The Effectiveness of Cognitive Behavioral Therapy Based on Religious Attitudes and metacognitive Therapy in Students with Suicidal Thoughts

Document Type : Research Paper

Author

PHD

Abstract

Abstract
The purpose of this study was to investigate the effectiveness of religious-based cognitive behavioral therapy with metacognitive therapy on students' suicidal ideation. Students with suicidal thoughts at Maragheh University formed the general community and sample of those who referred to Maragheh University Counseling Center with suicidal thoughts. This study was conducted in a single-subject framework. For this purpose, 6 students with suicidal ideation at Maragheh University were selected by purposeful sampling and were randomly divided into two groups, religious-based cognitive therapy and metacognitive therapy. Patients in both groups received their own treatment for 10 sessions. Research tools including depression, suicidal thoughts, worry and rumination were completed by patients in pre-test, post-test and follow-up. Data were analyzed individually and in groups. Individual analysis of shapes, visual analysis and percentage of improvement and group analysis of data used one-way analysis of variance (one group therapy) and one internal factor (time of tests). The mean percentage of improvement in suicidal ideation variable showed that both treatments (54% and 52%) reduced suicidal ideation almost equally and significantly. The results showed that metacognitive therapy caused a slight improvement in these variables due to more focus on worry and rumination, but both therapies improved equally in reducing suicidal ideation. It can be concluded that both religious-based cognitive behavioral therapy and meta-cognitive therapy are effective in reducing suicidal ideation. metacognitive therapy is effective in reducing suicidal ideation.

Keywords

References

منابع
 
آقاعلی، فاطمه؛ زندی پور، طیبه؛ احمدی، محمدرضا (1390). مطالعه تاثیر مشاوره گروهی شناختی – رفتاری با تاکید بر اندیشه های معنوی در افزایش معنویت و سلامت روان بیماران ام اس استان قم، روان شناسی و دین،4 (1)، 1-12.
بشارت، محمد علی؛ عباس پوردوپلانی، طاهره ( 1389). رابطه راهبردهای فراشناختی و خلاقیت با تاب آوری در دانشجویان، یافته های نو در روان شناسی، دوره 5( 14)، 124-111.
تقی زاده، محمد احسان؛ میرعلایی، مرضیه (1392). مطالعه اثربخشی معنویت درمانی گروهی بر تاب آوری زنان مبتلا به مولتیپل اسکلروزیس شهر اصفهان، فصلنامه علمی پژوهشی روان شناسی سلامت، 2(2)،20-32.
 
 
 
Beck, A.T., Steer, R. A., Brown, G. K. (1996).  Manual for Beck Depression Inventory-II. San Antonio, TX, Psychological Corporation.
 Beck, A.T., Steer, R. A. (1991). Relationship between the Beck anxiety inventory and the Hamilton anxiety rating scale with anxious outpatients. Journal of Anxiety Disorder, 5(3), 213-223.
Callinan, S., Johnson, D., & Wells, A. (2015). A randomized controlled study of the effects of the attention training technique on traumatic stress symptoms, emotional attention set shifting and flexibility. Cognitive therapy and research, 39(1), 4-13.
 Dadsetan, P. (2006). Suicidal ideation among medical student. Archive Suicide Research, 13(1), 230-246. Fergus, T., Bardeen, J. (2016). The attention training technique: A review of a neurobehavioral therapy for emotional disorders. Cognitive and Behavioral Practice, 23(4), 502-516. Fisher, P. (2012).  Metacognitive therapy in treatment- resistant depression. Behavior Research and Therapy, 50(6),367-373.Fernie, B., Murphy, G., Wells, A., Nikcevic, A. & Spade, M. (2016). ‘Treatment outcome and metacognitive change in CBT and GET for chronic fatigue syndrome’, Behavioral and Cognitive Psychotherapy, 44(4), 397–409. Fisher, P & Wells, A. (2008). Metacognitive therapy for obsessive-compulsive disorder: A case series. Journal of Behavior Therapy and Experimental Psychiatry, 39(1), 117-132.
Fischer, P., Aydin, N., Frey, D., Haslam, S. (2010). The relationship between religious identity and preferred coping strategies: An examination of the relative importance of interpersonal and intrapersonal coping in Muslim and Christian faiths. Review of General Psychology, 14(4), 365-371.
Gaynes, B., West, S., Ford, C., Frame, P., Klein, J, & Lohr, K. (2004). Screening for suicide risk in adults: a summary of the evidence for the US preventive services.  International Medicine. 140(1), 822-835.
Grzywa, A., Kucmin, A, & Kucmin, T. (2009). Suicidi problems epidemiology, factors, motives and prevention. Part I, Journal of The Learning Sciences, 27(1), 432-436.
Hutton, P., Morrison, A., Wardle, M., & Wells, A. (2014). Metacognitive therapy in treatment-resistant psychosis: A multiple-baseline study. Behavioral and Cognitive Psychotherapy, 42(2), 166-185.
Hjemdal, O., Hagen, R., Solem, S., Nordahl, H., Kennair, L., Ryum, T., Nordahl, H., & Wells, A. (2016). Metacognitive therapy in major depression: An open trial of comorbid cases. Cognitive and Behavioral Practice, 42(1), 121-132.
Murad, M. (2005). Suicide prevention and developing countries. Science Medicine, 98(1), 459-463. Nolen hoksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality Social Psychology, 5(77), 1061-1072.
Papagorgiou, C., & wells, A. (2001). Metacognition beliefs about rumination in recurrent major depression.  Journal of Cognitive and Research, 27(2), 267-269.
Papagorgiou, C., & Wells, A. (2004).  Depressive rumination, nature, theory and treatment. New York: John wileys.
Shirinzadeh, S., Godarzi, M., Ghanizadeh, A., & Taghavi, M. (2008). Comparing metacognitive beliefs and responsibility in Patients with Obsessive-Compulsive Disorder, General anxiety disorder, and normal individuals. Journal of Psychiatry and Clinical Psychology of Iran, 14(1), 46-55.
Talaei, A., Toufani, H., Hojjat, S.K., Jami-Alahmadi, Z. (2006). Effect of familiarizing the patient with the personnel and operating room on the day before surgery for preoperative anxiety. Medical Journal of Mashad University of Medical Sciences, 92(2), 191-198.
 Wells, A., & Papageorgiou, C. (2004). Metacognitive therapy for depressive rumination. Depressive. Rumination: Nature, theory and treatment. Chichester, UK: Wiley, 45-67.
Wells, A. (2005).  Detached mindfulness in cognitive therapy: A metacognitive analysis and ten techniques. Journal of Rational Emotion Cognitive Behavior Therapy.  23(4), 337-355.
Wells, A. (2009). Practical Guide to Metacognitive Therapy Anxiety and Depression, Translation by Shahram Mohammad khani, Tehran. Varay danesh. 
Wells, A (2008). Metacognitive Therapy: A Practical Guide. New York, Guilford Press.
Zardkhane, S., Jafari, S., Dolatshahi, B., Mamaghanie, M. (2009).   Suicide relationship with personality traits and life events. Journal of Behavioral Sciences, 2(1), 151-157.

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History

  • Receive Date: 20 October 2019
  • Revise Date: 01 January 2020
  • Accept Date: 26 January 2020

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