The Effectiveness of Virtual Cognitive-Behavioral Group Therapy on Anxiety Sensitivity and Emotional Regulation during the COVID-19 Pandemic

پژوهش های روان شناسی بالینی و مشاوره

Article 6, Volume 12, Issue 1 - Serial Number 23, September 2022, Pages 100-113   

Document Type: پژوهشی

DOI: 10.22067/tpccp.2022.67313.0

Authors

Elahe Ahangari^{* 1}; Mojtaba Bablhakami²

¹Master's degree in General Psychology, Department of Psychology, Payam Noor University, Kashmar, Iran

²Master's degree in clinical psychology, Department of Psychology, Payam Noor University, Kashmar, Iran

Abstract

Purpose: The purpose of this study was to investigate the effectiveness of virtual cognitive-behavioral group therapy on anxiety sensitivity and emotional regulation in individuals referred to Esmatiyeh Health Care Center of Kashmar city during the Covid-19 pandemic.
Method: The design of this semi-experimental research was pre-test-post-test with a control group. The statistical population of the study included all people who referred to Esmatiyeh Health Care Center of Kashmar city in 2020. From this statistical population, 150 people were selected as a sample by the voluntary and convenience sampling method. They were then asked to complete the questionnaires of anxiety sensitivity and emotional regulation (pre-test). From among those who met the inclusion criteria (willingness to participate in research, obtaining the criterion scores in questionnaires, not suffering from acute mental and physical illness, having access to virtual networks), 60 people were selected as a sample by random sampling method and were randomly assigned in experimental and control groups (30 people in each group). The experimental group received virtual cognitive-behavioral therapy group for 12 sessions and the control group did not receive any intervention. In the end, both groups were asked again to complete the research measures (post-test). Multivariate Analysis of Covariance was used to analyze the data.
Findings: The results showed that there were significant differences between the scores of the experimental and control groups in the scales of anxiety sensitivity and emotion regulation in the post-test phase (p <0.05). Based on the findings of this research, it is concluded that virtual cognitive-behavioral group therapy is a beneficial intervention in reducing anxiety sensitivity and increasing emotional regulation of people during the Covid-19 pandemic.

Keywords

Virtual cognitive-behavioral group therapy; anxiety sensitivity; emotional regulation; covid-19 pandemic

References

Alavi, K., Modarres, G. M., Amin, Y. S. A. & Salehi, F. J. (2011). Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students.

American Psychiatric Association, D., & Association, A. P. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. In: Washington, DC: American Psychiatric Association.

Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): A pilot randomized study. Behavior therapy, 47(3), 287-298.

Berman, N. C., Shaw, A. M., & Wilhelm, S. (2018). Emotion regulation in patients with obsessive compulsive disorder: Unique effects for those with “taboo thoughts”. Cognitive therapy and research, 42(5), 674-685.

De Zoysa, P. (2013). The use of mindfulness practice in the treatment of a case of obsessive compulsive disorder in Sri Lanka. Journal of religion and health, 52(1), 299-306.

Desrosiers, A., Vine, V., Klemanski, D. H., & Nolen‐Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depression and anxiety, 30(7), 654-661.

Dryman, M. T., & Heimberg, R. G. (2018). Emotion regulation in social anxiety and depression: a systematic review of expressive suppression and cognitive reappraisal. Clinical psychology review, 65, 17-42.

Emanuel, A. S., Updegraff, J. A., Kalmbach, D. A., & Ciesla, J. A. (2010). The role of mindfulness facets in affective forecasting. Personality and Individual differences, 49(7), 815-818.

Fergus, T. A., & Bardeen, J. R. (2014). Emotion regulation and obsessive–compulsive symptoms: A further examination of associations. Journal of Obsessive-Compulsive and Related Disorders, 3(3), 243-248.

First, M. B. (2014). Structured clinical interview for the DSM (SCID). The encyclopedia of clinical psychology, 1-6.

Garnefski, N., Koopman, H., Kraaij, V., & ten Cate, R. (2009). Brief report: Cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. Journal of adolescence, 32(2), 449-454.

Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54.

Gross, E., Stelzer, N., & Jacob, G. (2012). Treating OCD with the schema mode model. The Wiley-Blackwell handbook of schema therapy: theory, research, and practice, 174-184.

Guendelman, S., Medeiros, S., & Rampes, H. (2017). Mindfulness and emotion regulation: Insights from neurobiological, psychological, and clinical studies. Frontiers in psychology, 8, 220.

Hertenstein, E., Rose, N., Voderholzer, U., Heidenreich, T., Nissen, C., Thiel, N., Herbst, N., & Külz, A. K. (2012). Mindfulness-based cognitive therapy in obsessive-compulsive disorder–A qualitative study on patients’ experiences. BMC psychiatry, 12(1), 1-10.

Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of applied psychology, 98(2), 310.

Jaisoorya, T., Reddy, Y. J., Nair, B. S., Rani, A., Menon, P. G., Revamma, M., Jeevan, C., Radhakrishnan, K., Jose, V., & Thennarasu, K. (2017). Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian journal of psychiatry, 59(1), 56.

Külz, A. K., Landmann, S., Cludius, B., Rose, N., Heidenreich, T., Jelinek, L., Alsleben, H., Wahl, K., Philipsen, A., & Voderholzer, U. (2019). Mindfulness-based cognitive therapy (MBCT) in patients with obsessive–compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial. European archives of psychiatry and clinical neuroscience, 269(2), 223-233.

Leahy, R. L., Tirch, D., & Napolitano, L. A. (2011). Emotion regulation in psychotherapy: A practitioner's guide. Guilford press.

Martín-Asuero, A., & García-Banda, G. (2010). The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. The Spanish journal of psychology, 13(2), 897-905.

NeJat, A., Rafezi, Z., & Hossseinsabet, F. (2020). Predicting Obsessive-Compulsive Disorder based on Mindfulness, Cognitive Emotion Regulation Strategies, and Coping Strategies. Journal of Research in Behavioural Sciences, 18(2), 249-259.

Rapinesi, C., Kotzalidis, G. D., Ferracuti, S., Sani, G., Girardi, P., & Del Casale, A. (2019). Brain stimulation in obsessive-compulsive disorder (OCD): a systematic review. Current neuropharmacology, 17(8), 787-807.

Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52-57.

Seli, P., Risko, E. F., Purdon, C., & Smilek, D. (2017). Intrusive thoughts: Linking spontaneous mind wandering and OCD symptomatology. Psychological research, 81(2), 392-398.

Stern, M. R., Nota, J. A., Heimberg, R. G., Holaway, R. M., & Coles, M. E. (2014). An initial examination of emotion regulation and obsessive compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 109-114.

Visted, E., Vøllestad, J., Nielsen, M. B., & Schanche, E. (2018). Emotion regulation in current and remitted depression: a systematic review and meta-analysis. Frontiers in psychology, 9, 756.

Williams, W. C., Morelli, S. A., Ong, D. C., & Zaki, J. (2018). Interpersonal emotion regulation: Implications for affiliation, perceived support, relationships, and well-being. Journal of Personality and Social Psychology, 115(2), 224.

Yap, K., Mogan, C., Moriarty, A., Dowling, N., Blair‐West, S., Gelgec, C., & Moulding, R. (2018). Emotion regulation difficulties in obsessive‐compulsive disorder. Journal of clinical psychology, 74(4), 695-709.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner's guide. guilford press.