Effectiveness of the Newly Developed Treatment Contrast avoidance of worry and Emotion-focused Cognitive Behavioral Therapy in Affective control in Women with Generalized Anxiety Disorder

Document Type : Research Paper

Authors

1 PhD Student, Psychology, Faculty of Literature and Humanities, Lorestan University, Khoramabad

2 Ph.D., Assistant Professor, Psychology, Faculty of Literature and Humanities, Lorestan University, Khoramabad, Iran.( Author).

3 Ph.D., Assistant Professor, Psychology, Faculty of Literature and Humanities, Lorestan University, Khoramabad, Iran.

Abstract

The aim of this study was to compare the effectiveness of thenewly developed Contrast avoidance of worry and Emotion-focused Cognitive Behavioral Therapy in the affective control in women with generalized anxiety disorder. The present study was a quasi-experimental one with pre- and post-test design including control group. 45 women with generalized anxiety disorder were selected as the study sample through convenient sampling method in 2019, and were assigned into one of the experimental and control groups. The Newly developed Treatment Contrast avoidance of worry and Emotion-focused Cognitive Behavioral Therapy were held separately in 12 sessions and each session took about 90-minutes. No training was applied for the control group. The Affective control scale of Williams et al. (1998) was applied as the measuring tool in which subjects completed in pre- and post-test evaluations. Data were analyzed using Multivariate Analysis of Covariance. Findings showed that the developmental treatment contrast avoidance of worry and Emotion-focused Cognitive Behavioral Therapy improved the affective control (p <0.01), and the improvement rate was higher than the subjects of the control group (p <0.01); however, the two experimental groups did not differ significantly (P <0.05).  The Newly developed treatment contrast avoidance of worry and Emotion-focused Cognitive Behavioral Therapy improved the affective controlin women with generalized anxiety disorder. Developmental therapy focuses on the physiological and emotional experiences of the client so that they could experience the emotional contrast, which may be considered as one of the fundamental causes of generalized anxiety disorder. This approach may also be effective in treating mental disorders that have an emotional basic.

Keywords

References

منابع
دهش، زهرا (1388). تأثیر تلفیقی رفتاری و هیجان محور بر کنترل عواطف در نوجوانان دختر شهر کشکوئیه رفسنجان، پایان نامه کارشناسی ارشد، دانشگاه آزاد اسلامی واحد مرودشت.
سرمد، زهره ؛ بازرگان، عباس ؛ حجازی، الهه. ( 1393 ). روشهای تحقیق در علوم رفتاری، نشر آگه، تهران، چاپ بیست و ششم.
شفیعی، معصومه.، رضایی، فاطمه.،  صادقی، مسعود (1398). تدوین مدل اجتناب متضاد اختلال اضطراب فراگیر: مقایسه اثربخشی درمان مبتنی بر این مدل و درمان شناختی رفتاری هیجان مدار بر علایم اضطراب، شدت هیجان و کنترل عاطفی زنان مبتلا به اختلال اضطراب فراگیر. پایان نامه دکتری، دانشگاه لرستان. 
 
