dialectical behavior therapy

The present study aimed to compare the effectiveness of Dialectical Behavior Therapy (DBT) and Emotion-Focused Therapy (EFT) on communication patterns and marital intimacy in cases of marital infidelity among women in the city of Isfahan.

Methods and Materials:

The research method was quasi-experimental, utilizing a pretest-posttest design with control and experimental groups. The statistical population of this study included all women with experiences of marital infidelity who sought counseling in the city of Isfahan in 2023. The sample consisted of 45 women with experiences of marital infidelity who sought counseling services in Isfahan, selected through convenience sampling and randomly assigned to two experimental groups—DBT and EFT—and one control group. Data were collected using the Marital Infidelity Questionnaire by Yenisey and Kokdemir (2006), the Communication Patterns Questionnaire by Christensen and Salovey (1984), the Marital Intimacy Questionnaire by Bagarozy (2001), and the Emotion Regulation Questionnaire by Gross and John (2003). Data analysis was conducted using univariate and multivariate analysis of covariance.

The results indicated that both Emotion-Focused Therapy and Dialectical Behavior Therapy were effective in improving communication patterns and marital intimacy among women. Furthermore, the findings revealed that Emotion-Focused Couples Therapy had a greater impact than Dialectical Behavior Therapy on improving these variables.

Based on the findings, both EFT and DBT can be utilized as effective, cost-efficient, and practical approaches with wide applicability in improving and repairing couple relationships.

 The present study aimed to examine the relationship between alexithymia, loneliness, and differentiation with suicidal thoughts in high school students.

 This research is a descriptive correlational study. The statistical population included all female high school students in District 4 of Tabriz during the 2023-2024 academic year (N=4000). Using Krejcie and Morgan's table and multistage cluster random sampling, 351 students were selected as the sample. The data collection tools included the Jackson Differentiation of Self Inventory (2003), the Toronto Alexithymia Scale (1994), the Beck Scale for Suicidal Ideation (1991), and the UCLA Loneliness Scale (1980). Data were analyzed using Pearson correlation coefficient and multiple linear regression analysis with SPSS version 20.

 The results indicated a significant positive correlation between alexithymia and loneliness with suicidal thoughts in high school students. Additionally, a significant inverse relationship was found between differentiation and suicidal thoughts in high school students. The multiple regression results also showed that differentiation (beta = -0.38), alexithymia (beta = 0.35), and loneliness (beta = 0.23) could significantly predict changes in suicidal thoughts among high school students, accounting for 52% of the variance in suicidal thoughts.

 The findings of this study underscore the importance of planning and providing appropriate educational and therapeutic programs aimed at enhancing self-differentiation to reduce suicidal thoughts among students, while also addressing loneliness and alexithymia. The study's results should be communicated to education officials for implementation.

 The present study aimed to compare the effectiveness of a combined package of Resilient Dialectical Behavior Therapy and Dialectical Behavior Therapy on the sense of coherence and marital interactions in women with marital burnout.

 The present study was a quasi-experimental design with a pre-test, post-test, and follow-up with a control group. The statistical population included all women aged 25 to 50 years with marital burnout who responded to the call posted in cultural centers in the city of Isfahan in the spring of 2022 and were contacted and received a moderate score based on the marital burnout questionnaire. A total of 45 individuals from the mentioned population were selected purposefully and randomly assigned to two experimental groups and one control group (15 individuals each). The experimental groups underwent nine 60-minute sessions of the combined package of Resilient Dialectical Behavior Therapy and Dialectical Behavior Therapy, while the control group received no treatment during this period. Data were collected using Antonovsky's Sense of Coherence Questionnaire (1993) and Gottman's Marital Interactions Questionnaire (1999) and analyzed using repeated measures ANOVA and Bonferroni post hoc test, with SPSS version 23.

 The results showed that both interventions significantly affected the sense of coherence and marital interactions in women with marital burnout (p < 0.05). However, in terms of the effectiveness of the two therapeutic methods, the combined package of Resilient Dialectical Behavior Therapy was more effective (p < 0.05).

 The results indicated that the combined package of Resilient Dialectical Behavior Therapy could be utilized to enhance the sense of coherence and marital interactions.

