Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
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Volume 13, Issue 3 (2021)                   Iran J War Public Health 2021, 13(3): 221-228 | Back to browse issues page

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Ghiyasi Noei A, Sabahi P, Rafieinia P. Effectiveness of Unified Transdiagnostic Therapy on Cognitive Emotion Regulation, Experimental Avoidance and Post-Traumatic Stress Disorder in Veterans. Iran J War Public Health 2021; 13 (3) :221-228
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1- Department of Psychology, Faculty of Educational Sciences and Psychology, Semnan University, Semnan, Iran
* Corresponding Author Address: Faculty of Psychology and Educational Sciences, Darband, Mahdishahr, Semnan, Iran. Postal Code: 3564111556 (p_sabahi@semnan.ac.ir)
Abstract   (1236 Views)
Aims: Surviving a war while other friends are dying or seriously injured is one of life's most painful experiences, which can lead to physical, cognitive, and emotional reactions. This study aimed to evaluate the effect of unified transdiagnostic therapy on cognitive emotion regulation, experimental avoidance, and diagnostic symptoms of post-traumatic stress disorder in veterans.
Materials & Methods: This was a quasi-experimental study with a two-group design of experiments and controls with pre-test and post-test, which was carried out on all veterans with post-traumatic stress disorder in Mashhad city in 2020-2021. Thirty-two people were selected by convenience sampling method and randomly assigned to two 16-person experimental and control groups. The subjects filled out the cognitive emotion regulation, experimental avoidance, and post-traumatic stress disorder questionnaires before and after the intervention. The intervention was performed by the first author in twelve 90-minutes sessions on Tuesdays at the Rayan Mehr Golshan Clinic in Mashhad. Data were analyzed using SPSS 23 software through multivariate analysis of covariance.
Findings: There was a significant difference between all components of cognitive emotion regulation, experimental avoidance, and diagnostic symptoms of post-traumatic stress disorder in experimental and control groups (p <0.05).
Conclusion: Transdiagnostic therapy is effective on cognitive regulation of emotion, experimental avoidance, and reduction of symptoms of post-traumatic stress disorder in veterans with a disability.
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References
1. Williams JL, Hardt MM, Henschel AV, Eddinger JR. Experiential avoidance moderates the association between motivational sensitivity and prolonged grief but not posttraumatic stress symptoms. Psychiatry Res. 2019;273:336-42. [Link] [DOI:10.1016/j.psychres.2019.01.020] [PMID] [PMCID]
2. Basharpoor S, Shafiei M, Daneshvar S. The comparison of experimental avoidance, mindfulness and rumination in trauma-exposed individuals with and without posttraumatic stress disorder (PTSD) in an Iranian sample. Arch Psychiatric Nurs. 2015;29(5):279-83. [Link] [DOI:10.1016/j.apnu.2015.05.004] [PMID]
3. Wharton E, Edwards KS, Juhasz K, Walser RD. Acceptance-based interventions in the treatment of PTSD: Group and individual pilot data using Acceptance and Commitment Therapy. J Context Behav Sci. 2019;14:55-64. [Link] [DOI:10.1016/j.jcbs.2019.09.006]
4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). New York: American Psychiatric Pub; 2013. [Link] [DOI:10.1176/appi.books.9780890425596]
5. Huang Q, Zhang Q, An Y Xu W. The relationship between dispositional mindfulness and PTSD/PTG among firefighters: the mediating role of emotion regulation. Personal Individ Differ. 2019;151:109492. [Link] [DOI:10.1016/j.paid.2019.07.002]
6. Diener E, Ryan K. Subjective well-being: A general overview. South Afr J Psychol. 2009;39(4):391-406. [Link] [DOI:10.1177/008124630903900402]
7. Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire-development of a short 18-item version (CERQ-short). Personal Individ Differ. 2006;41(6):1045-53. [Link] [DOI:10.1016/j.paid.2006.04.010]
8. Gros DF, Allan NP. A randomized controlled trial comparing Transdiagnostic Behavior Therapy (TBT) and behavioral activation in veterans with affective disorders. Psychiatry Res. 2019;281:112541. [Link] [DOI:10.1016/j.psychres.2019.112541] [PMID]
9. McLean CP, Zang Y, Gallagher T, Suzuki N, Yarvis JS, Litz BT, et al. Trauma-related cognitions and cognitive emotion regulation as mediators of PTSD change among treatment-seeking active-duty military personnel with PTSD. Behav Ther. 2019;50(6):1053-62. [Link] [DOI:10.1016/j.beth.2019.03.006] [PMID]
10. Kelly MM, DeBeer BB, Meyer EC, Kimbrel NA, Gulliver SB, Morissette SB. Experiential avoidance as a mediator of the association between posttraumatic stress disorder symptoms and social support: a longitudinal analysis. Psychol Trauma. 2019;11(3):353-9. [Link] [DOI:10.1037/tra0000375] [PMID] [PMCID]
11. Leahy RL, Tirch D, Napolitano LA. Emotion regulation in psychotherapy: a practitioner's guide. New York: Guilford Press; 2011. [Link]
12. Seligowski AV, Rogers AP, Orcutt HK. Relations among emotion regulation and DSM-5 symptom clusters of PTSD. Personal Individ Differ. 2016;92:104-8. [Link] [DOI:10.1016/j.paid.2015.12.032]
