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TB 2023, 22(5): 121-140 |
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tashakori A, Sedrpoushan N. Compilation of an Integrated Therapy Model Based on Compassion-Focused Therapy, Integrated Islamic Therapy and Therapy Based on Acceptance and Commitment and Its Effectiveness on Life Satisfaction of Depressed Married Women in Yazd City. TB 2023; 22 (5) :121-140
URL: http://tbj.ssu.ac.ir/article-1-3253-en.html
URL: http://tbj.ssu.ac.ir/article-1-3253-en.html
Islamic Azad University , nimapsychologist68@gmail.com
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Compilation of an Integrated Therapy Model Based on Compassion-Focused Therapy, Integrated Islamic Therapy and Therapy Based on Acceptance and Commitment and Its Effectiveness on Life Satisfaction of Depressed Married Women in Yazd City
Amid Tashakori(Ph.D.s)1, Najmeh Sederpooshan(Ph.D.)2
1.PhD student in Counseling, department of counseling, yazd branch, Islamic Azad University, Yazd , Iran
2.Corresponding author:Assistant Professor, faculty member,islamic Azad University, Khomeini Shahr Branch, Khomeini Shahr, Isfahan, Iran Email: sedrpoushan@iaukshs.ac.ir Tel: 09133554792
Abstract
Introduction: As a large part of society who experience different restrictions according to different cultural, historical and social situations, women face difficult emotional conditions during marriage. This research is conducted with the aim of developing a combination treatment model based on compassion-focused therapy, integrated Islamic therapy, and therapy based on acceptance and commitment and its effectiveness on life satisfaction of depressed married women in Yazd city in 1400.
Methods: The research method was a combination of an exploratory design with a compilation and classification approach. The first stage was done qualitatively and based on a descriptive phenomenological strategy. In the qualitative part of the research, a combination treatment protocol based on the approach of combining psychotherapies by Stricker (2006) was compiled and validated. In the quantitative (second) part, based on convenience sampling, 30 depressed married women were selected, and then, through a quasi-experimental method with a pre-test and post-testregarding the two test groups and proof, the effectiveness of the developed protocol on their life satisfaction was assessed. The statistical population of the research included all the women who referred to counseling centers in Yazd city, for whom the diagnosis of depression (Beck Depression Scale) was given. In order to measure people's life satisfaction, Diener's life satisfaction scale was used. In order to analyze the quantitative data of the research, the analysis of covariance method was used.
Results: After extracting 11 main categories, a unified treatment protocol was formulated according to the findings. For validation, ratio coefficients and content validity index were used. The coefficients in all items were higher than 0/79 for CVI index and higher than 0./56 for CVR index.
Conclusion: The results of the analysis of the findings showed that integrated psychotherapy based on self-discipline approach, integrated Islamic treatment approach, and treatment approach based on acceptance and commitment increase life satisfaction of depressed married women in Yazd city.
Keywords: Depression, Integrated Psychotherapy, Life Satisfaction
References
1-Osman DM, Ahmed GK, Farghal MM & et al. Prevalence and predictors of depressive symptoms among married Egyptian women: a multicenter primary healthcare study. BMC Psychiatry. 2022;22(1):602. Published 2022 Sep 10. doi:10.1186/s12888-022-04239-w
2-Kaggwa MM, Namatanzi B, Kule M & et al. Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse's Unemployment, Extramarital Relationship, and Substance Use. Int J Womens Health. 2021;13:869-878. Published 2021 Sep 22. doi:10.2147/IJWH.S323636
3-Kaggwa MM, Najjuka SM, Bongomin F& etal. Prevalence of depression in Uganda: A systematic review and meta-analysis. PLoS One. 2022;17(10):e0276552. Published 2022 Oct 20. doi:10.1371/journal.pone.0276552
4-Husain W, Sajad R. Depression, anxiety and stress among married and unmarried police officers. Pakistan Journal of Clinical Psychology, 2012; 13, 1,3-14.
