جستجوی مقالات مرتبط با کلیدواژه « رفتاردرمانی دیالکتیک » در نشریات گروه « پزشکی »

Eating disorders are one of the most common mental/psycho-physical disorders that cause many problems in physical health, mental functioning and quality of life. Despite the fact that binge eating disorder is considered the most common eating disorder, it has not been studied much. The purpose of the present study was to compare the effectiveness of dialectical behavior therapy with acceptance and commitment therapy on psychological coherence in binge eating patients.

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 obese and overweight women aged 18 to 45 suffering from overeating in Karaj, who had regularly visited the Overeaters Anonymous Association in Karaj in 2022-2023. From among, using the convenient sampling method, 60 individuals were randomly selected and matched in terms of the scores of the overeating questionnaire and the doctor's diagnosis. They were equally assigned to two groups (20 people in the dialectical behavior therapy group and 20 people in the acceptance and commitment therapy group) and the control group (20 people). After the pre-test, the subjects in the experimental group received the dialectical behavior therapy protocol using the book "Dialectical Behavior Therapy for Binge Eating and Psychotic Anorexia: A Practical Guide for Clinical Experts" written by Debra Safer (2019) during 12 two-hour sessions. They also received the treatment plan protocol of the acceptance and commitment approach based on Hayes, Stroshall, and Wilson (2009), Twohig (2012), and Hayes et al. (2013) during 12 two-hour group sessions. Then the post-test stage and three months later follow-up were conducted. The instrument was Felsenberg's psychological coherence questionnaire (2006). The data obtained from this research were analyzed using SPSS-27 software.

The results showed that there is no significant difference between the effectiveness of two groups of acceptance and commitment therapy and dialectical behavior therapy in increasing the level of psychological coherence. The results showed that both groups were effective and showed stable results.

Considering the findings, it can be concluded that the treatment based on acceptance and commitment and dialectical behavior therapy can increase the level of psychological coherence of patients with binge eating. Therefore, it is recommended that therapists use these approaches as an effective treatment to increase the psychological coherence of patients with binge eating.

This research aimed to compare the effectiveness of dialectical behavior therapy and analytical cognitive psychotherapy in reducing the psychological symptoms of people with borderline personality disorder.

Methods and Materials: 

This research is an applied research based on the goal. Based on the collection and type of data, it was quantitative and cross-sectional in terms of time. In addition, it was a semi-experimental research design in the form of pre-test-post-test with a control group. The statistical sample of the research was 45 people in a non-random way. They were chosen voluntarily. Multivariate covariance analysis was used in quantitative data and SPSS version 26 statistical program was used.

The research findings indicated that the scores for Borderline Personality Inventory (BPI) and Self-harm Thoughts and Behaviors (STB) were higher for individuals who underwent Cognitive Analytic Therapy (CAT) compared to those who underwent Dialectical Behavior Therapy (DBT).

The results of the present study suggest that the Cognitive Analytic approach is more effective than Dialectical Behavior Therapy. Overall, it can be concluded that Cognitive Analytic Psychotherapy, by improving interpersonal relationships, emotional regulation, and self-concept in individuals with Borderline Personality Disorder, helps in reducing impulsive, unplanned, and thoughtless behaviors through a proper patient-therapist relationship, thereby improving the social functioning of these patients.

the experience of domestic violence causes the girls to face different psychological and emotional damages. Therefore, the present study was conducted with the purpose of investigating the effectiveness of dialectic behavior therapy on the experiential avoidance and psychological distress in the girls with the experience of domestic violence.

the present study was quasi-experimental with pretest-posttest and control group design. The statistical population of the present study included the girls with the experience of domestic violence in academic year 2019-20. 30 girls with the record of domestic violence were selected through purposive sampling method and they were randomly accommodated into experimental and control groups (each group of 15 girls). After starting the intervention, 2 girls in the experimental group and 3 girls in the control group quit taking part in the study. The experimental group received ten ninety-minute sessions of training dialectic behavior therapy (Linhan, 2004) during two-and-a-half months. The applied questionnaires in the present study were experiential avoidance questionnaire (Bond et al, 2011) and psychological distress (Kesler et al, 2003). The data from the study were analyzed through ANCOVA method.

the results showed that dialectic behavior therapy has significant effect on the experiential avoidance and psychological distress in the girls with the experience of domestic violence (p<0.001) in a way that this therapy succeeded in decreasing experiential avoidance and psychological distress in these girls.

