Document Type : Original Article

Authors

1 Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Psychiatry, Research Centre for Psychiatry and Behavioural Science, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Psychosocial adjustment problems can be obviously detected in patients with major depressive disorder. The present study aimed to assess the impact of cognitive-behavioral group training on psychosocial adjustment among patients with major depressive disorder.
Methods: This randomized clinical trial with pre/posttest design was conducted on 50 patients with major depressive disorder who were hospitalized in Ebnesina hospital, Shiraz, Iran. The intervention group took part in eight sessions of psychotherapy based on cognitive-behavioral approach. The participants completed Bell adjustment inventory before and two weeks after the intervention. After all, the data were analyzed using SPSS 22 software.
Results: The results revealed a significant difference between the two groups regarding the score of psychosocial adjustment after the intervention (P=0.000). Indeed, a significant difference was found in the intervention group’s adjustment score before and after the intervention (P=0.000). A significant difference was also observed between the two groups regarding the difference in the adjustment scores (P=0.000).
Conclusion: It is expected that behavioral skills alongside cognitive skills can empower the individuals’ capabilities to create more appropriate and purposeful relationships. Cognitivebehavioral training is a combination of behavioral and social skills together with modification of individuals’ attitude and cognition.

Keywords

  1. Helgeson VS, Jakubiak B, Van Vleet M, Zajdel M. Communal coping and adjustment to chronic illness: Theory update and evidence. Personality and Social Psychology Review. 2018; 22(2):170-95. doi: 10.1177/1088868317735767. PMID: 29053057; PMCID: PMC5878976.
  2. Hawken T, Turner-Cobb J, Barnett J. Coping and adjustment in caregivers: A systematic review. Health psychology open. 2018;5(2):2055102918810659.
  3. Kato T. Relationship between coping flexibility and the risk of depression in Indian adults. Asian Journal of Psychiatry. 2016;24:130-4. doi: 10.1016/j.ajp.2016.09.008. PMID: 27931896.
  4. Dekker J, de Groot V. Psychological adjustment to chronic disease and rehabilitation–an exploration. Disability and rehabilitation. 2018;40(1):116-20. PMID: 27830936.
  5. Wariso BA, Guerrieri GM, Thompson K, Koziol DE, Haq N, Martinez PE, et al. Depression during the menopause transition: impact on quality of life, social adjustment, and disability. Archives of women's mental health. 2017;20(2):273-82. doi: 1007/s00737-016-0701-x.  PMCID: PMC6309889.
  6. Parsamehr M, Hedat E. The Relationship between Emotional Intelligence and Students' Social Adjustment. Journal of social development. 2017;11(2):65- 94. 10.22055/qjsd.2017.12684.
  7. Dufner M, Gebauer JE, Sedikides C, Denissen JJ. Self-enhancement and psychological adjustment: A meta-analytic review. Personality and Social Psychology Review. 2019;23(1):48-72. doi: 10.1177/1088868318756467.
  8. Nam JY, Kim J, Cho KH, Choi J, Shin J, Park E-C. The impact of sitting time and physical activity on major depressive disorder in South Korean adults: a cross-sectional study. BMC psychiatry. 2017;17(1):274. doi: 1186/s12888-017-1439-3. PMCID: PMC5534054.
  9. Schiltz HK, McVey AJ, Dolan BK, Willar KS, Pleiss S, Karst JS, et al. Changes in Depressive Symptoms Among Adolescents with ASD Completing the PEERS® Social Skills Intervention. Journal of Autism and Developmental Disorders. 2017:1-10. doi: 1007/s10803-017-3396-6 . PMID: 29164445.
  10. Flory JD, Yehuda R. Comorbidity between post-traumatic stress disorder and major depressive disorder: alternative explanations and treatment considerations. Dialogues in clinical neuroscience. 2015;17(2):141. doi: 31887/DCNS.2015.17.2/jflory. PMCID: PMC4518698.
  11. Rubin-Falcone H, Weber J, Kishon R, Ochsner K, Delaparte L, Dore B, et al. Longitudinal effects of cognitive behavioral therapy for depression on the neural correlates of emotion regulation. Psychiatry research. 2017. doi: 1016/j.pscychresns.2017.11.002.
