Effectiveness of Emotion Efficacy Therapy on Emotion Regulation, Self-Compassion and Self-Efficacy in Women with Generalized Anxiety Disorder

Document Type : Original Article

Authors

1 PhD student in psychology, Faculty of Psychology and Educational Sciences, Isfahan (Khorasgan)Branch, Islamic Azad University, Isfahan, Iran

2 Associate Professor, Department of Psychology, Community Health Research Center, Isfahan (Khorasgan)Branch, Islamic Azad University, Isfahan, Iran

Abstract

Introduction: The aim of this study was to Effectiveness of Emotion Efficacy Therapy on Emotion Regulation, Self-Compassion and Self-Efficacy in Women with Generalized Anxiety Disorder.
Method: In a randomized controlled trial design statistical population of Women with Generalized Anxiety Disorder, referred to Psychological clinics in Esfahan in 2020 was targeted. A sample of 30 patients was chosen by the available sampling method and considering inclusion/exclusion criterias. Selected participants were randomly divided into two equal groups of Exprement(N=15) and Control(N=15). The instruments included Emotional Cognitive Regulation Questionnaire, Self-Compassion questionnaire, Self-Efficacy questionnaire. The experimental group received 10 sessions of ST intervention, while the control group remained on the waiting lis. A statistical analysis of variance analysis of repeated measures was performed.
Results: The results showed that Emotion Efficacy Therapy Positive affected on Emotion Regulation, Self-Compassion and Self-Efficacy and this effect remaind stable in follow-up phase.
Conclusion: it is suggested this therapy use for Increase Emotion Regulation, Self-Compassion and Self-Efficacy in Women with Generalized Anxiety Disorder
Keywords:Emotion Efficacy Therapy, Emotion Regulation, Self-Compassion, Self-Efficacy, Generalized Anxity Disorder

Keywords

Main Subjects

References

  1. منابع

    1. Mokhtari S, Nejatbakhsh A. Comparison of intolerance of Uncertainty Worriness, Cognitive Avoidance Negative problem orientation among people with generalized anxiety disorder, major depression disorder and Normal subjects(population). J Res behave Sci. 2015; 13(2): 188-207. [persian]
    2. Seamus G, Hoffman, S. Cognitive behavioral therapy of anxiety disorders. Translation: Akram Khamse, Tehran: Arjamand Publications. 2013.
    3. Fisher P. L, Durham R. C. Psychopathology of generalized anxiety disorder. Psychiatry. 2004; 3(4): 26-30. ‏
    4. Da Silva ML, Rocha RSB, Buheji M, Jahrami H, Cunha KDC. A systematic review of the prevalence of anxiety symptoms during coronavirus epidemics. Journal of health psychology.2021; 26(1), 115 -125.

    5 Necho M, Tsehay M, Birkie M, Biset G, Tadesse E. Prevalence of anxiety, depression, and psychological distress among the general population during the COVID -19 pandemic: A systematic review and meta - analysis. International Journal of Social Psychiatry. 2021; 67(7), 892-906.