One of the dangerous unhealthy behaviors that are more common during adolescence compared with other periods of life is the self-injury behavior. This research was conducted with the aim of investigating the effectiveness of dialectical behavior therapy on self-concealment, self-compassion and self-injurious behaviors of female students. The research method was a semi-experimental pre-test-post-test type with a control group. The statistical population of the research was the female high school students in Bandar Turkmen, Iran, during the school years 2022-2023, when 30 students were included by cluster sampling and randomly placed in 2 experimental and control groups (n=15 for each group). The experimental group received dialectical behavior therapy while the control group did not receive any intervention until the end of the study. The research tools included Larson and Justin's self-disclosure questionnaires, Neff's self-compassion, and Klonsky and Glenn's list of self-injury behaviors and functions. The results of the research showed that dialectical behavior therapy was effective on self-concealment, self-compassion and self-injury behaviors of female students (P<0.05). The results indicated that, with a receptive and non-judgmental state of mind and empathy, the dialectical behavior therapy led to the reduction of self-concealment, self-injurious behaviors and enhanced self-compassion in female students.

Physical and psychological health in patients with type 2 diabetes is related to basic psychological needs. This study was conducted to compare the effectiveness of dialectical behavior therapy and training based on metacognition on the basic psychological needs of patients with type 2 diabetes.

The present study is quasi-experimental with pre-test, post-test, and follow-up group design. The statistical population of this research included patients with type 2 diabetes referred to Shahada Neiriz Hospital in Fars province in 2021. A total of 60 patients with type 2 diabetes were selected purposefully and randomly assigned to two experimental groups and one control group (20 people in each group). Data collection was done using a demographic questionnaire and the Basic Psychological Needs Scale. After the pre-test, experimental groups 1 and 2 underwent 12 sessions of 75 minutes (2 sessions per week) of dialectical behavior therapy and metacognition-based therapy separately. The tools were completed by 3 groups in 3 times: pre-test, post-test and follow-up. Data analysis was analyzed in SPSS software version 23 (P<0.05).

There are no significant differences between the groups in terms of age, gender, education, occupation and marital status (P>0.05). Dialectical behavior therapy and training based on metacognition both increased basic psychological needs (P<0.001) in patients with type 2 diabetes.
 

Dialectical behavior therapy and training based on metacognition both increased basic psychological needs and competence, autonomy, and relationship subscales. It is suggested that these exercises should be used with the priority of dialectical behavior therapy for the rehabilitation of patients with type 2 diabetes.

The present study was conducted to investigate the effectiveness of dialectical behavior therapy on the difficulty of emotional regulation and aggression in female adolescents with depressive symptoms .

The research method of the present study was quasi-experimental with pretest, posttest and control group design and follow-up period in two months. The statistical population of the present study included female adolescents with depressive symptoms who referred to education counseling centers in Babol city in the academic year of 2021-2022. 30 female adolescent with depressive symptoms were selected through purposive sampling method and randomly accommodated into experimental and control groups (15 adolescent in the experimental group and 15 adolescent in the control group). The experimental group received dialectical behavior therapy (10 sessions) during 10 weeks (90 minutes). The applied questionnaires in this study included Adolescent Depression Questionnaire (Kutcher, 2002), Difficulty in Emotion Regulation Questionnaire (Gratz & Roemer, 2004) and Aggression Questionnaire (Buss & Perry, 1992). The data were analyzed through mixed ANOVA and Bonferroni follow-up test via SPSS23 software .

The results showed that dialectical behavior therapy is effective on the difficulty of emotional regulation (F=42.50; Eta=0.60; p<0001) and aggression (F=31.83; Eta=0.53; p<0001) of female adolescents with depressive symptom .

