Journal of Health And Care
Volume 26, Issue 4 (winter 2024)
JHC 2024, 26(4): 379-393 |
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Ethics code: IR.IAU.KHUISF.REC.1402.244
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Nori Pargo M, Foroozandeh E, Baradaran M, Khoshakhlagh H. The Effectiveness of Internal Family Systems Therapy (IFS) and Mindfulness-Based Cognitive Therapy (MBCT) on Anxiety Sensitivity and Body Dysphoria in Women with Childhood Trauma Experiences.. JHC 2024; 26 (4) :379-393
URL: http://hcjournal.arums.ac.ir/article-1-1601-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1601-en.html
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
Abstract: (699 Views)
Background: Traumatic childhood experiences can have symptoms such as anxiety, depression, and post-traumatic stress disorder. Recently, the internal family systems and mindfulness-based cognitive therapy have been used for a wide range of psychological problems in individuals with trauma experiences. The study aimed to compare the effectiveness of internal family systems therapy and mindfulness-based cognitive therapy on anxiety sensitivity and body dysphoria in women with childhood trauma experiences.
Methods: The study method was quasi-experimental with a pretest-posttest design and a 2-month follow-up with a control group. The study participants included 89 women with childhood trauma experience who visited counseling centers in Lahijan city in 2023. Using a purposive sampling method, 60 people were selected and randomly divided into three groups of 20 individuals each. Data collection tools included the Childhood Trauma Questionnaire by Bernstein et al. (2003), the Anxiety Sensitivity Index-Revised (ASI-R) by Taylor and Cox (1998), and the Rating Scale for Body Dysmorphic Disorder by Phillips et al. (1997). Data were gathered before, after, and two months after the completion of interventions. The first experimental group received Schwartz and Sweezy's internal family systems therapy package for ten 90-minute sessions and the second experimental group received Segal et al.'s mindfulness-based cognitive therapy package for nine 100-minute sessions, once a week for both groups. The control group did not receive any intervention. According to the dropout of the subjects, the data of 16 people in each group were finally analyzed using SPSS-24 software and repeated measures statistical analysis ANOVA.
Results: The results showed that both interventions were effective for anxiety sensitivity and body dysmorphia, and the treatment effect was stable during the follow-up period (p<0.001). Similarly, the results showed that there was no difference between internal family systems therapy and mindfulness-based cognitive therapy for anxiety sensitivity and body dysphoria.
Conclusion: Considering the effectiveness of the internal family systems therapy and cognitive therapy based on mindfulness for anxiety sensitivity and body dysphoria, both interventions may be used as effective treatments to improve anxiety sensitivity and body dysphoria in people who have experienced trauma.
Methods: The study method was quasi-experimental with a pretest-posttest design and a 2-month follow-up with a control group. The study participants included 89 women with childhood trauma experience who visited counseling centers in Lahijan city in 2023. Using a purposive sampling method, 60 people were selected and randomly divided into three groups of 20 individuals each. Data collection tools included the Childhood Trauma Questionnaire by Bernstein et al. (2003), the Anxiety Sensitivity Index-Revised (ASI-R) by Taylor and Cox (1998), and the Rating Scale for Body Dysmorphic Disorder by Phillips et al. (1997). Data were gathered before, after, and two months after the completion of interventions. The first experimental group received Schwartz and Sweezy's internal family systems therapy package for ten 90-minute sessions and the second experimental group received Segal et al.'s mindfulness-based cognitive therapy package for nine 100-minute sessions, once a week for both groups. The control group did not receive any intervention. According to the dropout of the subjects, the data of 16 people in each group were finally analyzed using SPSS-24 software and repeated measures statistical analysis ANOVA.
Results: The results showed that both interventions were effective for anxiety sensitivity and body dysmorphia, and the treatment effect was stable during the follow-up period (p<0.001). Similarly, the results showed that there was no difference between internal family systems therapy and mindfulness-based cognitive therapy for anxiety sensitivity and body dysphoria.
Conclusion: Considering the effectiveness of the internal family systems therapy and cognitive therapy based on mindfulness for anxiety sensitivity and body dysphoria, both interventions may be used as effective treatments to improve anxiety sensitivity and body dysphoria in people who have experienced trauma.