    1. Barlow D. H. Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford press; 2004.
    2. Silk JS, Pramana G, Sequeira SL, Lindhiem O, Kendall PC, Rosen D. Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders. Behav Ther. 2020;51(1): 69-84.
    3. Ganji M, Ganji H. Psychopathology according to DSM. Volume II, Tehran: Salavan Publications. 2013; p.194. [persian]
    4. Silvernale C, Kuo B, Staller K. Lower socioeconomic status is associated with an increased prevalence of comorbid anxiety and depression among patients with irritable bowel syndrome: results from a multicenter cohort. Scand J Gastroenterol. 2019;54(9): 1070- 1074.
    5. Qadampour A, Maleki M, Hosseini Ramqani N. Moradiani Gizeroud, Kh. Qolipour, M. Investigating theeffectiveness of spiritual group therapy on the components of patience and anxiety symptoms in students with generalized anxietydisorder with an Islamic approach, Journal of Psychology and Religion. 2019; 13(3): 47-60. [persian]
    6. Canuto A, Weber K, Baertschi M, Andreas S, Volkert J, Dehoust MC, Sehner S, Suling A, Wegscheider K, Ausín B, Crawford MJ. Anxiety disorders in old age: psychiatric comorbidities, quality of life, and prevalence according to age, gender, and country. The American Journal of Geriatric Psychiatry. 2018; 26(2):174-85.
    7. 12. Generoso MB, Trevizol AP, Kasper S, Cho HJ, Cordeiro Q, Shiozawa P. Pregabalin for generalized anxiety disorder: an updated systematic review and meta-analysis. International clinical psychopharmacology. 2017; 32(1):49-55.
    8. Chang S, Abdin E, Shafie S, Sambasivam R, Vaingankar J.A, Stefan Ma, Chong S.A, Subramaniam M. Prevalence and correlates of generalized anxiety disorder in Singapore: Results from the second Singapore Mental Health Study. Journal of Anxiety Disorders. 2019; 66: 102-108.
    9. Leonard K., Abramovitch A. Cognitive functions in young adults with generalized anxiety disorder. European Psychiatry. 2019; 56: 1-7.
    10. Ghayour Kazemi F, Sepehri Shamloo Z, Mashhadi A, Ghanaei Chamanabad A, Pasalar F. A Comparative Study Effectiveness of Metacognitive Therapy with Neurofeedback Training on Anxiety Symptoms, Emotion Regulation and Brain wave activity in Female Students with Social Anxiety Disorder (Single Subject Study). Neuropsychology. 2018;4(12):77-100.
    11. Abolmaali K, Rezaei Niaraki M. Prediction of Cognitive Emotion Regulation Strategies based on Metacognitive Beliefs and Attribution Styles among the Addicts under Abstinence Period. Scientific Quarterly Research on Addiction. 2018; 12(45): 209-230.
    12. Kiani Chalmardi A. Khakdal S, Kiwi moon H, Jamshidian. The effectiveness of satir brief family therapy on the sense of coherence and cognitive-emotion regulation in maladaptive couples, Research in Clinical Psychology and Counselings. 2017; 8(1): 5-20. [persian]
    13. Megreyaa A, Al-Attiyaha A, Moustafab, A, Hassaneina E. Cognitive emotion regulation strategies, anxiety, and depression in mothers of children with or without neurodevelopmental disorders, Research in Autism Spectrum Disorders. 2020; (76): 1-9.
    14. Sandner M, Zeier p, Lois c G, Wessa M. Cognitive emotion regulation withstands the stress test: An fMRI study on the effect of acute stress on distraction and reappraisa, Neuropsychologia. 2021; (157): 1-12.
    15. Muris, P., Petrocchi, N (2017). Protection or vulnerability? A meta-analysis of the relations of self-compassion and psychopathology. Clinical psychology & psychotherapy, 24(2), 373-383.
    16. Gale C, Gilbert P, Read N, Goss K. An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy. 2012; 21(1): 1-12.
    17. Neff K, Rude S, Kirkpatrick K. L. An examination of selfcompassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality. 2007; 41(4): 908-916.
    18. Nwoke M.B, Onuigbo E. N, Odo V.O. Social support, self-efficacy, and gender as predictors of reported stress among inpatient caregivers, The Social Science Journal. 2017; 54(2): 115-119.
    19. Abdullahi B. Designing a model of psychological capability of experts in the headquarters of the Ministry of Science, Research and Technology. [P.H.D Dissertation]. Tehran: Tarbiat Moalem University; 2006.p.15
    20. Bandura A. Freeman W. H, Lightsey R. Self-efficacy: The exercise of control. New York; W. H. Freeman. 1999. P.158-166.
    21. Campbell P, Jordan K. P, Dunn K. M. The role of relationship quality and perceived partner responses with pain and disability in those with back pain. Pain Medicine. 2012; 13(2): 204–214.
    22. Desrosiers A, Vine V, Klemanski DH, NolenHoeksema S. Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depression and anxiety. 2013;30(7):654-61. https://doi.org/10.1002/da.22124
    23. Boden MT, Thompson RJ. Facets of emotional awareness and associations with emotion regulation and depression. Emotion. 2015;15(3):399. https://doi.org/10.1037/emo0000057
    24. Kring AM, Sloan DM. Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment: Guilford Press; 2009.

    30.Aldao A, Nolen-Hoeksema S. Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour research and therapy. 2010;48(10):947-983.

