Comparison of the efficacy of cognitive-behavioral therapy and acceptance and commitment based therapy on aggression and mania symptoms in bipolar disorder patients.
Subject Areas : EducationalFarzane mohammadi 1 , Hossein Baghooli 2 , Amir Hooshang Mehryar 3 , siamak samani 4
1 - PhD Candidate, Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
2 - Assistant professor, Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
3 - Professor, Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
4 - Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
Keywords: Acceptance and commitment-based therapy, Mania, aggression, Bipolar Disorder, cognitive-behavioral therapy,
Abstract :
The purpose of this study was to compare the efficacy of cognitive-behavioral therapy and admission-and-acceptance therapy treatment on aggression and mania of bipolar disorder patients. In this quasi-experimental study, using convenience sampling method, pre-test and post-test with control group, 36 patients referred to psychiatric hospitals, who according to DSM5 criteria, diagnose bipolar disorder. They were randomly divided into three groups of 12 each. The first group received 10 sessions of CBT, the second group received 12 sessions of ACT and the control group received no intervention. Data were collected through Buss and Perry's (1992) and Mania Young's (1987) Aggression Questionnaires. Covariance analysis was used for data analysis. The results showed that CBT and ACT treatment in the experimental groups decreased the components of physical aggression and anger, but there was no significant difference between the verbal aggression and hostility components. There was a significant difference between the experimental and control groups (P <0.05), except for the anger component, there was no difference between of the two treatments.
Arky, M., Abbasi Esfejir, A. A.; And Naderi, H.a. (1913). Evaluate the effectiveness of cognitive behavioral therapy-based role in reducing the symptoms of bipolar outpatients treated in the psychiatric ward of Imam Reza (AS) Bojnoord city. Journal of North Khorasan University of Medical Sciences. Volume 5, Issue 3, pp527-548.
Association for the Advancement of Behavior Therapy, Dialectical behavior therapy (DBT) is a comprehensive, evidence-based ... Koons psycnet.apa.org/record/2007-02479-006
Bourne, C., Aydemir, Ö., Balanzá‐Martínez, V., Bora, E., Brissos, S., Cavanagh, J. T. O., ... & Ferrier, I. N. (2013). Neuropsychological testing of cognitive impairment in euthymic bipolar disorder: an individual patient data meta‐analysis. Acta Psychiatrica Scandinavica, 128(3), 149-162.
Buss, A. H., & Perry, M. (1992). The Aggression Questionnaire. Journal of Personality and Social Psychology, 63, 452-459. his instrument can be found at:
Dadashzadeh, H; Arfa, or; Kia Mousavi, S and Alizadeh, a. (1392). Comparison of quality of life in patients with major depression and bipolar mood disorder in partial remission and healthy controls. Urmia Medical Journal, 34 (5), 359-363.
Dor J. (2015). Comparison of ACT with CBT: Cognitive Failure against Reconstruction. (Fayzi A translation). Psychology and Life Advice Center Web Site.
Doosty, c. Gholami, S., And Torabiyan, S.a. (2016). Efficacy was based on acceptance and commitment on reducing aggression in students suffering from Internet addiction. Journal of Health And Care. 18, No. 1, pp. 72-63.
Ganji, d. (2015). Psychopathology of DSM-5 Vol. Ganji, H. (ed.), President, R. (editor), Kmasy, S. (editor), published Savalan –
Ghadery, D.; maaroufi, d. Ebrahimi, A. (2015). The effectiveness of cognitive-behavioral therapy in reducing symptoms and modify dysfunctional attitudes in patients with bipolar disorder type I and II Volume 33, Number 358.
Goodwin, G. M., Haddad, P. M., Ferrier, I. N., Aronson, J. K., Barnes, T. R. H., Cipriani, A., ... & Holmes, E. A. (2016). Evidence-based guidelines for treating bipolar disorder: revised third edition recommendations from the British Association for Psychopharmacology. Journalof Psychopharmac-ology, 30(6), 495-553.
Hajjilu, Q, Shafi Abadi, et. (2016). The effectiveness of group counseling based on cognitive-behavioral interventions (CBT) on anger control in high school students. Journal of Educational Research. 37 (1): 1-20.
Hashimoto K. (2010). Brain-derived neurotrophic factor as a biomarker for mood disorders: An historical overview and future directions. Psychiatry and Clinical Neurosciences, 64, 341-57.
Hawton A, Green C, Dickens AP, Richards SH, Taylor RS, Edwards R, et al )2014). The impact of social isolation on the health status and health-related quality of life of older people. Quality of Life Research. 20(1): 57-67. 39.
Hayes, B. P. (1980). A metrical theory of stress rules (Doctoral dissertation, Massachusetts Institute of Technology).
