Investigating the Effect of Dialectical Behavior Therapy on Attachment Styles and Dimensions of Identity Transformation in Adolescents
Subject Areas : Adolescent healthlaleh Yari 1 , Nahid Zeyni Hasanvand 2 , Mehdi Yousefvand 3
1 - PhD Student in Counselling, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
2 - Corresponding author: Assistant Professor, Faculty of Humanities, Ayatollah Boroujerdi University, Boroujerd, Iran, Email: N.Hasanvand@abru.ac.ir, tell: 02123224567
3 - Assistant Professor, Department of Educational Sciences, Farhangian University, P.O. Box 14665-889, Tehran, Iran mehdiyousefvand3@gmail.com
Keywords: Adolescent, Attachment Styles, Dialectical Behavior Therapy, Identity Transformation ,
Abstract :
Abstract Introduction: Adolescence is an important period of social, psychological and physical development and they make important choices about health, growth, attitudes and health behaviors that affect their adulthood. Therefore, this research was conducted with the aim of investigating the effect of dialectical behavior therapy on attachment styles and dimensions of identity transformation in adolescents. Research method: The research method was semi-experimental with a pre-test-post-test design and follow-up with a control group. The research population included all adolescent girls between the ages of 13 and 16 in district 1 of Baharestan city who studied in the 7th to 10th grades in the academic year of 2022-2023, who were referred to the education counseling center in 2022, and out of this number, 2 A group of 20 people was selected by available sampling method and randomly divided into experimental group and control group, and Hazen and Shiver attachment styles questionnaire and Berzonsky identity dimensions questionnaire in three pre-test, post-test and follow-up sessions answered. The subjects of the experimental group were subjected to dialectical behavior therapy, 1 session of 60 minutes per week, but no training was given to the control group. The data were statistically analyzed with SPSS software and using the analysis of variance test with repeated measurements and a significant level of p < 0.05. Findings: The results showed that dialectical behavior therapy is significant on attachment styles and dimensions of identity transformation. Conclusion: According to the results of this research, it can be said that the goal of dialectical behavior therapy is to increase behaviors that probably lead to safe and healthy attachment style and healthy identity transformation in teenagers, and these rewards are internal or external.
1. Erikson E. Identity: Youth and crisis. New York: Norton; 1968.
2. Imtiaz S, Naqvi I. Parental Attachment and Identity Styles among Adolescents: Moderating Role of Gender. Pakistan Journal of Psychological Research. 2012; 27(2).
3. Perkins A, Gracey F, Kelly G, Jim J. A new model to guide identity-focused multidisciplinary rehabilitation for children and young people following acquired brain injury: I-FoRM. Neuropsychological Rehabilitation. 2022; 32(8): 1928-1969.
4. Szabó Á, Ward C, Meca A, Schwartz SJ. Testing the construct validity and empirical distinctiveness of the Multicultural Identity Styles Scale (MISS) and the Bicultural Identity Integration Scale (BIIS-2). Psychological assessment. 2022; 32(7):705.