 Borderline Personality Disorder (BPD) begins in adolescence or early adulthood and can lead to difficulties in conflict resolution and emotion regulation. The aim of this study was to compare the effectiveness of Mentalization-Based Therapy (MBT) and Dialectical Behavior Therapy (DBT) on emotion regulation, impulsivity, and self-esteem in individuals with Borderline Personality Disorder.

Methods and Materials: 

This study employed an applied research design and a quasi-experimental pretest-posttest and follow-up design with a control group. The statistical population included all individuals with Borderline Personality Disorder in Tehran. The sample comprised 45 individuals with Borderline Personality Disorder selected through convenience sampling. Data were collected using the Jackson and Claridge Borderline Personality Inventory (1991), the Garnefski et al. Emotion Regulation Questionnaire (2001), the Dickman Impulsivity Inventory (1990), and the Rosenberg Self-Esteem Scale (1965). Data were analyzed using repeated measures ANOVA and SPSS-26 software.

 The results indicated a significant difference between the two therapy groups (MBT and DBT) on emotion regulation, impulsivity, and self-esteem in individuals with Borderline Personality Disorder. Dialectical Behavior Therapy had a greater impact on improving emotion regulation, impulsivity, and self-esteem in individuals with Borderline Personality Disorder (P<0.001).

 It can be concluded that both Dialectical Behavior Therapy and Mentalization-Based Therapy can be effective intervention methods for improving emotion regulation, impulsivity, and self-esteem in individuals with Borderline Personality Disorder.

 Intense emotions following physical, psychological, and cognitive changes in adolescents may lead to aggression. Aggressive adolescents, due to negative experiences in relationships, are at risk for multiple psychological problems. Therefore, the present study aimed to investigate the effectiveness of dialectical behavior therapy on cognitive flexibility and alexithymia in aggressive adolescents.

Methods and Materials: 

This quasi-experimental study employed a pre-test, post-test design with a control group. The statistical population included all high school students (grades 1 and 2) in Shahdad County during the 2021-2022 academic year. Thirty students were selected using convenience sampling from these schools, having scored higher than 78 on the Buss-Perry Aggression Questionnaire. Out of these, 30 students were randomly assigned to experimental (n=15) and control (n=15) groups. The research instruments included the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010), the Toronto Alexithymia Scale (1994), and the Buss-Perry Aggression Questionnaire. Multivariate analysis of covariance (MANCOVA) was used to analyze the data using SPSS-26 software.

 The findings indicated that dialectical behavior therapy had a significant effect on cognitive flexibility and alexithymia in aggressive adolescents (p<0.005).

 Considering the effectiveness of dialectical behavior therapy on cognitive flexibility and alexithymia in aggressive adolescents, the implementation of intervention methods based on dialectical behavior therapy, particularly for emotional regulation and increasing cognitive flexibility, is recommended in schools and for high school students.

 The present study aimed to investigate the effectiveness of Dialectical Behavior Therapy (DBT) on emotional control, communication patterns, and marital intimacy in women experiencing marital infidelity in the city of Isfahan.

Methods and Materials:

 The research method was quasi-experimental with a pre-test-post-test design including control and experimental groups. The statistical population of this research consisted of all women with marital infidelity experience who referred to counseling centers in Isfahan in 2023. The research sample comprised 45 women with marital infidelity experience, who were selected through convenience sampling and randomly assigned to two groups: the DBT experimental group and the emotion-focused therapy (EFT) group, as well as a control group. Data were collected using the Marital Infidelity Questionnaire by Yeniseri and Kokdemir (2006), the Emotion Regulation Scale by Williams, Chamless, and Aheratz (1997), the Communication Patterns Questionnaire by Christensen and Salovey (1984), the Marital Intimacy Questionnaire by Bagarozi (2001), and the Emotion Regulation Questionnaire by Gross and John (2003). Data analysis was conducted using univariate and multivariate covariance analysis.

 The results indicated that Dialectical Behavior Therapy effectively improved emotional control, communication patterns, and marital intimacy in women.

 The findings indicate that Dialectical Behavior Therapy (DBT) is effective in improving emotional control, communication patterns, and marital intimacy in women experiencing marital infidelity. The results support the use of DBT as a valuable intervention for enhancing psychological well-being and relationship satisfaction among affected individuals.