According to the findings of the present study, dialectical behavior therapy can be used as an efficient method to decreace difficulty of emotional regulation and aggression of female adolescents with depressive disorder through employing techniques such as bearing distress ،emotional self-regulation ،mindfulness and effective communication

Integrative transdiagnostic and dialectical behavioral therapy seem to affect the hope and pain perception of cancer patients. The aim of this study was to compare the effectiveness of integrated transdiagnostic therapy and dialectical behavioral therapy on hope and pain perception of cancer patients in Isfahan.

The method of this study was quasi-experimental with a control group. The statistical population of the study was all cancer patients in Isfahan in 1400. Of statistical population, 63 patients were selected by available sampling and randomly assigned to two experimental groups and one control group. The experimental groups were trained with specialized protocols. Data were analyzed by repeated measures analysis of variance and Bonferroni post hoc test. 

Compared to the control group, integrated transdiagnostic and dialectical behavioral therapy resulted in improved hope and pain perception of cancer patients in the post-test (P<0.001), and these results also showed a lasting effect in the follow-up phase. The effect of integrated transdiagnostic and dialectical behavioral therapy on hope and pain perception of patients with cancer was not different in post-test and follow-up stages.

Integrative transdiagnostic and dialectical behavioral therapy are likely to improve hope and pain perception in cancer patients.

Borderline personality disorder is the most common personality disorder in psychiatric settings. The aim of this study was to compare the effectiveness of dialectical behavior therapy and the combination of dialectical behavior therapy and mentalization-based therapy in improving the symptoms of people with borderline personality disorder.

This semi-experimental study was a pre-test/post-test type with a control group. 45 people with borderline personality disorder referred to psychological clinics in Urmia city, Iran in 2021 were selected by available sampling method and then randomly assigned to two intervention and control groups (15 people in each group). For the first experimental group, 12 sessions of combination of dialectical behavior therapy and metallization-based therapy were performed, and for the second experimental group, 12 sessions of dialectical behavioral therapy were implemented. The control group did not receive any intervention. The control group did not receive any intervention. The borderline personality scale was used to collect data. The data were analyzed using SPSS version 24 software and descriptive statistics and inferential ANCOVA statistics.

The average scores of borderline personality in the stages before and after the intervention in the first experiment group were 36.00 and 28.13, in the second experiment group were 35.56 and 32.20, and in the control group were 36.73 and 36.04, respectively. The results of covariance analysis showed that the mean of borderline personality in the intervention group which toke combination of dialectical behavior therapy and metallization-based therapy had decreased significantly in comparison with the group of dialectical behavior therapy alone.

Conflicts between work and family cause serious damage to a person's family and professional performance. According to this the present study was conducted aiming to determine the effectiveness of dialectic behavior therapy on marital burnout and marital attachment of the employees with work-family conflict.

It was a quasi-experimental study with pretest, posttest design with control group and two-month follow-up stage. The statistical population included the employees with work-family conflict at Iran Khodro Company (Tehran) in the autumn and winter of 2019-20. 30 employees with work-family conflict were selected through purposive sampling method and they were randomly replaced into experimental and control groups (each group of 15 employees. The experimental group was undergone 10 sessions of dialectic behavior therapy (Linhan, 2004). Work-family conflict questionnaire (Carlson et.al, 2000), marital burnout and questionnaire (Pines, 1996) and marital attachment questionnaire (Bartholomew, 1998) were used in the present study. The data from the study were analyzed through repeated measurement ANOVA via SPSS23 software.

The results showed that dialectic behavior therapy has had significant effect on marital burnout (p<0.001) and marital attachment (p<0.001) of the employees with work- family conflict in a way that this therapy could lead to the decrase marital burnout and improvement of marital burnout and marital attachment of the employees.

The aim of this study was to determine the effectiveness of impulse control training and dialectical behavioral therapy on unplanned, motor and cognitive impulsivity in adolescent girls with disordered mood disorders.

The present study is a quasi-experimental study with two experimental groups and one control group. The statistical population of the present study was girls with disordered mood disorder who were available in each group of 7 patients after diagnosis. Measurement tools included clinical interview based on DSM-5 and Bart (1994) Impulsivity Scale. During this period, the control group did not receive any intervention. The results were analyzed using multivariate analysis of covariance.

