• الصفحة الرئيسية
  • Comparing the Effectiveness of Acceptance and Commitment Group Therapy with Cognitive Behavioral Group Therapy on reduction of Experiential Avoidance and Fear of Negative Evaluation in University Students with Social Anxiety

شارک

عنوان URL للمقالة


رقم المقالة : JRHC-1810-1144 زيارة : 15 الصفحة: 32 - 43

نوع المخطوط: ابحاث

Comparing the Effectiveness of Acceptance and Commitment Group Therapy with Cognitive Behavioral Group Therapy on reduction of Experiential Avoidance and Fear of Negative Evaluation in University Students with Social Anxiety

الموضوعات : Report of Health Care

Mohammad Reza Yabandeh 1 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Hossein Bagholi 2 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Siroos Sarvghad 3 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Maryam Koroshnia 4 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)

تاريخ الإرسال : 25 الجمعة , محرم, 1440 تاريخ التأكيد : 26 الجمعة , رمضان, 1440 تاريخ الإصدار : 26 الأربعاء , شعبان, 1440

الکلمات المفتاحية: Acceptance and Commitment Group Therapy, Cognitive Behavior Group Therapy, Experiential Avoidance, Fear of Negative Evaluation,

ملخص المقالة :

Introduction: The purpose of the current study was to compare the effectiveness of acceptance and commitment group therapy with cognitive behavior group therapy on reduction of experiential avoidance and fear of negative evaluation in university students with social anxiety. Methods: In this research, using two groups of experimental and one control group, an experimental interventional method was used. A sample of 45
students with social anxiety was selected by purposive sampling method and then randomly assigned to two experimental and one control groups. The experimental groups received 12 sessions of acceptance and commitment therapy and cognitive behavioral therapy, while no therapy administered on the control group. The experiential avoidance and fear of negative evaluation of the subjects were assessed using the AAQ-II and BFNE-II tests in two stages of the research. Final data were analyzed by Covariance analysis and Bonferronis post hoc test. Results: Comparison of the groups did not show any significant difference in the experimental avoidance component between the three groups. In the fear of the negative component, the evaluation showed while both treatments reduced fear of the negative evaluation, acceptance and commitment therapy outperformed cognitive behavioral therapy. Conclusion: Treatment based on acceptance and commitment therapy is effective in reducing the fear of negative evaluation of students, and it is recommended to be used in working with students with social anxiety.

المصادر:


