Comparing the Effectiveness of Emotion-Oriented Therapy and Therapy Based on Acceptance and Commitment on the Interpersonal Needs of Hospitalized Adolescents with Self-injury

Karimpour Natanzi , Sepideh; Radfar , Shokofeh; Taher, Mahboobe; Davoudi-Monfared , Esmat

Volume 14 - Articles-1403 MEJDS (2024) 14: 79 | Back to browse issues page

Ethics code: IR.IAU.SHAHROOD.REC.1401.49

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Karimpour Natanzi S, Radfar S, Taher M, Davoudi-Monfared E. Comparing the Effectiveness of Emotion-Oriented Therapy and Therapy Based on Acceptance and Commitment on the Interpersonal Needs of Hospitalized Adolescents with Self-injury. MEJDS 2024; 14 :79-79
URL: http://jdisabilstud.org/article-1-3432-en.html

Comparing the Effectiveness of Emotion-Oriented Therapy and Therapy Based on Acceptance and Commitment on the Interpersonal Needs of Hospitalized Adolescents with Self-injury

Sepideh Karimpour Natanzi¹

, Shokofeh Radfar ^*²

, Mahboobe Taher³

, Esmat Davoudi-Monfared⁴

1- PhD Student in Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
2- Associate Professor, Child and Adolescent Psychiatry, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Life Style Institute, Tehran, Iran
3- Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
4- Associate Professor, Health Management Research Center & Department of Community Medicine, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract: (612 Views)

Abstract
Background & Objectives: Adolescence is an important and outstanding stage of a person's social and psychological growth and development. The prevalence of non–suicidal self–harm is alarmingly increasing in the adolescent and youth population. In the occurrence of self–injurious behavior, several factors such as age, marital status, education level, unemployment, personality disorders, drug abuse, maladaptive emotion regulation, history of exposure to traumatic events in life, and family dysfunction have been mentioned. One of the most important factors is interpersonal needs. When it is possible to identify a treatment that is more effective than other treatments from among different and effective psychological approaches and interventions in terms of experimental research, it will help psychologists and therapists who work in the field of adolescent self–harm problems to use the results of such research and find which type of treatment is more effective. Therefore, this research was conducted to compare the effectiveness of emotion–oriented therapy and acceptance and commitment therapy on the interpersonal needs of hospitalized adolescents with self–injury.
Methods: This research was applied in terms of purpose and single subject type with A–B–A design and multiple baseline and one–year follow–up period. The statistical population comprised adolescents aged 14 to 19 years admitted to the Psychiatric Department of Baghiyatollah Azam Hospital in Tehran City, Iran, in 2021–2022. Eight people from the statistical population were selected as a sample using purposeful sampling and were included in the first stage (A) of the baseline, the second stage (B) of the experiment, and the third stage (A) of follow–up. One group received emotional therapy, and the other group received acceptance and commitment therapy by the researcher (expert in emotional therapy and acceptance and commitment therapy courses) in the hospital consultation room. The inclusion criteria were as follows: age range from 14 to 19 years, history of non–suicidal self–injurious behavior at least once in the last month, completion of the treatment consent form, not participating in individual or group therapy sessions, ability to attend therapy sessions once a week, 8 sessions for emotion–oriented therapy and acceptance and commitment therapy. The exclusion criteria included an absence of more than two consecutive sessions and an unwillingness to continue the sessions. The research tool was the Interpersonal Needs Questionnaire (Van Orden et al., 2012). The sessions included eight 90–minute sessions of acceptance and commitment therapy and eight 90–minute sessions of emotion–oriented therapy. The data were analyzed based on visual analysis and descriptive statistical indicators.
Results: The results showed that in the emotion–oriented therapy and in the neutral belonging variable, the subjects' scores in the intervention position (B) decreased (median and mean change indices) according to the treatment goals. The percentages of improvement in all four subjects in the last stage of treatment were 42.50, 50.93, 37.21, and 35.05, respectively, and the overall improvement in the last stage of treatment and follow–up was 41.42. In emotion–oriented therapy and in the variable of perception of feeling overwhelmed, the scores of the subjects in the intervention position (B) decreased (median and mean change indices) according to the treatment goals. The percentages of improvement in all four subjects in the last stage of treatment were 44.73, 50.38, 42.54, and 36.95, respectively, and the overall improvement in the last stage of treatment and follow–up was 43.65. In the acceptance and commitment therapy and the variable of neutral belonging, the subjects' scores in the intervention position (B) decreased (median and mean change indices) according to the treatment goals. The percentages of improvement in all four subjects in the last stage of treatment were 28.71, 30.85, 32.98, and 25.93, respectively, and the overall improvement in the last stage of treatment and follow–up was 29.61. In the acceptance and commitment therapy and the variable of perception of feeling overwhelmed, the scores of the subjects in the intervention position (B) decreased (median and average change indices) according to the treatment goals. The percentages of improvement in all four subjects in the last stage of treatment were 31.25, 33.33, 24.65, and 31.21, respectively, and the overall improvement in the last stage of treatment and follow–up was 30.11. Also, the results of the average percentage of overall recovery showed that emotion–oriented therapy is more effective than acceptance and commitment–based therapy in reducing neutral belonging and feeling overwhelmed in adolescents with self–injury.
Conclusion: Based on the results, emotion–oriented therapy and therapy based on acceptance and commitment are considered effective methods for improving the interpersonal needs of teenagers and can be used in counseling and educational centers. Emotion–oriented therapy is more effective than acceptance and commitment–based therapy in reducing neutral belonging and the feeling overwhelmed in adolescents with self–injury.

