Volume 4, Issue 2 (June 2025)
IJER 2025, 4(2): 1-13 |
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Ali Mirzaee M, Borjali M, Monirpour N. (2025). Effectiveness of Cognitive Restructuring on Depressed Mood in Girls with Self-Injury. IJER. 4(2), 1-13.
URL: http://ijer.hormozgan.ac.ir/article-1-332-en.html
URL: http://ijer.hormozgan.ac.ir/article-1-332-en.html
1- PhD student in Counseling, Qom Branch, Islamic Azad University, Qom, Iran
2- Associate Professor, Department of Clinical Psychology, Kharazmi University, Tehran, Iran ,M.borjali@khu.ac.ir
3- Associate Professor, Health Psychology, Department of Psychology, Qom Branch, Islamic Azad University, Iran
2- Associate Professor, Department of Clinical Psychology, Kharazmi University, Tehran, Iran ,
3- Associate Professor, Health Psychology, Department of Psychology, Qom Branch, Islamic Azad University, Iran
Abstract: (1587 Views)
Objective: The primary objective of this investigation was to examine the efficacy of cognitive restructuring training on alleviating depressive symptoms in adolescent females exhibiting self-injurious behaviors.
Methods: The methodological framework employed was a semi-experimental design incorporating pre-test, post-test, and follow-up assessments alongside a control group. The statistical population for this inquiry comprised all female students aged 15 to 18 years exhibiting self-injurious behaviors within the educational institutions of Baharestan city in 2023. A sample of thirty-six individuals who had engaged in self-injury within the preceding six months and had sought assistance from counseling clinics was selected through convenience sampling and subsequently allocated to experimental and control groups in a random manner. To facilitate data collection, the Beck Depression Inventory (BDI) and the ISAS Self-Injury Test were employed. The experimental group participated in eight sessions of cognitive restructuring training intervention, each lasting 90 minutes, while the control group received no intervention, followed by a one-month follow-up period. Data analysis was conducted utilizing multivariate analysis of covariance.
Results: Following a thorough examination of the assumptions pertinent to multivariate analysis of covariance, the outcomes of paired comparisons among the mean differences across the three assessment stages indicate that within the cognitive restructuring group, the change in mean scores from the pre-test stage to both the post-test and follow-up stages is statistically significant (p<0.01). Conversely, the difference in scores between the post-test stage and the follow-up stage did not reach statistical significance (p<0.05). In the control group, the differences observed between the pre-test scores and both the post-test and follow-up stages, as well as the differences between the post-test and follow-up scores, were likewise not statistically significant (p<0.05).
Conclusions: Consequently, it can be inferred that cognitive restructuring has demonstrated efficacy in mitigating depressive symptoms among adolescent females who engage in self-injury.
Methods: The methodological framework employed was a semi-experimental design incorporating pre-test, post-test, and follow-up assessments alongside a control group. The statistical population for this inquiry comprised all female students aged 15 to 18 years exhibiting self-injurious behaviors within the educational institutions of Baharestan city in 2023. A sample of thirty-six individuals who had engaged in self-injury within the preceding six months and had sought assistance from counseling clinics was selected through convenience sampling and subsequently allocated to experimental and control groups in a random manner. To facilitate data collection, the Beck Depression Inventory (BDI) and the ISAS Self-Injury Test were employed. The experimental group participated in eight sessions of cognitive restructuring training intervention, each lasting 90 minutes, while the control group received no intervention, followed by a one-month follow-up period. Data analysis was conducted utilizing multivariate analysis of covariance.
Results: Following a thorough examination of the assumptions pertinent to multivariate analysis of covariance, the outcomes of paired comparisons among the mean differences across the three assessment stages indicate that within the cognitive restructuring group, the change in mean scores from the pre-test stage to both the post-test and follow-up stages is statistically significant (p<0.01). Conversely, the difference in scores between the post-test stage and the follow-up stage did not reach statistical significance (p<0.05). In the control group, the differences observed between the pre-test scores and both the post-test and follow-up stages, as well as the differences between the post-test and follow-up scores, were likewise not statistically significant (p<0.05).
Conclusions: Consequently, it can be inferred that cognitive restructuring has demonstrated efficacy in mitigating depressive symptoms among adolescent females who engage in self-injury.
