Volume 3, Issue 1 (6-2019)
JSBCH 2019, 3(1): 298-308 |
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Sehatti M, Amin Nasab A, Yousefian Z. The Efficiency of Emotion Regulation and Distress Tolerance Based on Dialectical Behavior Therapy on Anxiety Sensitivity and Emotion Regulation Difficulties in Women with Irritable Bowel. JSBCH 2019; 3 (1) :298-308
URL: http://sbrh.ssu.ac.ir/article-1-85-en.html
URL: http://sbrh.ssu.ac.ir/article-1-85-en.html
1- Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran. , Marmareh.sehatty@gmail.com
2- Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
2- Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
Abstract: (2436 Views)
Background: Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder that affects social, occupational, communicational, and psychological functioning. Therefore, the aim of this research was to determine the effect of emotional regulation and distress tolerance skills based on Dialectical Behavior Therapy (DBT) on anxiety sensitivity and emotion regulation difficulties among women with IBS.
Methods: In order to conduct this study, a sample of 30 women with IBS who referred to Tehran healthcare centers was selected using the convenience sampling. Then, participants were assigned to experimental and control groups randomly. In this pretest-posttest semi-experimental study, we used anxiety sensitivity index questionnaire and the emotion regulation questionnaire. The experimental group received the educational intervention in 10 sessions during two and a half months. Data were analyzed by SPSS software.
Results: The results showed that DBT had a significant effect on anxiety sensitivity and emotional regulation difficulties in women with IBS (P-value < 0.001). So, this treatment could reduce the anxiety sensitivity and emotional regulation difficulties in with IBS women.
Conclusion: According to the results, DBT educations can reduce the anxiety sensitivity and negative emotion regulation and increase the positive emotion regulation.
Methods: In order to conduct this study, a sample of 30 women with IBS who referred to Tehran healthcare centers was selected using the convenience sampling. Then, participants were assigned to experimental and control groups randomly. In this pretest-posttest semi-experimental study, we used anxiety sensitivity index questionnaire and the emotion regulation questionnaire. The experimental group received the educational intervention in 10 sessions during two and a half months. Data were analyzed by SPSS software.
Results: The results showed that DBT had a significant effect on anxiety sensitivity and emotional regulation difficulties in women with IBS (P-value < 0.001). So, this treatment could reduce the anxiety sensitivity and emotional regulation difficulties in with IBS women.
Conclusion: According to the results, DBT educations can reduce the anxiety sensitivity and negative emotion regulation and increase the positive emotion regulation.
Keywords: Dialectical Behavior Therapy, Anxiety Sensitivity, Emotion Regulation, Irritable Bowel Syndrome
Type of Study: Original Article |
Subject:
Psychology
Received: 2018/09/25 | Accepted: 2019/06/3 | Published: 2019/07/14
Received: 2018/09/25 | Accepted: 2019/06/3 | Published: 2019/07/14
References
1. 1. Cremonini F, Talley NJ. Irritable bowel syndrome: epidemiology, natural history, health care seeking and emerging risk factors. Gastroenterology Clinics. 2005;34(2):189-204. [DOI:10.1016/j.gtc.2005.02.008] [PMID]
2. Solhpour A, Pourhoseingholi MA, Soltani F, et al. Gastro-oesophageal reflux disease and irritable bowel syndrome: a significant association in an Iranian population. European Journal of Gastroenterology & Hepatology. 2008;20(8):719-725. [DOI:10.1097/MEG.0b013e3282f88a42] [PMID]
3. Adarvishi S, Asadi M, Zarea K, Ghasemideh Cheshmeh M, Ahmadnea M, Hardani F. Effect of problem solving training on anxiety in patients with IBS. Preventive Care in Nursing & Midwifery Journal. 2016;5(2):22-32. [DOI:10.17795/jjcdc-24895]
4. Richardson EJ, Ness TJ, Doleys DM, Baños JH, Cianfrini L, Richards JS. Depressive symptoms and pain evaluations among persons with chronic pain: Catastrophizing, but not pain acceptance, shows significant effects. PAIN®. 2009;147(1-3):147-152. [DOI:10.1016/j.pain.2009.08.030] [PMID]
5. Spiller R, Aziz Q, Creed F, et al. Guidelines for the management of Irritable Bowel Syndrome. Gut. 2007;56(12):1770-1798. [DOI:10.1136/gut.2007.119446] [PMID] [PMCID]
6. Drossman DA, Chang L, Schneck S, Blackman C, Norton WF, Norton NJ. A focus group assessment of patient perspectives on irritable bowel syndrome and illness severity. Digestive Diseases and Sciences. 2009;54(7):1532-1541. [DOI:10.1007/s10620-009-0792-6] [PMID]
7. Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130(5): 1480-1491. [DOI:10.1053/j.gastro.2005.11.061] [PMID]
8. Hillila M. Irritable bowel syndrome in general population: Epidemiology, comorbidity, and societal cost. [Doctorate Thesis]. Helsinki: Finland, Helsinkli University; 2010.
9. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain. 2006;10(4):287-333. [DOI:10.1016/j.ejpain.2005.06.009] [PMID]
10. Mirzaei V, Sayadi AR, Bakhshi H, Hasani Moghadam V. Comparison of depression in patients with irritable bowel syndrome and healthy patients referring to internists offices in the city of Rafsanjan in Summer 2011. Journal of Rafsanjan University of Medical Sciences. 2012;11(3):259-268. [Persian]
11. Taheri M, Yaryari F, Molavi M. The effect of therapeutic touch on anxiety patients with irritable bowel syndrome. Complementary Medicine Journal of Faculty of Nursing & Midwifery. 2013;3(1):406-417.
12. Lee S, Wu J, Ma YL, Tsang A, Guo WJ, Sung J. Irritable bowel syndrome is strongly associated with generalized anxiety disorder: A community study. Alimentary Pharmacology & Therapeutics. 2009;30(6):643-651. [DOI:10.1111/j.1365-2036.2009.04074.x] [PMID]
13. Wheaton MG, Deacon BJ, McGrath PB, Berman NC, Abramowitz JS. Dimensions of anxiety sensitivity in the anxiety disorders: Evaluation of the ASI-3. Journal of Anxiety Disorders. 2012;26(3):401-408. [DOI:10.1016/j.janxdis.2012.01.002] [PMID]
14. Stewart SH, Taylor S, Baker JM. Gender differences in dimensions of anxiety sensitivity. Journal of Anxiety Disorders. 1997;11(2):179-200. [DOI:10.1016/S0887-6185(97)00005-4]
15. Stewart SH, Conrod PJ, Gignac ML, Pihl RO. Selective processing biases in anxiety-sensitive men and women. Cognition & Emotion. 1998;12(1):105-134. [DOI:10.1080/026999398379808]
16. Mousavi F. Anxiety sensitivity and five major factors of personality with academic achievement in high school students in Shiraz. Tehran, Shahid Beheshti University, Master's thesis. 2011. (Persian).
17. Taylor S, Koch WJ, McNally RJ, Crockett DJ. Conceptualizations of anxiety sensitivity. Psychological Assessment. 1992;4(2):245-250. [DOI:10.1037/1040-3590.4.2.245]
18. Stewart SH, Conrod PJ, Gignac ML, Pihl RO. Selective processing biases in anxiety-sensitive men and women. Cognition & Emotion. 1998;12(1):105-134. [DOI:10.1080/026999398379808]
19. McWilliams LA, Stewart SH, MacPherson PS. Does the social concerns component of the Anxiety Sensitivity Index belong to the domain of anxiety sensitivity or the domain of negative evaluation sensitivity?. Behaviour Research and Therapy. 2000;38(10):985-992. [DOI:10.1016/S0005-7967(99)00125-4]
20. Cox BJ, Enns MW, Freeman P, Walker JR. Anxiety sensitivity and major depression: Examination of affective state dependence. Behaviour Research and Therapy. 2001;39(11):1349-1356. [DOI:10.1016/S0005-7967(00)00106-6]
21. Wu MS, McGuire JF, Storch EA. Anxiety sensitivity and family accommodation in obsessive-compulsive disorder. Journal of Affective Disorders. 2016;205:344-350. [DOI:10.1016/j.jad.2016.08.024] [PMID]
22. Pang RD, Guillot CR, Zvolensky MJ, Bonn Miller MO, Leventhal AM. Associations of anxiety sensitivity and emotional symptoms with the subjective effects of alcohol, cigarettes, and cannabis in adolescents. Addictive Behaviors. 2017;73:192-198. [DOI:10.1016/j.addbeh.2017.05.016] [PMID] [PMCID]
23. Muscatello MR, Bruno A, Pandolfo G, et al. Depression, anxiety and anger in subtypes of irritable bowel syndrome patients. Journal of Clinical Psychology in Medical Settings. 2010;17(1):64-70. [DOI:10.1007/s10880-009-9182-7] [PMID]
24. Atkinson RL, Atkinson RC, Smith EE, Bem DJ, Nolen- Hoeksema S. Hilgard's in reductions to psychology, For teenth edit ion. For worth, TX, Harcourt Brance. 2003; 395-396
25. Aldao A, Nolenn Hoeksema S. Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy. 2010;48(10):974-983. [DOI:10.1016/j.brat.2010.06.002] [PMID]