The results showed that there was a significant difference between the mean scores of the impulsivity subscales of the experimental group of impulse control and dialectical behavior therapy with the control group (p <0.001). There is a significant difference dialectically (p <0.001).

In the field of treatment and work with people who are in a state of crisis and impulsivity, impulse control and dialectical behavior therapy, considering its nature, seems to be very effective and promising.

The process of cancer and its treatment has effects on patients, so that the physical and mental function of the patient is reduced. In this regard, the use of therapeutic approaches to improve mental health problems caused by the disease has been identified and presented. Considering the repetition of other therapeutic strategies and the variety of psychological problems of patients with cancer, lack of use of two strategies of integrated transdiagnostic treatment and dialectical behavior therapy (DBT) in the group of patients with cancer, and the impact of a person's cognitive skill on maintaining mental health, the purpose of the present study was to compare the effectiveness of integrated transdiagnostic treatment and DBT in psychological well-being and pain perception of patients with cancer

The design of this quasi-experimental study was pre-test, post-test, and follow-up with a control group. The statistical population of the study consisted of all patients with cancer in Isfahan, Iran, in 2021. The study sample consisted of 63 patients with cancer who were selected by the available sampling method and randomly assigned to three experimental and control groups. Research data were collected using McGill Pain Questionnaire (MPQ) and Ryff's Psychological Well-Being Scale and analyzed using repeated-measures analysis of variance (ANOVA) in SPSS software.

Integrated transdiagnostic and DBT education was effective in improving pain perception and psychological well-being of patients with cancer in the experimental group compared to the control group. Moreover, there was a significant difference between the two educational strategies (integrated transdiagnostic and DBT) in the post-test for variable of pain perception (P = 0.58 and P = 0.42, respectively) and for the psychological well-being variable (0.27 and 0.17, respectively). In the follow-up phase, it was obtained as 0.58 and 0.43 for the pain perception variable and 0.30 and 0.17 for the psychological well-being variable (P < 0.01). Integrated transdiagnostic treatment has been more effective in the psychological well-being and pain perception of patients with cancer.

Integrated transdiagnostic treatment and DBT lead to increased psychological well-being and improved pain perception in patients, and health professionals can use this treatment method to improve the psychological performance of patients.

People with disabilities feel different emotions due to their special circumstances, which significantly impact the quality of work and their daily activities throughout life. These emotions can cause people with disabilities to adapt and their presence in the social environment to diminish. In psychology, emotions have a very sensitive and fundamental place, because their relationships to needs and motivations are significant and can be the root of many mental or emotional disorders. Emotional schema therapy argues that individuals have implicit theories about emotion and emotion regulation. Dialectical behavior therapy is another treatment that is considered in emotion regulation today. This treatment aims to achieve behavioral stability and emotional processing. Because of insufficient and necessary research in a society with disabilities and the importance and necessity of paying attention to this vulnerable group, this study aimed to compare the effectiveness of dialectical behavior therapy and emotional schema therapy on emotional regulation in physically disabled people.

The method of the present study was a quasi–experimental design with pretest–posttest and three–month follow–up with a control group. The statistical population was all 20 to 50 years old physically disabled people covered by Mashhad Welfare Organization, Mashhad City, Iran, in 2019. Forty–five subjects with inclusion and exclusion criteria were included in the study by a convenience sampling method. With personal consent, they were randomly divided into two experimental groups (dialectical behavior therapy and emotional schema therapy) and one control group (15 in each group). The inclusion criteria in the study were as follows: having only physical or mobility disabilities based on the diagnosis of the Welfare Medical Commission, participation of both sexes (male and female), having an age range between 20 and 50 years, holding a minimum diploma degree, not receiving concomitant therapies with research, having enough motivation and interest in treatment. The exclusion criteria included having major psychiatric disorders such as personality disorders, undergraduate education, severe medical and physical disorders, acute psychosocial problems, severe family and occupational problems affecting the treatment process; being abscent two sessions or more from intervention or concurrent participation in other psychotherapies. The study data were collected via the Emotional Cognitive Regulation Questionnaire (Garnefski & Kraaij, 2001) in the pretest and posttest phase for subjects in all three groups. For the experimental groups, dialectical behavioral therapy was performed in eleven 60–minute sessions based on the McKay et al. (2007) treatment protocol, and the emotional schema therapy based on Leahy treatment protocol (2015) was performed in eleven 60–minute sessions. No intervention was provided for the control group. Descriptive statistics indicators (mean and standard deviation) and inferential statistics (repeated measures analysis of variance and Bonferroni post hoc test) were used to analyze the data in SPSS software version 25. The significance level was considered 0.05 or less.

