Investigating the Effectiveness of Cognitive-Behavioral Family Therapy on the Cognitive Regulation of Emotions in Adolescents with Attention-Deficit/Hyperactivity Disorder

Abdollahimanesh , Faegheh; Amini, Athare; Korhani , Mahdie; Dehghani Firzouzabadi, Mahboobeh; Shabanzadeh , Mahya; Fotrosi , Sahar; Abedini, Mahdie; Sandooghsaz , Sahar Sadat; Fallah Tafti , Fatemeh; Koraghli , Mitra; Ghanizadeh Ahmadabadi , Elahe; Saeidmanesh , Mohsen

تعطیلات نوروز ۱۴۰۴-ضمن آرزوی قبولی طاعات و عبادات و همچنین تبریک فرارسیدن بهار و شروع سال جدید، به اطلاع می‌رساند این نشریه از تاریخ ۲۸ اسفندماه ۱۴۰۳ لغایت ۱۵ فروردین ۱۴۰۴ تعطیل می باشد.

Volume 14 - Articles-1403 MEJDS (2024) 14: 134 | Back to browse issues page

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Abdollahimanesh F, Amini A, Korhani M, Dehghani Firzouzabadi M, Shabanzadeh M, Fotrosi S, et al . Investigating the Effectiveness of Cognitive-Behavioral Family Therapy on the Cognitive Regulation of Emotions in Adolescents with Attention-Deficit/Hyperactivity Disorder. MEJDS 2024; 14 :134-134
URL: http://jdisabilstud.org/article-1-3278-en.html

Investigating the Effectiveness of Cognitive-Behavioral Family Therapy on the Cognitive Regulation of Emotions in Adolescents with Attention-Deficit/Hyperactivity Disorder

Faegheh Abdollahimanesh¹

, Athare Amini²

, Mahdie Korhani³

, Mahboobeh Dehghani Firzouzabadi⁴

, Mahya Shabanzadeh⁵

, Sahar Fotrosi²

, Mahdie Abedini²

, Sahar Sadat Sandooghsaz²

, Fatemeh Fallah Tafti²

, Mitra Koraghli¹

, Elahe Ghanizadeh Ahmadabadi⁴

, Mohsen Saeidmanesh ^*⁶

1- MA in Psychology, Islamic Azad University, Meybod, Iran
2- MA in Clinical Psychology, Science and Arts University, Yazd, Iran
3- MA in Psychology, Allameh Jafari University, Rafsanjan, Iran
4- MA in Psychology, Islamic Azad University, Yazd, Iran
5- PhD Student in Psychology, Islamic Azad University, Gheshm, Iran
6- Associate Professor, Science and Arts University, Yazd, Iran

Abstract: (551 Views)

Abstract
Background & Objectives: Attention–deficit/hyperactivity disorder (ADHD) is characterized by persistent and disruptive symptoms of age–unproportionate inattention, hyperactivity, and impulsivity. The problems of these children in a significant part of the cases remain until adulthood and are associated with poor academic, occupational, and social results. Patients with ADHD have difficulty in the higher–level cognitive functions necessary for goal–directed behaviors driven by the fronto–striato–parietal and fronto–cerebellar networks, leading to problems in motor response inhibition, working memory, sustained attention, response variability, emotion regulation, and impulsivity. Cognitive regulation of emotion is described as conscious and mental strategies of people to deal with receiving emotionally stimulating information. Despite the significant disorder in emotion regulation in children and adolescents with ADHD, current treatments are unable to treat emotion regulation problems. In addition, so far, there has not been a study that examines the effectiveness of cognitive behavioral family therapy on the cognitive regulation of emotions in adolescents with ADHD. Therefore, this research investigated the effectiveness of cognitive behavioral family therapy on the cognitive regulation of emotions in adolescents with ADHD.
Methods: This research is quasi–experimental, with a pretest–posttest and a control group. Among adolescents aged 12 to 16 with symptoms of ADHD who were referred to psychiatric clinics in Yazd City, Iran, 30 eligible volunteers were included in the study with an available sampling method. Then, 15 were randomly assigned to the intervention group, and 15 people were included in the control group. The inclusion criteria for the subjects in the study were as follows: having ADHD confirmed by a psychiatrist, age range of 12–16 years, and not using concurrent treatment methods such as behavioral therapy and medication. The exclusion criteria for the subjects from the study were as follows: missing a treatment session and not completing the questionnaire during the study. Before treatment, the sample subjects signed a consent form for voluntary participation in the study. The cognitive regulation of emotion variable scores was compared using the Cognitive Regulation of Emotion Questionnaire (Garnefski & Kraaij, 2007) before and after the cognitive behavioral family therapy treatment. In eight 90–minute therapy sessions, cognitive–behavioral family therapy was administered over four weeks to the experimental group. However, no therapy was provided to the control group. The present study used a comprehensive guide for therapists on cognitive–behavioral therapy for couples and families, by Dattilio and Epstein (2203), to develop the program and instructions for educational–therapeutic interventions. Data analysis was done using covariance analysis. The significance level of the tests was set at 0.05.
Results: The analysis of the data showed that mean scores of the cognitive emotion regulation variable in adolescents with ADHD in the intervention group and after receiving cognitive behavioral family therapy increased significantly compared to the control group (p<0.001). Also, the results regarding the effect size showed that 56% of the difference between the intervention group and the control group in cognitive emotion regulation was due to the implementation of cognitive–behavioral family therapy.
Conclusion: The results of the study indicated that eight 90–minute sessions of cognitive–behavioral family therapy significantly affect cognitive emotion regulation in adolescents with ADHD and lead to improvement in cognitive emotion regulation in these patients. Cognitive–behavioral family therapy can be used as a complementary therapy to improve cognitive emotion regulation in patients with ADHD.

Keywords: Cognitive–behavioral family therapy, Cognitive emotion regulation, Attention–deficit/hyperactivity disorder

Full-Text [PDF 268 kb] (72 Downloads)

Type of Study: Original Research Article | Subject: Psychology

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