The comparison of the effectiveness Schema Therapy and acceptance and commitment therapy on emotion cognitive regulation and early maladaptive schemas in women with suicidal thoughts (With an emphasis on culture)

Subject Areas : Psychology

Sara Feyzollahi ¹ , Mohammad Naremani ² , Tavakol Mousazadeh ³

1 - Ph.D. Candidate in Psychology, Department of Psychology, Faculty of Humanities, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
2 - Professor, Department of Psychology, Faculty of Humanities, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
3 - Assistant Professor, Department of Psychology, Faculty of Humanities, Ardabil Branch, Islamic Azad University, Ardabil, Iran.

Received: 2023-06-18 Accepted : 2023-07-10 Published : 2023-09-23

Keywords: acceptance and commitment therapy, Emotion Cognitive Regulation, early maladaptive schemas, Suicidal ideations, Schema Therapy,

Abstract :

The purpose of this study was to compare the effectiveness of schema therapy and acceptance and commitment therapy on emotion cognitive regulation and early maladaptive schemas in women with suicidal ideation in Ardabil (with emphasis on culture). The statistical population included all women with suicidal ideation who referred to Ardabil Sanitary General Centers. The research sample embraced 60 subjects whom were selected via purposive sampling procedure and were assigned randomly in two experimental and one control groups, twenty participants each. The research was semi-experimental study using pre-test, post-test with control group and two months’ follow-up period. To collect data Early Maladaptive Schemas Questionnaires (Yong, 2003); Short form of the Cognitive Emotion Regulation Questionnaire of Garnefski and Kraaij, (2004) were implemented. experimental groups were exposed to schema therapy and acceptance and commitment therapy respectively for 8 sessions 90 minutes each and control group received none. The Data were analyzed by applying Multivariate Analysis of Covariance (MANCOVA), Univariate Analysis of Covariance(ANCOVA) and Bonferoni post hoc test. The results showed that schema therapy and acceptance and commitment therapy were effective on emotion cognitive regulation and early maladaptive schemas promotion in women with suicidal ideation (p< 0/001). The Bonferoni post hoc test results also indicated that there was no significant difference between the schema therapy and acceptance and commitment therapy in both groups. The results were persistent after the follow-up period.

References:

Abyar, Z., Bakhtiarpour, S., Naderi, N., & Hafez, F. (2018). Comparison of the efficacy of acceptance and commitment therapy and mindfulness on the suicidal ideation of depressed women. Womens Students, 23(8), 1-23. [Persian] URL: https://womenstudy.ihcs.ac.ir/article_3149.html?lang=en

Arjmand Ghujur, K., & Eghbali, A. (2018). A comparing of two schema therapy and acceptance and commitment therapy (ACT) attitudes effectiveness on early maladaptive schema in met amphetamine addicts. Rooyesh-e-Ravanshenasi, 7(1), 151-178. [Persian] URL: https://frooyesh.ir/article-1-232-en.html

Amiri, S. (2020). Prevalence of suicide in immigrants/refugees: A systematic review and meta-analyses. Archives of Suicide Research, 14, 364-374. DOI: 10.1080/13811118.2020.1802379

Ahi, Q., Mohammadfar, M. A., & Besharat, M. A. (2007). Reliability and validity of the young schema questionnaire-short form. Psychology & Educational Science, 37, 5-20. [Persian] URL: https://www.sid.ir/paper/55767/fa

Baranoff, J., Oei, T. P., Cho, S. H., & Kwon, S. M. (2006). Factor structure and internal consistency of the Young Schema Questionnaire (Short Form) in Korean and Australian samples. Journal of Affective Disorders, 93, 133-40. DOI: 10.1016/j.jad.2006.03.003

Cirenia, Q., Merida-Lopez, S. Rey, S., & Neto, F. (2020). Untangling the Emotional Intelligence-Suicidal Ideation Connection: The Role of Cognitive Emotion Regulation Strategies in Adolescents. Journal of Clinical Medicine, 9(10), 16-31. URL: 10.3390/jcm9103116

