The Effectiveness of Group Psychodrama on Life Satisfaction, Self-Compassion, and Positive Emotions in Depressed Patients
DOI:
https://doi.org/10.61838/kman.pdmd.3.2.8Keywords:
Group psychodrama, life satisfaction, self, compassion, positive affects, depression, randomized controlled trial, therapeutic interventionAbstract
Background and Objective: The objective of this study was to investigate the effectiveness of group psychodrama on improving life satisfaction, self-compassion, and positive affects in depressed patients. Given the complexity of depression and the need for multifaceted treatment approaches, this research aimed to provide empirical evidence on the efficacy of psychodrama as a therapeutic intervention.
Methods and Materials: This study employed a randomized controlled trial design. The sample consisted of 30 depressed patients selected from a clinic in Tehran and randomly assigned to either the experimental group (n=15) receiving group psychodrama therapy or the control group (n=15) receiving no intervention. The intervention comprised ten 75-minute sessions conducted over five months. Data were collected using standardized tools: the Satisfaction with Life Scale (SWLS), Self-Compassion Scale (SCS), and Positive and Negative Affect Schedule (PANAS). Data analysis was performed using repeated measures ANOVA and Bonferroni post-hoc tests, with the software SPSS-27.
Findings: The results indicated a significant improvement in life satisfaction, self-compassion, and positive affects among participants in the experimental group compared to the control group. Specifically, life satisfaction scores increased from a mean of 19.43 (SD=3.67) at pre-test to 26.89 (SD=3.21) at post-test and 25.73 (SD=3.45) at follow-up. Self-compassion scores rose from 18.24 (SD=2.98) to 24.13 (SD=2.67) at post-test and 23.35 (SD=2.89) at follow-up. Positive affect scores also showed a significant increase from 21.57 (SD=3.11) to 28.74 (SD=3.01) at post-test and 27.89 (SD=3.19) at follow-up. The ANOVA results confirmed significant effects for group, time, and the interaction between group and time (p < 0.001).
Conclusion: The findings support the efficacy of group psychodrama in enhancing life satisfaction, self-compassion, and positive affects in depressed patients. These improvements were sustained over a five-month follow-up period, suggesting that psychodrama can be a valuable therapeutic approach for depression. Future research should explore long-term effects and compare psychodrama with other therapeutic modalities.
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References
Baim, C. (2021). One-to-One Psychodrama Psychotherapy: Applications and Technique. In: American Society of Group
Psychotherapy and Psychodrama.
Bartolomeo, F. (2021). Social work, sociometry, and psychodrama: experiential approaches for group therapists, community
leaders, and social workers: by S. Giacomucci, Singapore, Springer Nature Singapore Pte Ltd, 2021, 435 pp., $59.00 (Hard
Cover). Open Access. Social Work With Groups, 44(3), 304-305.
https://www.tandfonline.com/doi/full/10.1080/01609513.2021.1921942
Biolcati, R., Ambrosini, F., Albani, A., & Di Stefano, G. (2023). Videoconferencing analytic psychodrama in treating young
adults’ psychological suffering: preliminary results [Original Research]. Frontiers in psychology, 14.
https://doi.org/10.3389/fpsyg.2023.1112711
Borhani, L., Momeni, K., Karami, J., & Մաշհադի, Ա. (2021). The Efficacy of Combining Therapy Cognitive With Acceptance
and Commitment on Symptoms of Depression and Psychosomatic Problems Firefighters of Mashhad City. The Journal of
Psychological Science, 20(103), 1171-1192. https://doi.org/10.52547/jps.20.103.1171
Brown, N., Cedar, T., & Tziraki, C. (2022). Psychodrama with persons with dementia on zoom: Proof of concept. Dementia,
21(4), 1289-1303. https://doi.org/10.1177/14713012221074484
Esnaasharan, S., Yazdkhasti, F., & Oreyzi, H. (2018). Comparison of the Effectiveness of Psychodrama and Dialectical
Behavioral Therapy in Emotion Regulation and Distress Tolerance among the Women under Abstinence. Research on
Addiction, 12(45), 247-264. https://www.magiran.com/paper/1857718
Field, T., Deeds, O., Diego, M., Hernandez‐Reif, M., Gauler, A., Sullivan, S., Wilson, D. R., & Nearing, G. (2009). Benefits
of Combining Massage Therapy With Group Interpersonal Psychotherapy in Prenatally Depressed Women. Journal of
bodywork and movement therapies, 13(4), 297-303. https://doi.org/10.1016/j.jbmt.2008.10.002
Field, T., Diego, M., Hernandez‐Reif, M., Medina, L., Delgado, J., & Hernández, A. H. (2012). Yoga and Massage Therapy
Reduce Prenatal Depression and Prematurity. Journal of bodywork and movement therapies, 16(2), 204-209.
https://doi.org/10.1016/j.jbmt.2011.08.002
Fredrickson, B. L. (1998). What Good Are Positive Emotions? Review of General Psychology, 2(3), 300-319.
https://doi.org/10.1037//1089-2680.2.3.300
Galanakis, M., Galanopoulou, F., & Stalikas, A. (2011). Do Positive Emotions Help Us Cope With Occupational Stress?
