The effectiveness of cognitive-behavioral therapy on procrastination, problem solving and self-efficacy of people with depressive disorder

Document Type : Research Paper

Authors

1 MSC Clinical Student. Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran.

2 Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran. (Corresponding Author)

Abstract

Major Depressive Disorder (MDD) is one of the most prevalent and costly psychiatric disorders globally. Among the common problems faced by individuals with MDD are procrastination and deficits in problem-solving abilities, which can negatively impact their quality of life, occupational functioning, and social relationships. This study aimed to investigate the effectiveness of Cognitive-Behavioral Therapy (CBT) in reducing procrastination and enhancing problem-solving skills among individuals with MDD.
Methods: In this multiple-baseline experimental study, four participants diagnosed with MDD were selected using a purposive sampling method. Data were collected during baseline, intervention (CBT), and follow-up phases through direct observations, self-reports, and standardized measures of procrastination and problem-solving. The data were then analyzed using descriptive and inferential statistical methods, including visual analysis of graphs, calculation of non-overlapping data percentages, and effect size estimation.
Results: The findings of this study revealed that CBT significantly reduced procrastination and substantially improved problem-solving abilities in the participants. The calculation of statistical indices, such as the percentage of non-overlapping data (88%) and Cohen's d effect size (d=2.41) for procrastination, and the SMD=-2.42 for problem-solving, confirmed the positive and substantial impact of this therapeutic approach in alleviating these difficulties.
Conclusion: Based on the findings of this study, it can be concluded that CBT can be an effective and efficient treatment approach for reducing procrastination and enhancing problem-solving skills in individuals with MDD.

Keywords

References

  1. American Psychiatric Association DS, American Psychiatric Association DS. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association; 2013 May 22.
  2. Liu Q, He H, Yang J, Feng X, Zhao F, Lyu J. Changes in the global burden of depression from 1990 to 2017: Findings from the Global Burden of Disease study. Journal of psychiatric research. 2020 Jul 1;126:134-40.
  3. Martin LA, Neighbors HW, Griffith DM. The experience of symptoms of depression in men vs women: analysis of the National Comorbidity Survey Replication. JAMA psychiatry. 2013 Oct 1;70(10):1100-6.
  4. Young AS, Klap R, Shoai R, Wells KB. Persistent depression and anxiety in the United States: prevalence and quality of care. Psychiatric Services. 2008 Dec;59(12):1391-8.
  5. Brockmeyer T, Kulessa D, Hautzinger M, Bents H, Backenstrass M. Differentiating early-onset chronic depression from episodic depression in terms of cognitive-behavioral and emotional avoidance. Journal of affective disorders. 2015 Apr 1;175:418-23.
  6. Rupprechter S, Stankevicius A, Huys QJ, Steele JD, Seriès P. Major depression impairs the use of reward values for decision-making. Scientific reports. 2018 Sep 14;8(1):13798.
  7. Matthews JD. Cognitive behavioral therapy approach for suicidal thinking and behaviors in depression. Mental Disorders-Theoretical Empirical Perspectives. 2013 Jan 16:24-43.
  8. Flett AL, Haghbin M, Pychyl TA. Procrastination and depression from a cognitive perspective: An exploration of the associations among procrastinatory automatic thoughts, rumination, and mindfulness. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2016 Sep;34:169-86.
  9. Ng TP, Niti M, Tan WC, Cao Z, Ong KC, Eng P. Depressive symptoms and chronic obstructive pulmonary disease: effect on mortality, hospital readmission, symptom burden, functional status, and quality of life. Archives of internal medicine. 2007 Jan 8;167(1):60-7.
  10. Furukawa TA, Efthimiou O, Weitz ES, Cipriani A, Keller MB, Kocsis JH, Klein DN, Michalak J, Salanti G, Cuijpers P, Schramm E. Cognitive-behavioral analysis system of psychotherapy, drug, or their combination for persistent depressive disorder: personalizing the treatment choice using individual participant data network metaregression. Psychotherapy and Psychosomatics. 2018 May 30;87(3):140-53.
  11. McPherson S, Senra H. Psychological treatments for persistent depression: A systematic review and meta-analysis of quality of life and functioning outcomes. Psychotherapy. 2022 Sep;59(3):447.
  12. Matthews JD. Cognitive behavioral therapy approach for suicidal thinking and behaviors in depression. Mental Disorders-Theoretical Empirical Perspectives. 2013 Jan 16:24-43.
  13. Cuijpers P, Van Straten A, Andersson G, Van Oppen P. Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal of consulting and clinical psychology. 2008 Dec;76(6):909.
  14. Cuijpers P. Four decades of outcome research on psychotherapies for adult depression: An overview of a series of meta-analyses. Canadian Psychology/psychologie canadienne. 2017 Feb;58(1):7.
  15. Watkins KE, Hunter SB, Hepner KA, Paddock SM, de la Cruz E, Zhou AJ, Gilmore J. An effectiveness trial of group cognitive behavioral therapy for patients with persistent depressive symptoms in substance abuse treatment. Archives of general psychiatry. 2011 Jun 6;68(6):577-84.
  16. Furukawa TA, Efthimiou O, Weitz ES, Cipriani A, Keller MB, Kocsis JH, Klein DN, Michalak J, Salanti G, Cuijpers P, Schramm E. Cognitive-behavioral analysis system of psychotherapy, drug, or their combination for persistent depressive disorder: personalizing the treatment choice using individual participant data network metaregression. Psychotherapy and Psychosomatics. 2018 May 30;87(3):140-53.
  17. McPherson S, Senra H. Psychological treatments for persistent depression: A systematic review and meta-analysis of quality of life and functioning outcomes. Psychotherapy. 2022 Sep;59(3):447.
  18. Yousefy A, Baratali M. Women, employment and higher education schoolings. Procedia-Social and Behavioral Sciences. 2011 Jan 1;15:3861-9.
  19. Dillard, A. J., Ferrer, R. A., Ubel, P. A., & Fagerlin, A. (2012). Risk perception measures' associations with behavior intentions, affect, and cognition following colon cancer screening messages. Health psychology, 31(1), 106.
  20. Nezu AM. Problem solving and behavior therapy revisited. Behavior therapy. 2004 Dec 1;35(1):1-33.
  21. Cuijpers P, Van Straten A, Andersson G, Van Oppen P. Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal of consulting and clinical psychology. 2008 Dec;76(6):909.
  22. Kazdin AE. Research design in clinical psychology. Cambridge University Press; 2021 Aug 5.
Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 3
May and June 2024
Pages 889-908

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