    1. McKay M, West A. emotion efficacy Therapy: A brief Exposure Treatment for Emotion regulation Intergrating DBT and ACT: New Harbinger Publication; 2016. P. 27-36.
    2. Kring A. M, Sloan D. M. (Eds.). Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. Guilford Press; 2009. P.13-37. ‏
    3. Brake CA, Sauer_Zavala, S, Boswell JF, Gallager MW, Farchione TJ, Barlow DH. Mindfullness based exposure strategies as a transdiagnostic mechanism of change: an exploratory alternating treatment design. Behavior therapy. 2016; 47: 225-238.
    4. Capobianco L, Reeves D, Morrison A. P, Wells A. Group metocognitive therapy vs. mindfulness meditation therapy in a transdiagnostic patient sample: a randomised feasibility trial. Psychiatry research. 2018; 259: 554-561.
    5. Wu, Q., Chi, P., Lin, X., & Du, H. Child maltreatment and adult depressive symptoms: Roles of self-compassion and gratitude. Child Abuse & Neglect. 2018; 80, 62-69.
    6. Bandura, A., Caprara, G. V., Barbaranelli, C., Gerbino, M., & Pastorelli, C. Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Development. 2003; 74, 769-782.
    7. Garnefski, N, Kraaij V, Spinhoven, P. Manual for the use of the Cognitive Emotion Regulation Questionnaire. Leiderdorp, The Netherlands: DATEC.2002; 23(3): 141-149.
    8. Amin Abadi Z, Dehghani M. Examining the factorial structure and validation of cognitive emotion regulation questionnaire. Journal of Behavioral Sciences. 2018; 5(4): 365-371. [persian]
    9. Raes F, Pommier E, Neff K. D, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology and Psychotherapy. 2011; 18(3): 250-255.
    10. Ghadampour E, Mansouri L. The effectiveness of compassion focused therapy on increasing optimism and self-compassion in female students with generalized anxiety disorder. Journal of Psychological Studies. 2018; 14(1): 59-74. ‏ [persian]
    11. Qureshi Sheriff M. The effect of the integrated teaching method of collaborative learning and mastery learning on self- efficacy, self-esteem and academic progress, Journal of Research in Educational Systems. 2011; 5(12): 107-89. [persian]
    12. Rahbar Karbasdehi E, Abolghasemi A, Hossein Khanzadeh A.A, Rahbar Karbasdehi F. The effectiveness of acceptance and commitment-based therapy on cognitive regulation of emotion and existential anxiety in patients with multiple sclerosis, Journal of Clinical Psychology & Personality. 2019; 18(2): 1-9.
    13. Khalili N, Khoshakhlagh H. The Effectiveness of Dialectical Behavioral Therapy on Emotional Regulation and Marital Conflicts of Women with Borderline Personality Disorder in Isfahan City, International Journal of Health Studies. 2022; 8(4): 27-32.
    14. Dargahi SH, Zeraati M, Ghamari Givi H, Ayadi N, Haghanni M. The Effectiveness of Emotion Regulation Training on Emotional Well-Being and Marital Satisfaction of Infertile Women, Iran Journal of Nursing. 2015; 28(93-94): 151-162.
    15. Roohi R, Soltani A.A, Zinedine Meimand Z, Razavi Nematollahi V. The Effect of Acceptance and Commitment Therapy(ACT) onIncreasin Regulation in Students with Social Anxity Disorder, Quarterly Journal of Child Mental Health. 2019; 6(3): 173-187.
    16. arabzadeh A, Nemati M, Nematy M, faramarzi F. Effectiveness of Dialectical Behavior Therapy on Increasing Self-Compassion and Psychological Well-being and Decreasing Blood Pressure in Individuals with Substance Abuse, Scientific Quarterly of Research on Addiction. 2022; 15 (62):261-288.
    17. Ghorbanikhah E, Mohammadifar M.A, Moradi S, Delavarpour M.A, The Effectiveness of Acceptance and Commitment Based-Parenting Training on Mood and Anxiety in Children and Self-Compassion in Parents, Clinical Psychology. 2023; 11(1): 0-0. http://jpcp.uswr.ac.ir/article-1-847-en.html
    18. Dourandish F, Rozban S, Ebrahimi Meymand F, Hashemipor F. The Effectiveness of Acceptance and Commitment Therapy on Cognitive Regulation of Emotion, Mindfulness and Self-Compassion in Patients with Major Depression, Quarterly Journal of Nursing Management (IJNV). 2022; 11(3): 1-31.
    19. Hajialiani V, Bahrami Ehsan H, Noferesti A. The effect of mindfulness-based cognitive therapy on coping strategies, depression, and suicidal ideations in students. Journal of Psychological Science. 2021; 19(96), 1557-1568.
    20. Sadlonova M, Kermani M, Huffman J, Nikrahan GH, Sadeghi M, Celano, CH. Feasibility, Acceptability, and Preliminary Efficacy of a Positive Psychology Intervention in Patients With Coronary Heart Disease: A Randomized Controlled Trial, Journal of the Academy of Consultation-Liaison Psychiatry. 2022 63(6), 557-566.
    21. Eftekhar Afzali A, Izadi F. The effectiveness of mindfulness-based cognitive therapy on selfcompassion, Alexithymia and cognitive distortion of students experiencing love failure, Journal of Research in Cognitive and Behavioral Sciences. 2022;11(2),61-72.
    22. Kour A, El-Den J, Sriratanaviriyakul, N. The Role of Positive Psychology in Improving Employees erformance and Organizational Productivity: An Experimental Study, Computer Science,2019; 161: 226–232.
    23. 53. Afshari E, Ebrahimi M.A, Haddad A. The Effect of Acceptance and Commitment Group Therapy on Emotional Divorce and Selfefficacy of Working Couples, Journal of Community Health Research. 2022; 11(4): 327-336.
    24. Basereh S, Safarzadeh S, and Hooman F. The Effectiveness of Group Dialectical Behavior Therapy and Structured Matrix Treatment on Quit Addiction Self-efficacy, Distress Tolerance, and Mindfulness in Individuals with Stimulant Drug Abuse, J Health Rep Technol. 2022; 8(4): 1-7.
    25. Amini M, Lotfi M, Fatemitabar R, & Bahrampouri L. The Effectiveness of Emotion-Focused Group Therapy on the Reduction of Negative Emotions and Internet Addiction Symptoms. Journal of Practice in Clinical Psychology. 2020; 8(1): 1-8.

Files

History

  • Receive Date: 22 February 2023
  • Revise Date: 06 June 2023
  • Accept Date: 01 July 2023

Share

How to cite

Statistics