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MEJDS (2020) 10: 173 |
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Tourani L, Sharifi Daramadi P, Farrokhi N. Effects of Intensive Short-Term Dynamic Psychotherapy on Depression and Anxiety in Derelict Adolescents. MEJDS 2020; 10 :173-173
URL: http://jdisabilstud.org/article-1-1206-en.html
URL: http://jdisabilstud.org/article-1-1206-en.html
1- Islamic Azad University, Shahrood Branch, Psychology Department
2- Allameh Tabatabaei University, Psychology Department
2- Allameh Tabatabaei University, Psychology Department
Abstract: (2775 Views)
Background & Objectives: Evidence suggests that derelict children and adolescents and those without a family experience higher levels of anxiety, compared to others. Considering the derelict children’s lives as well as the roots of their anxiety and depression in the past and in psychological dynamics, Intensive Short–Term Dynamic Psychotherapy (ISTDP) for depression and anxiety could provide an appropriate basis for reducing these symptoms in them. The current study aimed to determine the effects of ISTDP on depression and anxiety among derelict adolescents living in welfare organization centers.
Methods: This was an experimental study with a pretest–posttest and a control group design. The statistical population of this study was all adolescent males living in welfare organization centers (Shahid Ghoddoosi & Fayaz Bakhsh) in 2017 and 2018. Of them, 30 adolescents were selected via convenience sampling technique and were assigned into two the control and experimental groups. Beck Depression Inventory–II (BDI–II) (1972) and Beck Anxiety Inventory (BAI) (1990) were used to collect the necessary data. The ISTDP program based on Davanloo’s protocol (1978) was performed twice a week in twenty 60–minute sessions in this research. To analyze the collected data, Multivariate Analysis of Covariance (MANCOVA) was used. This approach focuses on the exposure of feelings and emotions. The first stage in ISTDP addresses questions concerning the problems (primary interview & treatment); the second phase covers the pressures; the third stage involves the challenges; the fourth stage addresses the transitional resistance; the fifth stage includes the direct access to the unconscious mind, and the sixth stage focuses on the exploration of the scanning of unconscious mind.
Results: The initial MANCOVA results revealed a significant difference between the experimental and control groups in one of the components of depression (p<0.05) and anxiety (p<0.05). Furthermore, ISTDP reduced the scores of the components of depression, including sadness (p=0.004), pessimism (p=0.021), feeling of failure (p=0.010), dissatisfaction (p=0.001), suicidal ideation (p=0.008), worthlessness (p=0.012), and increased sexual interest (P=0.008) at posttest. Besides, the provided intervention decreased the values of anxiety components, including restlessness in the legs (p=0.039), inability in relaxation (p=0.027), mood swing (p=0.039), feeling of choking (p=0.012), the fear of control loss (p=0.035), death anxiety (p=0.032), and fear (p=0.018) at posttest.
Conclusion: According to the present study results, the ISTDP could be used to improve the health status of derelict adolescents. It is recommended that the welfare centers use the ISTDP approach to reduce anxiety and depression in this population.
Methods: This was an experimental study with a pretest–posttest and a control group design. The statistical population of this study was all adolescent males living in welfare organization centers (Shahid Ghoddoosi & Fayaz Bakhsh) in 2017 and 2018. Of them, 30 adolescents were selected via convenience sampling technique and were assigned into two the control and experimental groups. Beck Depression Inventory–II (BDI–II) (1972) and Beck Anxiety Inventory (BAI) (1990) were used to collect the necessary data. The ISTDP program based on Davanloo’s protocol (1978) was performed twice a week in twenty 60–minute sessions in this research. To analyze the collected data, Multivariate Analysis of Covariance (MANCOVA) was used. This approach focuses on the exposure of feelings and emotions. The first stage in ISTDP addresses questions concerning the problems (primary interview & treatment); the second phase covers the pressures; the third stage involves the challenges; the fourth stage addresses the transitional resistance; the fifth stage includes the direct access to the unconscious mind, and the sixth stage focuses on the exploration of the scanning of unconscious mind.
Results: The initial MANCOVA results revealed a significant difference between the experimental and control groups in one of the components of depression (p<0.05) and anxiety (p<0.05). Furthermore, ISTDP reduced the scores of the components of depression, including sadness (p=0.004), pessimism (p=0.021), feeling of failure (p=0.010), dissatisfaction (p=0.001), suicidal ideation (p=0.008), worthlessness (p=0.012), and increased sexual interest (P=0.008) at posttest. Besides, the provided intervention decreased the values of anxiety components, including restlessness in the legs (p=0.039), inability in relaxation (p=0.027), mood swing (p=0.039), feeling of choking (p=0.012), the fear of control loss (p=0.035), death anxiety (p=0.032), and fear (p=0.018) at posttest.
