Investigate the effectiveness of cognitive-behavioral therapy based on Dugas' model on negative problem orientation and problem-solving in patients with generalized anxiety disorder

Document Type : Research Paper

Authors

1 MA. in clinical psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

2 Assistant professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

Abstract

Introduction: Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders, and its treatment is very important. Cognitive-Behavioral Therapy (CBT) based on Dugas' model focuses on the causative agents of this disorder. Therefore, this study aimed to investigate the effectiveness of CBT based on Dugas' model on negative problem orientation and problem-solving in patients with generalized anxiety disorder.
 
Materials and Methods: In this study in 2020, 30 patients with GAD diagnosis were selected by multi-stage cluster method from psychological clinics in Isfahan, Iran. They were randomly divided into experimental and control groups. The experimental group received 12 sessions of 90-minute CBT based on Dugas' model. Due to the drop in sample, 24 subjects in the pre-test and post-test stages fulfilled Generalized Anxiety Disorder Scale (GAD-7), Negative Problem Orientation Questionnaire (NPOQ), and Heppner Problem Solving Inventory (PSI). Finally, the results were analyzed using the SPSS-21 and multivariate analysis of covariance (MANCOVA).
 
Results: The results of MANCOVA showed that there was generally a significant difference between the experimental and control groups in the variables of negative problem orientation and problem-solving (P< 0.01).
 
Conclusion: Cognitive-behavioral therapy based on the Dugas' model, is effective in improving negative problem orientation and problem-solving in patients with generalized anxiety disorder.

