We evaluated the impact of cognitive-behavioral group therapy on the depression and self-esteem of clinically depressed patients. This longitudinal study involved 26 experimental group patients who received 12 weeks of cognitive-behavioral group therapy and 25 comparison subjects. Two weeks before the study, immediately upon therapy completion, and 1 month later, all the participants underwent pretest, posttest, and follow-up, respectively. The experimental group patients experienced greater cognitive improvements (i.e., depression relief, self-esteem increase) as compared with the comparison group subjects. One month after therapy completion, the depressive symptoms and self-esteem of the experimental group patients remained slightly but significantly better than those of the comparison group subjects.
"Another important finding of this study was the confirmation of CBT effectiveness in terms of the symptoms of the patients suffering from dysthymia. These findings were in line with broad meta-analysis results of Wampold et al. and Chen et al. with regard to CBT effectiveness on dysthymic disorders. The mentioned studies showed that effectiveness of CBT therapy was significantly different from that of the waiting list and pseudo-therapy conditions in all the stages. "
[Show abstract][Hide abstract] ABSTRACT: Due to the controversy over efficacy of cognitive-behavioral therapy for chronic depression, recently, there has been an increasingly tendency toward therapeutic methods based on the cultural and spiritual approaches. The aim of this research was to compare efficacy of spiritual integrated psychotherapy (SIPT) and cognitive-behavioral therapy (CBT) on the intensity of depression symptoms and dysfunctional attitudes of patients with dysthymic disorder.
This study had a mixed qualitative and quantitative design. In the first phase, SIPT model was prepared and, in the second phase, a double-blind random clinical trial was performed. Sixty-two patients with dysthymic disorder were selected from several centers include Nour and Alzahra Medical Center, Counseling Centers of Isfahan University of Medical Sciences and Goldis in Isfahan. The participants were randomly assigned to three experimental groups and one control group. The first group received 8 sessions treatment of SIPT, second groups also had 8 sessions of cognitive-behavioral therapy, which was specific to dysthymic disorder and third group were under antidepressant treatment. Beck depression inventory and dysfunctional attitudes scale were used to evaluate all the participants in four measurement stages. The data were analyzed using MANCOVA repeated measure method.
The results revealed that SIPT had more efficacy than medication based on both scales (P < 0.01); however, it was not different from CBT. SIPT was more effective on the modification of dysfunctional attitudes compared with CBT and medication (P < 0.05).
These findings supported the efficacy of psychotherapy enriched with cultural capacities and religious teachings.
"CBT supports clients that are willing to cope, and realize for themselves the challenges in the external world and the problems the future may bring (Chen, Lu, Chang, Chu, & Chou, 2006). Previous research has described the usefulness of CBT, showing marked improvement for depression (Jamal & Kordi, 2006; Scott et al., 2000), increasing selfesteem in depressed clients (Chen et al., 2006), improving aspects of self-awareness, self-esteem, and resilience (Coholic, 2011), raising levels of self-esteem (Lim et al., 2010) while decreasing anxiety disorders (Lorian, Titov, & Grisham, 2012). Art therapy refers to an application all of arts in therapy with all ages, families, and groups to increase healing, and the wellbeing in individuals (Malchiodi, 2005). "
[Show abstract][Hide abstract] ABSTRACT: This research explored the effect of combined rational emotive behavior therapy (REBT) and the art therapy (engraving method) on improving self-esteem and resilience. The research method was quasi experimental. The study used the Coopersmith Self-esteem Inventory (SEI) and the Connor–Davidson Resilience Scale as pre- and post-test assessments to assess the effects on a sample of Iranian students. A sample of 24 Iranian university students were randomly placed in two groups, including one experimental group and one control group. This was followed by REBT and art therapy while students in the experimental group were taught for 10 sessions over a 10 weeks period there was no treatment for the control group over this time. The participants in both groups were evaluated before and after 10 sessions. The gathered data were analysed using the t-test method through the SPSS package. The results showed that the integration of REBT and art therapy for increase the self-esteem and resilience of students. Further, implications of the study and suggestions for future use are discussed.
The Arts in Psychotherapy 04/2013; 40(2):179–184. DOI:10.1016/j.aip.2012.12.006 · 0.58 Impact Factor
"Studies investigating psychotherapeutic interventions to improve SE in various mental disorders have yielded contradictory results. Two studies (Chen, Lu, Chang, Chu, & Chou, 2006; Knapen et al., 2005) found cognitive behavioural therapy (CBT) to improve SE in depressed patients, whereas two other studies (Hyun, Chung, & Lee, 2005; Reynolds & Coats, 1986) found no signifi cant improvement of SE in depressed patients. To our knowledge, however, the possible improvement of SE and SCC through psychotherapeutic intervention in patients with BPD has not been studied yet. "
[Show abstract][Hide abstract] ABSTRACT: Identity disturbance and an unstable sense of self are core criteria of borderline personality disorder (BPD) and significantly contribute to the suffering of the patient. These impairments are hypothesized to be reflected in low self-esteem and low self-concept clarity. The objective of this study was to evaluate the impact of an inpatient dialectic behavioral therapy (DBT) programme on self-esteem and self-concept clarity. Forty women with BPD were included in the study. Twenty patients were treated with DBT for 12 weeks in an inpatient setting and 20 patients from the waiting list served as controls. Psychometric scales were used to measure different aspects of self-esteem, self-concept clarity and general psychopathology. Patients in the treatment group showed significant enhancement in self-concept clarity compared with those on the waiting list. Further, the scales of global self-esteem and, more specifically, the facets of self-esteem self-regard, social skills and social confidence were enhanced significantly in the intervention group. Additionally, the treatment had a significant impact on basic self-esteem in this group. On the other hand, the scale of earning self-esteem was not significantly abased in patients with BPD and did not show significant changes in the intervention group. Our data provide preliminary evidence that DBT has an impact on several facets of self-esteem and self-concept clarity, and thus on identity disturbance, in women with BPD.
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