Type of Study: Original |
Subject:
Educational Psychology
Received: 2024/09/15 | Accepted: 2025/01/19 | Published: 2025/06/1
Received: 2024/09/15 | Accepted: 2025/01/19 | Published: 2025/06/1
References
1. Abramowitz, J. S., McKay, D., & Taylor, S. (2008). Clinical handbook of obsessive-compulsive disorder and related problems. JHU Press.
2. Ahmadi marvili, n., Mirzahoseini, h., & Monirpoor, N. (2019). The role of personality organization and attachment styles in tendency of adolescence toward self - harm behaviors and suicide [Research]. Iranian Journal of Rehabilitation Research in Nursing, 5(3), 14-22. http://ijrn.ir/article-1-449-fa.html
3. Ansari, B., Tasbihsazan, S. R., Khademi, A. l., & Rezaei, K. (2021). Evaluation of the effectiveness of cognitive-behavioral therapy on worry, rumination, and asthma control in patients with asthma [Research]. Nursing and Midwifery Journal, 19(4), 287-298. http://unmf.umsu.ac.ir/article-1-4253-fa.html
4. Asarnow, J. R., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., . . . McCracken, J. (2011). Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. Journal of the American Academy of Child & Adolescent Psychiatry, 50(8), 772-781. [DOI:10.1016/j.jaac.2011.04.003]
5. Asikhia, O. (2014). Effect of cognitive restructuring on the reduction of mathematics anxiety among senior secondary school students in Ogun State, Nigeria. International Journal of Education and Research, 2(2), 1-20. [DOI:10.5901/mjss.2014.v5n23p1373]
6. Başgöze, Z., Wiglesworth, A., Carosella, K. A., Klimes-Dougan, B., & Cullen, K. R. (2021). Depression, non-suicidal self-injury, and suicidality in adolescents: Common and distinct precursors, correlates, and outcomes. Journal of psychiatry and brain science, 6(5), e210018.
7. Chávez-Flores, Y. V., Hidalgo-Rasmussen, C. A., & Yanez-Peñúñuri, L. Y. (2019). Assessment tools of non-suicidal self-injury in adolescents 1990-2016: a systematic review. Ciencia & saude coletiva, 24, 2871-2882. [DOI:10.1590/1413-81232018248.18502017]
8. Chen, H., Hong, L., Tong, S., Li, M., Sun, S., Xu, Y., . . . Lin, G. (2023). Cognitive impairment and factors influencing depression in adolescents with suicidal and self-injury behaviors: a cross-sectional study. BMC psychiatry, 23(1), 247. [DOI:10.1186/s12888-023-04726-8]
9. Cook, N. E., & Gorraiz, M. (2016). Dialectical behavior therapy for nonsuicidal self‐injury and depression among adolescents: Preliminary meta‐analytic evidence. Child and adolescent mental health, 21(2), 81-89. [DOI:10.1111/camh.12112]
10. Corey, G. (2020). Personal reflections on counseling. John Wiley & Sons.
11. Covin, R., Ouimet, A. J., Seeds, P. M., & Dozois, D. J. (2008). A meta-analysis of CBT for pathological worry among clients with GAD. Journal of anxiety disorders, 22(1), 108-116. [DOI:10.1016/j.janxdis.2007.01.002]
12. Glenn, C. R., & Klonsky, E. D. (2011). Prospective prediction of nonsuicidal self-injury: A 1-year longitudinal study in young adults. Behavior therapy, 42(4), 751-762. [DOI:10.1016/j.beth.2011.04.005]
13. Gonzales, A. H., & Bergstrom, L. (2013). Adolescent non‐suicidal self‐injury (NSSI) interventions. Journal of Child and Adolescent Psychiatric Nursing, 26(2), 124-130. [DOI:10.1111/jcap.12035]
14. Green, K. L., Brown, G. K., Jager-Hyman, S., Cha, J., Steer, R. A., & Beck, A. T. (2015). The predictive validity of the beck depression inventory suicide item. The Journal of clinical psychiatry, 76(12), 15048. [DOI:10.4088/JCP.14m09391]
15. Hofmann, S. G., Wu, J. Q., & Boettcher, H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: a meta-analysis. Journal of consulting and clinical psychology, 82(3), 375. [DOI:10.1037/a0035491]
