Fundamentals of Mental Health

Fundamentals of Mental Health

Comparing the effectiveness of group schema therapy and group-based acceptance and commitment therapy on the emotion regulation strategies in substance abusers

Document Type : Research Paper

Authors
Hasan Hajipoor 1
Mohammad Hossein Bayazi 2
Hamid Nejat 3
1 Ph.D. student of psychology of health, Islamic Azad University, Torbat-e- Jam, Iran
2 Assistant professor of psychology, Department of Psychology,, Islamic Azad University, Torbat-e-Jam, Iran
3 Assistant professor of psychology, Department of Psychology, Islamic Azad University, Quchan, Iran
10.22038/jfmh.2020.17096
Abstract
Introduction: The present study aimed to compare the effectiveness of group schema therapy and group-based acceptance and commitment therapy on emotion regulation strategies in substance abusers.
Materials and Methods: The statistical population of this study was all men with substance abuse in Mashhad city in 2018. The samples included 60 substance abusers who were selected purposefully and assigned into 3 groups including schema therapy, acceptance and commitment therapy and control. The both experimental groups received 10 ninety interventional sessions. All participants completed emotion regulation questionnaire (Gratz and Roemer, 2004) in pretest, posttest and 3-months follow up. Data analyzed through descriptive statistics, Kolmogrov-Smirnov test, covariance analysis, and SPSS software.
Results: The results showed that both experimental groups showed a significant reduction in maladaptive strategies of emotional regulation and increase in adaptive strategies compared to the control group. The difference between the three groups was significant in the post-test phase (F= 8.119; p < 0.001) and 3-month follow-up (F= 0.907; p < 0.002).
Conclusion: It seems that schema therapy is more effective than acceptance and commitment therapy to reduce maladaptive strategies of emotional regulation in substance abusers. This effectiveness was maintained at the follow-up stage.
Keywords
Acceptance and commitment therapy
Emotion regulation
Schema therapy
Substance abuse
  1. Ansari M. [Interview with Welfare Department]. Sarab monthly 2001; 4. (Persian)
  2. Taghizadeh D. [Addiction, causes, prevention and treatment]. Therapeutic community 2005; 2(3): 8-11. (Persian)
  3. Bonn-Miller MO, Vujanovic AA, Zvolensky MJ. Emotional dysregulation: Association with coping-oriented marijuana use motives among current marijuana users. Subst Use Misuse 2008; 43(11): 1653-65.
  4. Ochsner KN, Gross JJ. The cognitive control of emotion. Trends Cogn Sci 2010; 9(5): 242-9.
  5. Garnefski N, Kraaij V, Spinhoven PH. Manual for the use of the Cognitive Emotion Regulation Questionnaire. Netherlands: Datec, Leiderdorp; 2002.
  6. Zahed A, Ghalilo K, Abolghasemi A, Narimani M. [The relationship between emotion regulation strategies and interpersonal behavior among substance abusers]. Research in addiction 2009; 3: 99-114. (Persian)
  7. Doran N, McCharque D, Cohen L. Impulsivity and the reinforcing value of cigarette smoking. Addict Behav 2007; 32(1): 90-8.
  8. Miller WR, Wilbourne PL, Hettema J. What works? A summary of alcohol treatment outcome research. In: Hester RK, Miller WR. (Editors). Handbook of alcoholism treatment approaches: Effective alternatives. 3rd ed. Boston: Allyn and Bacon; 2003: 13-63.
  9. Young JE. Schema therapy. New York: Guilford; 2003: 123-218.
  10. Young JE. Young Schema Questionnaire-Short Form. New York: Schema Therapy Institute; 2005.
  11. Stiles OE. Early maladaptive schemas and intimacy in young adults. Ph.D. Dissertation. San Francisco: Alliant International University 2004; 5-67.
  12. D’andrea JT. An investigation of the relationship between early maladaptive schemas and psychological adjustment: The moderating effects of spiritual coping styles. Ph.D. Dissertation. New York: New York University; 2004: 15-32, 2004.
  13. Farrell JM, Shaw IA, Webber MA. A Schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: a randomized controlled trial. J Behav Ther Exp Psychiatry 2009; 40(2): 317- 28.
  14. Fattahi A, Dehghani A. [Effectiveness of schema therapy in emotion regulation, self-efficacy, and temptation in male members of Narcotics Anonymous (NA) Association]. Research in addiction 2019; 12: 185-202. (Persian)
  15. Roditi D, Robinson ME. The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag 2011; 4: 41-9.
  16. Bach P, Hayes SC. The use of acceptance and commitment therapy to prevent the prehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology 2002; 70(5): 1129-39.
  17. Bond FW, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol 2003; 88(6): 1057-67.
  18. Dahl J, Wilson KG and Nilsson A. Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term Disability Resulting from Stress and Pain Symptoms: A Preliminary Randomized Trial. Behavior Therapy 2004; 35(4): 785-801.
  19. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: An experiential approach to behavior change. 3rd ed. New York, NY: Guilford; 1999: 165-71.
  20. Gifford EV, Kohlenberg BS, Hayes SC, Antonuccio DO, Piasecki MM, Rasmussen-Hall ML, et al. Acceptance-based treatment for smoking cessation. Behav Ther 2004; 35(4): 689-705.
  21. Roozbehi M, Rezaie AM, Alipoor-Dolatabad A. [Comparing the effectiveness of group-based acceptance and commitment and schematic therapies on early maladaptive schemas in addicted patients of Shiraz hospitals, Iran]. Journal of research in behavioral sciences 2017; 15(3): 339-46. (Persian)
  22. Gratz KL and Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26(1): 41-54.
  23. 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)
  24. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. New York, NY: Guilford; 2003: 17.
  25. Seyedasiaban S, Manshaei GH, Asgari P. [Comparison of the effectiveness of schema therapy and mindfulness on cognitive regulation of emotion adaptive strategies in psychoactive drug users]. Knowledge and research in applied psychology 2017; 18(2): 1-10. (Persian)
  26. Vollenweider FX, Liechti ME, Gamma A, Greer GR, Geyer MA. Acute psychological and neurophysiologic effects of MDMA in humans. J Psychoactive Drugs 2001; 34(2): 171-84.
  27. Riso LP, Du Toit PL, Stein DJ, Young JE. Cognitive schemas and core biliefs in psychological problems: A Scientist-Practitioners guide. Washington. MDC: American Psychological Association; 2011. (5)52.
  28. Twohing MP. Introduction: The basics of acceptance and commitment therapy. Cogn Behav Pract 2012; 19(4): 499-507.
  29. Kahl KG, Winter L, Schweiger U. The third wave of cognitive behavioural therapies: what is new and what is effective? Curr Opin Psychiatry 2012; 25(6): 522-8.
  30. Wetherell JL, Afari N, Ayers CR, Stoddard JA, Ruberg J, Sorrell JT, et al. Acceptance and commitment therapy for generalized anxiety disorder in older adults: A preliminary report. Behav Ther 2011; 42(1): 127-34.

 

 

Fundamentals of Mental Health
Volume 22, Issue 4
July and August 2020
Pages 267-274