Comparing the Effectiveness of Beck's Cognitive Therapy and Short-Term Psychodynamic Therapy on Cognitive Avoidance, Arousal, and Dissociative Experiences in Individuals with Post-Traumatic Stress Disorder
Keywords:
Beck's cognitive therapy, Brief psychodynamic therapy, Cognitive avoidance, Arousa, Dissociative experiences, Post-traumatic stress disorderAbstract
Objective: This study compares the effectiveness of two therapeutic methods, namely Beck's Cognitive Therapy and Short-Term Psychodynamic Therapy, on experiential avoidance, arousal, and dissociative experiences in individuals with post-traumatic stress disorder.
Methodology: The research was conducted using a semi-experimental method with a pre-test, post-test, and follow-up design, involving two experimental groups and one control group. The statistical population included patients with post-traumatic stress disorder who referred to psychiatric and psychological centers in Tehran between November 2022 and December 2022. Forty-five patients were selected through convenience sampling and divided into three groups. Data collection tools included questionnaires on experiential avoidance, arousal, and dissociative experiences. Data analysis was descriptive, and the results were analyzed using the statistical software SPSS 22.
Findings: The results indicated that both therapeutic methods positively affected the reduction of experiential avoidance and dissociative experiences. However, Beck's Cognitive Therapy had a greater impact on reducing experiential avoidance compared to Short-Term Psychodynamic Therapy. Additionally, both methods led to improvements in individuals' arousal.
Conclusion: This research confirms that the use of these two therapeutic methods can help improve the symptoms of post-traumatic stress disorder. However, both therapeutic methods, especially Beck's Cognitive Therapy, are effective in improving cognitive avoidance and arousal in individuals with post-traumatic stress disorder.
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References
Abbas, A., Kisley, S., & Town, J. (2018). Cost-Effectiveness of Intensive Short-Term Dynamic Psychotherapy Trial Therapy. Psychotherapy and psychosomatics, 87(4), 255-257. https://doi.org/10.1159/000487600
Abbas, A. A., Kisley, S. R., Town, J. M., Lichsenring, F., Driessen, E., & De Maat, S. (2014). Short-term psychodynamic psychotherapy for common mental disorders (Review). Cochrane Database of Systematic Reviews(7). https://doi.org/10.1002/14651858.CD004687.pub4
Alice, C., Enrico, C., Irene, R., Stefania, R., Massimo, C., Cyrus, R., Allan, A., & Massimiliano, B. (2020). Efficacy of intensive short-term dynamic psychotherapy in mood disorders: A critical review. Journal of affective disorders, 273, 375-379. https://doi.org/10.1016/j.jad.2020.04.002
Arjmand Nia, N., Hassanzadeh, R., & Abbasi, G. (2022). The Effectiveness of Cognitive-Behavioral Therapy on the Use of Adaptive and Maladaptive Strategies in Patients with Post-Traumatic Stress Disorder (PTSD) Due to COVID-19. Ravanshenasi-e Ruyesh, 11(12), 131-141. https://frooyesh.ir/article-1-3917-fa.html
Atarod, N., Borjali, A., Sohrabi, F., & Basharpoor, S. (2016). The Effectiveness of Holographic Reprocessing Therapy on Arousal and Re-Experiencing Symptoms in Veterans with Post-Traumatic Stress Disorder. Urmia Medical Journal, 27(5), 427-437. https://umj.umsu.ac.ir/article-1-3556-fa.html
Castillo, J. M., Beton, E., Coman, C., Howell, B., Burness, C., Martlew, J., Russell, L., Town, J. M., Abbass, A., Algorta, G. P., & Valavanis, S. (2022). Three Sessions of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for Patients With Dissociative Seizures: A Pilot Study. Psychoanalytic Psychotherapy, 36(2), 81-104. https://doi.org/10.1080/02668734.2021.2018623