Keywords: Emotion–oriented therapy, Acceptance and commitment therapy, Interpersonal needs, Self–injury

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Type of Study: Original Research Article | Subject: Psychology

References

1. Sali Z, Narimani M. Prediction of self-injurious behaviors based on early maladaptive schemas and stress coping styles. In: The First National Conference of Farda School [Internet]. Ardabil; 2019. [Persian]

2. Cavelti M, Rinnewitz L, Walter M, Van Der Venne P, Parzer P, Josi J, et al. Psychobiological correlates of aggression in female adolescents with borderline personality disorder. Psychopathology. 2022;55(1):37–48. [DOI]

3. Goodwin J, Saab MM, Dillon CB, Kilty C, McCarthy A, O'Brien M, et al. The use of film-based interventions in adolescent mental health education: A systematic review. J Psychiatr Res. 2021;137:158–72. [DOI]

4. Fontana A, Benzi IMA, Cipresso P. Problematic internet use as a moderator between personality dimensions and internalizing and externalizing symptoms in adolescence. Curr Psychol. 2023;42(22):19419–28. [DOI]

5. Nock MK. Self-Injury. Annu Rev Clin Psychol. 2010;6(1):339–63. [DOI]

6. Gilbert AC, DeYoung LLA, Barthelemy CM, Jenkins GA, MacPherson HA, Kim KL, et al. The treatment of suicide and self-injurious behaviors in children and adolescents. Curr Treat Options Psychiatry. 2020;7(1):39–52. [DOI]

7. Hepp J, Carpenter RW, Störkel LM, Schmitz SE, Schmahl C, Niedtfeld I. A systematic review of daily life studies on non-suicidal self-injury based on the four-function model. Clin Psychol Rev. 2020;82:101888. [DOI]

8. Kiekens G, Hasking P, Nock MK, Boyes M, Kirtley O, Bruffaerts R, et al. Fluctuations in affective states and self-efficacy to resist non-suicidal self-injury as real-time predictors of non-suicidal self-injurious thoughts and behaviors. Front Psychiatry. 2020;11:214. [DOI]

9. Talebkhah P, Sajjadpour H, Sadeghi G, Jajarmi N. Comparison of general self-efficacy in adolescents with and without self-injurious behavior (case study: Bojnord city). Journal of North Khorasan Disciplinary Knowledge. 2020;7(26):107–21. [Persian]

10. Kiani AR, Ahmadboukani S, Najafi N, Gorji Z. Validation and psychometric properties of the interpersonal needs questionnaire in students. Research in Cognitive and Behavioral Sciences. 2020;9(2):65–78. [Persian] [Article]

11. Kiani A, Dargahi S, Ahmedbookani S, Esmaeilbeigi Mahani M. The role of attitudes to life in the thwarted belongingness and perceived burdensomeness in veterans. Nurse and Physician within War. 2019;6(21):66–71. [Persian] [Article]