26. Linehan MM. skills training manual for treating borden line personality disorder. New York: Guil ford press; 1993.
27. Dimeff LA, Linehan MM. Dialectical behavior therapy for substance abusers. Addiction Science & Clinical Practice. 2008;4(2):39. [DOI:10.1151/ascp084239]
28. Asmand P, Mami S, Valizadeh R. The effectiveness of dialectical behavior therapy and rational emotive behavior therapy in irrational believes treatment among young male prisoners who have antisocial personality disorder in Ilam Prison. International Journal of Health System and Disaster Management. 2015;3:68-73. [DOI:10.4103/2347-9019.147135]
29. Bornovalova MA, Daughters SB. How does dialectical behavior therapy facilitate treatment retention among individuals with comorbid borderline personality disorder and substance use disorders?. Clinical Psychology Review. 2007;27(8):923-43. [DOI:10.1016/j.cpr.2007.01.013] [PMID]
30. Swales MA. Dialectical behavior therapy: Description, research and future directions. International Journal of Behavioral Consultation and Therapy. 2009;5(2):164-177 [DOI:10.1037/h0100878]
31. Lynch TR, Cheavens JS, Cukrowicz KC, Thorp SR, Bronner L, Beyer J. Treatment of older adults with comorbid personality disorder and depression: A dialectical behavior therapy approach. International Journal of Geriatric Psychiatry: A journal of the Psychiatry of Late Life and Allied Sciences. 2007;22(2):131-143. [DOI:10.1002/gps.1703] [PMID]
32. Taghvaie D, Masjedi A, Jafari M. Effectiveness of dialectical treatment on rebuke of oneself and others, rumination and catastrophizing of women with breast cancer. Thoughts and Behavior in Clinical Psychology. 2015;9(35):67-76. [Persian]
33. Salehi A, Baghban I, Bahrami F, Ahmadi SA. The effect of emotion regulation training based on dialectical behavior therapy and gross process model on symptoms of emotional problems. Zahedan Journal of Research in Medical Sciences. 2012;14(2):49-55. [Persian]
34. Littlefield AK, Sher KJ, Wood PK. Is "maturing out" of problematic alcohol involvement related to personality change?. Journal of Abnormal Psychology. 2009;118(2):360. [DOI:10.1037/a0015125] [PMID] [PMCID]
35. Eisner L, Eddie D, Harley R, Jacobo M, Nierenberg AA, Deckersbach T. Dialectical behavior therapy group skills training for bipolar disorder. Behavior Therapy. 2017;48(4):557-566. [DOI:10.1016/j.beth.2016.12.006] [PMID] [PMCID]
36. Wilks CR, Valenstein-Mah H, Tran H, King AM, Lungu A, Linehan MM. Dialectical behavior therapy skills for families of individuals with behavioral disorders: Initial feasibility and outcomes. Cognitive and Behavioral Practice. 2017;24(3):288-295. [DOI:10.1016/j.cbpra.2016.06.004]
37. Floyd M, Garfield A, LaSota MT. Anxiety sensitivity and worry. Personality and Individual Differences. 2005;38(5):1223-1229. [DOI:10.1016/j.paid.2004.08.005]
38. Bayrami M, Fahimi S, Akbari E, Amiri Pichakolaei A. Predicting marital satisfaction on the basis of attachment styles and differentiation components. Journal of Fundamentals of Mental Health. 2012;14(1): 64-77. [Persian]
39. Mashhadi A, Gasempoor A, Akbari E, ElBeigi R, Hasanzadeh S. The role of anxiety sensitivity and emotion regulation in prediction of students' social anxiety disorder. Knowledge Research Applied Psychology. 2013;14(2):89-99. [Persian]
40. Ghasemi N. The Comparison of Anxiety Sensitivity and Happiness in Irritable Bowel Syndrome Patients with Normal Matched Group in Shiraz. Journal of Fasa University of Medical Sciences. 2012;2(2):101-112. [Persian]
41. 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. European Journal of Personality. 2002;16(5):403-420. [DOI:10.1002/per.458]
42. Yousefi F. The relationship of cognitive emotion regulation strategies with depression and anxiety in students of special middle schools for talented students in Shiraz. Journal of Exceptional Children. 2007;6(4):871-892. [Persian]
43. Lynch TR, Cheavens JS, Cukrowicz KC, Thorp SR, Bronner L, Beyer J. Treatment of older adults with co‐morbid personality disorder and depression: A dialectical behavior therapy approach. International Journal of Geriatric Psychiatry: A Journal of the Psychiatry of Late Life and Allied Sciences. 2007;22(2):131-143. [DOI:10.1002/gps.1703] [PMID]
44. Katz D, Toner B. A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness. 2013;4(4):318-331. [DOI:10.1007/s12671-012-0132-3]
45. Kirchner N. Taking a Mindful Approach to Substance Abuse Treatment through Dialectical Behavior Therapy Techniques. Winona State University College of Education Counselor Education Department Certificate of Approval Capstone Project; 2014.
46. Kröger C, Schweiger U, Sipos V, et al. Dialectical behavior therapy and an added cognitive behavioral treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments: An open trial with a 15-month follow-up. Journal of Behavior Therapy and Experimental Psychiatry. 2010;41(4):381-388. [DOI:10.1016/j.jbtep.2010.04.001] [PMID]
47. Feldman G, Harley R, Kerrigan M, Jacobo M, Fava M. Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder. Behavior Research and Therapy. 2009;47(4):316-321. [DOI:10.1016/j.brat.2009.01.005] [PMID]
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