The Effectiveness of Schema Therapy on Cognitive Flexibility and Resiliency in Patients with Generalized Anxiety

Document Type : Research Paper

Authors

1 MA in Educational Management, Islamic Azad University, Shiraz Branch, Shiraz, Iran.

2 Department of Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran

3 Ph.D. in Psychology, Visiting Lecturer, Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran

4 MA of Positive Psychology

Abstract

Introduction: The purpose of this study was to determine the effectiveness of schema therapy on cognitive flexibility and resiliency in patients with generalized anxiety.
Methods: The present study was a quasi-experimental study with pretest-posttest design with control group. The statistical population of this study consisted of all individuals with generalized anxiety disorder in Tehran 1. 40 patients with generalized anxiety were selected through recall and referral to psychology clinics in district 1 of Tehran. They were randomly assigned into two experimental and control groups. The pretest was administered then the experimental group underwent 10 sessions of Schema Therapy. At the end of both posttest groups the research data were analyzed using covariance.
Results: The results of covariance showed that schema therapy had a positive and significant effect on increasing cognitive flexibility and resiliency in patients with generalized anxiety (p≤0.001).
Conclusion: Schema therapy can increase cognitive flexibility and resiliency in patients with generalized anxiety.

Keywords

References

  1. Momeni F, Shahidi sh, Moutabi F, heydari M. The Diagnostic Role of Defects in Emotion Regulation, Mindfulness, and Happiness in Women with Generalized Anxiety Disorder and Normal Women. Journal of Modern Psychological Research, 2015; 9 (34): 147-172.
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC: Author
  3. Lader, M. (2015). Generalized anxiety disorder. In Encyclopedia of Psychopharmacology (pp. 699-702). Springer Berlin Heidelberg. 25(4): 960106.
  4. Hayes-Skelton SA, Calloway A, Roemer L, Orsillo SM. Decentering as a potential common mechanism across two therapies for generalized anxiety disorder. Journal of consulting and clinical psychology. 2015 Apr;83(2):395.
  5. Ghobadzadeh S, Davoudi I, Fakhri M K. Efficacy of Group Metacognitive Therapy on Anxiety and Thought Fusion in Women with Generalized Anxiety Disorder. J Mazandaran Univ Med Sci. 2015; 24 (122) :333-338
  6. Lee JK, Orsillo SM. Investigating cognitive flexibility as a potential mechanism of mindfulness in generalized anxiety disorder. Journal of Behavior Therapy and Experimental Psychiatry. 2014 Mar 1;45(1):208-16.
  7. Moore A, Malinowski P. Meditation, mindfulness and cognitive flexibility. Consciousness and cognition. 2009 Mar 1;18(1):176-86.
  8. Ortega LA, Tracy BA, Gould TJ, Parikh V. Effects of chronic low-and high-dose nicotine on cognitive flexibility in C57BL/6J mice. Behavioural brain research. 2013 Feb 1; 238:134-45.
  9. Canas J, Quesada J, Antolí A, Fajardo I. Cognitive flexibility and adaptability to environmental changes in dynamic complex problem-solving tasks. Ergonomics. 2003 Apr 1;46(5):482-501.
  10. Carbonella JY, Timpano KR. Examining the link between hoarding symptoms and cognitive flexibility deficits. Behavior therapy. 2016 Mar 1;47(2):262-73.
  11. Sheerin CM, Lind MJ, Brown EA, Gardner CO, Kendler KS, Amstadter AB. The impact of resilience and subsequent stressful life events on MDD and GAD. Depression and anxiety. 2018 Feb;35(2):140-7.
  12. Hart A, Blincow D, Thomas H. Resilient therapy: Working with children and families. Routledge; 2007 Aug 7.
  13. Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety. 2003 Sep;18(2):76-82.