Clapp, J. D., & Beck, J. G. (2020). Treatment of PTSD in Older Adults: Do Cognitive-Behavioral Interventions Remain Viable? Cognitive and Behavioral Practice, 19(1), 126-135. https://doi.org/10.1016/j.cbpra.2010.10.002
Davanloo, H. (1995). Unlocking the Unconscious: Selected Papers of Habib Davanloo, MD. Wiley. https://www.researchgate.net/publication/265140734_Davanloo's_Intensive_Short-Term_Dynamic_Psychotherapy_in_a_tertiary_psychotherapy_service_overall_effectiveness_and_association_between_unlocking_the_unconscious_and_outcome
Dubé, V., Tremblay-Perreault, A., Allard-Cobetto, P., & Hébert, M. (2024). Alexithymia as a Mediator between Intimate Partner Violence and Post-Traumatic Stress Symptoms in Mothers of Children Disclosing Sexual Abuse. Journal of family violence, 39(3), 359-367. https://doi.org/10.1007/s10896-023-00512-y
Dutheil, F., Mondillon, L., & Navel, V. (2021). PTSD as the second tsunami of the SARS-CoV-2 pandemic. Psychological medicine, 51(10), 1773-1774. https://doi.org/10.1017/S0033291720001336
First, M. B., Yousif, L. H., Clarke, D. E., Wang, P. S., Gogtay, N., & Appelbaum, P. S. (2022). DSM-5-TR: overview of what's new and what's changed. World Psychiatry, 21(2), 218-219. https://doi.org/10.1002/wps.20989
Ghasemi, N., & Rezaei, S. M. (2022). The Effectiveness of Cognitive-Behavioral Therapy on Sexual Function and Marital Relationship Quality in Women with Sexual Desire/Arousal Disorder. Journal of psychiatric nursing, 10(3), 78-87. https://ijpn.ir/browse.php?a_id=2038&sid=1&slc_lang=fa&ftxt=0
Ghezelseflo, M., Navabinezhad, S., Rostami, M., & Parsakia, K. (2023). The Effectiveness of Emotional Freedom Techniques on Reducing Symptoms of Post-Traumatic Stress Disorder Among Women Affected by Marital Infidelity. Psychology of Woman Journal, 4(4), 92-101. https://doi.org/10.61838/kman.pwj.4.4.11
Guilin, Y., Hongfeng, L., & Lenny, C. (2022). Cognitive Behavioral Therapy (CBT) Is Applied in Post-Traumatic Stress Disorder (PTSD) of Chinese Shidu Parents Who Lost Their Only Child. Security and Communication Networks, 2(4), 1-6. https://doi.org/10.1155/2022/8001358
Haagen, J. F., Smid, G. E., Knipscheer, J. W., & Kleber, R. J. (2015). The efficacy of recommended treatments for veterans with PTSD: A meta-regression analysis. Clinical psychology review, 40, 184-194. https://doi.org/10.1016/j.cpr.2015.06.008
Hilton, N. Z., Ham, E., Rodrigues, N. C., Kirsh, B., Chapovalov, O., & Seto, M. C. (2020). Contribution of critical events and chronic stressors to PTSD symptoms among psychiatric workers. Psychiatric Services, 71(3), 221-227. https://doi.org/10.1176/appi.ps.201900226
Holman, E. A., & Zimbardo, P. G. (2019). The Social Language of Time: The Time Perspective-Social Network Connection. Basic and Applied Social Psychology, 31(2), 136-147. https://doi.org/10.1080/01973530902880415
Jorjani, K. (2023). The Effectiveness of Short-Term Psychodynamic Therapy on Cognitive-Behavioral Avoidance and Rumination in Depressed Patients at the Psychology Clinic in Gorgan. New Strategies in Psychology and Educational Sciences, 17(15), 72-82. https://ensani.ir/fa/article/559983/%D8%A7%D8%AB%D8%B1%D8%A8%D8%AE%D8%B4%DB%8C-%D8%AF%D8%B1%D9%85%D8%A7%D9%86-%D8%B1%D9%88%D8%A7%D9%86%D9%BE%D9%88%DB%8C%D8%B4%DB%8C-%DA%A9%D9%88%D8%AA%D8%A7%D9%87-%D9%85%D8%AF%D8%AA-%D8%A8%D8%B1-%D8%A7%D8%AC%D8%AA%D9%86%D8%A7%D8%A8-%D8%B4%D9%86%D8%A7%D8%AE%D8%AA%DB%8C-%D8%B1%D9%81%D8%AA%D8%A7%D8%B1%DB%8C-%D9%88%D9%86%D8%B4%D8%AE%D9%88%D8%A7%D8%B1-%D8%B0%D9%87%D9%86%DB%8C-%D8%A8%DB%8C%D9%85%D8%A7%D8%B1%D8%A7%D9%86-%D8%A7%D9%81%D8%B3%D8%B1%D8%AF%D9%87-%DA%A9%D9%84%DB%8C%D9%86%DB%8C%DA%A9-%D8%B1%D9%88%D8%A7%D9%86%D8%B4%D9%86%D8%A7%D8%B3%DB%8C-%D8%B4%D9%87%D8%B1-%DA%AF%D8%B1%DA%AF%D8%A7%D9%86
Kratzer, L., Heinz, P., Pfitzer, F., Padberg, F., Jobst, A., & Schennach, R. (2018). Mindfulness and pathological dissociation fully mediate the association of childhood abuse and PTSD symptomatology. European Journal of Trauma & Dissociation, 2(1), 5-10. https://doi.org/10.1016/j.ejtd.2017.06.004
