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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
1- Islamic Azad University, Shahrood Branch, Psychology Department
2- Allameh Tabatabaei University, Psychology Department
Abstract:   (1868 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.
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Type of Study: Original Research Article | Subject: Psychology
Received: 2018/10/8 | Accepted: 2019/07/16

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