Keywords

References

  1. Perez-Pinar M, Ayerbe L, Gonzalez E, Mathur R, Foguet-Boreu Q, Ayis S. Anxiety disorders and risk of stroke: A systematic review and meta-analysis. Eur Psychiatry 2017; 41: 102-8.
  2. Hirsch CR, Krahé C, Whyte J, Krzyzanowski H, Meeten F, Norton S, et al. Internet-delivered interpretation training reduces worry and anxiety in individuals with generalized anxiety disorder: A randomized controlled experiment. J Consult Clin Psychol 2021; 89(7): 575-89.
  3. Marcotte-Beaumier G, Bouchard S, Gosselin P, Langlois F, Belleville G, Marchand A, et al. The role of intolerance of uncertainty and working alliance in the outcome of cognitive behavioral therapy for generalized anxiety disorder delivered by videoconference: Mediation analysis. JMIR Ment Health 2021; 8(3): e24541.
  4. Zemestani M, Beheshti N, Rezaei F, Heiden C, Kendall PC. Cognitive behavior therapy targeting intolerance of uncertainty versus selective serotonin reuptake inhibitor for generalized anxiety disorder: A randomized clinical trial. Behav Change 2021; 38(4): 250- 62.
  5. Agustyani ARD, Priatna N, Martadipura BAP. Attitude towards problem-solving as the effect of problem-posing approach. Unnes journal of mathematics education 2020; 9(2): 83-91.
  6. Robichaud M, Koerner N, Dugas MJ. Cognitive behavioral treatment for generalized anxiety disorder. London: Taylor and Francis; 2019.
  7. Clarke JM, Ford M, Heary S, Rodgers J, Freeston MH. The relation between negative problem orientation and worry: A meta-analytic review. Psychopathol Rev 2017; 4(3): 319-40.
  8. Zemestani M, Ommati P, Rezaei F, Gallagher MW. Changes in neuroticism-related constructs over the unified protocol for transdiagnostic treatment of emotional disorders in patients on an optimal dose of SSRI. Personal Disord 2022; 13(2): 171-81.
  9. Sturm N. “Self-generated representations as heuristic tools for solving word problems,” in implementation research on problem solving in school settings. Proceedings of the 2018 joint conference of ProMath and the GDM working group on problem solving. In: Kuzle A, Gebel I, Rott B. (editors). Münster, Germany: WTM-Verlag; 2019: 173-92.
  10. Hirsch CR, Beale S, Grey N, Liness S. Approaching cognitive behavior therapy for generalized anxiety disorder from a cognitive process perspective. Front Psychiatry 2019; 10: 796-98.
  11. Borza L. Cognitive-behavioral therapy for generalized anxiety. Dialogues Clin Neurosci 2017; 19(2): 203-8.
  12. Fluckiger C, Carratta K, Del Re AC, Probst G, Vîslă A, Gómez Penedo JM, et al. The relative efficacy of bona fide cognitive behavioral therapy and applied relaxation for generalized anxiety disorder at follow-up: A longitudinal multilevel meta-analysis. J Consult Clin Psychol 2022; 90(4): 339-52.
  13. Capobianco L, Nordahl H. A brief history of metacognitive therapy: From cognitive science to clinical practice. Philadelphia: Elsevier; 2021.
  14. Alimehdi M, Ehteshamzadeh P, Naderi F, Eftekharsaadi Z, Pasha R. [A comparative study of the effectiveness of cognitive behavioral therapy and mindfulness based stress reduction on anxiety sensitivity and symptoms of generalized anxiety disorder]. Middle Eastern journal of disability studies 2017; 7: 1-7. (Persian)
  15. Sharafati H, Taheri E, Ismaili Majd S, Amiri M. [The effectiveness of the Dugas-based cognitive therapy on intolerance of uncertainty, cognitive avoidance, and positive anxiety beliefs in patients with generalized anxiety disorder]. Journal of clinical psychology 2016; 9(2): 15-27. (Persian)
  16. Akbari M. [Comparison of the effectiveness of treatment based on uncertainty intolerance, drug therapy with buspirone and combination therapy in improving the symptoms of patients with generalized anxiety disorder]. Journal of clinical psychological studies 2017; 7: 89-115. (Persian)
  17. Beheshti N, Zemestani M, Rezaei F. [Comparison of the effectiveness of cognitive-behavioral therapy focused on ambiguity intolerance and drug therapy on the components of anxiety, ambiguity intolerance and cognitive avoidance in patients with generalized anxiety disorder]. Iranian journal of psychiatry and clinical psychology 2017; 24(3): 240-55. (Persian)
  18. Sarabi P, Parvizi F, Kakabraei K. [Epidemiology of psychiatric disorders in students of Islamic Azad University of Kermanshah]. Psychology of psychological analysis 2018; 10: 9-26. (Persian)
  19. Gall MD, Borg W, Gall J. [Quantitative and qualitative research methods in educational sciences and psychology (Volume 1)]. Kiamanesh A, Shahniyeh Yilagh M, Bagheri K, Khair M, Pakseresht MJ, Abolghasemi M, et al. (translators). Tehran: Samt; 2020. (Persian)
  20. First MB, Williams JBW, Karg RS, Spitzer RL. Structured Clinical Interview for DSM-5: Disorders—Clinician Version (SCID-5-CV). Arlington: American Psychiatric Association; 2016.
  21. Hosseini SMD, Amiri S, Namdari K, Molavi H. [The effectiveness of cognitive-behavioral therapy based on the Dugas’ model on morbid anxiety, symptom severity and etiological factors of generalized anxiety disorder]. Journal of psychological sciences 2020; 19: 1267-79. (Persian)
  22. Lopez-Urias LE. A quality improvement report: Assessing the geriatric population for anxiety using the GAD-7. Project of the University of Texas at El Paso; 2021: 8-9.
  23. Lashkari A, Alilou M. [Effectiveness of metacognitive therapy (MCT) on reduction of worry and metaworry of individuals with symptoms of generalized anxiety disorder (GAD)]. Journal of modern psychology 2020; 15: 187-97. (Persian)
  24. Bassaknejad S, Rahimi M, Razmjo S. [Comparison of negative orientation of adolescent girls with mothers with and without breast cancer toward the problem, hopelessness and perceived stress]. Journal of School of Public Health and Institute of Public Health Research 2020; 18(1): 51-60. (Persian)
  25. Tabatabai Hosseini N. [Treatment and return of addicts with perceived stress, problem-solving ability, and rejection sensitivity]. Journal of psychology new ideas 2021; 7(11): 1-11. (Persian)
  26. Marcotte-Beaumier G, Malivoire BL, Koerner N, Ovanessian MM. The role of overt and covert avoidance strategies in generalized anxiety disorder symptoms and fear of emotion. J Psychopathol Behav Assess 2022; 44: 344-52.
Journal of Fundamentals of Mental Health
Volume 24, Issue 5
September and October 2022
Pages 303-312

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