 The increase in juvenile delinquency due to poor management and regulation of emotions and self-harming behaviors under the influence of bullying has become a significant issue in all societies. Accordingly, identifying the effects of therapeutic approaches that can play a role in this regard seems essential. Therefore, this study aimed to investigate the impact of Dialectical Behavior Therapy on self-harming behaviors, bullying, and cognitive emotion regulation in delinquent teenagers.

Methods and Materials: 

This quasi-experimental study included a pre-test, post-test, and a control group. The statistical population consisted of all adolescents aged 12 to 18 years from the Tehran Juvenile Correction and Rehabilitation Center. Thirty adolescents from the center were selected using convenience sampling and were randomly assigned to two groups of 15 (experimental and control groups). The data collection tools included the Self-Harm Behavior Questionnaire by Klonsky and Glenn (2009), the Bullying Behavior Questionnaire by Espelage, Bosworth, and Simon (2000), and the Cognitive Emotion Regulation Questionnaire by Garnefski, Kraaij, and Spinhoven (2001). The data obtained from these questionnaires were analyzed using covariance analysis at a significance level of 0.01 with SPSS26 software.

 The results indicated that Dialectical Behavior Therapy was effective in reducing self-harming behaviors and bullying and increasing cognitive emotion regulation in delinquent teenagers (P < 0.01).

 Based on these findings, it is recommended to utilize and teach Dialectical Behavior Therapy techniques in correctional and rehabilitation centers to enhance cognitive emotion regulation and reduce bullying and self-harming behaviors in delinquent teenagers.

 Borderline Personality Disorder (BPD) is the most common personality disorder in psychiatric settings and one of the disorders that causes the most harm to individuals. The aim of the present study was to compare the effectiveness of Dialectical Behavior Therapy Skills Training (DBT-ST) and Mindfulness-Based Cognitive Therapy (MBCT) on cognitive emotion regulation in individuals with symptoms of Borderline Personality Disorder.

Methods and Materials: 

This research was a semi-experimental study, utilizing a pre-test, post-test design with a control group and a follow-up period. The statistical population included all clients aged 18 to 45 who referred to counseling centers in the city of Sari during the first half of 2022 and had files. From all these individuals, those willing to cooperate were selected through purposive non-random sampling, resulting in a sample of 45 participants. These individuals were then randomly assigned to three groups (Group 1: Dialectical Behavior Therapy Skills Training, n = 15; Group 2: Mindfulness-Based Cognitive Therapy, n = 15; and Group 3: Control group, n = 15). Data collection was conducted using the Cognitive Emotion Regulation Questionnaire by Garnefski et al. (2001). The Dialectical Behavior Therapy Skills Training group (2003) participated in 12 weekly 90-minute group sessions, and the Mindfulness-Based Cognitive Therapy group (2002) participated in 8 weekly 90-minute group sessions. Data were analyzed using repeated measures ANOVA.

 The results indicated that Dialectical Behavior Therapy Skills Training and Mindfulness-Based Cognitive Therapy were effective on cognitive emotion regulation in individuals with symptoms of Borderline Personality Disorder (P = 0.001). There was a significant difference in the effectiveness of Dialectical Behavior Therapy Skills Training and Mindfulness-Based Cognitive Therapy on cognitive emotion regulation between the experimental groups and the control group.

 Based on the results of this study, it can be concluded that Dialectical Behavior Therapy Skills Training and Mindfulness-Based Cognitive Therapy, through individuals' cognitive coping strategies, can lead to improvements in psychological indicators and enhancement of mental health in individuals with symptoms of Borderline Personality Disorder.

