Comparison of the effectiveness of Bowen's system therapy and the combination therapy of Bowen's system and neurofeedback on reducing students' anxiety

Subject Areas : Consulting

zahra ranaee ¹ , ali akbar soliemanian ² , Ali Mohamadzade Ebrahimi ³ , mehdi ghasemi Motlagh ⁴

1 - PhD student of Counseling, Department of Counseling, Bojnourd Branch, Islamic Azad University, Bojnord, Iran
2 - Associate Professor, Department of Counseling, University of Bojnord, Bojnord, Iran.
3 - Associate Professor, Department of Psychology, University of Bojnord, Bojnord, Iran.
4 - Assistant Professor, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnord, Iran.

Received: 2021-02-10 Accepted : 2024-03-04 Published : 2024-03-11

Keywords: students&#039, anxiety , Bowen&#039, s system therapy, combination therapy of Bowen&#039, s system and neurofeedback,

Abstract :

The aim of this study was to compare the effectiveness of Bowen's system therapy and the combination therapy of Bowen's system and neurofeedback on reducing students' anxiety. This study was a semi-experimental pretest-posttest design and follow-up with a control group. The statistical society of the study included students of higher education centers in Bojnourd city who were studying in 1398-99. From the target population, 5 centers were randomly selected. The students of these centers, who had severely and very severely anxious in the initialAnxiety(Zung, 1971) screening test, were selected and 30 members of the selected group were selected through random selection and random substitution in the two experimental group and one control group, the number of persons in each group was ten. The first group received 9 sessions of Bowen's system therapy, the second group simultaneously received 9 sessions of Bowen's system therapy and 15sessions neurofeedback therapy. Date were collected through Zung Anxiety Questionnaire(1971).for Analyzing the data, multivariate analysis of covariance in SPSS software was used. multivariate analysis of covariance indicated that the combination therapy of Bowen's system and neurofeedback reduced the level of anxiety and its symptoms(p<0/001) and Bowen system therapy reduced emotional anxiety symptoms(p<0/05). also, The results of pairwise comparison based on LSD test showed that combination therapy of Bowen's system and neurofeedback due to the simultaneous use of biological and psychological feedback had a significant and greater effectiveness in reducing the level of anxiety and its symptoms(p<0/001).

References:

Abdolalizadeh, Y., Narimani, M., Kazemi, R., & Mosazadeh, T. (2019). Comparing Efficacy of Inference-Based Therapy, neurofeedback training and combine the two methods in treatment of patients with obsessive-compulsive disorder. Journal of Research in Behavioural Sciences, 17(3), 367-378.
Akbari, B. (2010). The effectiveness of cognitive behavioral therapy in the treatment of generalized depression and anxiety in control and self-sacrificing spouses of Guilan province. Women and Health, (2).
Al-Ansari, K. J. (2015). A Descriptive Study of the Use of Neurofeedback in Counseling. dissertation degree of Doctorate of Philosophy in Counselor Education. University of Arkansas.
American College Health Association. (2009). American college health association-national college health assessment spring 2008 reference group data report (Abridged): the American college health association. Journal of American college health: J of ACH, 57(5), 477-488.