Keywords: Internal Family Systems Therapy, Mindfulness-Based Cognitive Therapy, Anxiety Sensitivity, Body Dysphoria, Childhood Trauma
Type of Study: quasi-experimental |
Subject:
Psychiatric Nursing
Received: 2024/11/15 | Accepted: 2024/12/30 | Published: 2024/12/30
Received: 2024/11/15 | Accepted: 2024/12/30 | Published: 2024/12/30
References
1. Bauer A, Fairchild G, Hammerton G, Murray J, Santos IS, Rodrigues LT, et al. Associations between childhood trauma and childhood psychiatric disorders in Brazil: a population-based, prospective birth cohort study. The Lancet Psychiatry. 2022;9(12):969-77. [DOI:10.1016/S2215-0366(22)00337-6] [PMID]
2. Maercker A, Cloitre M, Bachem R, Schlumpf YR, Khoury B, Hitchcock C, et al. Complex post-traumatic stress disorder. The Lancet. 2022;400(10345):60-72. [DOI:10.1016/S0140-6736(22)00821-2] [PMID]
3. Manfield J, Oakley K, Macey JA, Waugh MC. Understanding the five-year outcomes of abusive head trauma in children: a retrospective cohort study. Developmental Neurorehabilitation. 2021;24(6):361-67. [DOI:10.1080/17518423.2020.1869340] [PMID]
4. Harnett N, Dumornay N, Delity M, Sanchez L, Mohiuddin K, Musey P, et al. Prior differences in previous trauma exposure primarily drive the observed racial/ethnic differences in posttrauma depression and anxiety following a recent trauma. Psychological Medicine. 2023;53(6):2553-62. [DOI:10.1017/S0033291721004475] [PMID] []
5. Xie Q, Guan Y, Hofmann SG, Jiang T, Liu X. The potential mediating role of anxiety sensitivity in the impact of mindfulness training on anxiety and depression severity and impairment: a randomized controlled trial. Scandinavian Journal of Psychology. 2023;64(1):21-29. [DOI:10.1111/sjop.12860] [PMID] []
6. Kamandloo M. The relationship between childhood trauma experience with anxiety symptoms and body dysmorphic disorder in cosmetic surgery applicants with the mediation of rejection sensitivity. Iranian Journal of Psychiatric Nursing. 2024;12(1):64-77. [Persian]
7. Kealy D, Laverdière O, Cox DW, Hewitt PL. Childhood emotional neglect and depressive and anxiety symptoms among mental health outpatients: the mediating roles of narcissistic vulnerability and shame. Journal of Mental Health. 2023;32(1):24-32. [DOI:10.1080/09638237.2020.1836557] [PMID]
8. Wang S, Cao H, Zhou N, Wu Q. Linking early emotional abuse/neglect with young adolescents' social (versus general) anxiety symptoms: a developmental cascade through emotion regulation. Children and Youth Services Review. 2024;166:107975. [DOI:10.1016/j.childyouth.2024.107975]
9. Karaytuğ MO, Tamam L, Demirkol ME, Namlı Z, Gürbüz M, Yeşiloğlu C. Impact of childhood trauma and adult separation anxiety disorder on quality of life in individuals with schizophrenia. Neuropsychiatric Disease and Treatment. 2023;6(3):181-96. [DOI:10.2147/NDT.S391897] [PMID] []
10. Watters ER, Aloe AM, Wojciak AS. Examining the associations between childhood trauma, resilience, and depression: a multivariate meta-analysis. Trauma, Violence, & Abuse. 2023;24(1):231-44. [DOI:10.1177/15248380211029397] [PMID]
11. Longobardi C, Badenes-Ribera L, Fabris MA. Adverse childhood experiences and body dysmorphic symptoms: a meta-analysis. Body Image. 2022;40(5):267-84. [DOI:10.1016/j.bodyim.2022.01.003] [PMID]
12. Stechler N, Henton I. "If only he were blind": Shame, trauma, and dissociation among women with body dysmorphic disorder in physically intimate relationships. International Journal of Qualitative Studies on Health and Well-being. 2022;17(1):201-11. [DOI:10.1080/17482631.2021.2015871] [PMID] []
13. Malcolm A, Pikoos TD, Grace SA, Castle DJ, Rossell SL. Childhood maltreatment and trauma is common and severe in body dysmorphic disorder. Comprehensive Psychiatry. 2021;109(6):152-56. [DOI:10.1016/j.comppsych.2021.152256] [PMID]
14. Jassi A, Krebs G. Body dysmorphic disorder. Psychiatric Clinics. 2023;46(1):197-209. [DOI:10.1016/j.psc.2022.10.005] [PMID]
15. Veale D, Neziroglu F. Body Dysmorphic Disorder: A Treatment Manual. John Wiley & Sons; 2010. [DOI:10.1002/9780470684610]
16. McLaughlin KA, Colich NL, Rodman AM, Weissman DG. Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience. BMC Medicine. 2020;18(7):1-11. [DOI:10.1186/s12916-020-01561-6] [PMID] []
17. Bohus M, Kleindienst N, Hahn C, Müller-Engelmann M, Ludäscher P, Steil R, et al. Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) compared with Cognitive Processing Therapy (CPT) in complex presentations of PTSD in women survivors of childhood abuse: a randomized clinical trial. JAMA Psychiatry. 2020;77(12):1235-45. [DOI:10.1001/jamapsychiatry.2020.2148] [PMID] []
18. Jones ER, Lauricella D, D'Aniello C, Smith M, Romney J. Integrating internal family systems and solutions focused brief therapy to treat survivors of sexual trauma. Contemporary Family Therapy. 2022;44(2):167-75. [DOI:10.1007/s10591-021-09571-z]