Daliri, S., Bazyar, J., Sayehmiri, K., Delpisheh, A., & Sayehmiri, F. (2017). The incidence rates of suicide attempts and successful suicides in seven climatic conditions in Iran from 2001 to 2014: a systematic review and meta-analysis. Scientific Journal of Kurdistan University of Medical Sciences, 21(6), 1-15. [Persian]. URL: https://sjku.muk.ac.ir/article-1-2818-en.html

Ducasse, D., Jaussent, I., Arpon-Brand V., Vienot, M., Laglaoui, C., Béziat, S., Calati, R., Carrière, I., Guillaume, S., Courtet, P.و & Olié, E. (2018). Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial. Psychotherapy and Psychosomatics, 78 (4), 43-52. URL: https://pubmed.ncbi.nlm.nih.gov/29874680/

Edwards, T. M., Patterson, J. E., & Griffith, J. L. (2021). Suicide prevention: The role of families and carers. Asia‐Pacific Psychiatry, 13(3), e12453.‏ URL: 10.1111/appy.12453

Fahlekar, A., Faal, M., Zahedzadeh, F., Amani, O., & Askari, M. (2020). The Effect of Acceptance and Commitment Therapy on Emotional Regulation and Coping Strategies in Patients with Generalized Anxiety Disorder. Jornal Child Mental Health, 6(4), 253-265.  [Persian] URL: http://childmentalhealth.ir/browse.php?a_id=475&sid=1&slc_lang=en&ftxt=0

Falcone, T., & Timmons-Mitchell, J. (2019). Mood Disorders and Suicide. Suicide Prevention: A Practical Guide for the Practitioner. URL: 10.1007/978-3-319-74391-2

Garnefski, N., & Kraaij, V. (2006) Cognitive emotion regulation questionnaire—development of a short 18-Item version (CERQ-Short). Personality and Individual Differences, 41, 1045-1053. URL: https://doi.org/10.1016/j.paid.2006.04.010

Ghaderi, M., Ahi, Q., Vaziri, S., Mansouri, A., & Shahabizadeh, F. (2020). The mediating role of emotion regulation and intolerance of uncertainty in the relationship between childhood maltreatment and nonsuicidal self-injury in adolescents. Int Arch Health Sci, 7, 96-103. [Persian] DOI: 10.4103/iahs.iahs_21_20

Ghorbani, A., Moradi, O., Arefi, M., & Ahmadian, H. (2019). The Effectiveness of Acceptance and Commitment Therapy on Cognitive-Emotional Regulation, Resilience, and Self-control Strategies in Divorced Women. Avicenna Journal of Neuropsychophysiology, 6(4), 195-202. URL: https://ajnpp.umsha.ac.ir/article-1-196-en.html

Hulbert-Williams, N. J., Storey, L., & Wilson, K. G. (2015). Psychological interventions for patients with cancer. Eurpean Journal of Care, 24(1), 15-27. URL: https://pubmed.ncbi.nlm.nih.gov/25100576/

Hayes, S. C., Strosahl, K., & Wilson, K. G.(1999). Acceptance and commitment therapy: Anexperimental approach to behavior change. NewYork: Guilford Press. URL: https://contextualscience.org/publications/hayes_strosahl_wilson_1999

Hasani, J. (2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire. Journal of Military caring Sciences, 9(20), 229-240. [Persian] URL: https://rbs.mui.ac.ir/browse.php?a_id=207&sid=1&slc_lang=en

Jacob, K. S. (2014). DSM-5 and culture: The need to move towards a shared model of care within a more equal patient– physician partnership. Asian Journal of Psychiatry, 7, 89-91. URL: https://pubmed.ncbi.nlm.nih.gov/24524720/

Kanwal, S., Perveen, Z.,  & Sumbla, Y. (2019). Causes and severity of suicide in developed nations of East Asia. Journal of the Pakistan Medical Association, 67(10), 1588-1592. URL: https://pubmed.ncbi.nlm.nih.gov

