Comparison of the Effectiveness of Cognitive-Behavioral Therapy Combined with Self-Compassion and Cognitive-Motor Activities Versus Cognitive-Motor Intervention Alone on Death Anxiety and Aging Perception in the Elderly

Authors

DOI:

https://doi.org/10.61838/kman.pdmd.3.1.8

Keywords:

Cognitive, Behavioral Therapy, Self, Compassion, Motor Activities, Death Anxiety, Aging Perception, Elderly

Abstract

Background and Objective: The aim of this study was to compare the effectiveness of cognitive-behavioral therapy combined with self-compassion along with cognitive-motor activities versus cognitive-motor intervention alone on death anxiety and aging perception in the elderly.
 
Methods and Materials: The research method was quasi-experimental and of the pre-test, post-test type with a control group and a follow-up period. To this end, a sample consisting of 42 individuals (21 women and 21 men) over the age of 60 residing in Mashhad in 2021, who met the inclusion criteria, was selected. They were randomly assigned to three groups: the first experimental group (with cognitive-behavioral therapy combined with self-compassion along with cognitive-motor activities), the second experimental group (with cognitive-motor activities alone), and the control group (with no intervention). They underwent 18 sessions of 90 minutes over 9 weeks. Data obtained from the Templer Death Anxiety Questionnaire (1970) and the Slotman Aging Perception Questionnaire (2017) were analyzed using SPSS software and multivariate covariance analysis with repeated measures.
 
Findings: The results showed that for both variables, death anxiety and aging perception, there was a significant difference between the two experimental groups and the control group in both post-test and follow-up periods. However, the difference between the two experimental groups was not significant.
 
Conclusion: It appears that cognitive-behavioral therapy combined with self-compassion along with cognitive-motor activities, as well as cognitive-motor intervention alone, can be used to reduce death anxiety and improve the perception of aging in the elderly. These interventions can contribute to enhancing the quality of life and developing appropriate educational programs for them.

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References

Abdel-Khalek, A. M. (2001). Death, Anxiety, and Depression in Kuwaiti Undergraduates. OMEGA - Journal of Death and

Dying, 42(4), 309-320. https://doi.org/10.2190/NJJN-FHHU-3WWQ-928V

Alfini, A. J. P., Won, J. M. A., Weiss, L. R. P., Nyhuis, C. C., Shackman, A. J. P., Spira, A. P. P., & Smith, J. C. P. (2020 ).

Impact of exercise on older adults’ mood is moderated by sleep and mediated by altered brain connectivity. Social

Cognitive and Affective Neuroscience, 15(11), 1238-1251. https://doi.org/10.1093/scan/nsaa149

Arab, S., & Mohammadi, A. (2023). The Effectiveness of Cognitive-Behavioral Therapy on Sleep Disorder and Death Anxiety

in the Elderly. Aging Psychology, 9(1), 102-189. https://jap.razi.ac.ir/article_2585_en.html?lang=en

Attari, B., Monirpoor, N., & Zargham Hajebi, M. (2020). Role of Aappreciation on Happiness by Mediating Self-Acceptance

and Forgiveness in the Elderly. Positive Psychology Research, 6(1), 67-82.

https://doi.org/10.22108/ppls.2020.120228.1844

Bagheri Sheykhangafshe, F., Savabi Niri, V., Baryaji, S., Eghbali, F., & Fathi-Ashtiani, A. (2023). The effectiveness of

cognitive-behavioral therapy in alleviating COVID-19-related anxiety, fear of negative evaluation, and depression amongwomen diagnosed with anorexia nervosa. Hayat, 29, 217-233.

https://www.researchgate.net/publication/374701552_The_effectiveness_of_cognitive-

behavioral_therapy_in_alleviating_COVID-19-

related_anxiety_fear_of_negative_evaluation_and_depression_among_women_diagnosed_with_anorexia_nervosa

Beck, J. S. (2020). Cognitive behavior therapy: Basics and beyond. Guilford Publications.