The results showed that the effect of time and the interaction of time and group on the mean scores of the emotion regulation variable (adapted strategies and non–adapted strategies) were significant (p<0.001). The effect of the group on the mean scores of emotion regulation variables, including adapted strategies (p<0.001) and non–adapted strategies (p=0.043) was significant. Also, the mean scores of adaptive strategies of emotion regulation in the dialectical behavior therapy group were significantly lower than the emotional schema therapy group (p<0.001). The mean scores of adaptive strategies of emotion regulation in the emotional schem therapy group were significantly higher than the control group (p<0.001). The mean scores of non–adapted emotion regulation strategies in the emotional schema therapy group were significantly lower than the control group (p=0.039). Also, in the experimental groups, there was a significant difference in the mean scores of emotion regulation (adapted strategies and non–adapted strategies) in the pretest and posttest stages (p<0.001) and pretest and follow–up (p<0.001).

Based on the findings, the effectiveness of emotion therapy schema on adapted emotion regulation strategies is greater than dialectical behavior therapy. Therefore, therapists can use the schema of emotional therapy as one of the new models of cognitive–behavioral therapy to improve emotion regulation in people with physical and motor disabilities.

Postpartum depression is a kind of mood disorder. Postpartum depression has many adverse effects on women and their children. Negative body image in mothers after childbirth creates negative emotions for the mother. This discomfort and negative emotions caused by body image are pronounced in mothers with postpartum depression. One of the therapies that can be used for postpartum depression is dialectical behavior therapy. In dialectical behavior therapy, treatment bias is first achieved by controlling and mastering the client's performance, teaching behavioral skills, and finally helping empower the client to feel better about individual and social life and solve life problems, helping the client gain pleasure and satisfaction, and a sense of self–confidence in life. Dialectical behavioral therapy teaches mothers with postpartum depression to recognize these disturbing emotions, accept them, and instead of avoiding these emotions, face them with behavioral goals such as walking and proper diet. This study aimed to evaluate the effectiveness of dialectical behavior therapy on body image and depression in women with postpartum depression.

This research was a quasi–experimental study with a pretest–posttest design with a control group and a 60–day follow–up. The statistical population consisted of women with postpartum depression who were referred to Isfahan medical centers, Isfahan City, Iran, in February and March 2016. To collect information after obtaining the necessary permits, a statistical sample was selected by using the available sampling method. The inclusion criteria included a score of more than 12 on the Edinburgh Postnatal Depression Scale (EDPS) (Cox et al., 1987), being between six weeks and three months postpartum, the age range of 20 to 30 years, first pregnancy, no acute psychiatric disorder (self–reported), and not receiving concomitant psychotherapy or medication. The exclusion criteria for the experimental group were a lack of interest in continuing to participate in treatment sessions and the absence of more than one of the nine treatment sessions. A total of 28 women interested in participating in the study met the parameters of postpartum depression based on the score of the Edinburgh Postpartum Depression Scale (Cox et al., 1987). They were divided into two groups of dialectical behavior therapy training (14 people) and control (14 people) randomly. The study data were collected in pretest, posttest and follow–up stages in two groups via the Satisfaction with Body Image Scale (SWBIS) (Suoto and Garcia, 2002) and Beck Depression Inventory–II (Beck et al., 1996). The experimental group received dialectical behavior therapy as a group in nine 90–minute sessions. Data analysis was performed in SPSS software version 23 using descriptive statistics (mean, standard deviation, frequency and percentage) and inferential statistics (analysis of variance with repeated measures and Bonferroni post hoc test). The significance level for all tests was equal to or less than 0.05.