Association for University and College Counseling Center Directors. (2011). Association for University and College Counseling Center Directors annual survey. Retrieved from http://aucccd.org/img/pdfs/aucccd_directors_survey_monograph.
Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in clinical neuroscience, 17(3), 327.
Beesdo, K., Knappe, S., & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatric Clinics, 32(3), 483-524.
Besharat, M., Rostami, R., Gharehbaghy, F., Gholamali Lavasani, M. (2015). Differentiation and Chronic Anxiety Symptoms in Family Emotional System: Designing and Evaluating the Effectiveness of an Intervention based on Bowen Family Systems Theory. Family Counseling and Psychotherapy, 5(1), 1-24.
Bowen, M. (1978). Family therapy in clinical practice, Jason Aronson. Inc., New York.
Bowen, M. (1994). Family therapy in clinical practice. new york: jason aronson. (Original work published 1978).
Bowen, M. (1976). Theory in the practice of psychotherapy. Family therapy: Theory and practice, 4(1), 2-90.
Bowen Center for the Study of the Family. (2009). Family Center News. [On-line]. .Available:
Clarke, A. M., Morreale, S., Field, C. A., Hussein, Y., & Barry, M. M. (2015). What works in enhancing social and emotional skills development during childhood and adolescence. A review of the evidence on the effectiveness of school-based and out-of-school programmes in the UK. A report produced by the World Health Organization Collaborating Centre for Health Promotion Research, National University of Ireland Galway.
de Maat, S. M., Dekker, J., Schoevers, R. A., & de Jonghe, F. (2007). Relative efficacy of psychotherapy and combined therapy in the treatment of depression: a meta-analysis. European Psychiatry, 22(1), 1-8.
Demos, JN.(2005). Getting started with neurofeedback. WW Norton & Company.
Egner, T., & Gruzelier, J. H. (2003). Ecological validity of neurofeedback: modulation of slow wave EEG enhances musical performance. Neuroreport, 14(9), 1221-1224.
Gharehbaghy, F., Besharat, M., Rostami, R., Gholamali Lavasani, M. (2018). Effectiveness of Bowen systemic therapy on chronic anxiety and lifestyle. Thoughts and Behavior in Clinical Psychology, 13(50), 37-46.
Goodarzi, N., Rahgoi, A., Mohammadi Shahboulaghi, F., Biglarian, A. (2018). Correlation between Family Function and Anxiety in Family Carers of Elderly with Dementia. IJPN. 6 (3),1-9.
Goodwin, E. A., & Montgomery, D. D. (2006). A cognitive-behavioral, biofeedback-assisted relaxation treatment for panic disorder with agoraphobia. Clinical Case Studies, 5(2), 112-125.
Guerin PH.(2010). Instructor’s Manual for BOWENIAN FAMILY THERAPY WITH PHILIPIP GUERIN, MD. Psychotherapy.net.
Hammond, D. C. (2005). Neurofeedback treatment of depression and anxiety. Journal of Adult Development, 12(2), 131-137.
Hammond, D. C. (2011). What is neurofeedback: An update. Journal of Neurotherapy, 15(4), 305-336.
Hossein Sabet, F. (2008). The effectiveness of patience training on anxiety, depression and happiness.
Islamic Studies and Psychology.2.
Hyun, J. K., Quinn, B. C., Madon, T., & Lustig, S. (2006). Graduate student mental health: Needs assessment and utilization of counseling services. Journal of College Student Development, 47(3), 247-266.
Johnston, S. J., Boehm, S. G., Healy, D., Goebel, R., & Linden, D. E. (2010). Neurofeedback: A promising tool for the self-regulation of emotion networks. Neuroimage, 49(1), 1066-1072.
Karami, A.(2004). Zung Anxiety Self-Assessment Questionnaire. Sina Psychometric Institute. Iran.
Karimi, A., Abdolmajid Bahreinian, S., Ghobari Bonab, B.(2012). An Investigation of the Impact of Meditation on Anxiety and Depression of Female Students. Clinical Psychology Studies,3(9), 103-118.
Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of consulting and clinical psychology, 72(2), 276.
Kerr, M. (2019). The family movement, Bowen theory, and theoretical medicine: A view from the 21st century. Australian and New Zealand Journal of Family Therapy, 40(3), 308-318.
Kerr, M., Bowen, M.(1988). Family evaluation, Norton, New York.
Khodayarifard, M., Sohrabi,F. (2020). Child & Adolescent Clinical Psychology. Avaye Noor Publications. Fifth Edition. Tehran.