https://books.google.com/books?hl=en&lr=&id=yb_nDwAAQBAJ&oi=fnd&pg=PP1&dq=11.+Beck+J+S.+Cognitive+

Behavioural+Therapy:+Basics+and+Beyond+(2nd+edition.)+New+York:+The+Guilford+Press,+2011.+pp.+391.&ots=

wjmYIByWV9&sig=2MEfp2dpLyg-ZvSViyWY4My4ImQ

Bieling, P. J., & Kuyken, W. (2003). Is cognitive case formulation science or science fiction? Clinical Psychology: Science

and Practice, 10(1), 52-69. https://doi.org/10.1093/clipsy.10.1.52

Collins, R. N., Gilligan, L. J., & Poz, R. (2018). The Evaluation of a Compassion-Focused Therapy Group for Couples

Experiencing a Dementia Diagnosis. Clinical Gerontologist, 41(5), 474-486.

https://doi.org/10.1080/07317115.2017.1397830

De Vito, A. N., Ahmed, M., & Mohlman, J. (2022). Cognitive Enhancement Strategies to Augment Cognitive-Behavioral

Therapy for Anxiety and Related Disorders: Rationale and Recommendations for Use With Cognitively Healthy Older

Adults. Cognitive and Behavioral Practice, 29(1), 175-184. https://doi.org/10.1016/j.cbpra.2019.10.007

Demakakos, P., Hacker, E., & Gjonça, E. (2006). 11. Perceptions of ageing. Retirement, health and relationships of the older

population in England, 339. https://www.academia.edu/download/30220589/15351.pdf#page=351

Efklides, A., Kalaitzidou, M., & Chankin, G. (2003). Subjective Quality of Life in Old Age in Greece. European Psychologist,

8(3), 178-191. https://doi.org/10.1027//1016-9040.8.3.178

Freeman, A. T., Santini, Z. I., Tyrovolas, S., Rummel-Kluge, C., Haro, J. M., & Koyanagi, A. (2016). Negative perceptions of

ageing predict the onset and persistence of depression and anxiety: Findings from a prospective analysis of the Irish

Longitudinal Study on Ageing (TILDA). Journal of affective disorders, 199, 132-138.

https://doi.org/10.1016/j.jad.2016.03.042

Freitas, M. C. d., Queiroz, T. A., & Sousa, J. A. V. d. (2010). O significado da velhice e da experiência de envelhecer para os

idosos. Revista da Escola de Enfermagem da USP, 44, 407-412.

https://www.scielo.br/j/reeusp/a/pVX7LsgkVwcD9p8gkLkdhbT/

Gallou-Guyot, M., Mandigout, S., Combourieu-Donnezan, L., Bherer, L., & Perrochon, A. (2020). Cognitive and physical

impact of cognitive-motor dual-task training in cognitively impaired older adults: An overview. Neurophysiologie

Clinique, 50(6), 441-453. https://www.sciencedirect.com/science/article/pii/S0987705320301209

Haghi Asgarabadi, F., Kraskian Azizari, A., & Jamhari, F. (2017). Determining the psychometric characteristics of the aging

perception questionnaire in Iranian elderly. Ravansanji, 6(22), 59-76. https://rbs.mui.ac.ir/article-1-526-en.html

Hosseinpour, S., Behpour, N., Tadibi, V., & Ramezankhani, A. (2018). Effect of Cognitive-motor Exercises on Physical Health

and Cognitive Status in Elderly. Iran-J-Health-Educ-Health-Promot, 5(4), 336-344.

https://doi.org/10.30699/acadpub.ijhehp.5.4.336

Ingrand, I., Paccalin, M., Liuu, E., Gil, R., & Ingrand, P. (2018). Positive perception of aging is a key predictor of qualit y-of-

life in aging people. PLoS One, 13(10), e0204044.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204044

Jafari, A., & Behboodi, M. (2017). The Efficacy of Aerobic Exercises in Reducing Loneliness and Promoting Happiness in