The results showed that depression (p<0.001) and body image (p=0.042) were significantly different between the experimental and control groups. The variables of body image (p<0.001) and depression (p<0.001) had a significant difference from the posttest stage to follow–up. The interaction of the test stages with the group also shows that body image (p<0.001), and depression (p<0.001) had a significant difference. In the experimental group, there was a significant difference in the variables of depression (p<0.001) and body image (p<0.001) between pretest and posttest and also between pretest and follow–up stages. Also, in the experimental group, there was no significant difference between the posttest and follow–up stages in the depression variable (p=0.063), which indicated the stability of the effectiveness of dialectical behavior therapy in the follow–up stage on the mentioned variable. However, there was a significant difference between the posttest and follow–up stages in the body image variable (p<0.001), indicating that the effectiveness of dialectical behavior therapy in the follow–up stage for the body image variable was not stable.

According to the research findings, dialectical behavior therapy is effective in improving body image and reducing depression in women with postpartum depression.

The main objective of the current study was to compare the effectiveness of schema therapy and dialectical behavior therapy (DBT) on health-promoting lifestyle (HPL) and quality of life (QoL) of HIV/AIDS patients. 

The current study was an experimental study based on a pre-test-post-test design with a control group, and based on the objectives, it can be considered an applied study. The statistical population of the study included all HIV patients monitored by behavioral disorders clinics of the Healthcare Organization Centers in Hamedan County in Iran in 2019-2020. Using simple random sampling method, 45 patients were randomly selected from Shohada Clinic in Hamedan as the sample of the study, followed by randomly assigning them to three 15-member groups, i.e., two intervention groups and a control group. In order to measure the research variables, the Health-Promoting Lifestyle Profile (HPLP) (1987) and the Short Form (36) Health Survey (SF-36, 2001) were utilized. The obtained data were analyzed using ANCOVA in SPSS v. 12.

The Ethics Committee of Hamedan University of Medical Sciences approved the study (Code: IR.UMSHA.REC.1398.1063). This study has been registered in the Iranian Registry of Clinical Trials (Code: IRCT20120215009014N348).

The results of ANCOVA indicate that schema therapy and DBT affect HPL and quality of life, and there was a significant difference between the two groups (P<‌0.001). 

The results show that while both therapy methods affect the selected variables, schema therapy is more effective than DBT on HPL and Quality of Life (QoL).

 Pregnancy is one of the most stressful stages in Women's life. The purpose was to determine the effectiveness of Dialectical Behavior Therapy Techniques Training lavender aromatherapy on depression and maternal competence of Primiparous women with Insecure Attachment to Spouse.

 This clinical trial study was performed in 2021 on 60 pregnant women in Birjand, Iran. Insecure attached expectant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy), intervention group 2 (aromatherapy with lavender), and control group. Dialectical behavioral therapy techniques were performed in the last three months of pregnancy, aromatherapy in the active phase of labor, and the follow-up period one month after the baby's birth. The attachment to spouse Questionnaire, depression Beck, postpartum depression, and maternal competency were used. Data were analyzed in SPSS 25.

The results of repeated analysis of variance showed that teaching dialectical behavioral therapy techniques was effective in reducing depression over time (P<0.001). Covariance analysis showed that depression during pregnancy was decreased significantly after the Dialectical Behavior Therapy Techniques Training (P<0.001). The multivariate analysis of variance also showed both components of maternal competence increased significantly in intervention groups 1 (P<0.05).

Dialectical behavioral therapy techniques and aromatherapy are effective interventions to reduce depression and increase maternal competence. They can be used for pregnant women with insecure attachment to their husbands in health centers.

Delivery is a painful event, and the management of labor pain is of utmost importance. Therefore, the aim of this study was to determine the effectiveness of dialectical behavior therapy techniques training combined with lavender aromatherapy on fear of childbirth and pain intensity in nulliparous women with insecure attachment to spouse.