5-Shah I, Sultan R. A Gender Based Comparison of Depression Between Married and Unmarried Young Adults. International Research Journal of Arts & Humanities; 2018 40, 1-15.
6-Hao CW, Lai WS, Ho CT& et al. Antidepressant-like effect of lemon essential oil is through a modulation in the levels of norepinephrine, dopamine, and serotonin in mice: Use of the tail suspension test. Journal of Functional Foods. 2013 Jan;5(1):370-379. doi: 10.1016/j.jff.2012.11.008
7-Islam A, Efat A, Yousuf B & et al. Depression in married women: Investigating the role of job status, marital satisfaction and psychological well-being. 2016 J. Biol. Sci. 25(2),113-121
8-Ebrahimzadeh Ardakani M, and Dastjardi A, and Sahrai F& et al. Prevalence of depression in women suffering from hair loss referred to a dermatology clinic in Yazd city: a cross-sectional study. Skin and Beauty;2017, 7(1), 17-23.[persian]
9-Shakrenjad S, Mozen N, Hamidi M& et al. The effectiveness of acceptance and commitment therapy on psychological distress, marital satisfaction and quality of life in women with multiple sclerosis. Health and care magazine; 2016 19 (1): 7-17
10-Shiralynia K, Chaldavi R, Aman E. The effectiveness of compassion-focused therapy on depression and anxiety in divorced women. 2017, Clinical Psychology.
11-Azizi A, Ghasemi S. Comparing the effectiveness of three solution-oriented approaches, cognitive-behavioral and acceptance and commitment-based therapy on depression and quality of life of divorced women. Culture of Counseling and Psychotherapy, 2016; 8(29): 207-236. doi: 10.22054/qccpc.2017.18777.1443
12-Orsillo SM, Batten SV. Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior modification. 2005;29(1):95-129.
13-Marmarchinia M, ZoghiPaydar, MR.The effectiveness of treatment based on acceptance and commitment on the hope and happiness of adolescent girls under welfare. Applied Psychology Quarterly. 2016,3, (11), 157-174
14-Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and identity. 2003;2(2):85-10
15-Schwarze MJ. Assessing the Effectiveness of Mindfulness-Based Cognitive Therapy in Individual Sessions in Reducing Self-Reported Stress and Increasing Self-Reported Mindfulness Levels of a Nursing Student.unpublished Doctoral dissertation. 2011; North Carolina State University.
16-Striker g. Integration of psychotherapies, routlege publication; 2006.
17-Diener E. Subjective well-being. psycoshology Bulletin. 1985; 95, 542-575.
18-Khajeh Z, Azizi AM. The effectiveness of compassion training with an integrated monotheistic treatment approach on reducing depression of housewives. Research Journal of Islamic Psychology, 2017; 4(9): 55-66.
19-Mariana MM, Paula C, Maria IC& et al. Cognitive behavioral therapy and acceptance and commitment therapy for insomnia: Exploring the potential benefit of psychological flexibility and self-compassion combined with behavioral strategies,New Ideas in Psychology,Volume 69. 2023,101013ISSN 0732
20-Alice D, Michaela G, Stefan G& et al. Self-compassion as an emotion regulation strategy in major depressive disorder, Behaviour Research and Therapy,Volume 58. 2014,Pages 43-51,ISSN 0005-7967
21-Qashlaghi S, Alivandi W, Marzieh E & et al. Comparison of the effectiveness of communicative, spiritual, Islamic religious and integrated behavioral therapy group on the positive emotions of women with marital heartbreak. Cultural and educational quarterly for women and family, 2019; 15(51): 7-27.
22-Pramesona BA, Taneepanichskul S. The effect of religious intervention on depressive symptoms and quality of life among Indonesian elderly in nursing homes: A quasi-experimental study. Clin Interv Aging. 2018;13:473-483. Published 2018 Mar 23.
23-Jalali Tehrani M. Human evolution, comparing an Islamic theory with a theory in humanistic psychology. Methodology of human sciences. 2002; 2(9): 3-5.