Elderly. ijpn, 5(5), 9-17. https://doi.org/10.21859/ijpn-05052

Khalvati, M., Babakhanian, M., Khalvati, M., Nafei, A., Khalvati, M., & Ghafuri, R. (2021). Death anxiety in the elderly in

Iran: A systematic review and meta-analysis. Iranian Journal of Ageing, 16(2), 152-171.

http://salmandj.uswr.ac.ir/browse.php?a_id=2028&sid=1&slc_lang=en&html=1

Lindsäter, E., Axelsson, E., Salomonsson, S., Santoft, F., Ljótsson, B., Åkerstedt, T., Lekander, M., & Hedman-Lagerlöf, E.

(2021). The mediating role of insomnia severity in internet-based cognitive behavioral therapy for chronic stress:

Secondary analysis of a randomized controlled trial. Behaviour Research and Therapy, 136, 103782.

https://www.sciencedirect.com/science/article/pii/S0005796720302369

Manafifar, F. Z., Ghaffari, F., Faramarzi, M., & Shamsalinia, A. (2023). Healthy aging and its prediction based on individual,

psychological and social factors in elderly people of Amol city [ سالمندیسالم و پیشبینیآن بر اساس عوامل فردی،روانیو اجتماعی

در سالمندان شهر آمل]. Iran-J-Health-Educ-Health-Promot, 10(4), 321-334. https://doi.org/10.52547/ijhehp.10.4.321

Manige, H. S., Papi, S., Sahaf, R., Asl, M. A., Ramshini, M., Rassafiani, M., & Bodaghi, A. M. (2020). Predicting the perception

of aging based on optimism in the elderly people. Iranian Journal of Ageing, 14(4), 450-461.

https://researchoutput.csu.edu.au/en/publications/predicting-the-perception-of-aging-based-on-optimism-in-the-elder

Manookian, A., Navab, E., & Zomorodi, M. (2020). The relationship between self-compassion and attitude to ageing in middle

aged people. Iranian Journal of Nursing Research, 15(5), 20-28. http://ijnr.ir/browse.php?a_code=A-10-5024-

1&sid=1&slc_lang=en

Meisner, B. A., Weir, P. L., & Baker, J. (2013). The relationship between aging expectations and various modes of physical

activity among aging adults. Psychology of Sport and Exercise, 14(4), 569-576.

https://doi.org/10.1016/j.psychsport.2013.02.007

Miyagawa, Y., & Taniguchi, J. (2022). Self-compassion helps people forgive transgressors: Cognitive pathways of

interpersonal transgressions. Self and identity, 21(2), 244-256. https://doi.org/10.1080/15298868.2020.1862904

Mojarad Azar Gharabaghi, M. J., & Dehghanizade, J. (2021). The Effectiveness of a Period of Brain Gym Exercises on the

Balance and Inhibitory Control in the Elderly with Mild Cognitive Impairment. Aging Psychology, 7(3), 228-211.

https://jap.razi.ac.ir/article_1885_en.html

Momeni, K., & Rafiee, z. (2018). The Effectiveness of Cognitive-Behavioral Group Therapy on Death Anxiety and General

Health of Mourning Elderly Women. Aging Psychology, 4(2), 131-141. https://jap.razi.ac.ir/article_1003.html

Mortazavi, S. S., Foroughan, M., Hosseini, S. A., Nasiri, E., & Shahbazi, F. (2021). Negative Factors Affecting the Sleep

Quality of the Elderly in Iran: A Systematic Review [Review]. Archives of Rehabilitation, 22(2), 132-153.

https://doi.org/10.32598/rj.22.2.3011.1

Nabavi, S. H., Alipour, F., Hejazi, A., Rabani, E., & Rashedi, V. (2014). Relationship between social support and mental health

in older adults. medical journal of mashhad university of medical sciences, 57(7), 841-846.