Conclusion: According to the present study results, the ISTDP could be used to improve the health status of derelict adolescents. It is recommended that the welfare centers use the ISTDP approach to reduce anxiety and depression in this population.
Type of Study: Original Research Article |
Subject:
Psychology
References
1. Enache RG, Matei RS. The effects of psychological counselling in shaping personality traits and behavioural disorders prevention of institutionalized adolescents. Procedia - Social and Behavioral Sciences. 2014;116:3820–4. [DOI]
2. Matyash N, Volodina J. Psychological stability of orphans in crisis situations. Procedia - Social and Behavioral Sciences. 2015;214:1070–6. [DOI]
3. Simpson DD, Joe GW. A longitudinal evaluation of treatment engagement and recovery stages. J Subst Abuse Treat. 2004;27(2):89–97. [DOI]
4. Taukeni SG. Orphan adolescents’ lifeworlds on school-based psychosocial support. Health Psychology and Behavioral Medicine. 2015;3(1):12–24. [DOI]
5. Busch F, Rudden M, Shapiro T. Psychodynamic Treatment of Depression. 2nd edition. Arlington: American Psychiatric Association Publishing; 2016.
6. Driessen E, Cuijpers P, de Maat SCM, Abbass AA, de Jonghe F, Dekker JJM. The efficacy of short-term psychodynamic psychotherapy for depression: a meta-analysis. Clin Psychol Rev. 2010;30(1):25–36. [DOI]
7. Leiper R, Maltby M. The Psychodynamic Approach to Therapeutic Change. Thousand Oaks, Calif: SAGE; 2004.
8. Davanloo H. Evaluation and criteria for selection of patients for short-term dynamic psychotherapy. Psychother Psychosom. 1978;29(1–4):307–8. [DOI]
9. Russell LA, Abbass AA, Allder SJ, Kisely S, Pohlmann-Eden B, Town JM. A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures. Epilepsy Behav. 2016;63:17–9. [DOI]
10. Chavooshi B, Mohammadkhani P, Dolatshahi B. A randomized double-blind controlled trial comparing davanloo intensive short-term dynamic psychotherapy as internet-delivered vs treatment as usual for medically unexplained pain: A 6-month pilot study. Psychosomatics. 2016;57(3):292–300. [DOI]
11. Knekt P, Heinonen E, Härkäpää K, Järvikoski A, Virtala E, Rissanen J, et al. Randomized trial on the effectiveness of long- and short-term psychotherapy on psychosocial functioning and quality of life during a 5-year follow-up. Psychiatry Res. 2015;229(1–2):381–8. [DOI]
12. Khoryaniyan M, Heidari Nasab L, Tayebi Z, Aghamohammadiyan Shear Baf HR. Effectiveness of intensive short-term dynamic psychotherapy in decreasing the symptoms of depression and increasing emotional disclosure in patients suffering from depression. Thoughts and Behavior in Clinical Psychology. 2012;7(26):37–46. [Persian] [Article]
13. Jarare J, Etemadi A, Nouranipour RA, Shafieabadi A. Comparison of the effectiveness of intensive short-term dynamic psychotherapy (ISTDP) with relationship couple therapy (RCT) on enhancing couples mental health and marital satisfaction. Educational Psychology. 2007;3(7):1–26. [Persian] [DOI]
14. Heaton JM. The Talking Cure: Wittgenstein on Language as Bewitchment and Clarity. Houndmills, Basingstoke, Hampshire ; New York: Palgrave Macmillan; 2010.
15. Miller DC, Salkind NJ. Handbook of research design & social measurement. 6th ed. Thousand Oaks, Calif: Sage Publications; 2002.
16. Hamid N, Talebian L, Mehrabizadeh Honarmand M, Yavari A. The Effects of Logotherapy on Depression, Anxiety and Quality of Life of Cancer Patients in Ahvaz Big Oil Hospital. Journal of Psychological Achievements. 2011;18(2):199–224. [Persian] [Article]
17. Rajabi S, Yazdkhasti F. The effectiveness of acceptance and commitment group therapy on anxiety and depression in women with MS who were referred to the MS association. Journal of Clinical Psychology. 2014;6(1):29–38. [Persian] [DOI]
18. Kernberg OF. Contemporary Controversies in Psychoanalytic Theory, Technique, and Their Applications. London: Yale University Press; 2008.
19. Leichsenring F, Rabung S, Leibing E. The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: A meta-analysis. Arch Gen Psychiatry. 2004;61(12):1208–16. [DOI]
20. Herbert GL, McCormack V, Callahan JL. An investigation of the object relations theory of depression. Psychoanalytic Psychology. 2010;27(2):219–34. [DOI]
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