19. Schwartz R, Sweezy M. Internal Family Systems Therapy. Guilford Press: New York; 2020.
20. Earleywine M, Oliva AB, De Leo JA, Banks R. An examination of internal family systems interventions for trauma with implications for ethical psychedelic-assisted treatment. Journal of Psychedelic Studies. 2024;4(6):34-57. [DOI:10.1556/2054.2024.00265]
21. Haddock SA, Weiler LM, Trump LJ, Henry KL. The efficacy of internal family systems therapy in the treatment of depression among female college students: a pilot study. Journal of Marital and Family Therapy. 2017;43(1):131-44. [DOI:10.1111/jmft.12184] [PMID]
22. Hodgdon HB, Anderson FG, Southwell E, Hrubec W, Schwartz R. Internal Family Systems (IFS) therapy for Post Traumatic Stress Disorder (PTSD) among survivors of multiple childhood trauma: a pilot effectiveness study. Journal of Aggression, Maltreatment & Trauma. 2022;31(1):22-43. [DOI:10.1080/10926771.2021.2013375]
23. Comeau A, Smith LJ, Smith L, Soumerai Rea H, Ward MC, Creedon TB, et al. Online group-based internal family systems treatment for posttraumatic stress disorder: feasibility and acceptability of the program for alleviating and resolving trauma and stress. Psychological Trauma: Theory, Research, Practice, and Policy. 2024;16(S3):S636-S640. [DOI:10.1037/tra0001688] [PMID]
24. Schwartz RC, Sweezy M. Internal Family Systems Therapy. Guilford Publications; 2019. [DOI:10.1007/978-3-319-49425-8_199]
25. Sverre KT, Nissen ER, Farver-Vestergaard I, Johannsen M, Zachariae R. Comparing the efficacy of mindfulness-based therapy and cognitive-behavioral therapy for depression in head-to-head randomized controlled trials: a systematic review and meta-analysis of equivalence. Clinical Psychology Review. 2023;(5)100:102-14. [DOI:10.1016/j.cpr.2022.102234] [PMID]
26. Tseng HW, Chou FH, Chen CH, Chang YP. Effects of mindfulness-based cognitive therapy on major depressive disorder with multiple episodes: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2023;20(2):1555. [DOI:10.3390/ijerph20021555] [PMID] []
27. Kabat-Zinn J. The invitation within the cultivation of mindfulness. Mindfulness. 2021;12(4):1034-37. [DOI:10.1007/s12671-021-01592-x]
28. Lee SH, Cho SJ. Cognitive behavioral therapy and mindfulness-based cognitive therapy for depressive disorders. Advances in Experimental Medicine and Biology. 2021;(6):295-310. [DOI:10.1007/978-981-33-6044-0_16] [PMID]
29. McCartney M, Nevitt S, Lloyd A, Hill R, White R, Duarte R. Mindfulness‐based cognitive therapy for prevention and time to depressive relapse: systematic review and network meta‐analysis. Acta Psychiatrica Scandinavica. 2021;143(1):6-21. [DOI:10.1111/acps.13242] [PMID]
30. Li J, Cai Z, Li X, Du R, Shi Z, Hua Q, et al. Mindfulness-based therapy versus cognitive behavioral therapy for people with anxiety symptoms: a systematic review and meta-analysis of random controlled trials. Annals of Palliative Medicine. 2021;10(7):7596612-7612. [DOI:10.21037/apm-21-1212] [PMID]
31. Sedighi K, Saffarian Toosi M, Khadivi G. Effectiveness of mindfulness based cognitive therapy on anxiety and depression of divorce women. Journal of Research in Behavioral Sciences. 2021;19(1):149-58. [Persian] [DOI:10.52547/rbs.19.1.149]
32. Rafee M, Sabahi P, Makvand Hosseini S. Effectiveness of mindfulness-based cognitive therapy on depression, anxiety, stress and quality of life in elderly men living in nursing homes. Medical Journal of Mashhad University of Medical Sciences. 2020;62(5):23-36. [Persian]