Mathias, C. W., Dougherty, D. M., Marsh, D. M., Moeller, F. G., & Hicks, L. R. (2020). Laboratory measures of impulsivity: a comparison of women with or without childhood aggression. Psychological Record, 52, 289-303. https://www.researchgate.net/publication/7663830_Laboratory_behavioral_measures_of_impulsivity_Behavioral_Research_methods_37_82-90
Nohi, S., & Hasani, J. (2017). The Relationship between Cognitive Emotion Regulation Strategies and Defense Mechanisms with Borderline Personality Disorder. Thoughts and Behavior in Clinical Psychology, 12(43), 57-66. https://jtbcp.roudehen.iau.ir/article_1044.html
https://jtbcp.roudehen.iau.ir/article_1044_978fe7f372d556179921b21e47835165.pdf
Ostacher, M. J., & Cifu, A. S. (2018). Management of posttraumatic stress disorder. JAMA, 321(2), 200-201. https://doi.org/10.1001/jama.2018.19290
Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine, 383(6), 510-512. https://doi.org/10.1056/NEJMp2008017
Ponce de León, B., Andersen, S., Karstoft, K. I., & Elklit, A. (2018). Predeployment dissociation and personality as risk factors for postdeployment posttraumatic stress disorder in Danish soldiers deployed to Afghanistan. European Journal of Psychotraumatology, 9(1), 89-121. https://doi.org/10.1080/20008198.2018.1443672
Ranjbar Sudejani, Y., Sharifi, K., Sayyah, S. S., & Malek Mohamadi Galeh, Z. (2017). Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Correcting Irrational Beliefs and Reducing Cognitive Avoidance of People with Obsessive Compulsive Disorder. counseling_journal, 16(62), 140-169. http://irancounseling.ir/journal/article-1-364-en.html
Remmerswaal, K. C. P., Lans, L., Seldenrijk, A., Hoogendoorn, A. W., van Balkom, A. J. L. M., & Batelaan, N. M. (2021). Effectiveness and feasibility of intensive versus regular cognitive behaviour therapy in patients with anxiety and obsessive-compulsive disorders: A meta-analysis. Journal of Affective Disorders Reports, 6, 100267. https://doi.org/10.1016/j.jadr.2021.100267
Rezaiti Zadeh, H., & Gholipour, S. (2021). The Effectiveness of Cognitive-Analytic Therapy on Acute Stress Disorder Symptoms and Dissociative Experiences in Road Accident Victims. Journal of Counseling and Psychotherapy Excellence, 10(39), 59-70. https://sanad.iau.ir/en/Journal/DownloadFile/931995
Sadock, B. J., Sadoch, V. A., & Ruiz, P. (2015). Synopsis of psychiatry: behavioral sciences, clinical psychiatry. Wolters Kluwer. https://www.amazon.de/-/en/Kaplan-Sadocks-Synopsis-Psychiatry-Behavioral/dp/1609139712
Suszek, H., Holas, P., Wyrzykowski, T., Lorentzen, S., & Kokoszka, A. (2015). Short-Term Intensive Psychodynamic Group Therapy Versus Cognitive-Behavioral Group Therapy in Day Treatment of Anxiety Disorders and Comorbid Depressive or Personality Disorders: Study Protocol for a Randomized Controlled Trial. Trials, 16(1). https://doi.org/10.1186/s13063-015-0827-6
Tajeryan, Z., Afrooz, G. A., & Nouryghasemabadi, R. (2022). Social Problem Solving in Women with PTSD and Addiction. Psychology of Woman Journal, 3(4), 84-91. https://doi.org/10.61838/
Tajeryan, Z., Afrooz, G. A., & Nouryghasemabadi, R. (2023). Emotion Regulation in Women with PTSD and Addiction. Psychology of Woman Journal, 4(2), 160-168. https://doi.org/10.61838/kman.pwj.4.2.19
Tarakçıoğlu, M. C. (2024). Can Cognitive Behavioral Therapy Be Effective for Social Anxiety Disorder With Dissociative and Self-Harm Behaviors in a 15-Year-Old Adolescent? Medical Research Reports, 7(2), 114-119. https://doi.org/10.55517/mrr.1419278
Town, J. M., Abbass, A., Stride, C., Nunes, A., Bernier, D., & Berrigan, P. (2020). Efficacy and cost-effectiveness of intensive short-term dynamic psychotherapy for treatment-resistant depression: 18-month follow-up of The Halifax Depression Trial. Journal of affective disorders, 273, 194-202. https://doi.org/10.1016/j.jad.2020.04.035