Arash Mani; Leila Khabir; Amir Reza Khodaman
Abstract
Background: Bipolar mood disorder (BMD) with a lifetime history of Attention-deficit hyperactivity disorder (ADHD) characterized by a particularly neuropsychological profile. This study aimed to clarify whether there is a difference between BMD patients with ADHD and BMD patients without ADHD in terms ...
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Background: Bipolar mood disorder (BMD) with a lifetime history of Attention-deficit hyperactivity disorder (ADHD) characterized by a particularly neuropsychological profile. This study aimed to clarify whether there is a difference between BMD patients with ADHD and BMD patients without ADHD in terms of neuropsychological functioning.Methods: This is a cross-sectional study with 68 samples (24 patients had BMD with ADHD and 44 patients had BMD) selected based on the target sampling during a year (March 2014 to March 2015). Tower of London (ToL) task, Conners’ Continuous Performance Test (CPT), and Wisconsin Card Sorting Test (WCST) were used for assessing neuropsychological functioning in participants. All statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) version 16 software.Results: The results revealed that the BMD with ADHD group was not more impaired than the BMD group on two measures of executive functioning TOL and CPT. The BMD in the ADHD group was more impaired than the BMD group on WCST.Conclusion: This study will be effective in understanding whether the cognitive flexibility impairments often detected in adult BMD are partially the result of lifetime ADHD.
Leila Khabir; Nourollah Mohamadi; Changiz Rahimi; Seyed Ali Dastgheib
Abstract
Background: Effective common factors such as therapeutic alliance and group cohesion play essential roles in outcome treatment in borderline personality disorder. The present study aimed to investigate the role of therapeutic alliance and group cohesion in group therapy based on mentalization and dialectical ...
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Background: Effective common factors such as therapeutic alliance and group cohesion play essential roles in outcome treatment in borderline personality disorder. The present study aimed to investigate the role of therapeutic alliance and group cohesion in group therapy based on mentalization and dialectical behavior in borderline personality disorder. Methods: This is a single-blind randomized controlled clinical trial conducted on 36 patients diagnosed with BPD (12 in each three groups). They were examined by a semi-structured clinical interview. Data were collected from March 2017 to June 2017. All screening and performance procedures were performed daily in Hefez hospital, Shiraz. Patients were selected through targeted sampling. Data were entered into SPSS, version 21, by using repeated measures and simple regression analysis and analyzed by one who was blind to the groups. The computer method was used for randomization. The participants were categorized into intervention and control groups. Before, immediately and two months after the intervention, the participants filled out the Borderline Personality Disorder Severity Index (BPDSI), Working Alliance Inventory (WAI), Group Cohesion Scale (GCS), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II (BDI-II) questionnaires. Results: After the intervention, therapeutic alliance (p=0.005) and group cohesion (p=0.0001) in both experimental groups had significantly higher scores compared to the control group. Conclusion: The two relationship elements were found to contribute to psychotherapy outcome. Therapeutic alliance and group cohesion had also been estimated to account for at least as much variance in psychotherapy outcome as specific therapeutic interventions.
Leila Khabir; Nurollah Mohamadi; Changiz Rahimi; Seyed Ali Dastgheib
Abstract
Background: Dialectical Behavior Therapy (DBT) and Metalization-based Treatment (MBT) are two approaches to the treatment of Borderline Personality Disorder (BPD). The present study aimed to investigate the clinical outcomes of dialectical behavior group therapy and metallization-based group therapy ...
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Background: Dialectical Behavior Therapy (DBT) and Metalization-based Treatment (MBT) are two approaches to the treatment of Borderline Personality Disorder (BPD). The present study aimed to investigate the clinical outcomes of dialectical behavior group therapy and metallization-based group therapy on reduction of the severity of symptoms in patients with BPD. Methods: This is a single-blind randomized controlled clinical trial conducted on 36 patients diagnosed with BPD by a psychiatrist. They were examined by a semi-structured clinical interview. Data were collected from March 2017 to June 2017. The participants were categorized into intervention and control groups. Before, immediately and two months after the intervention, the participants filled out the Borderline Personality Disorder Severity Index (BPDSI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II (BDI-II) questionnaires. Results: The two group therapy based on MBT and DBT were effective in reducing the symptoms of borderline personality disorder equally (p=0.4). Both treatments were more effective than the control group receiving only medication (p <0.001). This improvement was persistent two months after the intervention (p <0.001). Conclusion: The results of the study revealed that group psychotherapy based on metallization and dialectical behavior combined with pharmacotherapy is considerably more effective than treatment with pharmacotherapy. Metallization can be a common factor in any successful treatment of BPD.
