logo
Volume 25, Issue 1 (Spring 2023)                   JHC 2023, 25(1): 73-85 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bagheri Sheykhangafshe F, Fathi-Ashtiani A, Savabi Niri V, Bikas Yekani M, Nasiri Shurjeh A. Efficacy of Internet-Based Cognitive Behavioral Therapy on Difficulties in Emotional Regulation and Psychological Well-being of Students with COVID-19 Anxiety. JHC 2023; 25 (1) :73-85
URL: http://hcjournal.arums.ac.ir/article-1-1408-en.html
Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
Abstract:   (527 Views)
Background & aim: During the COVID-19 pandemic and nationwide quarantine, many universities were closed and continued their activities electronically. This issue caused many students to experience high anxiety. In this regard, the present study was conducted to investigate the effectiveness of online cognitive-behavioral therapy on the difficulties in emotional regulation and psychological well-being of students with the anxiety of COVID-19.
Methods: The present research method was semi-experimental and its design was pre-test-post-test with the control group. The statistical population of the research included the students of Tarbiat Modares University in the academic year 2021. The study sample includes 30 students with COVID-19 anxiety who were selected using the available sampling method and randomly placed in two experimental groups (n=15) and control a group (n=15). The collection tool included a questionnaire on COVID-19 anxiety, difficulty in emotional regulation, and psychological well-being. The experimental group received 90-minute sessions of cognitive-behavioral therapy, but the control group did not receive any intervention. Finally, the obtained data were analyzed by multivariate analysis of covariance.
Results: The results of covariance analysis showed that online cognitive-behavioral therapy significantly increases psychological well-being and reduces difficulties in emotional regulation in students with COVID-19 anxiety (p<0.01). Also, 94% of the total variances of the experimental and control groups are caused by the effect of the independent variable.
Conclusion: Considering the effectiveness of online cognitive-behavioral therapy on emotional regulation and psychological well-being of students with COVID-19 anxiety, to quickly provide medical services during acute and pandemic conditions, this method can be used for other psychological disorders.
Full-Text [PDF 262 kb]   (196 Downloads)    
Type of Study: article | Subject: Psychiatric Nursing
Received: 2022/10/10 | Accepted: 2023/04/27 | Published: 2023/05/31

References
1. Yang J, Chen X, Deng X, Chen Z, Gong H, Yan H, et al. Disease burden and clinical severity of the first pandemic wave of COVID-19 in Wuhan, China. Nature Communications. 2020;11(1):1-10. [DOI:10.1038/s41467-020-19238-2] [PMID] []
2. Cleofas JV, Rocha IC. Demographic, gadget and internet profiles as determinants of disease and consequence related COVID-19 anxiety among Filipino college students. Education and Information Technologies. 2021;26(6):6771-86. [DOI:10.1007/s10639-021-10529-9] [PMID] []
3. Saberi A, Saadat S, Ashraf A, Nabatchi Ahmadi T, Bagheri Sheykhangafshe F, Hatamian H, et al. COVID-19 anxiety, academic burnout and academic achievement among medical stagers and interns at Guilan University of Medical Sciences, in 2020. Caspian Journal of Health Research. 2021;6(3):73-80. [DOI:10.32598/CJHR.6.3.7]
4. Biswas S, Biswas A. Anxiety level among students of different college and universities in India during lock down in connection to the COVID-19 pandemic. Journal of Public Health. 2023;31(1):49-55. [DOI:10.1007/s10389-020-01431-8] [PMID] []
5. Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during Covid-19 mandatory confinement. Comprehensive Psychiatry. 2020;102(1):152191-199. [DOI:10.1016/j.comppsych.2020.152191] [PMID] []
6. Ardan M, Rahman FF, Geroda GB. The influence of physical distance to student anxiety on COVID-19, Indonesia. Journal of Critical Reviews. 2020;7(17):1126-32.
7. Pramukti I, Strong C, Sitthimongkol Y, Setiawan A, Pandin MG, Yen CF, et al. Anxiety and suicidal thoughts during the COVID-19 pandemic: cross-country comparative study among Indonesian, Taiwanese, and Thai University students. Journal of Medical Internet Research. 2020;22(12):e24487-e24496. [DOI:10.2196/24487] [PMID] []
8. Bagheri Sheykhangafshe F, Hajialiani V, Hasani J. The role of resilience and emotion regulation in psychological distress of hospital staff during the COVID-19 pandemic: a systematic review study. Journal Research Health. 2021;11(6):365-74. [DOI:10.32598/JRH.11.6.1922.1]
9. Gratz KL, Roemer L. 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. 2004;26(1):41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]
10. Gratz KL, Roemer L. The relationship between emotion dysregulation and deliberate self‐harm among female undergraduate students at an urban commuter university. Cognitive Behavior Therapy. 2008;37(1):14-25. [DOI:10.1080/16506070701819524] [PMID]
11. Buckner JD, Lewis EM, Abarno CN, Morris PE, Glover NI, Zvolensky MJ. Difficulties with emotion regulation and drinking during the COVID-19 pandemic among undergraduates: the serial mediation of COVID-related distress and drinking to cope with the pandemic. Cognitive Behaviour Therapy. 2021;50(4):261-75. [DOI:10.1080/16506073.2020.1861084] [PMID]