13. Raines EM, Rogers AH, Bakhshaie J, Viana AG, Lemaire C, Garza M, et al. Mindful attention moderating the effect of experiential avoidance in terms of mental health among Latinos in a federally qualified health center. Psychiatry Res. 2018;270:574-80. [Link] [DOI:10.1016/j.psychres.2018.10.036] [PMID]
14. Difede J, Rothbaum BO, Rizzo AA, Wyka K, Spielman L, Jovanovic T, et al. Enhanced exposure therapy for combat-related Posttraumatic Stress Disorder (PTSD): study protocol for a randomized controlled trial. Contemp Clin Trials. 2019;87:105857. [Link] [DOI:10.1016/j.cct.2019.105857] [PMID]
15. Bourassa K J, Smolenski DJ, Edwards-Stewart A, Campbell SB, Reger GM, Norr AM. The impact of prolonged exposure therapy on social support and PTSD symptoms. J Affect Disord. 2020;260:410-7. [Link] [DOI:10.1016/j.jad.2019.09.036] [PMID] [PMCID]
16. Ellard KK, Fairholme CP, Boisseau CL, Farchione TJ, Barlow DH. Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognit Behav Pract. 2010;17(1):88-101. [Link] [DOI:10.1016/j.cbpra.2009.06.002] [PMID] [PMCID]
17. Wilamowska ZA, Thompson‐Hollands J, Fairholme CP, Ellard KK, Farchione TJ, Barlow DH. Conceptual background, development, and preliminary data from the unified protocol for transdiagnostic treatment of emotional disorders. Depress Anxiety. 2010;27(10):882-90. [Link] [DOI:10.1002/da.20735] [PMID]
18. García-Escalera J, Valiente RM, Sandín B, Ehrenreich-May J, Prieto A, Chorot P. The unified protocol for transdiagnostic treatment of emotional disorders in adolescents (UP-A) adapted as a school-based anxiety and depression prevention program: an initial cluster randomized wait-list-controlled trial. Behav ther. 2020;51(3):461-73. [Link] [DOI:10.1016/j.beth.2019.08.003] [PMID]
19. Sakiris N, Berle D. A systematic review and meta-analysis of the unified protocol as a transdiagnostic emotion regulation based intervention. Clin Psychol Rev. 2019;72:101751. [Link] [DOI:10.1016/j.cpr.2019.101751] [PMID]
20. Hasanpoor P, Aghausefi A, Zamir O, Alipour A. The effectiveness of transdiagnostic treatment on experiential avoidance and cognitive emotion regulation in patients with obsessive-compulsive disorder and its comparison with exposure and prevention response therapy. J Clin Psychol. 2019;11(3):25-38 [Persian] [Link]
21. Fdaei M, Ghanbari Hashem Abadi B, Kimiaee S. The efficacy of integrated meta-diagnosis therapy on their differentiation and the difficulty of regulating excitement in patients with anxiety syndrome. Med J Mashhad Univ Med Sci. 2019;61 suppl 1:1-11. [Persian] [Link]
22. Osmani H, Shokri L. Effectiveness of unified trans-diagnostic treatment on emotion' s cognitive regulation and cognitive empathy of students with externalized behavior disorder. Empower Except Child. 2019;10(1):125-36. [Persian] [Link]
23. Garnefski N, Legerstee J, Kraaij VV, Van Den Kommer T, Teerds J. Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults. J Adolesc. 2002;25(6):603-11. [Link] [DOI:10.1006/jado.2002.0507] [PMID]
24. Samani S, Joukar B. A study on the reliability and of the short form of the depression, anxiety, stress scale (DASS-21). J Soc Sci Human Shiraz Univ. 2007;26(3):65-76. [Persian] [Link]
25. Issazadegan A, Fathabadi J. The role of cognitive emotion regulation strategies and general health in alexithymia. Develop Psychol. 2012;8:257-67. [Persian] [Link]
26. Gámez W, Chmielewski M, Kotov R, Ruggero C, Watson D. Development of a measure of experiential avoidance: the multidimensional experiential avoidance questionnaire. Psychol Assess. 2011;23(3):692-713. [Link] [DOI:10.1037/a0023242] [PMID]
27. Weathers F, Litz B, Keane T, Palmieri T, Marx BP, Schnurr P. The PTSD checklist for DSM-5 (PCL-5). Chicago: International Society for Traumatic Stress Studies; 2013. [Link]
28. Talebigi F. The effectiveness of acceptance and commitment-based therapy on reducing experience avoidance in veterans with impact stress disorder in Kerman [dissertation]. Tehran: Allameh Tabatabai University; 2015. [Persian] [Link]
29. Barlow DH, Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Allen LB, et al. Unified protocol for transdiagnostic treatment of emotional disorders: therapist guide. Oxford: Oxford University Press; 2010. [Link] [DOI:10.1093/med:psych/9780199772667.001.0001]
30. Harvey A, Watkins E, Mansell W, Shafran R. Cognitive behavioral processes across psychological disorders: a transdiagnostic approach to research and treatment. Oxford: Oxford University Press; 2004. [Link] [DOI:10.1093/med:psych/9780198528883.001.0001]
31. Bullis JR, Fortune MR, Farchione TJ, Barlow DH. A preliminary investigation of the long-term outcome of the unified protocol for transdiagnostic treatment of emotional disorders. Compr Psychiatry. 2014;55(8):1920-7. [Link] [DOI:10.1016/j.comppsych.2014.07.016] [PMID] [PMCID]
32. Banducci AN, Bujarski SJ, Bonn-Miller MO, Patel A, Connolly KM. The impact of intolerance of emotional distress and uncertainty on veterans with co-occurring PTSD and substance use disorders. J Anxiety Disord. 2016;41:73-81. [Link] [DOI:10.1016/j.janxdis.2016.03.003] [PMID]

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