  12. Pineros-Leano M, Liechty JM, Piedra LM. Latino immigrants, depressive symptoms, and cognitive behavioral therapy: A systematic review. Journal of Affective Disorders. 2017;208:567-76. doi: 10.1016/j.jad.2016.10.025. PMID: 27810273.
  13. Koster EH, Hoorelbeke K, Onraedt T, Owens M, Derakshan N. Cognitive control interventions for depression: A systematic review of findings from training studies. Clinical Psychology Review. 2017;53:79-92. doi: 10.1016/j.cpr.2017.02.002. PMID: 28273486.
  14. Keles S, Idsoe T. A meta-analysis of group Cognitive Behavioral Therapy (CBT) interventions for adolescents with depression. Journal of Adolescence. 2018;67:129-39. doi: 1016/j.adolescence.2018.05.011 . PMID: 29957492.
  15. Gibbons MBC, Gallop R, Thompson D, Luther D, Crits-Christoph K, Jacobs J, et al. Comparative effectiveness of cognitive therapy and dynamic psychotherapy for major depressive disorder in a community mental health setting: a randomized clinical noninferiority trial. JAMA psychiatry. 2016;73(9):904-12. doi: 10.1001/jamapsychiatry.
  16. DeRubeis RJ, Zajecka J, Shelton RC, Amsterdam JD, Fawcett J, Xu C, et al. Prevention of recurrence after recovery from a major depressive episode with antidepressant medication alone or in combination with cognitive behavioral therapy: phase 2 of a 2-phase randomized clinical trial. Jama Psychiatry. 2020;77(3):237-45. Erratum in: JAMA Psychiatry. 2020 Jan 29. doi: 10.1001/jamapsychiatry.2019.3900. PMID: 31799993; PMCID: PMC6902236.
  17. Safaralinezhad A, Oveisi S, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: A clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21(2):48-59. doi:22038/ijogi.2018.10712.
  18. Idsoe T, Keles S. Study protocol for a randomized controlled trial of a group cognitive-behavioral course for depressed adolescents. BMC psychiatry. 2016;16(1):246. doi: 10.1186/s12888-016-0954-y.
  19. Nakao S, Nakagawa A, Oguchi Y, Mitsuda D, Kato N, Nakagawa Y, et al. Web-Based Cognitive Behavioral Therapy Blended With Face-to-Face Sessions for Major Depression: Randomized Controlled Trial. J Med Internet Res. 2018;20(9):e10743-e.
  20. Cruwys T, Haslam SA, Dingle GA, Haslam C, Jetten J. Depression and social identity: An integrative review. Personality and Social Psychology Review. 2014;18(3):215-38. doi: 10.1177/1088868314523839. Epub 2014 Apr 12. PMID: 24727974.
  21. Hoseyni S, Moghtader L. Effectiveness of Stress Coping Strategies on Social Adjustment. Thoughts and behavior. 2009;3(13):67-73. Epub 2014 Apr 12. doi: 10.1177/1088868314523839. PMID: 24727974.
  22. Naghshbandi S. Validity and reliability of Bell Inventory [Ph.D]: Islamic Azad University of Tehran; 2001. http://ijpcp.iums.ac.ir/article-1-2184-en.html.
  23. El Attik A, Awadalla H, Fakhry A, Wahab EA. Effectiveness of a cognitive behavioural programme to improve psychological and social adjustment among hepatitis C patients in Egypt/Efficacité d'un programme de thérapie cognitivo-comportementale pour améliorer l'adaptation psychologique et sociale des patients infectés par le virus de l'hépatite C en Égypte. Eastern Mediterranean Health Journal. 2013;19(3):S123. Suppl 3:S123-30. PMID: 24995735.
  24. Ashori M, Yazdanipour M. Investigation of the Effictiveness of Group Play Therapy Training With Cognitive-Behavioral Approach on the Social Skills of Students With Intellectual Disability. Archives of Rehabilitation.2018;19(3):262-75. http://rehabilitationj.uswr.ac.ir/article-1-2366-en.html.
  25. Mohamadian F, Bagheri M, Hashemi MS, Sani HK. The effects of cognitive behavioral therapy on depression and anxiety among patients with thalassemia: a randomized controlled trial. Journal of caring sciences. 2018;7(4):219. doi: 10.15171/jcs.2018.033. PMID: 30607363; PMCID: PMC6311627.
  26. Richards DA, Ekers D, McMillan D, Taylor RS, Byford S, Warren FC, et al. Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial. The Lancet. 2016;388(10047):871-80. Epub 2016 Jul 23. doi: 10.1016/S0140-6736(16)31140-0.
  27. de la Barrera U, Schoeps K, Gil-Gómez J-A, Montoya-Castilla I. Predicting Adolescent Adjustment and Well-Being: The Interplay between Socio-Emotional and Personal Factors. International journal of environmental research and public health. 2019;16(23):4650. doi: 10.3390/ijerph16234650. PMID: 31766641; PMCID: PMC6926821.