This clinical trial study was performed in 1399 on 60 pregnant women in Birjand in the third trimester of pregnancy. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy), intervention group 2 aromatherapy with lavender and control group (aromatherapy with water). In order to collect data, demographic questionnaires, attachment to spouse, fear of childbirth and McGill pain were used. Data were analyzed in SPSS statistical software version 25.

intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy) In comparison with aromatherapy with lavender and control group showed significant effect on reducing fear of childbirth and Intensity of labor pain (P <0.01).   

Dialectical behavioral therapy techniques combined with aromatherapy as an effective intervention to reduce fear of childbirth and pain intensity can be use in the health centers in pregnant women with insecure attachment to the husband.

Evidence suggests that marital conflicts cause family dysfunction. Therefore, this study was conducted to compare the effectiveness of dialectical behavior therapy and reality therapy on family functions of women with marital conflicts.

The research method was quasi-experimental with a pre-test post-test design with a control group. The statistical population of the present study was all women who had referred to counseling centers in Rasht, Iran in 2020 to solve marital problems and conflicts. In this study, the available sampling method has been used. Thus, after announcing the call from among the candidates who wanted to participate in the project and were eligible to participate in the meetings, 54 women who received the highest scores in the marital conflict questionnaire were selected and randomly assigned to two experimental groups (N =36) and a control group (n = 18). Pre-test was performed from all three groups and then dialectical behavior therapy and reality therapy were performed on the two experimental groups in 10 sessions of 90 minutes twice a week, during which the members of the control group received no intervention. The instruments of this study were the Marital Conflict Questionnaire with validity 0.95 and reliability 0.84 and the Family Assessment Questionnaire with validity 0.96 and reliability 0.89 which were applied in two stages of pre-test and post-test. Multivariate analysis of covariance and Bonferroni post hoc test were used to compare the effectiveness of dialectical behavior therapy and reality therapy on family functions of women with marital conflicts.

In this study, 54 participants with a mean age of 37.81±4.39 years old participated. The mean marital conflict of the participants was 157.64±7.39. The results of analysis of covariance showed that dialectical behavior therapy and reality therapy were effective in family functions (p<0.001). However, compared to dialectical behavior therapy, reality therapy had a greater effect on family functions (p<0.01).

According to these findings, dialectical behavior therapy and reality therapy have a positive effect on family functions of women with marital conflicts. Therefore, these treatments can be used along with or in combination with other treatment methods to improve the quality of life and reduce marital conflicts.

Irrational beliefs, emotion regulation, and impulsive behaviors are variables that affect students' mental health. In this context, dialectical-behavioral and cognitive-behavioral therapy are effective approaches to reducing adolescent behavioral disorders. Thus, the present study aimed to compare the effectiveness of dialectical-behavioral and cognitive-behavioral therapy on irrational beliefs, emotion regulation, and impulsive behaviors of high school female students.

The statistical population of this quasi-experimental study included all high school female students in Ramsar city in the academic year of 2015-2016. Forty-five subjects were selected through random cluster sampling from female high schools and were randomly grouped into control and interventions (15 persons in each group). The groups completed emotion regulation, irrational beliefs, and impulsiveness questionnaires in the pre-test, post-test, and follow-up stages. The experimental groups received 8-sessions of 90-minutes dialectical-behavioral and cognitive-behavioral therapy, and the control group did not receive any intervention. Data were analyzed using Bonferroni post-hoc test and repeated measures analysis of variance.

Compared to pre-test, post-test scores of impulsive behaviors (Md=4.33, p<0.001) and irrational beliefs (Md=3.66, p<0.001) in the cognitive-behavioral therapy group and post-test scores of impulsive behaviors (Md=8.40, p<0.001) and irrational beliefs (Md=13.93, p=0.001) in dialectical-behavioral therapy group significantly reduced. Also, post-test of emotion regulation of cognitive-behavioral therapy group (Md=-0.20, p<0.001) and dialectical-behavioral therapy (Md=-7.46, p<0.001) significantly increased compared to pre-test; these effects continued in the follow-up phase.

