology, Shiraz University, Shiraz, Iran

Abstract

Introduction: Emotion Regulation Therapy (ERT) is a multifaceted and integrated treatment that is widely used for generalized anxiety disorder and its effectiveness on factors of generalized anxiety disorder has been approved. The purpose of this study was to examine Effectiveness of Emotion Regulation Group Therapy on symptom reduction and quality of life in individuals with Panic disorder. This is an experimental study with pre-test and post-test design and control group. Population of the of the present study was All patients with panic disorder in Shiraz city in 1398 who went to the psychiatric clinics of Shiraz University of Medical Sciences. The sample was 22 patients with Panic disorder who were randomly assigned to the experimental group and the control group.
Method: The subjects in the experimental group and the control group were assessed in both pre-test and post-test periods using Structured Clinical Interview for DSM-5, Anxiety and Related Disorders Interview Schedule for DSM-5 and The World Health Organization Quality of Life questionnaire.
Results: results showed that Group format of Emotion Regulation Therapy significantly Improve Symptoms of anxiety and quality of life of individuals with Panic disorder.
Conclusion: Emotion Regulation Therapy including intervention in worry and emotion regulation construct, Improve symptoms and quality of life of patients with panic disorder.

Keywords

References

  1. منابع

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013 May 22.
    2. Sadock BJ, Sadock VA, Ruiz P. Synopsis of psychiatry: behavioral sciences, clinical psychiatry. Wolters Kluwer; 2015.
    3. Khodayarifard M, Mansouri A, Besharat M A, Gholamali Lavasani M. A review of conceptual models for worry and generalized anxiety disorder. Clin Exc. 2017; 6 (2):23-38. [Persian]
    4. Sheppes G, Suri G, Gross JJ. Emotion regulation and psychopathology. Annual review of clinical psychology. 2015 Mar 28;11:379-405.
    5. Hofmann SG, Sawyer AT, Fang A, Asnaani A. Emotion dysregulation model of mood and anxiety disorders. Depression and anxiety. 2012 May;29(5):409-16.
    6. Barlow DH, Allen LB, Choate ML. Toward a unified treatment for emotional disorders–republished article. Behavior therapy. 2016 Nov 1;47(6):838-53.
    7. Cisler JM, Olatunji BO. Emotion regulation and anxiety disorders. Current psychiatry reports. 2012 Jun 1;14(3):182-7.
    8. Marchesi C, Fontò S, Balista C, Cimmino C, Maggini C. Relationship between alexithymia and panic disorder: a longitudinal study to answer an open question. Psychotherapy and psychosomatics. 2005;74(1):56-60.
    9. Hashemi T, Mahmoodaliloo M, Hosseinzadeh S, Mashinchi N. Role of Cognitive Emotion Regulation Strategies, Neuroticism and Extroversion in Panic Symptoms. Modern psychological research. 2014: 9(34): 219-242. [Persian]
    10. Wang SM, Lee HK, Kweon YS, Lee CT, Chae JH, Kim JJ, Lee KU. Effect of emotion regulation training in patients with panic disorder: Evidenced by heart rate variability measures. General hospital psychiatry. 2016 May 1;40:68-73.
    11. Strauss AY, Kivity Y, Huppert JD. Emotion regulation strategies in cognitive behavioral therapy for panic disorder. Behavior therapy. 2019 May 1;50(3):659-71.
    12. Gross JJ. Emotion regulation: Current status and future prospects. Psychological Inquiry. 2015 Jan 2;26(1):1-26.
    13. Fresco DM, Mennin DS, Heimberg RG, Ritter M. Emotion regulation therapy for generalized anxiety disorder. Cognitive and Behavioral Practice. 2013 Aug 1;20(3):282-300.
    14. Kang EH, Kim B, Choe AY, Lee JY, Choi TK, Lee SH. Panic disorder and health-related quality of life: the predictive roles of anxiety sensitivity and trait anxiety. Psychiatry research. 2015 Jan 30;225(1-2):157-63.
    15. Carrera M, Herrán A, Ayuso-Mateos JL, Sierra-Biddle D, Ramírez ML, Ayestarán A, Hoyuela F, Rodríguez-Cabo B, Vázquez-Barquero JL. Quality of life in early phases of panic disorder: predictive factors. Journal of affective disorders. 2006 Aug 1;94(1-3):127-34.
