Comparing the effectiveness of psychodrama based on cognitive behavioral therapy and reality therapy on emotional alexithymia, cognitive emotional regulation in students with emotional trauma syndrome

Document Type : Research Paper

Authors

1 Department of Psychology , Na.C. , Islamic Azad University, Najafabad , Iran

2 Department of Psychology , Na.C. , Islamic Azad University, Najafabad,Iran (Corresponding author)

3 Department of Psychology, Amin Institute of Higher Education, Fouladshahr ,Iran

4 Department of Clinical Psychology, Na.C., Islamic Azad University, Najafabad, Iran.

5 Department of Psychology , Na.C., Islamic Azad University, Najafabad,Iran.

Abstract

This study was conducted to compare the effectiveness of psychodrama based on cognitive behavioral therapy and reality therapy on emotional alexithymia and cognitive emotional regulation in students with emotional trauma syndrome. The present study was a quasi-experimental study with a pre-test-post-test design and a two-month follow-up with a control group, and is classified as an applied research in terms of its nature. The statistical population of the study included all students who were studying in Najafabad city in the academic year 1401-1402. In this study, 45 students were selected as the sample group using the convenience sampling method, in such a way that the subjects entered the study after completing the screening questionnaire for emotional trauma syndrome and obtaining the required score. Then, the subjects were randomly assigned to two experimental groups of 15 people (psychodrama therapy group based on cognitive behavioral therapy and reality therapy group) and a control group of 15 people. Next, all subjects participated in the pre-test, then the experimental groups each participated in an 8-session 90-minute intervention, but the control group did not receive therapy, and the groups participated in the post-test again. The research tools included the Toronto Emotional Aphasia Scale (1994), the Garnevsky et al. Cognitive Emotional Regulation Questionnaire (2001), and the Ross Love Trauma Scale (1999). The obtained data were analyzed using the multivariate covariance statistical test.

Keywords

References

  1. Huang, F. Y., Hsu, A. L., Hsu, L. M., Tsai, J. S., Huang, C. M., Chao, Y. P., Hwang, T. J. and Wu, C. W. Mindfulness Improves Emotion Regulation and Executive Control on Bereaved Individuals: An fMRI Study. Frontiers in Human Neuroscience, 2019; 12(54), 1-10
  2. Koessler RB, Kohut T, Campbell L. When Your Boo Becomes a Ghost: The Association BetweenBreakup Strategyand Breakup Role in Experiences of Relationship Dissolution. Collabra:Psychology, 2019;5(1).
  3. Poursharifi, H, Piroi, H; Taremian, F, Zarani, F, Vaqar, M, Jafari, AA . Survey on the Mental Health of Students Entering 2004 Universities Covered by the Ministry of Science. University of Tehran and the Anti-Drug Headquarters. 2005.
  4. Fisher HE. Broken Hearts: The Nature and Risks of Romantic Rejection, 2006.
  5. Salzwedel E. The Art of Breaking Up: Ending Romantic Relationships, 2021.
  6. Gozan MM, Menaldi A. Mending a broken heart: a single case study on cognitive behaviouraltherapy for depression after romantic relationship break-up. the Cognitive Behaviour Therapist,2020;13.
  7. South SC. Pathology in relationships. Annual Review of Clinical Psychology, 2021;17:577-601.
  8. Salvatore JE, Kendler KS, Dick DM. Romantic relationship status and alcohol use and problemsacross the first yearof college. Journal of studies on alcohol and drugs, 2014;75(4):580-9.
  9. Zonash R, Saghir S, Ahsan R, Murtaza S. Phubbing Behavior and Romantic Relationship:Mechanism of MentalHealth.
  10. Rosner R, Pfoh G, Kotoučová M, Hagl M. Efficacy of an outpatient treatment for prolonged grief disorder: Arandomized controlled clinical trial. Journal of Affective Disorders, 2014; 167: 56-63.
  11. Moreno IC. Marriage and Family Therapists’ Clinical Impressions of Romantic RelationshipDissolution Heartbreak: A Modified Delphi Study: Nova Southeastern University, 2019.
  12. Sbarra DA, Manvelian A. The psychological and biological correlates of separation and loss. In R.Thompson JAS,& L. J. Berlin (Eds.), editor: Attachment: The fundamental questions, 2021.
  13. Davis D, Shaver PR, Vernon ML. Physical, Emotional, and Behavioral Reactions to Breaking Up:The Roles of Gender, Age, Emotional Involvement, and Attachment Style. Personality and SocialPsychologyBulletin,2003;29(7):871-84.
  14. Del Palacio-González A, Clark DA, O’Sullivan LF. Distress severity following a romantic breakupisassociated with positive relationship memories among emerging adults. Emerging Adulthood, 2017; 5(4): 259-267.
  15. Barrett L. The theory of constructed emotion: an active inference account of interoception andcategorization. Journal of Social Cognitive and Affective Neuroscience, 2017; 1(1): 1-23.
  16. Purnamaningsih E. Personality and emotion regulation strategies. International Journal ofPsychologicalResearch, 2017; 10(1): 53-60.
  17. AGHAJANI MJ, AKBARI BAHMAN KHALATBARI J, SADIGHI A. Effectiveness of Group Logo therapy on Symptoms of love Trauma and Emotion Cognitive Regulation of the Girls suffering from Emotional Failure. ARMAGHAN DANESH, 2018;23(4 (129):428-444.
  18. Chen-Bouck L, Patterson MM and Peng A (2024) Relations of coping strategies and cognitive emotion regulation to Chinese children’s academic achievement goals and academic performance. Front. Psychol. 15:1454886.
  19. Siegel, A., Mor, I., & Lahav, Y. Profiles in COVID -19: peritraumatic stress symptoms and their relation with death anxiety, anxiety sensitivity, and emotion dysregulation. European Journal of Psychotraumatology,2021; 12(1), 1968597.
  20. Bardeen JR, Kumpula MJ, Orcutt HK. Emotion regulation difficulties as aprospectivepredictor of posttraumatic stresssymptomsfollowing a mass shooting. Journal of AnxietyDisorders, 2013; 27,188–196.
  21. Garnefski N, Kraaij V. Relationships between cognitive strategies of adolescents and depressivesymptomatology across different types of life events. Journal Youth Adolescent, 2003; 10(32): 401-8.
  22. Schultheis, A. M., Mayes, L. C., & Rutherford, H. J. Associations between Emotion Regulation and Parental Reflective Functioning. Journal of child and family studies,2019; 28(4), 1094 -1104.
  23. Gross JJ. Emotion Regulation: Current Status and Future Prospects. Psychological Inquiry, 2015; 26(1): 1-26.
  24. Yang, Z., Asbury, K., & Griffiths, M. D. An exploration of problematic smartphone uses among Chinese university students: Associations with academic anxiety, academic procrastination, self-regulation and subjective wellbeing. International Journal of Mental Health and Addiction,2019; 17, 596-614
  25. Li, J., Sidibe, A. M., Shen, X., & Hesketh, TIncidence, risk factors and psychosomatic symptoms for traditional bullying and cyberbullying in Chinese adolescents. Children and Youth Services Review, 2019; 107, 104- 110
  26. Chalah, MA, Ayache SS. Alexithymia in multiple sclerosis: A systematic review of literature.Neuropsychologia, 2017;104: 31-47.
  27. Dincer, B., Ayaz, E.Y., & Oguz, A. Changes in sexual functions and alexithymia levels of patients with type 2 diabetes during COVID-19 pandemic. Sexuality and Disability,2021; 39 (3), 461- 478.
  28. Hori, H., Kim, Y. Inflammation and post-traumatic stress disorder. Psychiatry Clinical Neuroscience,2019; 73(4), 143-53.
  29. Prosen, S., & Jendričko, T. A Pilot Study of Emotion Regulation Strategies in a Psychodrama Group of Psychiatric Patients. Journal of Creativity in Mental Health, 2019; 14(1), 2-9.
  30. Treadwell, T., & Dartnell, D. Cognitive Behavioral Psychodrama Group Therapy. International Journal of Group Psychotherapy,2017; 67(sup1), S182-S193.
  31. Berber Çelik Ç, Odacı H. Psycho -educational group intervention based on reality therapy to cope with academic procrastination. Journal of Rational -Emotive & Cognitive -Behavior Therapy. 2018; 36: 220 -33
  32. Joyce LM, DiGiangi H, Norman S. Trauma treatment a choice theory/reality therapy perspective. International Journal of Choice Theory and Reality Therapy. 2021; 40(2):15-21
  33. Soysal OFS. The effects of psychodrama on emotion regulation skills in emerging adults. CurrentPsychology, 2023; 42: 4469–4482.
  34. Zayman EP, Simsek BK. The effect of psychodrama on anxietylevels and stress copıng styles ınacademıcıans. Med Science,2023;12(1):253-8.
  35. Preece D, Becerra R, Campitelli G. Assessing emotional reactivity: Psychometric propertiesof the perth emotional reactivity scale and the development of a short form. Journal of PersonalityAssessment, 2019; 101(6):589–597.

