مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

The effectiveness of transdiagnostic treatment in clinical symptoms, cognitive emotion regulation, and distress tolerance of university students

نوع مقاله : مقاله پژوهشی

نویسندگان
Afarin Sadeghi Ordoubadi 1
Zahra Bagherzadeh Golmakani 2
Mahdi Amiri 3
Ahmad Mansouri 2
1 Ph.D. student, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
2 Assistant professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
3 Assistant professor, Department of Clinical Psychology, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jfmh.2021.17938
چکیده
Introduction:  The present study aimed to evaluate the effectiveness of transdiagnostic treatment in clinical symptoms, cognitive emotion regulation, and students' distress tolerance.
Materials and Methods: The statistical population of this clinical trial included all students of Mashhad universities. Among them, thirty students were selected by the convenient sampling method and randomly assigned to an equal experimental group and a control group. The instruments included Simmons and Gaher Distress Tolerance Scale (DTS), Gross and John Emotion Regulation Questionnaire (ERQ), and Depression, Stress and Anxiety Scale (DASS). After performing the pretest, the experimental group received transdiagnostic treatment intervention in 10 two-hour sessions. Data analyzed using descriptive statistics and analysis of variance with repeated measures and SPSS 26 software.
Results: Based on the findings, there were significant differences between experimental and control groups in the scores of clinical symptoms, cognitive emotion regulation, and distress tolerance (P< 0.05).
 Conclusion: It seems that transdiagnostic treatment is effective in clinical symptoms, cognitive regulation of emotions, and distress tolerance in university students.
کلیدواژه‌ها
Clinical symptoms
Cognition
Distress tolerance
Emotion regulation
Transdiagnostic treatment
  1. Hasan Tehran T, Karami Kabir N, Sheraghi F. [The relationship between emotional intelligence, mental health and academic achievement in Neyshabour nursing students]. Avicenna journal of nursing and midwifery care 2012; 20(3): 35-45. (Persian)
  2. Yousefi F, Mohamadkhani M. [Investigation of students’ mental health at Kurdistan University of Medical Science and it related with age, gender and their academic courses]. Medical journal of Mashhad University of Medical Sciences 2014; 56(6): 354-61. (Persian)
  3. Zare N, Parvareh M, Noori B, Namdari M. [Mental health status of Iranian university students using the GHQ-28: a meta-analysis]. Scientific journal of Kurdistan University of Medical Sciences 2016; 21(4): 1-16. (Persian)

4. Sadock B, Sadock V, Ruize P. Kaplan and Sadock's Synopsis of psychiatry behavioral science/ clinical psychiatry. 11th ed. Philadelphia: Lippincott Williams and Wilkins; 2015: 633-704.