5. Erikson E. Identity: Kouth and crisis. New York: Northon & Company. In: Inc; 1968.
6. Joanne S, Eugene F, James E.M. Identity in adolescence. Handbook of adolescent psychology. 1992; 15 (3): 283-300. https://doi.org/10.1016/0140-1971(92)90031-Y
7. Berzonsky MD, Cieciuch J, Duriez B, Soenens B. The how and what of identity formation: Associations between identity styles and value orientations. Personality and Individual differences. 2011; 50(2): 295-299. https://doi.org/10.1016/j.paid.2010.10.007
8. Hashemi Z, Shahjoee T. Comparison of Oppositional Defiant Disorder, Self-Control and Attachment Styles in Children with Addicted and Non-Addicted Parent. J Child Ment Health. 2022; 9 (3) :47-61. URL: http://childmentalhealth.ir/article-1-1213-fa.html
9. Borjali M, Alizadeh H, Ahadi H, Farrokhi N, Sohrabi F, Mohamadhi M. A comparative study on three therapeutic programs including parent encouraging training, behavioral training and pharmacotherapy for increasing self-control among children with attention deficit hyperactive disorder. Clin Psychol Stud. 2013; 4(16): 153-175. https://jcps.atu.ac.ir/article_61.html?lang=en
10. Fuchshuber J, Hiebler-Ragger M, Kresse A, Kapfhammer HP, Unterrainer HF. The influence of attachment styles and personality organization on emotional functioning after childhood trauma. Front psychiatry. 2019; 10: 1-10. https://doi.org/10.3389/fpsyt.2019.00643
11. Moosavian Z, Mohammadi M, Sarlak N, Ghodrat G. The Effectiveness of Mindfulness-Based Cognitive Therapy on Students' Attributional Styles and Academic Optimism. J Child Ment Health. 2023; 9(4): 40-60. URL: http://childmentalhealth.ir/article-1-1134-fa.html
12. Babosalam S, Ghazanfari A, Ahmadi R. Modeling Academic Engagement Based on Academic Identity with the Mediating Role of Academic Wellbeing of Students. J Child Ment Health. 2022; 9(3): 62-77. URL: http://childmentalhealth.ir/article-1-1284-fa.html
13. Greenwood CR, Beecher C, Atwater J, Petersen S, Schiefelbusch J, Irvin D. An ecobehavioral analysis of child academic engagement: Implications for preschool children not responding to instructional intervention. Topics in Early Childhood Special Education. 2018; 37(4): 219-233. https://doi.org/10.1177/02711214177419
14. Shaukatpour Lotfi S, Moghtadar L, Akbari B. Comparing the effectiveness of parent-child interaction training, attachment-based therapy and self-regulation skill training on children's emotion control. Jayps. 2023; 4(2): 159-173. http://jayps.iranmehr.ac.ir/article-1-261-fa.html
15. Cooper ML, Collins NL, Shaver PR. Attachment styles, emotion regulation, and adjustment in adolescence, Journal of Personality and Social Psychology. 2014; 74(5), 1380 – 1397. https://doi.org/10.1037/0022-3514.74.5.1380
16. Moradi M, Farhangi A, Tizdast T. Modeling children's behavioral problems based on attachment styles with parent-child relationship mediation. Jayps. 2023; 4(2): 12-23. http://jayps.iranmehr.ac.ir/article-1-466-fa.html
17. Ainsworth, MS. Attachments beyond infancy. American Psychologist. 1989; 44(4): 709–716. https://doi.org/10.1037/0003-066X.44.4.709
18. Di Tella M, Castelli L. The secure attachment style oriented psycho -educational program for reducing intolerance of uncertainty and academic procrastination. Current Psychology. 2016; 1 -14.
19. Galvez-Sánchez CM, Reyes GA, Duschek S. Cognitive impairments in oppositional defiant disorder: Associations with positive and negative affect, alexithymia, pain catastrophizing and self-esteem. Frontiers in Psychology. 2018; 9 (1):377.
20. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review. 2010; 30(2):217-237.
21. Diedrich A, Hofmann SG, Cuijpers P, Berking M. Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder. Behaviour Research and Therapy. 2016; 82: 1 10. http://doi.org/10.1016/j.brat.2016.04.003.
22. Garnefski N, Teerds J, Kraaij V, Legerstee J, Van-Den-Kommer T. Cognitive emotion regulation strategies and depressive symptoms: differences between males and females. Personality and Individual Differences. 2004; (36):267-276
23. Linehan MM, Dimeff LA, Reynolds SK, Comtois KA, Welch SS, Heagerty P, Kivlahan DR. Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug Alcohol Depend. 2002 Jun 1; 67(1):13-26. doi: 10.1016/s0376-8716(02)00011-x. PMID: 12062776.
24. Garnefski N, Van-Der-Kommer T, Kraaij V, Teerds J, Legerstee J, Tein EO. The Relationship between Cognitive Emotion Regulation Strategies and Emotional Problems: Comparison between a Clinical and a Non-Clinical Sample. European Journal of Personality. 2002; 16(5): 403-420. DOI: 10.1002/per.458