    16. Rufer M, Albrecht R, Schmidt O, Zaum J, Schnyder U, Hand I, Mueller-Pfeiffer C. Changes in quality of life following cognitive-behavioral group therapy for panic disorder. European Psychiatry. 2010 Jan 1;25(1):8-14.
    17. Renna ME, Quintero JM, Soffer A, Pino M, Ader L, Fresco DM, Mennin DS. A pilot study of emotion regulation therapy for generalized anxiety and depression: findings from a diverse sample of young adults. Behavior therapy. 2018 May 1;49(3):403-18.
    18. American Psychiatric Association. Practice Guideline for the Treatment of Patients with Panic Disorders. American Psychiatric Association Practice Guidelines. 1998.
    19. Mennin DS, Heimberg RG, Turk CL, Fresco DM. Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice. 2002 Mar;9(1):85-90.
    20. Mennin DS, Heimberg RG, Turk CL, Fresco DM. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour research and therapy. 2005 Oct 1;43(10):1281-310.
    21. Renna ME, Quintero JM, Fresco DM, Mennin DS. Emotion regulation therapy: a mechanism-targeted treatment for disorders of distress. Frontiers in psychology. 2017 Feb 6;8:98.
    22. Mennin DS. Emotion regulation therapy for generalized anxiety disorder. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2004 Jan;11(1):17-29.
    23. Himle, J., A., Van-Etten, M., Fischer, D., J. (2003). Group cognitive behavioral therapy for obsessive-compulsive disorder: a review. Bri Treat & Cris Intervent. 2003; (3): 217-229.
    24. Wolgensinger, L. (2015). Cognitive behavioral group therapy for anxiety: recent developments. Dialogues in clinical neuroscience, 17(3), 347.
    25. Brown TA, Barlow DH. Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5L).: Lifetime Version. Client Interview Schedule. Oxford University Press; 2014.
    26. American Psychiatric Association. Structured clinical interview for DSM-5 (SCID-5). Washington, DC: American Psychiatric Association. 2015.
    27. World Health Organization. The world health organization quality of life (WHOQOL)-BREF. World Health Organization; 2004.
    28. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. sjsph. 2006; 4 (4):1-12
    29. O’Toole MS, Renna ME, Mennin DS, Fresco DM. Changes in decentering and reappraisal temporally precede symptom reduction during Emotion Regulation Therapy for generalized anxiety disorder with and without co-occurring depression. Behavior therapy. 2019 Nov 1;50(6):1042-52.
    30. Dryman MT, Heimberg RG. Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical psychology review. 2018 Nov 1;65:17-42.
    31. Mennin DS, Fresco DM, Ritter M, Heimberg RG. An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and anxiety. 2015 Aug;32(8):614-23.
    32. Aghighi, A., Mohammadi, N., Rahimi Taghanaki, C., Imani, M. Effectiveness of emotion regulation group therapy on symptom reduction, worry and emotion dysregulation in individuals with Panic disorder. Biannual Journal of Applied Counseling, 2020; 10(1): 65-88. doi: 10.22055/jac.2020.33169.1734
    33. Aghighi, A., Mohammadi, N., rahimi, C., Imani, M. Effectiveness of Emotion Regulation Group Therapy on symptom reduction and quality of life in individuals with Illness Anxiety Disorder. Journal of Modern Psychological Researches, 2020; 15(58): 81-100.
    34. Hartmann AS, Cordes M, Hirschfeld G, Vocks S. Affect and worry during a checking episode: a comparison of individuals with symptoms of obsessive-compulsive disorder, anorexia nervosa, bulimia nervosa, body dysmorphic disorder, illness anxiety disorder, and panic disorder. Psychiatry research. 2019 Feb 1;272:349-58.
Journal of Clinical Psychology
Volume 13, Issue 3 - Serial Number 51
September 2021
Pages 19-32

Files

History

  • Receive Date: 05 April 2020
  • Revise Date: 22 May 2021
  • Accept Date: 23 May 2021

Share

How to cite

Statistics