12. Judy K, McGinley JJ, Llera SJ. Emotion regulation difficulties moderate the effects of pandemic-related factors on stress and anxiety during the COVID-19 pandemic. Archives of Psychiatry & Psychotherapy. 2022;24(1):32-41. [DOI:10.12740/APP/144540]
13. Solbakken OA, Ebrahimi OV, Hoffart A, Monsen JT, Johnson SU. Emotion regulation difficulties and interpersonal problems during the COVID-19 pandemic: predicting anxiety and depression. Psychological Medicine. 2021;14(1):1-5. [DOI:10.31234/osf.io/g5d8r]
14. Hong D, Zhu Y, Yu M. How health anxiety affected obsessive-compulsive symptoms during the COVID-19 pandemic in China: the mediation of difficulties in emotion regulation and the moderation of pathological personality traits. Personality and Individual Differences. 2022; 185:111254. [DOI:10.1016/j.paid.2021.111254] [PMID] []
15. Alfawaz HA, Wani K, Aljumah AA, Aldisi D, Ansari MG, Yakout SM, et al. Psychological well-being during COVID-19 lockdown: insights from a Saudi State University's Academic Community. Journal of King Saud University-Science. 2021;33(1):101262-268. [DOI:10.1016/j.jksus.2020.101262] [PMID] []
16. Ryff CD. Happiness is everything, or is it? explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989;57(6):1069-81. [DOI:10.1037/0022-3514.57.6.1069]
17. Laukkala T, Suvisaari J, Rosenström T, Pukkala E, Junttila K, Haravuori H, et al. COVID-19 pandemic and Helsinki University Hospital personnel psychological well-being: six-month follow-up results. International Journal of Environmental Research and Public Health. 2021;18(5):2524. [DOI:10.3390/ijerph18052524] [PMID] []
18. Eden AL, Johnson BK, Reinecke L, Grady SM. Media for coping during COVID-19 social distancing: stress, anxiety, and psychological well-being. Frontiers in Psychology. 2020;11(1):577639. [DOI:10.3389/fpsyg.2020.577639] [PMID] []
19. Vistisen HT, Sønderskov KM, Dinesen PT, Østergaard SD. Psychological well-being and symptoms of depression and anxiety across age groups during the second wave of the COVID-19 pandemic in Denmark. Acta Neuropsychiatrica. 2021;33(6):331-34. [DOI:10.1017/neu.2021.21] [PMID]
20. Silva WA, de Sampaio Brito TR, Pereira CR. Anxiety associated with COVID-19 and concerns about death: impacts on psychological well-being. Personality and Individual Differences. 2021;176(2):110772. [DOI:10.1016/j.paid.2021.110772] [PMID] []
21. Faraci P, Bottaro R, Valenti GD, Craparo G. Psychological well-being during the second wave of CoViD-19 pandemic: the mediation role of generalized anxiety. Psychology Research and Behavior Management. 2022;15:695-709. [DOI:10.2147/PRBM.S354083] [PMID] []
22. Ying Y, Ji Y, Kong F, Chen Q, Lv Y, Hou Y, et al. Internet-based cognitive behavioral therapy for psychological distress in older adults without cognitive impairment living in nursing homes during the COVID-19 pandemic: a feasibility study. Internet Interventions. 2021;26:100461. [DOI:10.1016/j.invent.2021.100461] [PMID] []
23. Li I, Millard M, Haskelberg H, Hobbs M, Luu J, Mahoney A. COVID-19 related differences in the uptake and effects of internet-based cognitive behavioral therapy for symptoms of obsessive-compulsive disorder. Behavioral and Cognitive Psychotherapy. 2022;50(2):219-36. [DOI:10.1017/S1352465821000448] [PMID]
24. Molloy A, Anderson PL. Increasing acceptability and outcome expectancy for internet-based cognitive behavioral therapy during the COVID-19 pandemic. Telemedicine and e-Health. 2022;28(6):888-95. [DOI:10.1089/tmj.2021.0393] [PMID]
25. Aminoff V, Sellén M, Sörliden E, Ludvigsson M, Berg M, Andersson G. Internet-based cognitive behavioral therapy for psychological distress associated with the COVID-19 pandemic: a pilot randomized controlled trial. Frontiers in Psychology. 2021;12:1998. [DOI:10.3389/fpsyg.2021.684540] [PMID] []
26. Sharrock MJ, Mahoney AE, Haskelberg H, Millard M, Newby JM. The uptake and outcomes of Internet-based cognitive behavioral therapy for health anxiety symptoms during the COVID-19 pandemic. Journal of Anxiety Disorders. 2021;84:102494. [DOI:10.1016/j.janxdis.2021.102494] [PMID] []
27. Smith PL, Little DR. Small is beautiful: in defense of the small-N design. Psychonomic Bulletin & Review. 2018;25(6):2083-101. [DOI:10.3758/s13423-018-1451-8] [PMID] []
28. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the Corona disease anxiety scale (CDAS) in the Iranian sample. Quarterly Journal of Health Psychology. 2020;8(4):163-75 [Persian].
29. Shabahang R, Shojaei M, Bagheri Sheykhangafshe F, Hossien Khanzadeh A, Nikogoftar M. Structural analysis of relationship between hoarding and interpersonal problems: mediating role of difficulties in emotional regulation. Journal of Applied Psychological Research. 2020;10(4):49-67 [Persian].
30. Bagheri Sheykhangafshe F, Shabahang R. Prediction of psychological well-being of elderly people based on spirituality, social support, and optimism. Journal Religion and Health. 2020;7(2):22-32 [Persian].
31. Asmundson GJ, Abramowitz JS, Richter AA, Whedon M. Health anxiety: current perspectives and future directions. Current Psychiatry Reports. 2010;12(4):306-12. [DOI:10.1007/s11920-010-0123-9] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.