16. Hu, Z., Yu, H., Zou, J., Zhang, Y., Lu, Z., & Hu, M. (2021). Relationship among self‐injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self‐injury. Brain and behavior, 11(12), e2419. [DOI:10.1002/brb3.2419]
17. Jacobs, M. K., & Cochran, S. D. (1982). The effects of cognitive restructuring on assertive behavior. Cognitive Therapy and Research, 6(1), 63-76. [DOI:10.1007/BF01185727]
18. Karwoski, L., Garratt, G. M., & Ilardi, S. S. (2006). On the integration of cognitive-behavioral therapy for depression and positive psychology. Journal of Cognitive Psychotherapy, 20(2), 159. [DOI:10.1891/jcop.20.2.159]
19. Khanipour, H., & Bidaki, R. (2016). Suicide probability in adolescents with a history of childhood maltreatment: the role of non-suicidal self-injury, emotion regulation difficulties, and forms of self-criticism. International journal of high risk behaviors & addiction, 5(2), e23675. [DOI:10.5812/ijhrba.23675]
20. Lee, S. J., & Hyun, M. H. (2021). Task control deficit in individuals with non-suicidal self-injury. Frontiers in psychiatry, 12, 608357. [DOI:10.3389/fpsyt.2021.608357]
21. McMullen, E. J. (2013). Clients' Productive Processing in Cognitive-behavioural Therapy and Emotion-focused Therapy for Depression
22. Mohammadbeigi, M., Taheri, A., Abolmaali, K., & Gharergozli, K. (2023). Presenting the Structural Model of Depression, Anxiety and Stress based on Childhood Trauma and Perceived Social support with the Mediation of Alexithymia in Patients with Epilepsy. Islamic lifestyle with a focus on health, 7(1), 275-287. https://www.islamiilife.com/article_185363_b5be2dfc35f73f28d2280e76937043fc.pdf
23. Mostafaie, M., & Bashirian, S. (2012). Comparative Survey of Depression among Chronic Disease and Healthy Adolescences of Hamadan City [Original Research]. Avicenna Journal of Nursing and Midwifery Care, 20(2), 65-75. http://nmj.umsha.ac.ir/article-1-1116-fa.html
24. Roshanaei‐Moghaddam, B., Pauly, M. C., Atkins, D. C., Baldwin, S. A., Stein, M. B., & Roy‐Byrne, P. (2011). Relative effects of CBT and pharmacotherapy in depression versus anxiety: is medication somewhat better for depression, and CBT somewhat better for anxiety? Depression and anxiety, 28(7), 560-567. [DOI:10.1002/da.20829]
25. Samadzade, N., Poursharifi, H., & Poursharifi, j. (2015). The effect of cognitive-behavioral therapy on the self-care behaviors and symptoms of depression and anxiety in women with type 2 diabetes: a case study [Research]. Feyz Medical Sciences Journal, 19(3), 255-264. http://feyz.kaums.ac.ir/article-1-2704-fa.html
26. Shurick, A. A., Hamilton, J. R., Harris, L. T., Roy, A. K., Gross, J. J., & Phelps, E. A. (2012). Durable effects of cognitive restructuring on conditioned fear. Emotion, 12(6), 1393. [DOI:10.1037/a0029143]
27. Vafaei, T., Samavi, S. A., Whisenhunt, J. L., & Najarpourian, S. (2023). An investigation of self-injury in female adolescents: a qualitative study. Quality & quantity, 57(6), 5599-5622. [DOI:10.1007/s11135-023-01632-9]
28. Visser, M., Leentjens, A. F., Marinus, J., Stiggelbout, A. M., & van Hilten, J. J. (2006). Reliability and validity of the Beck depression inventory in patients with Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 21(5), 668-672. [DOI:10.1002/mds.20792]
29. Watkin, M. (2014). How mindfulness can help prevent relapse of depression? Mental Health Matters, 1(2), 27-30.
30. Ziv-Beiman, S., Keinan, G., Livneh, E., Malone, P. S., & Shahar, G. (2017). Immediate therapist self-disclosure bolsters the effect of brief integrative psychotherapy on psychiatric symptoms and the perceptions of therapists: A randomized clinical trial. Psychotherapy Research, 27(5), 558-570. [DOI:10.1080/10503307.2016.1138334]
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