12. Valinezhad A, Nemattavousi M, Rezabakhsh H, Krasian Mujemnari A, Hovassi Soomer N. The mediating role of interpersonal needs, parent-adolescent conflict in the relationship between parenting styles, basic needs with non-suicidal self-injury, suicidal ideation. Applied Psychology. 2021;15(3):564–37. [Persian] [Article]

13. Ma J, Batterham PJ, Calear AL, Han J. A systematic review of the predictions of the interpersonal–psychological theory of suicidal behavior. Clin Psychol Rev. 2016;46:34–45. [DOI]

14. Ribeiro JD, Joiner TE. The interpersonal‐psychological theory of suicidal behavior: current status and future directions. J Clin Psychol. 2009;65(12):1291–9. [DOI]

15. Amir MB, Ghamari H, Kaiani AR. The effectiveness of acceptance and commitment-based therapy on thwarted belongingness and perceived burdensomeness of addicts. Etiadpajouhi. 2019;13(53):253–68. [Persian] [Article]

16. Hayes SC. A practical guide to acceptance and commitment therapy. New York: Springer Press; 2004. [DOI]

17. Esfandiyari Bayat D, Asadpour I, Mohsenzadeh F, Kasaee A. Comparison of the effectiveness of group counselling based on rational, emotional and behavioral therapy (REBT) and acceptance and commitment therapy (ACT) on forgiveness of women affected by marital infidelity. Journal of Psychological Science. 2021;20(97):139–51. [Persian] [Article]

18. Nieuwsma J, Walser R, Farnsworth J, Drescher K, Meador K, Nash W. Possibilities within Acceptance and Commitment Therapy for Approaching Moral Injury. Current Psychiatry Reviews. 2015;11(3):193–206. [DOI]

19. Khoramniya S, Taheri A, Mohammadpour M, Foroughi A, Karimzadeh Y. The effectiveness of acceptance and commitment therapy (ACT) on interpersonal sensitivity and psychological flexibility in students with social anxiety: a randomized clinical trial. Shenakht Journal of Psychology and Psychiatry. 2021;8(1):15–27. [Persian]

20. Hapenny JE, Fergus TA. Cognitive fusion, experiential avoidance, and their interactive effect: Examining associations with thwarted belongingness and perceived burdensomeness. J Contextual Behav Sci. 2017;6(1):35–41. [DOI]

21. Greenberg LS, Goldman RN. Clinical handbook of emotion-focused therapy. Washington, DC: American Psychological Association; 2018.

22. Fathi S, Pouyamanesh J, Ghamari M, Fathi Aghdam Gh. The effectiveness of emotion-based therapy and acceptance & commitment therapy on the pain severity and resistance in women with chronic headaches. Journal of Community Health. 2020;14(4):75–87. [Persian] [Article]

23. Sanagavi Moharrar G, Shirazi M, Mohammadi R, Maghsoodloo F. Effectiveness of emotional therapy on reducing anxiety and depression in patients with multiple sclerosis. Medical Journal of Mashhad University of Medical Sciences. 2019;61(1):190–200. [Persian] [Article]

24. Jabari N, Aghili M. The effectiveness of compassion and emotion-focused therapy on self-harming behaviors and interpersonal needs in female adolescents with suicidal ideation. Modern Psychological Researches. 2023;18(69):61–70. [Persian] [Article]

25. Rahmani S, Bassak Nejad S, Arshadi N, Selby E. The effect of mindful self-compassion therapy on the interpersonal needs among patient with obsessive-compulsive disorder with suicidal thoughts. Knowledge & Research in Applied Psychology. 2022;23(2):90–105. [Persian] [Article]

26. Miklowitz DJ, Merranko JA, Weintraub MJ, Walshaw PD, Singh MK, Chang KD, et al. Effects of family-focused therapy on suicidal ideation and behavior in youth at high risk for bipolar disorder. J Affect Disord. 2020;275:14–22. [DOI]

27. Van Orden KA, Cukrowicz KC, Witte TK, Joiner TE. Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the interpersonal needs questionnaire. Psychol Assess. 2012;24(1):197–215. [DOI]

28. Farahani H, Abedi A, Agha Mohammadi S, Kazemi Z. Practical basics of single case designs in behavioral science and medical research. Tehran: Psychology and Art Publications; 2013. [Persian]