Hayes S C, Strosahl K D, Wilson K G. (2011).Acceptance and Commitment Therapy: The process and practice of mindful change. 2th ed. New York: Guilford Press.
Izadi, R.; Neshat, c. I.; Asgari, K & Abedi, M.r. (2014). Compare the effectiveness of acceptance and commitment therapy and cognitive-behavioral therapy on patients with Akhtlalvsvas- force, 12; Number, 33-28.
Jones, B. F. (2010). Age and great invention. The Review of Economics and Statistics, 92(1), 1-14. méthodologie de l'ensemble organique: Au delà du dipôle des unilatéralismes- -Patelis (2010)«Sciences sociales et qualitatifs et quantitatifs»
Khodabandeh Samani, M. (2015).payan a: Effectiveness of psychotherapy based on acceptance and commitment on reducing symptoms and enriched with functional analysis of interpersonal relations in patients with bipolar disorder.
Mohammadi, N.A. (2006). A preliminary study on psychometric questionnaire Buss - Perry. Journal of Humanities and Social Sciences, Shiraz, No49. pp(135-151).
Moharami, J. (2016). Thesis was to investigate the effectiveness of cognitive-behavioral therapy is based on acceptance and commitment therapy on depressive symptoms.
Moradi, H.a., And Khalatbary, g. (2017). Compare the efficacy of cognitive-behavioral therapy and acceptance and commitment therapy based on anger in Tehran high school students, Volume 16, Number 2, pp66-59.
Nakigudde, J., Ehnvall, A., & Mirembe, F. (2013). An exploratory study on the feasibility and appropriateness of family psychoeducation for postpartum women with psychosis in Uganda.BMC Psychiatry, 13, 131-137.
Patelis-Siotis, I., Young, L. T., Robb, J. C., Marriott, M., Bieling, P. J., Cox, L. C., & Joffe, R. T. (2010). Group cognitive behavioral therapy for bipolar disorder: a feasibility and effectiveness study. Journal of Affective Disorders, 65(2), 145-153.
Sadock, Benjamin, and Pedro Ruiz. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences. Walters Kluwer, (2015).
Samadi Rooshan, SA. Gaafary, d. (2016). Based on acceptance and commitment therapy (ACT) to reduce the student's verbal aggression. The third World Conference on Psychology and Educational Sciences, Law and Social Sciences at the start of the third millennium. Iran.
Samany, S. (2007). Validity and reliability Buss and Perry Aggression Questionnaire. Journal of Psychiatry and Clinical Psychology, No4, pp.359 -365.
Sedaghat, SA., Moradi, or, the Ahmadi, E. (2014). The effectiveness of cognitive behavioral group training on anger and aggression aggressive female students in Baneh third grade in high school. Medical Journal of Islamic Azad University, Tehran Medical Sciences 24 (4): 215-220.
Sole, B., Bonnin, C. M., Torrent, C., Martinez‐Aran, A., Popovic, D., Tabarés‐Seisdedos, R., & Vieta, E. (2012).Neurocognitive impairment across the bipolar spectrum. CNS neuroscience & therapeutics, 18(3), 194-200.
Synopsis of Kaplan and Sadegh's Psychology of Behavioral Sciences / Clinical Psychiatry Volume 3 )2013( Benjamin James Saduk, Virginia Alcott Saduk, Pedro Roeis, Farzin Rezaie Publisher.
Syria's Song, (2011). The Melody That Ended Too Soon: Living With Bipolar Disorder, Manic Depression, and Surviving Suicide by Joscylan Adams.
Szentagotai, A., & David, D. (2010). The efficacy of cognitive-behavioral therapy in bipolar disorder: A quantitative meta-analysis. The Journal of clinical psychiatry.
Thase, M. E., Kingdon, D., & Turkington, D. (2014). The promise of cognitive behavior therapy for treatment of severe mental disorders: a review of recent developments. World Psychiatry, 13(3), 244-250.
Wright J, Basco M, Thase M. (2017). Learning Cognitive-Behavior Therapy. (Ghassemzadeh H, Hamidpour H translation). 3th ed. Tehran: Arjmand. (Persian)
Van Dijk, S., Jeffrey, J., & Katz, M. R. (2013). A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. Journal of affective disorders, 145(3), 386-393.
Ye, B. Y., Jiang, Z. Y., Li, X., Cao, B., Cao, L. P., Lin, Y., ... & Miao, G. D. (2016). Effectiveness of cognitive behavioral therapy in treating bipolar disorder: A n updated meta‐analysis with randomized controlled trials. Psychiatry and clinical neurosciences, 70(8), 351-361.
Young RC, Biggs JT, Ziegler VE, & Meyer DA. (1978). A rating scale for mania: Reliability, validity and sensitivity. British Journal of Psychiatry. 1978; 133: 429-3.
_||_