33. Foroughi A, Sadeghi K, Parvizifard A, Parsa Moghadam A, Davarinejad O, Farnia V, et al. The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression. Trends in Psychiatry and Psychotherapy. 2020;42(7):138-46. [Persian] [DOI:10.1590/2237-6089-2019-0016] [PMID]
34. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect. 2003;27(2):169-90. [DOI:10.1016/S0145-2134(02)00541-0] [PMID]
35. Ebrahimi H, Dejkam M, Seghatoleslam T. Childhood traumas and suicide attempt in adulthood. Iranian Journal of Psychiatry and Clinical Psychology. 2014;19(4):275-82. [Persian]
36. Taylor S, Cox BJ. An expanded anxiety sensitivity index: evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders. 1998;12(5):463-83. [DOI:10.1016/S0887-6185(98)00028-0] [PMID]
37. Birami M, Akbari I, Qasimpour A, Azimi Z. Investigating anxiety sensitivity, meta-anxiety and emotional regulation components in students with clinical and normal social anxiety symptoms. Studies in Clinical Psychology. 2011;2(8):40-69. [Persian]
38. Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacology Bulletin. 1997;33(1):17-25.
39. Rabiei M, Salahian A, Bahrami F, Palahang H. Construction and standardization of the body dysmorphic metacognition questionnaire. Journal of Mazandaran University of Medical Sciences. 2011;21(83):43-52. [Persian]
40. Segal DL, Coolidge FL, Cahill BS, O'Riley AA. Psychometric properties of the Beck Depression Inventory-II (BDI-II) among community-dwelling older adults. Behavior Modification. 2008;32(1):3-20. [DOI:10.1177/0145445507303833] [PMID]
41. Mehrad Sadr M, Borjali A, Eskandari H, Delavar A. Design and validation of a therapy program based on the internal family systems model and its efficacy on internet addiction. Journal of Psychological Science. 2023;22(121):19-35. [Persian]
42. Khalili MD, Hosseini SM, Sabahi P. Effects of mindfulness-based cognitive therapy on anxiety sensitivity in patients with multiple sclerosis. Jundishapur Journal of Chronic Disease Care. 2023;12(1):34-45. [Persian] [DOI:10.5812/jjcdc-132672]
43. Taheri E. The effectiveness of cognitive therapy based on mindfulness on anxiety sensitivity and emotion regulation. Research in Clinical Psychology and Counseling. 2018;7(2):105-22. [Persian]
44. Mahjuob N, Teymouri S. The effectiveness of mindfulness-based cognitive therapy on reducing anxiety sensitivity and meta-worry in students with social anxiety. Journal of Clinical Psychology. 2015;7(2):39-48. [Persian]
45. Hosseinpoor Mohammadabadi R, Khoshakhlagh H. The effectiveness of mindfulness-based cognitive therapy on sense of coherence, emotional processing, death anxiety, and body image in breast cancer patients. Sadra Medical Journal. 2024;12(1):12-24. [Persian]
46. Shariati S, Abbasi G, Mirzaian B. The effectiveness of eating-based mindfulness training on alexithymia and self-differentiation of overweight women. Journal of Adolescent and Youth Psychological Studies (JAYPS). 2023;4(7):49-58. [Persian] [DOI:10.61838/kman.jayps.4.7.6]
47. Sartipi Yarahmadi M, Kordestani D, Goodarzi K, Rozbahani M. The effectiveness of mindfulness-based stress reduction therapy on emotion regulation and life orientation in obese women. Middle Eastern Journal of Disability Studies. 2024;14(1):3-17. [Persian]
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