Kumar, U. (2019). Suicidal Ideation in Adolescents–A Transcultural Analysis. Handbook of Suicidal Behaviour, New York. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472054/

McIntyre, P. & Yena, L. (2020). Projected Increases in Suicide in Canada as a Consequence of COVID-19. Psychiatry Research, 290, 104-113. URL: https://pubmed.ncbi.nlm.nih.gov/32460184/

McLaerty, M., Bunting, B., Armour, C., Lapsley, C., Ennis, E., Murray, E., & O’Neill, S. (2020). The mediating role of emotion regulation strategies on psychopathology and suicidal behaviour following negative childhood experiences. Child. Youth Serv Rev, 116, 105212. URL: https://pure.qub.ac.uk/en/publications/the-mediating-role-of-emotion-regulation-strategies-on-psychopath

Mohammadi, Y., Sorbi, M. H., Faregh, M., & Giahi Yazdi, M. (2020). Effectiveness of Acceptance and Commitment Therapy on Perfectionism and Sense of Shame in Students. International Journal of Psychology, 14(1), 9-30. [Persian]. URL: https://ijpb.ir/article-1-306-fa.html

Nicol, A., Kavanagh, P. S., Murray, K., & Mak, A. S. (2022). Emotion regulation as a mediator between early maladaptive schemas and non-suicidal self-injury in youth. Journaal of Behavioral and Cognitive Therapy, 32(3), 161-170. URL: https://researchprofiles.canberra.edu.au/en/publications/emotion-regulation-as-a-mediator-between-early-maladaptive-schema

Peterson, C., Sussell, A., Li, M., Pamela K., Yeoman, K., Deborah, M. (2020). Suicide Rates by Industry and Occupation-National Violent Death Reporting System. Weekly, 69(3), 57–62. URL: https://pubmed.ncbi.nlm.nih.gov/31971929/

Pikington, P.D., Bishop, A., & Younan, R. (2021). Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 28(3), 569-584. URL: https://pubmed.ncbi.nlm.nih.gov/33270299/

Potthoff,   S., Garnefski,   N., Miklósi, M., Ubbiali, A., Domínguez-Sánchez, F. J., Martins, E. C., Witthöft, M., & Kraai, V. (2016). Cognitive emotion regulation and psychopathology across cultures: A comparison between six European countries. Personality and Individual Differences, 25(2), 218-224. URL: 10.1016/j.paid.2016.04.022

Sun, R., Ren, Y., Li, X., Jiang, Y., & Liu, Y. J. (2020). Self-compassion and family cohesion moderate the association between suicide ideation and suicide attempts in Chinese adolescents. Journal of Adolescence, 79, 103-111. URL: https://onlinelibrary.wiley.com/doi/10.1016/j.adolescence.2019.12.010

Taghipuor, B., Tousi, M., & Abdi, F. (2022). The Effectiveness of Reality Therapy on Worry and Rumination in the Mothers of Children with Intellectual Disability. Journal Woman and Culture, 13(52), 71-84. [Persian]. URL: https://sanad.iau.ir/en/Article/653760

Tighe, J., Nicholas, J., Shand, F., & Christensen, H. (2018). The efficacy of Acceptance and Commitment Therapy in reducing suicide ideation and deliberate self-harm; A Systematic Review.. JMIR Mental Health, 5(2), 54-62. URL: https://pubmed.ncbi.nlm.nih.gov/29941419/

Young., J. S., Klosko, J. S, & Weishaar, M. E. (2003). Schema Therapy: A Practioner's Guide. New York, NY: Guilford Press. URL: https://www.scirp.org/(S(i43dyn45teexjx455qlt3d2q))/reference/ReferencesPapers.aspx?ReferenceID=80017

Zhang, C. Q., Leeming, E., Smith, P., Chung, P. K., Hagger, M., & Hayes, S. (2018). Acceptance and commitment therapy for health behavior change: A contextually-driven approach. Psychotherapy Integration, 25(3), 175-182. URL: https://pubmed.ncbi.nlm.nih.gov/29375451/