  1. McEvoy PM, Grove R, Slade T. Epidemiology of anxiety disorders in the Australian general population: findings of the 2007 Australian National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry. 2011; 45: 57- 67.
    2.
  2. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62: 593- 602.
    3.
  3. Craske MG, Niles AN, Burklund LJ, Wolitzky-Taylor KB, Vilardaga JC, Arch JJ, Saxbe DE, Lieberman MD. Controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: outcomes and moderators. J Consult Clin Psychol. 2014; 82: 1034- 148.
    4.
  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing; 2013.
    5.
  5. Hofmann Stefan G, Otto Michael W. Cognitive behavioral therapy for social anxiety disorder. Routledge Press (NY); 2007.
    6.
  6. Ruscio AM, Brown TA, Chiu WT, Sareen J, Stein MB, Kessler RC. Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychol Med. 2008; 38: 15- 28.
    7.
  7. National Collaborating Centre for Mental Health (UK). Social Anxiety Disorder: Recognition, Assessment and Treatment. Leicester (UK): British Psychological Society;2013 National Institute for Health and Care Excellence: Clinical Guidelines; 2013.
    8.
  8. Gültekin BK, Dereboy IF. The prevalence of social phobia, and its impact on quality of life, academic achievement, and identity formation in university students. Turk Psikiyatri Derg. 2011; 22: 150- 158.
    9.
  9. Hofmann Stefan G. Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cogn Behav Ther. 2007; 36: 193– 209.
    10.
  10. Clark DM, Ehlers A, McManus F, Hackmann A, Fennell M, Campbell H, et al. Cognitive therapy versus fluoxetine in generalized social phobia: a randomized placebo-controlled trial. J Consult Clin Psychol. 2003; 71: 1058- 1067.
    11.
  11. Goldin Philippe R, Ziv M, Jazaieri H, Weeks J, Heimberg Richard G, Gross James J. Impact of cognitive- behavioral therapy for social anxiety disorder on the neural bases of emotional reactivity to and regulation of social evaluation. Behav Res Ther. 2014; 62: 97- 106.
    12.
  12. Borge FM, Hoffart A, Sexton H, Clark DM, Markowitz JC, McManus F. Residential cognitive therapy versus residential interpersonal therapy for social phobia: a randomized clinical trial. J Anxiety Disord. 2008; 22: 991- 1010.
    13.
  13. Kampmann IL, Emmelkamp PM, Hartanto D, Brinkman WP, Zijlstra BJ, Morina N. Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial. Behav Res Ther. 2016; 77: 147- 156.
    14.
  14. Hofmann SG, Smits JA. Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. J Clin Psychiatry. 2008; 69: 621- 632.
    15.
  15. Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clin Psychol Rev. 2006; 26: 17- 31.
    16.
  16. Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognit Ther Res. 2012; 36: 427- 440.
    17.
  17. Blanco C1, Heimberg RG, Schneier FR, Fresco DM, Chen H, Turk CL, et al. A placebo-controlled trial of phenelzine, cognitive behavioral group therapy, and their combination for social anxiety disorder. Arch Gen Psychiatry. 2010; 67: 286- 295.
    18.
  18. Tolin DF. Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review. Clin Psychol Rev. 2010; 30: 710- 720.
    19.
  19. Barlow David H. Clinical handbook of psychological disorders, fifth edition: A Step-by-Step Treatment Manual 5th Edition. New York: Guilford Press; 2014.
    20.
  20. Dimidjian S, Hollon SD, Dobson KS, Schmaling KB, Kohlenberg RJ, Addis ME, et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. J Consult Clin Psychol. 2006; 74: 658- 670.
    21.
  21. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press; 1999.
    22.
  22. Darlymple K. Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behav Modif. 207; 31: 543- 568.
    23.
  23. Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cog Behav Prac. 2009; 16: 368- 385.
    24.
  24. Roemer L, Orsillo SM, Salters-Pedneault K. Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol. 2008; 76: 1083- 1089.
    25.
  25. Hill ML, Masuda A, Melcher H, Morgan J, Twohig MP. Acceptance and commitment therapy for women diagnosed with binge eating disorder: A case-series study. Cog Behav Prac.2014; 89- 92.
    26.
  26. Twohig MP, Hayes SC, Masuda A. Increasing willingness to experience obsessions: acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behav Ther. 2006; 37: 3- 13.
    27.
  27. Hayes L, Boyd CP, Sewell J. Acceptance and commitment therapy for the treatment of adolescent depression: a pilot study in a psychiatric outpatient setting. Mindfulness. 2011; 2: 86- 94.
    28.
  28. Hayes SA, Orsillo SM, Roemer L. Changes in proposed mechanisms of action during an acceptance-based behavior therapy for generalized anxiety disorder. Behav Res Ther. 2010; 48: 238- 245.
    29.
  29. Hayes SC, Villatte M, Levin M, Hildebrandt M. Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Ann Rev Clin Psychol. 2011; 7: 141- 168.
    30.
  30. Hayes SC, Smith S. Get out of your mind and into your life: The new Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publication; 2005.
    31.
  31. Herbert JD, Gaudiano BA, Forman EM. The importance of theory in cognitive behavior therapy: a perspective of contextual behavioral science. Behav Ther. 2013; 44: 580- 591.
    32.
  32. Hayes SC, Luoma J, Bond F, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes, and outcomes. Behav Res Ther. 2006; 44: 1- 25.