Bagheri Yazdi S, Bolhari J, Peyravi H.(2006). Mental health status of newly admitted students toTehran University academic year. (Andeesheh Va Raftar).. Iranian Journal of Psychiatry and Clinical Psychology.4 (1): 30-9.
Berking, M., & Whitley, B. (2014). Emotion regulation: Definition and relevance for mental health. In Affect Regulation Training (pp. 5-17). Springer, New York, NY.
Boswell, J. F., Farchione, T. J., Sauer-Zavala, S., Murray, H. W., Fortune, M. R., & Barlow, D. H. (2013). Anxiety sensitivity and interoceptive exposure: A transdiagnostic construct and change strategy. Behavior therapy, 44(3), 417-431.
Cavicchioli, F. L., Maes, M., Roomruangwong, C., Bonifacio, K. L., Barbosa, D. S., Anderson, G., ... & Nunes, S. O. V. (2018). Associations between severity of anxiety and clinical and biological features of major affective disorders. Psychiatry research, 260, 17-23.
Crouch, T. A., Lewis, J. A., Erickson, T. M., & Newman, M. G. (2017). Prospective investigation of the contrast avoidance model of generalized anxiety and worry. Behavior therapy, 48(4), 544-556.
DeMartini, J., Patel, G., & Fancher, T. L. (2019). Generalized anxiety disorder. Annals of internal medicine, 170(7), ITC49-ITC64.
Evers, C. (2018). Emotion regulation and self-control: Implications for health behaviors and wellbeing.
Godbee, M., & Kangas, M. (2019). The relationship between flexible perspective-taking and emotional well-being: A systematic review of the ‘Self-As-Context’component of Acceptance and Commitment Therapy (ACT). Behavior Therapy.
Hall, K. A. A., Joormann, J., Siemer, M., & Timpano, K. R. (2018). The impact bias in self and others: Affective and empathic forecasting in individuals with social anxiety. Behaviour research and therapy, 106, 37-46.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Kneeland, E. T., Dovidio, J. F., Joormann, J., & Clark, M. S. (2016). Emotion malleability beliefs, emotion regulation, and psychopathology: Integrating affective and clinical science. Clinical psychology review, 45, 81-88.
Lipsitz, J. D., Markowitz, J. C., & Cherry, S. (1997). Manual for interpersonal psychotherapy of social phobia. Unpublished Manuscript. Columbia University College of Physicians and Surgeons.
Llera, S. J., & Newman, M. G. (2017). Development and validation of two measures of emotional contrast avoidance: The contrast avoidance questionnaires. Journal of anxiety disorders, 49, 114-127.
Mennin, D. S., Fresco, D. M., O'Toole, M. S., & Heimberg, R. G. (2018). A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression. Journal of consulting and clinical psychology, 86(3), 268.
Nasiri, F., Mashhadi, A., Bigdeli, I., Chamanabad, A. G., & Ellard, K. K. (2020). Augmenting the unified protocol for transdiagnostic treatment of emotional disorders with transcranial direct current stimulation in individuals with generalized anxiety disorder and comorbid depression: A randomized controlled trial. Journal of Affective Disorders, 262, 405-413.
Newman, M. G., & Llera, S. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical psychology review, 31(3), 371-382.
Newman, M. G., Llera, S. J., Erickson, T. M., & Przeworski, A. (2014). Basic science and clinical application of the Contrast Avoidance model in generalized anxiety disorder. Journal of Psychotherapy Integration, 24(3), 155.
Nielsen, S. K. K., Hageman, I., Petersen, A., Daniel, S. I. F., Lau, M., Winding, C., ... & Vangkilde, S. (2019). Do emotion regulation, attentional control, and attachment style predict response to cognitive behavioral therapy for anxiety disorders?–an investigation in clinical settings. Psychotherapy Research, 29(8), 999-1009.
O'Brien, K., O'Keeffe, N., Cullen, H., Durcan, A., Timulak, L., & McElvaney, J. (2019). Emotion-focused perspective on generalized anxiety disorder: A qualitative analysis of clients’ in-session presentations. Psychotherapy Research, 29(4), 524-540.
Poulin, L. E., Button, M. L., Westra, H. A., Constantino, M. J., & Antony, M. M. (2019). The predictive capacity of self-reported motivation vs. early observed motivational language in cognitive behavioural therapy for generalized anxiety disorder. Cognitive behaviour therapy, 48(5), 369-384.
Rappaport, B. I., Pagliaccio, D., Pine, D. S., Klein, D. N., & Jarcho, J. M. (2017). Discriminant validity, diagnostic utility, and parent-child agreement on the Screen for Child Anxiety Related Emotional Disorders (SCARED) in treatment-and non-treatment-seeking youth. Journal of anxiety disorders, 51, 22-31.
Roberton T, Daffern M, Bucks RS. (2012). Emotion regulation and aggression. Aggression Violent Behav, 17(1), 72-82.
Robichaud, M., Koerner, N., & Dugas, M. J. (2019). Cognitive behavioral treatment for generalized anxiety disorder: From science to practice. Routledge.
Stefan S, Cristea IA, Szentagotai Tatar A, David D. Cognitive‐behavioral therapy (CBT) for generalized anxiety disorder: Contrasting various CBT approaches in a randomized clinical trial. Journal of clinical psychology. 2019 Jul;75(7):1188-202.
Suveg, C., Jones, A., Davis, M., Jacob, M. L., Morelen, D., Thomassin, K., & Whitehead, M. (2018). Emotion-focused cognitive-behavioral therapy for youth with anxiety disorders: A randomized trial. Journal of abnormal child psychology, 46(3), 569-580.
Tiirikainen, K., Haravuori, H., Ranta, K., Kaltiala-Heino, R., & Marttunen, M. (2019). Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (اختلال اضطراب فراگیر-7) in a large representative sample of Finnish adolescents. Psychiatry research, 272, 30-35.
Totzeck, C., Teismann, T., Hofmann, S. G., von Brachel, R., Zhang, X. C., Pflug, V., & Margraf, J. (2018). Affective Styles in Mood and Anxiety Disorders–Clinical Validation of the “Affective Style Questionnaire”(ASQ). Journal of affective disorders.
Walker, J., Liddle, J., Jordan, K. P., & Campbell, P. (2017). Affective concordance in couples: a cross-sectional analysis of depression and anxiety consultations within a population of 13,507 couples in primary care. BMC psychiatry, 17(1), 190.
Williams , K . E . Chambless , D . L & Ahrens , A . H .(1997). Are emotion frightening? Anextension of the fear consept . Behaviour Research and therapy. 35, 239 – 245 .
Williams, I. A., Howlett, S., Levita, L., & Reuber, M. (2018). Changes in emotion processing following brief augmented psychodynamic interpersonal therapy for functional neurological symptoms. Behavioural and cognitive psychotherapy, 46(3), 350-366.

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History

  • Receive Date: 18 November 2020
  • Revise Date: 18 December 2020
  • Accept Date: 06 January 2021

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