The objective of this study was to evaluate the effectiveness of Dialectical Behavior Therapy (DBT) in reducing emotional exhaustion and enhancing empathy among participants. This randomized controlled trial included 30 participants, randomly assigned to either the DBT intervention group or a control group, with 15 participants in each group. The intervention group underwent eight 75-minute DBT sessions over three months, while the control group received no intervention. Emotional exhaustion and empathy were measured at baseline, post-intervention, and at a three-month follow-up using the Maslach Burnout Inventory (MBI) and the Interpersonal Reactivity Index (IRI), respectively. Data analysis was conducted using analysis of variance (ANOVA) with repeated measurements and the Bonferroni post-hoc test, with statistical analyses performed using SPSS-27. The intervention group showed a significant reduction in emotional exhaustion from a baseline mean of 45.23 (SD = 8.21) to 32.56 (SD = 7.45) post-intervention and 34.12 (SD = 7.89) at follow-up. In contrast, the control group's emotional exhaustion remained relatively stable (baseline: 44.87, SD = 7.98; post-intervention: 44.12, SD = 7.89; follow-up: 45.23, SD = 8.12). Empathy scores in the intervention group increased significantly from 52.34 (SD = 9.12) at baseline to 60.23 (SD = 8.45) post-intervention, with a slight decrease to 58.56 (SD = 8.76) at follow-up. The control group showed minimal changes in empathy (baseline: 51.67, SD = 8.89; post-intervention: 52.34, SD = 8.56; follow-up: 51.23, SD = 8.67). ANOVA results confirmed the significance of these changes (F = 31.15, p < 0.001), with Bonferroni post-hoc tests indicating significant differences between baseline and subsequent time points in the intervention group (p < 0.001). The study demonstrates that DBT is significantly effective in reducing emotional exhaustion and enhancing empathy among participants. These findings suggest that DBT can be a valuable intervention for improving psychological resilience and interpersonal effectiveness, particularly in populations at risk for burnout and empathic distress.

The aim of the present study was to compare the effectiveness of Dialectical Behavior Therapy and Acceptance and Commitment Therapy on impulsiveness, self-esteem enhancement, and reduction of rumination in male adolescents aged 12 to 18 in Tehran.

Methods and Materials: 

The research method was applied in terms of objective and quasi-experimental in terms of information collection method. The statistical population of this study included male adolescents aged 12 to 18 in Tehran. The sample size for this part of the research was 30 individuals. The research instruments were the Barratt Impulsiveness Scale (Barratt et al., 1995), the Eysenck Self-Esteem Questionnaire (Eysenck, 1976), and the Ruminative Responses Scale (Nolen-Hoeksema & Morrow, 1991); also, the educational protocols used in this research were Dialectical Behavior Therapy by Linehan (1993) and Acceptance and Commitment Therapy by Fletcher and Hayes (2003).

Findings showed that Dialectical Behavior Therapy was effective on impulsiveness in male adolescents aged 12 to 18, Acceptance and Commitment Therapy was effective on impulsiveness in male adolescents aged 12 to 18, Dialectical Behavior Therapy was effective on self-esteem in male adolescents aged 12 to 18, Acceptance and Commitment Therapy was effective on self-esteem in male adolescents aged 12 to 18, Dialectical Behavior Therapy was effective on reducing ruminative thoughts in male adolescents aged 12 to 18, and Acceptance and Commitment Therapy was effective on reducing ruminative thoughts in male adolescents aged 12 to 18; it was also determined that Acceptance and Commitment Therapy was more effective than Dialectical Behavior Therapy.

The effectiveness of Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) in impacting impulsiveness, self-esteem, and rumination in male adolescents offers a nuanced understanding of therapeutic interventions. Each therapy's influence on these variables underscores the importance of targeted psychological strategies in addressing specific facets of adolescent mental health.

The present study aimed to compare the effectiveness of group dialectical behavior therapy with group schema therapy on emotional dysregulation in women with coronary heart disease. The present study method was quasi-experimental and the design used in this research was a pre-test-post-test design with control and follow-up groups. The statistical population of this research included married women aged 35 to 50 with coronary heart disease who visited Azadi Vascular Hospital in Tehran in 2022. Three groups were randomly grouped using the available sampling method 15 subjects in the first group, 15 in the second group, and another 15 subjects in the control group. In order to carry out regular treatment sessions, an 8-session dialectical behavior therapy protocol and an 8-session schema therapy protocol were developed and implemented. Gratz and Roemer (2004) Difficulty in Emotional Regulation have been used to collect data. In order to statistically analyze the data, analysis of variance with repeated measurements and Bonferroni's post hoc test were used by SPSS software. The results of Bonferroni's post hoc test showed that there isa difference between the effectiveness of group dialectical behavior therapy and group schema therapy on emotional dysregulation in women with coronary heart disease from the pre-test stage, to the post-test and follow-up (p<0.05); Compared to group schema therapy, dialectical behavioral therapy has a greater effect in reducing emotional dysregulation in women with coronary heart disease from the pre-test stage to the post-test and follow-up.