Khoshsorour, S.(2018). The Effect Of Neurofeedback In Decreasing Anxiety And Symptom Severity Of Patients With Irritable Bowel Syndrome (Ibs). The Journal of Urmia University of Medical Sciences,28(10), 647-58.
Lang, P. J., McTeague, L. M., & Bradley, M. M. (2016). RDoC, DSM, and the reflex physiology of fear: A biodimensional analysis of the anxiety disorders spectrum. Psychophysiology, 53(3), 336-347.
Linden, D., E Skottnik, L. (2019). Mental imagery and brain regulation—new links between psychotherapy and neuroscience. Frontiers in psychiatry, 10, 779.
Mackay, L., (2012). Trauma and Bowen Family Systems Theory: Working with Adults Who were Abused as Children. Australian and New Zealand Journal of Family Therapy, 33(03).
Mahmoud, AM,. Hashemi, NT,. Sohrabi, F. (2016). Effectiveness of combined intervention based acceptance and commitment therapy (ACT) with exposure techniques on patient's anxiety symptoms intensity and sensitivity dimensions in general anxiety disorder (GAD). Journal of Clinical Psychology , 8 (3).
Mazurek, JR.(2008). How families work from a Bowen family system perspective. http: //www.jrmazurek.com.
McHenry, B., Sikorski, A. M., & McHenry, J. (2013). A counselor’s introduction to neuroscience. Routledge.
Meya, SC. (2020). Neurofeedback and Counseling as Integrative Treatment. APJNT Journal,6.
Miller, R. B., Anderson, S., & Keals, D. K. (2004). Is Bowen theory valid? A review of basic research. Journal of marital and family therapy, 30(4), 453-466.
Minkin, J,. Prout, MF,. Masterpasqua, F.(2009). Biofeedback and psychotherapy: Technology in the clinical setting. In J. B. Allen, E. M. Wolf, & L. VandeCreek (Eds.),Innovations in clinical practice: A 21st century sourcebook (pp. 61-76). Sarasota, FL: Professional Resource Press.
Myers, J. E., & Young, J. S. (2012). Brain wave biofeedback: Benefits of integrating neurofeedback in counseling. Journal of Counseling & Development, 90(1), 20-28.
Papero, D. V. (2017). Trauma and the family: A systems‐oriented approach. Australian and New Zealand Journal of Family Therapy, 38(4), 582-594.
Peleg, O., & Zoabi, M. (2014). Social anxiety and differentiation of self: A comparison of Jewish and Arab college students. Personality and Individual Differences, 68, 221-228.
Peleg-Popko, O. (2002). Bowen theory: A study of differentiation of self, social anxiety, and physiological symptoms. Contemporary Family Therapy, 24(2), 355-369.
Priest, J. B. (2015). A Bowen family systems model of generalized anxiety disorder and romantic relationship distress. Journal of marital and family therapy, 41(3), 340-353.
Ratanasiripong, P., Sverduk, K., Prince, J., & Hayashino, D. (2012). Biofeedback and counseling for stress and anxiety among college students. Journal of College Student Development, 53(5), 742-749.
Reiner, R. (2008). Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: Results of a pilot study. Applied Psychophysiology and Biofeedback, 33(1), 55-61.
Reynolds, H.(2019). Knock Knock! Who’s There? Exploring the Functions of Play and Humor During Bowen Family Systems Theory Training. Dissertation Degree of Doctor of Philosophy.Nova Southeastern University
Scheinost, D., Stoica, T., Saksa, J., Papademetris, X., Constable, R. T., Pittenger, C., & Hampson, M. (2013). Orbitofrontal cortex neurofeedback produces lasting changes in contamination anxiety and resting-state connectivity. Translational psychiatry, 3(4), e250-e250.
Titelman, P. (Ed.). (2014). Differentiation of self: Bowen family systems theory perspectives. Routledge.
Turner, J. T. (1991). The Effect of a Biofeedback and Stress Management Course on College Student Anxiety and Academic Performance [doctoral dissertation]. Greeley, CO: University of Northern Colorado.
Yazdani, F. (2019). The effectiveness of play therapy on decreasing anxiety of elementary school students. Journal of psychological science. 18(74). 246-235.
Zhuo, C., & Li, L. (2014). The application and efficacy of combined neurofeedback therapy and imagery training in adolescents with Tourette syndrome. Journal of child neurology, 29(7), 965-968.
Zivoder, I., Martic-Biocina, S., Kosic, AV.(2018). Biofeedback and Neurofeedback in the Treatment of Migraine. Biofeedback. 24,1.
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics: Journal of Consultation and Liaison Psychiatry. 12(6):371-9 .