https://mjms.mums.ac.ir/article_3756_en.html

Nameni, E., Jajarmi, M., & Soliemanian, A. (2021). Comparison of the Effectiveness of Existential Therapy and Compassion-

based therapy on Psychological Well-being and Marital Disturbance of Conflicting Women. Journal of Sabzevar

University of Medical Sciences, 28(4), 608-620.

https://jsums.medsab.ac.ir/article_1450_23870c2330fc5c68434926fb98fa5235.pdf?lang=en

Noorbala, F., Borjali, A., & Noorbala, A. A. (2013). The interaction effect between â Self-Compassionâ and â Ruminationâ of

depressed patients in â Compassion Focused Therapyâ. Daneshvar Medicine, 21(1), 77-84.

https://daneshvarmed.shahed.ac.ir/article_1567_435e027d0ff773067bfd9645dafe2922.pdf

Oud, M., de Winter, L., Vermeulen-Smit, E., Bodden, D., Nauta, M., Stone, L., van den Heuvel, M., Taher, R. A., de Graaf, I.,

Kendall, T., Engels, R., & Stikkelbroek, Y. (2019). Effectiveness of CBT for children and adolescents with depression: A

systematic review and meta-regression analysis. European Psychiatry, 57, 33-45.

https://doi.org/10.1016/j.eurpsy.2018.12.008

Ramesh, S., Azadian, E., & Majlesi, M. (2020). The Comparison and Relationship between Cognitive and Motor Function in

Elderly with and without Falling Experience [Research]. Research in Sport Management and Motor Behavior, 10(20),

138-150. https://doi.org/10.29252/jrsm.10.20.138

Seyyedjafari, J., Jeddi, M., Mousavi, R., Hoseyni, E., & Shakibmehr, M. (2020). The Effectiveness of Compassion-Focused

Therapy on Elderly Life expectancy. Aging Psychology, 5(2), 157-168. https://doi.org/10.22126/jap.2020.4672.1367

Shahbazi, M., Golzari, M., & Borjali, A. (2015). Effectiveness of a healthy lifestyle based on the World Health Model on death

anxiety among elderly people of Ilam. Journal of Sabzevar University of Medical Sciences, 22(3), 308-316.

https://jsums.medsab.ac.ir/article_565_en.html

Strauss, C., Gu, J., Pitman, N., Chapman, C., Kuyken, W., & Whittington, A. (2018). Evaluation of mindfulness-based

cognitive therapy for life and a cognitive behavioural therapy stress-management workshop to improve healthcare staff

stress: study protocol for two randomised controlled trials. Trials, 19(1), 209. https://doi.org/10.1186/s13063-018-2547-1

Trzepacz, P. T., Hochstetler, H., Wang, S., Walker, B., Saykin, A. J., & for the Alzheimer’s Disease Neuroimaging, I. (2015).

Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild

cognitive impairment in older adults. BMC Geriatrics, 15(1), 107. https://doi.org/10.1186/s12877-015-0103-3

Varaee, P., Momeni, K., & Moradi, A. (2018). Self-Compassion, attitude towards religion and death anxiety: predictors of

psychological well-being in the elderly. https://journals.iau.ir/article_543925_a424a9fed843b15223df3f1e64d20a11.pdf

Wurm, S., & Benyamini, Y. (2014). Optimism buffers the detrimental effect of negative self-perceptions of ageing on physical

and mental health. Psychology & Health, 29(7), 832-848. https://doi.org/10.1080/08870446.2014.891737

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Kashmari , A., Shahabizadeh , F., Ahi , G., & Mahmoudi Rad, A. (2024). Comparison of the Effectiveness of Cognitive-Behavioral Therapy Combined with Self-Compassion and Cognitive-Motor Activities Versus Cognitive-Motor Intervention Alone on Death Anxiety and Aging Perception in the Elderly. Journal of Psychological Dynamics in Mood Disorders, 3(1), 86-99. https://doi.org/10.61838/kman.pdmd.3.1.8