 

  1. Shahgholian M, Moradi A, Kafee M. Relationship of Alexithymia with Emotional Expression Styles and General Health among University Students . IJPCP 2007; 13 (3) ,238-248. [Persian]
  2. Besharat MA. Alexithymia and interpersonal problems. Studies in Education and Psychology,2009; 10(1), 129-145. [Persian]
  3. Garnefski N, Van Den Kommer T, Kraaij V, Teerds J, Legerstee J, Onstein E. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non-clinical sample. Eur J Pers. 2002;16 (5):403-420.
  4. Hasani J . The Psychometric Properties of the Cognitive Emotion Regulation Questionnaire (CERQ). Journal of Clinical Psychology, 2010; 2(3): 73-84.
  5. Rosse R. The love trauma syndrome: free yourself from the pain of a broken. Perseus Publishing, aMember of thePerseus Books Group; 1999.
  6. Dehghani, M., Atef-Vahid, M. K., &Gharraee, B. (2011). Efficacy of short-term anxietyregulating psychotherapyon love trauma syndrome. Iranian Journal of Psychiatry andBehavioral Science, 5(2), 18-25.
  7. Treadwell, Thomas W.; Dartnell, Debbie; Travallini, Letitia; Staats, Megan; Devine, Kelly (2016). The book of group therapy: Integrating cognitive behavioral therapy with the theory and application of psychodrama. Translated by Kashmiri, Morteza; Abedi Tehrani, Hanieh (2018). Tehran: Arjomand Publications.
  8. Treadwell, T., &Dartnell, D. (2017). Cognitive Behavioral Psychodrama Group Therapy. International Journal ofGroup Psychotherapy, 67(sup1), S182-S193.
  9. Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His andhers. Psychological Bulletin, 127, 472-503.
  10. Watson, J.C., Sharbanee, J.M. (2021). Emotion Focused Therapy – Case Conceptualization and Treatment: Adults. Reference Module in Neuroscience and Biobehavioral Psychology, 145, 241 -251.
Medical Journal of Mashhad university of Medical Sciences
Volume 68, Issue 3
May and June 2025

Files

Share

How to cite

Statistics