Effectiveness of Cognitive Therapy based on Dougas model on inefficient attitudes and worry in students with Generalized Anxiety Disorder

Document Type : Original Article

Authors

1 M.A. of clinical Psychology, Psychology and Educational Faculty, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran

2 Associate Professor of Psychology, Psychology and Educational Faculty, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran

Abstract

The present study was conducted to determine the effectiveness of cognitive therapy according to Dougas model on inefficient attitudes and worry in the students with generalized anxiety disorder. The research method was quasi-experimental with pretest, posttest and control group design. The statistical population included 96 12-16 years old female students with generalized anxiety disorder in academic year 2017-18 in Isfahan City. 30 students with generalized anxiety disorder were selected from the statistical population using purposive non-random sampling method and were randomly placed into experiment and control groups. The experimental group received twelve ninety-minute sessions of therapy interventions received cognitive therapy based on Dougas model once a week during three months while the control group didn’t receive any intervention during the study. The applied instruments included Generalized Anxiety Disorder Questionnaire (GADQ), Penn State Worry Questionnaire (PSWQ), Dysfunctional Attitudes Scale (DAS). Data analysis was done via SPSS23 software through ANCOVA method. The results of data analysis showed that cognitive therapy based on Dougas model has significantly influenced inefficient attitudes and worry in the students with generalized anxiety disorder (p<0.001) According to the findings of the present study, it is suggested to apply cognitive therapy based on Dougas model as an efficient method in order to decrease inefficient attitudes and worry in the students with generalized anxiety disorder.

Keywords

References

Behar, E., DiMarco, I. D., Hekler, E. B., Mohlman, J., & Staples, A. M. (2009). Current theoretical models of generalized anxiety disorder (GAD): conceptual review and treatment implications. Journal Anxiety Disorder. 23(8), 1011-23.

Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal Anxiety Disorder. 20(2), 222-236.

Cuijpers, P., Sijbrandij, M., Koole, S., Huibers, M., Berking, M., & Andersson, G. (2014). Psychological treatment of generalized anxiety disorder: a meta-analysis. Clinical Psychology Review. 34(2), 130-140.

Dahlin, M., Ryberg, M., Vernmark, K., Annas, N., Carlbring, P., & Andersson, G. (2016). Internet-delivered acceptance-based behavior therapy for generalized anxiety disorder: A pilot study. Internet Interventions. 6(1), 16–21.

Davey, C. L. G., & Wells, A. (2006). Worry and Its Psychological Disorders Theory, Assessment and Treatment. London: Wiley.

Dugas, M. J., Freeston, M. H., & Ladouceur, R. (2010). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research. 21(2), 593-606.

Dugas, M. J., & Robichaud, M. (2007). Cognitive behavioral treatment for generalized anxiety disorder: from science to practice. Routledge: Taylor & Francis.

Granero, R., Fernandez-Aranda, F., Mestre-Bach, G., Steward, T., Bano, M., & et al. (2017). Cognitive behavioral therapy for compulsive buying behavior: Predictors of treatment outcome. Europe Psychiatry. 39(11), 57-65.

Gumport, N. B., Dong, L., Lee, J. Y., & Harvey, A. G. (2018). Patient learning of treatment contents in cognitive therapy. Journal of Behavior Therapy and Experimental Psychiatry. 58, 51-59.

Hajcak, G., McDonald, N., & Simons, R. F. (2003). Anxiety and error related brain activity. Biological Psychology. 64(1-2), 77-90.

Hall, J., Kellett, S., Berrios, R., Bains, M. K., & Scott, S. (2016). Efficacy of cognitive behavioral therapy for generalized anxiety disorder in older adults: systematic review, meta-analysis, and metaregression. American Journal of Geria Psychiatry. 24(11), 1063-73.

Hayes-Skelton, S. A., Roemer, L., & Orsillo, S. M. (2013). A randomized clinical trial comparing an acceptance-based behavior therapy to applied relaxation for generalized anxiety disorder. Journal of Consulting and Clinical Psychology. 81(3), 761-773.

Lieb, R., Becker, E., & Altamura, C. (2005). The epidemiology of generalized anxiety disorder in Europe. Europe Neuropsychopharmacology. 15(4), 445-452.

Salkovskis, P. M., Wroe, A. L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., & et al. (2000). Responsibility attitudesand interpretations are characteristic of obsessive compulsive disorder. Behavior Research Therapy. 38(4), 347-372.

Spada, M. M., Nikcević, A.V., Moneta, G. B., & Wells, A. (2007). Metacognition as a mediator of the relationship between emotion and smoking dependence. Addicted Behavior. 32(10), 2120-29.

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 166(10), 1092-97.

Weich, S., Churchill, R., & Lewis, G. (2003). Dysfunctional attitudes and the common mental disorders in primary care. Journal of Affective Disorders. 75(3), 269-278.

 
 
 
 
Empowering Exceptional Children
Volume 10, Issue 3
January 2020
Pages 85-95

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History

  • Receive Date: 10 January 2019
  • Revise Date: 24 August 2019
  • Accept Date: 10 January 2020

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