Europe’s Journal of Psychology, 7(2). https://doi.org/10.5964/ejop.v7i2.127
Giacomucci, S., & Marquit, J. (2020). The Effectiveness of Trauma-Focused Psychodrama in the Treatment of PTSD in
Inpatient Substance Abuse Treatment [Original Research]. Frontiers in psychology, 11.
https://doi.org/10.3389/fpsyg.2020.00896
Giacomucci, S., Marquit, J., Walsh, K. M., & Saccarelli, R. (2022). A mixed-methods study on psychodrama treatment for
PTSD and depression in inpatient substance use treatment: A comparison of outcomes pre-pandemic and during Covid
19. The Arts in Psychotherapy, 81, 101971. https://doi.org/10.1016/j.aip.2022.101971
Gloria, C. T., & Steinhardt, M. (2014). Relationships Among Positive Emotions, Coping, Resilience and Mental Health. Stress
and Health, 32(2), 145-156. https://doi.org/10.1002/smi.2589
Gonzalez, A.-J., Martins, P., & Lima, M. P. d. (2018). Studying the Efficacy of Psychodrama With the Hermeneutic Single
Case Efficacy Design: Results From a Longitudinal Study [Original Research]. Frontiers in psychology, 9.
https://doi.org/10.3389/fpsyg.2018.01662
González, H. M., Vega, W. A., Williams, D. R., Tarraf, W., West, B. T., & Neighbors, H. W. (2010). Depression Care in the
United States. Archives of General Psychiatry, 67(1), 37. https://doi.org/10.1001/archgenpsychiatry.2009.168
Husaini, B. A., Cummings, S. M., Kilbourne, B., Roback, H. B., Sherkat, D. E., Levine, R. S., & Cain, V. A. (2004). Group
Therapy for Depressed Elderly Women. International Journal of Group Psychotherapy, 54(3), 295-319.
https://doi.org/10.1521/ijgp.54.3.295.40340
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
Mansouri, K., Ashouri, A., Gharraee, B., & Farahani, H. (2021). Prediction of decisional procrastination based on fear of
failure, self-compassion and intolerance of uncertainty in students [Research]. Shenakht Journal of Psychology and
Psychiatry, 8(4), 51-62. https://doi.org/10.32598/shenakht.8.4.51
Masoumi, S., Amiri, M., & Afrashteh, M. Y. (2022). Self-Compassion: The Factor That Explains a Relationship between
Perceived Social Support and Emotional Self-Regulation in Psychological Well-Being of Breast Cancer Survivors. Iranian
Journal of Psychiatry, 17(3), 341. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699804/
Nabian, P. (2023). The Effect of Cognitive-Behavioral Group Therapy on Reducing Depression and Anxiety in Patients With
Mood Disorders: Experimental Research. Annals of medicine and surgery, 85(8), 3901-3905.
https://doi.org/10.1097/ms9.0000000000000971
Parlak, S., & Oksuz Gul, F. (2021). Psychodrama oriented group therapy for forgiveness in university students. The Arts in
Psychotherapy, 73, 101761. https://doi.org/10.1016/j.aip.2021.101761
Poursardar N, Poursardar F, Panahandeh A, Sangari A, & Abdi Zarrin S. (2013). Effect of Optimism on Mental Health and
Life
Satisfaction:
A Psychological Model of Well-being. Hakim Research Journal, 16(1), 42-49.
http://hakim.tums.ac.ir/article-1-1128-en.html
Prosen, S., & Jendričko, T. (2019). A Pilot Study of Emotion Regulation Strategies in a Psychodrama Group of Psychiatric
Patients. Journal of Creativity in Mental Health, 14(1), 2-9. https://doi.org/10.1080/15401383.2018.1486260
Rajaeinia, A. (2022). Effectiveness of Cognitive Behavior Group Therapy on decreasing perfectionism, increasing positive
affect and mental performance in Female Clergies. International Journal of Education and Cognitive Sciences, 2(4), 45
53. https://doi.org/10.22034/injoeas.2022.160688
Sadeghi, F., & Taher, M. (2019). The Role of Body Image in Explaining the Life Satisfaction, Life Expectancy, and Mental
Health of People with Physical and Mobility Impairment [Research]. Journal of Exceptional Children, 19(2), 59-72.
http://joec.ir/article-1-842-en.html
Söchting, I., O'Neal, E., Third, B., Rogers, J., & Ogrodniczuk, J. S. (2013). An Integrative Group Therapy Model for Depression
and Anxiety in Later Life. International Journal of Group Psychotherapy, 63(4), 502-523.
https://doi.org/10.1521/ijgp.2013.63.4.502
Testoni, I., Bonelli, B., Biancalani, G., Zuliani, L., & Nava, F. A. (2020). Psychodrama in attenuated custody prison-based
treatment of substance dependence: The promotion of changes in wellbeing, spontaneity, perceived self-efficacy, and
alexithymia. The Arts in Psychotherapy, 68, 101650. https://doi.org/10.1016/j.aip.2020.101650
Tiwari, V., Antony, B., & Acharya, M. (2018). Effect of Compassion Focused Therapy (CFT) on Level of Depression and Self-
Compassion. Indian Journal of Mental Health(ijmh), 5(4), 443. https://doi.org/10.30877/ijmh.5.4.2018.443-452
Tümlü, G. Ü., & Şimşek, B. K. (2021). The effects of psychodrama groups on feelings of inferiority, flourishing, and self
compassion in research assistants. The Arts in Psychotherapy, 73, 101763. https://doi.org/10.1016/j.aip.2021.101763
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