24-World Health Organization (WHO) Mental health and older adults. WHO; 2016. [Accessed June 22, 2016]. Available from: http://www.who.int/mediacentre/fact-sheets/fs381/en/#. [Google Scholar]
25-Desmet L, Dezutter J, Vandenhoeck A & et al. Religious Coping Styles and Depressive Symptoms in Geriatric Patients: Understanding the Relationship through Experiences of Integrity and Despair. Int J Environ Res Public Health. 2022 Mar 23;19(7):3835.
26-Aggarwal S, Wright J, Morgan A & et al. Religiosity and spirituality in the prevention and management of depression and anxiety in young people: a systematic review and meta-analysis. BMC Psychiatry. 2023 Oct 10;23(1):729
27-Anderson MR, Wickramaratne P, Svob C & et al. Religiosity and Depression at Midlife: A Prospective Study. Religions (Basel). 2021 Jan;12(1):28.
28-Neff KD. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Selfand Identity. 1985,2, 85–102.
29-Cruz M, Schulz R, Pincus HA. Bensas S, Reynolds CF. The association of public and private religious involvement with severity of depression and hopelessness in older adults treated for major depression. The American journal of geriatric psychiatry. 2009,17(6), 503-507.
30-Dillon M. Wink P. In the course of a lifetime: Tracing religious belief, practice, and change. 2007, University of California Press.
31-Schwarze MJ. Assessing the Effectiveness of Mindfulness-Based Cognitive Therapy in Individual Sessions in Reducing Self-Reported Stress and Increasing Self-Reported Mindfulness Levels of a Nursing Student,unpublished Doctoral dissertation, North Carolina State University. 2011;21:78-114
32-Ismailifar N. Shafiabadi A. Ahghar Q. Contribution of self-efficacy in predicting happiness. Journal of Thought and Behavior. 2019; 5, p. 19.
33-Visi S, Hamid N, Basak Nejad S. The effectiveness of Islamic multifaceted approach therapy on spiritual health and life satisfaction of female students of Shahid Chamran University, Psychological Achievements. 2013;21(2), 125-144
34-Kashdan TB, Morina N, Priebe S. Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: Experiential avoidance as a contributor to distress and quality of life. Journal of Anxiety Disorders. 2009; 23(2), 185-196.
Amid Tashakori(Ph.D.s)1, Najmeh Sederpooshan(Ph.D.)2
1.PhD student in Counseling, department of counseling, yazd branch, Islamic Azad University, Yazd , Iran
2.Corresponding author:Assistant Professor, faculty member,islamic Azad University, Khomeini Shahr Branch, Khomeini Shahr, Isfahan, Iran Email: sedrpoushan@iaukshs.ac.ir Tel: 09133554792
Abstract
Introduction: As a large part of society who experience different restrictions according to different cultural, historical and social situations, women face difficult emotional conditions during marriage. This research is conducted with the aim of developing a combination treatment model based on compassion-focused therapy, integrated Islamic therapy, and therapy based on acceptance and commitment and its effectiveness on life satisfaction of depressed married women in Yazd city in 1400.
Methods: The research method was a combination of an exploratory design with a compilation and classification approach. The first stage was done qualitatively and based on a descriptive phenomenological strategy. In the qualitative part of the research, a combination treatment protocol based on the approach of combining psychotherapies by Stricker (2006) was compiled and validated. In the quantitative (second) part, based on convenience sampling, 30 depressed married women were selected, and then, through a quasi-experimental method with a pre-test and post-testregarding the two test groups and proof, the effectiveness of the developed protocol on their life satisfaction was assessed. The statistical population of the research included all the women who referred to counseling centers in Yazd city, for whom the diagnosis of depression (Beck Depression Scale) was given. In order to measure people's life satisfaction, Diener's life satisfaction scale was used. In order to analyze the quantitative data of the research, the analysis of covariance method was used.