Dialectical-behavioral and cognitive-behavioral therapies can be used as effective treatments to improve emotion regulation and reduce irrational beliefs and impulsive behaviors in female students; there is no difference between them in this respect.

Special physical and psychological conditions caused by pregnancy can have psychological consequences for mother and baby. Therefore, the aim of this study was to determine the effectiveness of dialectical behavior therapy techniques training (pregnancy period) with lavender aromatherapy (active phase of labor) on anxiety and patience of primiparous women with insecure attachment to spouse (one month after delivery).

This clinical trial study was performed in 2020 on 60 pregnant women in the third trimester of pregnancy in Birjand. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided into three groups: intervention group 1 (Teaching dialectical behavior therapy techniques and aromatherapy), intervention group 2 (aromatherapy with lavender), and control group (aromatherapy with water). In order to collect data, attachment to spouse, anxiety, and patience were used. Data were analyzed in SPSS statistical software version 25.

The results of repeated measure analysis showed that teaching dialectical behavioral therapy techniques with aromatherapy was effective in reducing anxiety and increasing patience (p <0.001) and the results were stable during the follow-up period and did not increase (p >0/05). In addition, the results of analysis of covariance showed that anxiety during childbirth in both groups of dialectical behavior therapy training with and without aromatherapy decreased significantly (p <0.001). Dialectical behavior therapy training with aromatherapy was more eefective in reducing anxiety during childbirth than aromatherapy (p <0.001).

Dialectical behavior therapy techniques can be used as a sustainable intervention to reduce anxiety and increase patience and the aromatherapy can also be used as a temporary intervention to reduce anxiety in health centers in pregnant women with insecure attachment to the husband.

Couples who are effectively interconnected present mutual affirmation and can listen and respond to their spouse's needs in a non–defensive manner. The in–depth knowledge of skills and their use in coping with problems and crises are keys to effective marital relations; they enhance the strength and consistency of spouses. However, this knowledge, among couples in distress, is scarce. One of the behaviors that cause communication problems is control. Geriatric control usually occurs in closed home environments, causing uncertainty and the disruption of family integrity. Controlling destroys cohesion, bonding, adaptation, and resilience among family members. Controlling behaviors destruct the family system and couples’ relationships. Some examples of such adverse consequences include the disturbance of couples intimacy, as well as the inefficiency and incompatibility of the family with issues, differences, values, and beliefs, decreased flexibility and cohesion among family members, impaired communication, disrupted familial feelings, the lack of common understanding of communication patterns and interpersonal interactions, and reduced resilience in the face of multiple complications. Considering the necessity of implementing novel methods to solve couples’ problems, this study aimed to compare the effects of Integrative–Behavioral Couple Therapy (IBCT) and Dialectical Behaviour Therapy (DBT) on couples’ controlling behaviors.

This was a quasi–experimental study with a pretest–posttest and a control group design. The statistical population included all couples referring to counseling centers in Karaj City, Iran, to resolve marital disputes. The study subjects were selected by convenience random sampling method and randomly placed in two experimental and one control (n=16; 8 couples per group) groups. The research instrument was the Controlling Behaviors Scale (CBS). The study subjects' choice was higher than the average in the CBS. After conducting the pretest, the IBCT and DBT programs were provided to the test groups; however, the controls received no intervention. Finally, a posttest was performed on all research groups. The obtained data were analyzed in SPSS by Analysis of Covariance (ANCOVA) at the 0.01 significance level.

The ANCOVA data indicated that DBT significantly reduced the mean score of controlling behaviors in the examined couples (p<0.001); however, no such effects were detected in the IBCT group. Furthermore, the post–hoc test data revealed that the effects of DBT were greater than that of the IBCT on reducing controlling behaviors. Accordingly, the effect size concerning the controlling behaviors was measured as 0.54, explaining approximately 54% of the within–group changes in the IBCT group.

This study suggested that DBT is applicable among couples; DBT could effectively decline couples’ controlling behaviors; however, the IBCT was not effective in reducing couples’ controlling behaviors.