    33.
  33. Forman EM, Herbert JD, Moitra E, Yeomans PD, Geller PA. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behav Modification. 2007; 31: 772- 799.
    34.
  34. Arch J, Eifert Georg H, Davies C, Vilardaga Jennifer CP, Rose RD, Craske MG. Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. J Consult Clin Psychol. 2012; 80: 750– 765.
    35.
  35. Ozsaker M, Muslu GK, Kahraman A, Beytut D, Yardimci F, Basbakkal Z. A study on the effects of loneliness, depression and perceived social support on. problematic Internet use among university students. Anthropologist; 2015.
    36.
  36. Bond Frank W. Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42 (4): 676- 688.‏
    37.
  37. Leary Mark R. A brief version of the fear of negative evaluation scale. Personality Social Psychol Bull. 1983; 9 (3): 371- 375.‏
    38.
  38. Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the social phobia inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000; 176: 379- 386.
    39.
  39. Salajegh S, Bonyani N. Effectiveness of group therapy and stress coping skills on social anxiety of students. Knowledge Res Appl Psychol. 2015; 15 (2): 96- 104.
    40.
  40. Bond Frank W. Preliminary psychometric properties of the acceptance and action questionnaire–II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42 (4): 676- 688.‏
    41.
  41.  Gloster Andrew T. Assessing psychological flexibility: What does it add above and beyond existing constructs?. Psychol Assess. 2011; 23 (4): 970- 971.‏
    42.
  42.  Abbasi I. Psychometric adequacy of the persian version of the second edition of Acceptance and Action. Psychol Methods Mod. 2013; 80: 10- 65.‏
    43.
  43.  Abdi R, Kaboodi N. Moderating role of experiential avoidance in the relationship between anxiety sensitivity and perceived stress. J Clin Psychol Andishe Va Raftar. 2016; 40 (10): 57- 66.
    44.
  44. Leary Mark R. A brief version of the fear of negative evaluation scale. Person Social Psychol Bul. 1983; 9 (3): 371- 375.‏
    45.
  45.  Carleton RN. Brief fear of negative evaluation scale—revised. Depression Anxiety. 2006; 23 (5): 297- 303.‏
    46.
  46.  Shokri O. The psychometric properties of the brief fear of negative evaluation scale. Iranian J Psychiatry Clin Psychol. 2008; 14 (3): 316- 325.
    47.
  47.  Geravand F. Standardization, validity and reliability of the brief fear of negative evaluation scale for 12- 18 years old adolescents in tehran. Psychol Stud. 2011; 7 (1): 65- 95.‏
    48.
  48. Hofmann Stefan G, Otto Michael W. Cognitive behavioral therapy for social anxiety disorder. New York: Routledge Press; 2008.
    49.
  49. Salajegh S, Bonyani N. Effectiveness of group therapy and stress coping skills on social anxiety of students. Knowledge Res Appl Psychol. 2015; 15 (2): 96- 104.
    50.
  50. Pearson Adria N, Victoria MF, Steven CH. A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive Behav Prac. 2012; 19 (1): 181- 197.‏
    51.
  51.  Weineland S. A contextual behavioral approach for obesity surgery patients. Diss. Acta Universitatis Upsaliensis; 2012.‏
    52.
  52.  Forman Evan M. An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive Behav Prac. 2009; 16 (2): 223- 235.
    53.
  53. 53.   Petersen Connie L. Treatment of comorbid depression and alcohol use disorders in an inpatient setting: Comparison of acceptance and commitment therapy versus treatment as usual. Psychological Record. 2009; 59 (4): 521- 536.
    54.
  54. Alloy Lauren B, Lyn YA. The role of the behavioral approach system (BAS) in bipolar spectrum disorders. Current DirectionsPsychol Sci. 2010; 19 (3): 189- 194.‏
    55.
  55.  Hayes Steven C. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006; 44 (1): 1- 25.‏
    56.
  56.  Habibollahi A, Soltanizadeh M. The effectiveness of acceptance and commitment therapy on physical dissatisfaction and fear of negative evaluation in adolescent girls with physical disorders. J Mazandaran Univ Med Sci. 2015; 25 (134): 278- 290.
    57.
  57.  Collins B. Body dysmorphic disorder and psychological distress in orthognathic surgery patients. J Oral Maxillofacial Surgery. 2014; 72 (8): 1553- 1558.‏
    58.
  58.  Kocovski Nancy L, Jan EF, Neil AR. Mindfulness and acceptance-based group therapy for social anxiety disorder: An open trial. Cognitive Behav Prac. 2009; 16 (3): 276- 289.‏
    59.
  59.  Kocovski NL. Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: A randomized controlled trial. Behav Res Ther. 2013; 51 (12): 889- 898.
    60.
  60.  Dalrymple Kristy L, James DH. Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behav Modification. 2007; 31 (5): 543- 568.
    61.
  61.  Block Jennifer A, Edelgard W. Acceptance or change: treating socially anxious college students with ACT or CBGT. Behav Analyst Today. 2000; 1 (2): 3- 4.‏
    62.
  62.  Cisler Josh M, Ernst HWK. Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clin Psychol Rev. 2010; 30 (2): 203- 216.‏
    63.

سند

Sanad is a platform for managing Azad University publications

الروابط

المراكز ذات الصلة

دعامة

الصفحات الرسمية

حقوق هذا الموقع الإلكتروني مملوكة لنظام SANAD Press Management. © 1442-1446

الصفحة الرئيسية| دخول| معلومات عنا| اتصل بنا|
[English] [فارسی] [en] [fa]