Results: After extracting 11 main categories, a unified treatment protocol was formulated according to the findings. For validation, ratio coefficients and content validity index were used. The coefficients in all items were higher than 0/79 for CVI index and higher than 0./56 for CVR index.
Conclusion: The results of the analysis of the findings showed that integrated psychotherapy based on self-discipline approach, integrated Islamic treatment approach, and treatment approach based on acceptance and commitment increase life satisfaction of depressed married women in Yazd city.
Keywords: Depression, Integrated Psychotherapy, Life Satisfaction
References
1-Osman DM, Ahmed GK, Farghal MM & et al. Prevalence and predictors of depressive symptoms among married Egyptian women: a multicenter primary healthcare study. BMC Psychiatry. 2022;22(1):602. Published 2022 Sep 10. doi:10.1186/s12888-022-04239-w
2-Kaggwa MM, Namatanzi B, Kule M & et al. Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse's Unemployment, Extramarital Relationship, and Substance Use. Int J Womens Health. 2021;13:869-878. Published 2021 Sep 22. doi:10.2147/IJWH.S323636
3-Kaggwa MM, Najjuka SM, Bongomin F& etal. Prevalence of depression in Uganda: A systematic review and meta-analysis. PLoS One. 2022;17(10):e0276552. Published 2022 Oct 20. doi:10.1371/journal.pone.0276552
4-Husain W, Sajad R. Depression, anxiety and stress among married and unmarried police officers. Pakistan Journal of Clinical Psychology, 2012; 13, 1,3-14.
5-Shah I, Sultan R. A Gender Based Comparison of Depression Between Married and Unmarried Young Adults. International Research Journal of Arts & Humanities; 2018 40, 1-15.
6-Hao CW, Lai WS, Ho CT& et al. Antidepressant-like effect of lemon essential oil is through a modulation in the levels of norepinephrine, dopamine, and serotonin in mice: Use of the tail suspension test. Journal of Functional Foods. 2013 Jan;5(1):370-379. doi: 10.1016/j.jff.2012.11.008
7-Islam A, Efat A, Yousuf B & et al. Depression in married women: Investigating the role of job status, marital satisfaction and psychological well-being. 2016 J. Biol. Sci. 25(2),113-121
8-Ebrahimzadeh Ardakani M, and Dastjardi A, and Sahrai F& et al. Prevalence of depression in women suffering from hair loss referred to a dermatology clinic in Yazd city: a cross-sectional study. Skin and Beauty;2017, 7(1), 17-23.[persian]
9-Shakrenjad S, Mozen N, Hamidi M& et al. The effectiveness of acceptance and commitment therapy on psychological distress, marital satisfaction and quality of life in women with multiple sclerosis. Health and care magazine; 2016 19 (1): 7-17
10-Shiralynia K, Chaldavi R, Aman E. The effectiveness of compassion-focused therapy on depression and anxiety in divorced women. 2017, Clinical Psychology.
11-Azizi A, Ghasemi S. Comparing the effectiveness of three solution-oriented approaches, cognitive-behavioral and acceptance and commitment-based therapy on depression and quality of life of divorced women. Culture of Counseling and Psychotherapy, 2016; 8(29): 207-236. doi: 10.22054/qccpc.2017.18777.1443
12-Orsillo SM, Batten SV. Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior modification. 2005;29(1):95-129.
13-Marmarchinia M, ZoghiPaydar, MR.The effectiveness of treatment based on acceptance and commitment on the hope and happiness of adolescent girls under welfare. Applied Psychology Quarterly. 2016,3, (11), 157-174
14-Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and identity. 2003;2(2):85-10
15-Schwarze MJ. Assessing the Effectiveness of Mindfulness-Based Cognitive Therapy in Individual Sessions in Reducing Self-Reported Stress and Increasing Self-Reported Mindfulness Levels of a Nursing Student.unpublished Doctoral dissertation. 2011; North Carolina State University.
16-Striker g. Integration of psychotherapies, routlege publication; 2006.