  14. Toby, R, O., Newton-John C, M., Mick H. (2014). The Role of Resilience in Adjustment and Coping with Chronic Pain Rehabilitation. Psychology, 59 (3), 360– 365.
  15. Hoover SM, Luchner AF, Pickett RF. Nonpathologizing trauma interventions in abnormal psychology courses. Journal of Trauma & Dissociation 2016;17(2):151-64.
  16. Shalev I, Moffitt TE, Braithwaite AW, Danese A, Fleming NI, Goldman-Mellor S, Harrington H, Houts RM, Israel S, Poulton R, Robertson SP. Internalizing disorders and leukocyte telomere erosion: a prospective study of depression, generalized anxiety disorder and post-traumatic stress disorder. Molecular psychiatry 2014;1;19(11):1163-70
  17. Thiel N, Jacob GA, Tuschen-Caffier B, Herbst N, Kuelz AK, Hertenstein E, Nissen C, Voderholzer U. Schema therapy augmented exposure and response prevention in patients with obsessive–compulsive disorder: Feasibility and efficacy of a pilot study. Journal of behavior therapy and experimental psychiatry. 2016 Sep 1;52:59-67.
  18. Zhang D, He H. Personality traits and life satisfaction: A Chinese case study. Social Behavior and Personality: an international journal. 2010 Sep 1;38(8):1119-23.
  19. Maltby J, Day L. Religious orientation and death obsession. The Journal of genetic psychology. 2000 Mar 1;161(1):122-4.
  20. Young JE, Klosko JS, Weishaar ME. Schema therapy. New York: Guilford. 2003;254.
  21. Maleki Z, Naderi I, Ashoori J, Zahedi O. The effect of schema therapy on reducing symptoms of anxiety and depression in nursing and midwifery students. jmed. 2015; 10 (1) :47-56
  22. Khoshnevis E, Ahmadzadeh S, Zomorodi S. The Effectiveness of Schema Therapy- based Training on Generalized Anxiety, Intolerance of Uncertainty and Cognitive Distortion in University Students. Health Develop J. 2018; 7 (3) :250-261
  23. Hamidpour H, Doulatshahi B, Pourshahbaz A, et al. The Efficacy of Schema Therapy in Treating Women's Generalized Anxiety Disorder. Iranian Journal Psychiatry Clinical Psychology. 2011; 16(4): 420-31.
  24. Malogiannis IA, Arntz A, Spyropoulou A, Tsartsara E, Aggeli A, Karveli S, Vlavianou M, Pehlivanidis A, Papadimitriou GN, Zervas I. Schema therapy for patients with chronic depression: a single case series study. Journal of behavior therapy and experimental psychiatry. 2014 Sep 1;45(3):319-29.
  25. AbediShargh N, Ahvan M, Doustian Y, Azami Y, Hoseini S. The Effectiveness of Emotional Schema Therapy on Clinical Symptoms and Emotional Schema in Patients with Obsessive-Compulsive Disorder. Clinical Psychology Studies, 2016; 7 (26): 149-163.
  26. Batmaz S, Kaymak SU, Kocbiyik S, Turkcapar MH. Metacognitions and emotional schemas: a new cognitive perspective for the distinction between unipolar and bipolar depression. Comprehensive psychiatry. 2014 Oct 1;55(7):1546-55.
  27. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research. 2010 Jun 1;34(3):241-53.
  28. Esmail Soltani, Hossein Shareh, Seyed Abdolmajid Bahrainian, Azam Farmani. The mediating role of cognitive flexibility in correlation of coping styles and resilience with depression. pajoohande. 2013; 18 (2) :88-96
  29. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. Guilford Press; 2003 Mar 28.
  30. Zamzami A, Harris M and Alipour A. The effectiveness of behavioral interventions - mindfulness and selfconcept in improving the quality of life in female students with negative body image. Journal of Shahed University 2014; 1(11): 85-71.
  31. Chatav Y, Wishman M.A. Partner Schema and Relationship functioning: A stat of Mind Analysis. Association for Behavioral and Cognitive Therapies. published by Elsevier Ltd 2009; (40): 50-56.
medical journal of mashhad university of medical sciences
Volume 62, Issue 2
May and June 2019
Pages 34-42

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