  1. Barlow DH, Durand VM. Abnormal psychology an integrative approach. 7th ed. Belmont, CA: Wadsworth; 2013.
  2. Shamsaei F, Yaghmaei S, Sadeghian E, Tapak L. [Survey of stress, anxiety and depression in undergraduate nursing students of Hamadan University of Medical Sciences]. Iranian journal of psychiatric nursing 2018; 6(3): 26-31. (Persian)
  3. Sobhi-Gharamaleki N, Porzoor P, Aghajani S, Narimani M. [Effectiveness of emotion regulation training on reduction of anxiety, stress and depression symptoms among university students]. Iranian journal of health education and health promotion 2015; 3(1): 5-13. (Persian)
  4. Badan Firoz A, Makvand Hosseini Sh, Mohammadifar M. [The relationship of emotion regulation with depression and anxiety symptoms of university students: The mediating role of mindfulness]. Journal of psychology and psychiatry (Shenakht) 2017; 4(2): 24-38. (Persian)
  5. 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.
  6. Malesza M. [Stress and delay discounting: The mediating role of difficulties in emotion regulation]. Pers Individ Diff 2019; 144: 56-60.
  7. Benfer N, Bardeen JR, Clauss K. Experimental manipulation of emotion regulation self-efficacy: Effects on emotion regulation ability, perceived effort in the service of regulation, and affective reactivity. J Contextual Behav Sci 2018; 10: 108-14.
  8. 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.
  9. Azizi AR, Mirzaei A, Shams J. [Correlation between distress tolerance and emotional regulation with students smoking dependence]. Hakim research journal 2010; 13(1): 11-18. (Persian)
  10. Simons JS, Gaher RM. The distress tolerance scale: Development and validation of a self report measure. Motiv Emot 2005; 209: 83-102.
  11. Samimi Z, Mirdoraghi F, Hasani J, Zakeri MM. [The role of cognitive emotion regulation strategies and distress tolerance in high-risk behaviors among students]. Journal of research in behavioral sciences 2016; 14(1): 92-102. (Persian)
  12. Zemestani M, Imani M. [Effectiveness of transdiagnostic treatment on depression/anxiety symptoms and emotion regulation]. Contemporary psychology 2016; 11(1): 21-32. (Persian)
  13. Khodayarifard M, Mansouri A, Besharat MA, Gholamali Lavasani M. [A review of conceptual models for worry and generalized anxiety disorder]. Clinical excellence 2017; 6(2): 23-38. (Persian)
  14. Talebi N, Naeini Davarani M, Nourouzi Khoohdasht R, Yaghoubi L. [Effectiveness of transdiagnostic integrated treatment in cognitive emotion regulation strategies and social adjustment among infertile women]. Journal of fundamentals of mental health 2017; 19(Special Issue 3): 160-6. (Persian)
  15. Barlow DH, Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Allen LB, et al. The unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. 1st ed. New York: Oxford University Press; 2011.
  16. McEvoy PM, Mahoney A, Perini SJ, Kingsep P. Changes in post-event processing and metacognitions during cognitive -behavioral group therapy for social phobia. J Anxiety Disord 2009; 23: 617-23.
  17. Talkovsky AM, Green KL, Osegueda A, Norton PJ. Secondary depression in transdiagnostic group cognitive behavior therapy among individuals diagnosed with anxiety disorders. J Anxiety Disord 2017; 46(3): 56-64.
  18. Firoozi M, Biranvandi M. [Integrate metacognition for cognitive emotional regulation in patients with cardiovascular disease]. Yafte 2018; 20(2): 93-102. (Persian)
  19. Mohajerin B, Bakhtiyar M, Olesnycky OS, Dolatshahi B, Motabi F. Application of a transdiagnostic treatment for emotional disorders to body dysmorphic disorder: A randomized controlled trial. J Affect Disord 2019; 245: 637-44.
  20. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. 2nd ed. Sydney: Psychological Foundation Monograph; 1995: 42.
  21. Sarmad Z, Bazargan A, Hejazi E. [Research methods in behavioral sciences]. Tehran: Agah; 2019. (Persian)
  22. Lovibond PF. Long-term stability of depression, anxiety, and stress syndromes. J Abnorm Psychol 1998; 107: 520-26.
  23. Salehi A, Asghari MJ, Salari R. [Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian population]. Iranian psychologists 2005; 5(4): 299-312. (Persian)
  24. Ioannidis CA, Siegling AB. Criterion and incremental validity of the emotion regulation questionnaire. Front Psychol 2015; 6: 247.
  25. Qasempour AS, Ilbeigi R, Hassanzadeh Sh. [Psychometric properties of Gross and John emotional regulation scale in an Iranian sample]. Mental Health Conference, University of Guilan, 2012: 722-24. (Persian)
  26. Azizi AR, Mirzaei A, Shams J. [Correlation between distress tolerance and emotional regulation with students smoking dependence]. Hakim research journal 2010; 13(1): 11-18. (Persian)
  27. Hague B, Scott S, Kellett S. Transdiagnostic CBT treatment of comorbid anxiety and depression in an older adult: Single case experimental design. Behav Cogn Psychother 2015; 43(1): 119-24.
  28. Newby JM, McKinnon A, Kuyken W, Gilbody S, Dalglish T. Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clin Psychol Rev 2015; 40: 91-110.
  29. Torre-Luque L, Fiol-Veny A, Essau C, Balle M, Bornas X. Effects of a transdiagnostic cognitive behaviour therapy-based program on the natural course of anxiety symptoms in adolescence. J Affect Disord 2020; 264: 474-82.
  30. Fernández-Martínez I, Orgilés M, Morales A, Espada J, Essau C. One-year follow-up effects of a cognitive behavior therapy-based transdiagnostic program for emotional problems in young children: A school-based cluster-randomized controlled trial. J Affect Disord 2020; 262: 258-266.
  31. Brown TA, Barlow DH. A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. Psychol Assess 2009; 21: 256-71.
  32. Barlow DH. Anxiety and its disorders: The nature and treatment of anxiety and panic. 2nd ed. New York: Guilford; 2002.
  33. Ellard KK, Fairholme CP, Boisseau CL, Farchione T, Barlow DH. Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cogn Behav Pract 2010; 17(1): 88-101.
  34. Gross JJ, Thompson RA. Emotion regulation: Conceptual foundation. In: Gross JJ. (editor). Handbook of emotion regulation. New York: Guilford; 2007: 3-24.
  35. Norton PJ, Price EC. A meta-analytic review of adult cognitive-behavioral treatment outcome across anxiety disorders. J Nerv Ment Dis 2007; 195(6): 521-31.
  36. Rahmani M, Omidi A, Akbari H, Asemi Z. [The effect of unified transdiagnostic therapy on binge eating and difficulties in emotion regulation in patients with binge eating disorder: A single-blind randomized controlled trial]. Journal of research in behavioral sciences 2017; 15(2): 221-31. (Persian)
  37. Gumora G, Arsenio WF. Emotionality emotion regulation, and school performance in middle school children. J Sch Psychol 2002; 40(5): 395-413.
  38. 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]. Journal of Arak University of Medical Sciences 2018; 20: 62-73. (Persian)
  39. Sloan E, Hall K, Moulding R, Bryce S, Mildred H, Staiger P. Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clin Psychol Rev 2017; 57: 141-63.
  40. Fernandez KC, Jazaieri H, Gross JJ. Emotion regulation: A transdiagnostic perspective on a new RDoC domain. Cognit Ther Res 2016; 40(3): 426-40.

 

مجله اصول بهداشت روانی
دوره 23، شماره 1
آذر و دی 1399
صفحه 49-56