17-Diener E. Subjective well-being. psycoshology Bulletin. 1985; 95, 542-575.
18-Khajeh Z, Azizi AM. The effectiveness of compassion training with an integrated monotheistic treatment approach on reducing depression of housewives. Research Journal of Islamic Psychology, 2017; 4(9): 55-66.
19-Mariana MM, Paula C, Maria IC& et al. Cognitive behavioral therapy and acceptance and commitment therapy for insomnia: Exploring the potential benefit of psychological flexibility and self-compassion combined with behavioral strategies,New Ideas in Psychology,Volume 69. 2023,101013ISSN 0732
20-Alice D, Michaela G, Stefan G& et al. Self-compassion as an emotion regulation strategy in major depressive disorder, Behaviour Research and Therapy,Volume 58. 2014,Pages 43-51,ISSN 0005-7967
21-Qashlaghi S, Alivandi W, Marzieh E & et al. Comparison of the effectiveness of communicative, spiritual, Islamic religious and integrated behavioral therapy group on the positive emotions of women with marital heartbreak. Cultural and educational quarterly for women and family, 2019; 15(51): 7-27.
22-Pramesona BA, Taneepanichskul S. The effect of religious intervention on depressive symptoms and quality of life among Indonesian elderly in nursing homes: A quasi-experimental study. Clin Interv Aging. 2018;13:473-483. Published 2018 Mar 23.
23-Jalali Tehrani M. Human evolution, comparing an Islamic theory with a theory in humanistic psychology. Methodology of human sciences. 2002; 2(9): 3-5.
24-World Health Organization (WHO) Mental health and older adults. WHO; 2016. [Accessed June 22, 2016]. Available from: http://www.who.int/mediacentre/fact-sheets/fs381/en/#. [Google Scholar]
25-Desmet L, Dezutter J, Vandenhoeck A & et al. Religious Coping Styles and Depressive Symptoms in Geriatric Patients: Understanding the Relationship through Experiences of Integrity and Despair. Int J Environ Res Public Health. 2022 Mar 23;19(7):3835.
26-Aggarwal S, Wright J, Morgan A & et al. Religiosity and spirituality in the prevention and management of depression and anxiety in young people: a systematic review and meta-analysis. BMC Psychiatry. 2023 Oct 10;23(1):729
27-Anderson MR, Wickramaratne P, Svob C & et al. Religiosity and Depression at Midlife: A Prospective Study. Religions (Basel). 2021 Jan;12(1):28.
28-Neff KD. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Selfand Identity. 1985,2, 85–102.
29-Cruz M, Schulz R, Pincus HA. Bensas S, Reynolds CF. The association of public and private religious involvement with severity of depression and hopelessness in older adults treated for major depression. The American journal of geriatric psychiatry. 2009,17(6), 503-507.
30-Dillon M. Wink P. In the course of a lifetime: Tracing religious belief, practice, and change. 2007, University of California Press.
31-Schwarze MJ. Assessing the Effectiveness of Mindfulness-Based Cognitive Therapy in Individual Sessions in Reducing Self-Reported Stress and Increasing Self-Reported Mindfulness Levels of a Nursing Student,unpublished Doctoral dissertation, North Carolina State University. 2011;21:78-114
32-Ismailifar N. Shafiabadi A. Ahghar Q. Contribution of self-efficacy in predicting happiness. Journal of Thought and Behavior. 2019; 5, p. 19.
33-Visi S, Hamid N, Basak Nejad S. The effectiveness of Islamic multifaceted approach therapy on spiritual health and life satisfaction of female students of Shahid Chamran University, Psychological Achievements. 2013;21(2), 125-144
34-Kashdan TB, Morina N, Priebe S. Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: Experiential avoidance as a contributor to distress and quality of life. Journal of Anxiety Disorders. 2009; 23(2), 185-196.
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Received: 2023/09/4 | Accepted: 2023/11/10 | Published: 2024/01/16
Received: 2023/09/4 | Accepted: 2023/11/10 | Published: 2024/01/16
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