25. Wells A. Metacognitive therapy for anxiety and depression. New York: Guilford Press.2009: 154-196.
26. Entezari S, Taher M, Aghaei H. The Comparison of the Effectiveness of Cognitive Behavioral Therapy and Metacognitive Therapy on Depression, Suicide Ideation, and Masochistic Aggression in Individuals with Subclinical Symptoms of Body Dysmorphic Disorder. J Child Ment Health. 2021; 7 (4): 1-18. URL: http://childmentalhealth.ir/article-1-1069-fa.html
27. Hassani M, Nadi M, Sajjadian I. The Effect of the Cognitive-Emotional-Social Working Memory Training Package on the Improvement of Metacognition and Emotional Creativity in Students. J Child Ment Health. 2020; 7 (3): 108-127. URL: http://childmentalhealth.ir/article-1-635-fa.html
28. Tankamani N, Saffarinia M, aghayousefi A, alipour A. A review of the relationship between attachment styles and mental rumination with psychological response to coronavirus (Covid-19). Clin Exc. 2021; 11 (S2): 64-75. URL: http://ce.mazums.ac.ir/article-1-668-fa.html
29. Koen Luyckx TAK, Bart Duriez, Stijn Van Petegem, Wim Beyers, Eveline Teppers, Luc Goossens. Personal identity processes and self-esteem: Temporal sequences in high school and college students. Journal of Research in Personality. 2013; 47: 159-70.
30. Tahmasbipour N, Zakeri F S. Predicting the Dimensions of Girls' Identity Based on Their Dimensions of Self-Esteem and Body Image. 2021; 12(46):66-76.
31. Katz LY, Cox BJ, Gunasekara S, Miller AL. Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. J Am Acad Child Psychol. 2004; 43: 276-82.
32. Koons CR, Robins CJ, Tweed JL, Lynch TR, Gonzalez AM, Morse JQ, et al. Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behav Ther. 2001; 32: 371-90.
33. Miller AL, Rathus JH, Linehan MM, Watzler S, Leigh E. Dialectical behavior therapy adapted forsuicidal patients. J Pract Psychiatr Behav Health. 1997; (2): 76-86.
34. Hazan C, Shaver P. Romantic love conceptualized as an attachment process. Journal of personality and social psychology. 1987; 52(3): 511 -23.
35. Tankamani N, Saffarinia M, aghayousefi A, alipour A. A review of the relationship between attachment styles and mental rumination with psychological response to coronavirus (Covid-19). Clin Exc. 2021; 11 (S2): 64-75. URL: http://ce.mazums.ac.ir/article-1-668-fa.html
36. Koen Luyckx TAK, Bart Duriez, Stijn Van Petegem, Wim Beyers, Eveline Teppers, Luc Goossens. Personal identity processes and self-esteem: Temporal sequences in high school and college students. Journal of Research in Personality. 2013; 47: 159-70.
37. Tahmasbipour N, Zakeri F S. Predicting the Dimensions of Girls' Identity Based on Their Dimensions of Self-Esteem and Body Image. 2021; 12(46):66-76.
38. Garnefski N, Kraaij V. The Cognitive Emotion Regulation Questionnaire “Psychometric Features and Prospective Relationships with Depression and Anxiety in Adults”. Eur J Psych Asse. 2007; 23(3): 141-149.
39. Mazaheri Tehrani F, Kokali M, Savabi Niri V, Bikas Yekani M. The Effectiveness of Reality Therapy on Cognitive Flexibility and Self-Differentiation in Mothers with Children with Special Learning Disorders. J Child Ment Health 2022; 9 (1) : 6
URL: http://childmentalhealth.ir/article-1-1129-fa.html
40. Nasiri F, Mahmoodaliloo M, Bakhshipoor A. The Efficacy of Mindfulness-Based Cognitive Therapy in Treating People with Generalized Anxiety Disorder. Research in Clinical Psychology and Counseling, 2015; 5(1): 116-133. doi: 10.22067/ijap.v5i1.40703
41. Jalalvand D, Goodarzi K, Karimi J, Yaghoobi A. The Effectiveness of Behavioral-integrated couple therapy and couple therapy by Guttman method on the Quality of Marital Relationships and Marital Intimacy. Journal of Family Research, 2023; 19(1): 107-124. doi: 10.48308/JFR.19.1.107
42. Aghili M, Kalteh M, Babaee E. The Effectiveness of Dialectical Behavior Therapy on Self-disclosure, Self-compassion and Self-injurious Behaviors of Female Students. Journal of Sabzevar University of Medical Sciences, 2024; 30(6): 742-755. doi: 10.30468/jsums,2024.7569.2920