Volume 13, Issue 1 (8-2018)                   bjcp 2018, 13(1): 26-39 | Back to browse issues page

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1- PhD. Student, Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran.
2- Associate Professor, Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran. , j.karami@razi.ac.ir
3- Associate Professor, Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran.
4- Assistant Professor, Department of Psychiatry, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Abstract:   (1670 Views)
Objectives The purpose of this study was to examine the effectiveness of Cognitive Behavioral Analysis System of Psychotherapy (CBASP) and integration of dialectical behavior therapy with cognitive therapy based on compassionate-mind on resilience and motivations for suicide attempts. It has a quasi-experimental design with pretest, posttest and 1 month follow-up. 
Methods The sample consisted of 48 suicide attempters who volunteered to participate in the study. They were selected from 120 suicidal attempt cases and randomly assigned to two groups of experimental and control. The subjects of the experimental and control groups in the pretest, posttest and follow-up stages completed the resilience to suicide inventory and inventory of motivations for suicide attempts. After collecting data and in order to comply with the ethical considerations, for the members of the control group, 10 group counseling sessions were held. The obtained data were analyzed with multivariate covariance of analysis. 
Results Based on the results, CBASP and Integration of dialectical behavior therapy with cognitive therapy based on compassionate-mind are effective on the resilience to suicide and motivations for suicide attempts (P≤0.001). Also, these results were stable in the follow-up stage.
Conclusion According to the obtained results, this approach can be used along with the medical and other evidence-based treatments for people with attempted suicide as a useful and complementary therapeutic method.
Full-Text [PDF 7336 kb]   (1922 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/08/29 | Accepted: 2017/12/23 | Published: 2018/03/21

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Philadelphia: American Psychiatric Association. [DOI:10.1176/appi.books.9780890425596] [DOI:10.1176/appi.books.9780890425596]
2. Asmand, P., Mami, S., & Valizadeh, R. (2015). [Effectiveness of dialectical behavior therapy in irrational beliefs treatment, anxiety, depression among young male prisoners who have antisocial personality disorder (Persian)]. Journal of Ilam University of Medical Sciences. 23(1), 35-44
3. Barghi Irani, Z., Bagiyan Koulehmarz, M. J., & Bakhti, M. (2016). [The effectiveness of compassion-based cognitive therapy on adjustment of maladaptive paraphrases and reducing negative emotions in students with mental disorders (Persian)]. Contemporary Psychology, 11(1), 83-100.
4. Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90-113. [DOI:10.1037/0033-295X.97.1.90] [PMID] [DOI:10.1037/0033-295X.97.1.90]
5. Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J., & Gilbert, P. (2013). Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology, 52(2), 199-214. [DOI:10.1111/bjc.12009] [PMID] [DOI:10.1111/bjc.12009]
6. Breines, J. G., Thoma, M. V., Gianferante, D., Hanlin, L., Chen, X., & Rohleder, N. (2014). Self-compassion as a predictor of interleukin-6 response to acute psychosocial stress. Brain, Behavior, and Immunity, 37, 109-14. [DOI:10.1016/j.bbi.2013.11.006] [PMID] [PMCID] [DOI:10.1016/j.bbi.2013.11.006]
7. Delavar, A. (2015). [Theoretical and practical foundations of research in humanities and social sciences (Persian)]. Tehran: Roshd.
8. Drapeau, C. W., Cerel, J., & Moore, M. (2016). How personality, coping styles, and perceived closeness influence help-seeking attitudes in suicide-bereaved adults. Death Studies, 40(3), 165-71. [DOI:10.1080/07481187.2015.1107660] [PMID] [DOI:10.1080/07481187.2015.1107660]
9. Driscoll, K. A., Cukrowicz, K. C., Reardon, M. L., & Joiner, T. E., (2004). Simple treatments for complex problems: A flexible cognitive behavior analysis system approach to psychotherapy. Mahwah, New Jersey: Lawrence Erlbaum Associate.
10. Fang, Q., Freedental, S., & Osman, A. (2014).Validation of the suicide resilience inventory-25 with American and Chinese college students. Suicide and Life Threatening Behavior, 45(1), 51-64. [DOI:10.1111/sltb.12108] [PMID] [DOI:10.1111/sltb.12108]
11. Forkmann, T., Brakemeier, E. L., Teismann, T., Schramm, E., & Michalak, J., (2016). The effects of mindfulnessbased cognitive therapy and cognitive behavioral analysis system of psychotherapy added to treatment as usual on suicidal ideation in chronic depression: Results of a randomized-clinical trial. Journal of Affective Disorders, 200, 51-7. [DOI:10.1016/j.jad.2016.01.047] [PMID] [DOI:10.1016/j.jad.2016.01.047]
12. Ghorbani, N., Watson, P. J., Chen, Z., & Norballa, F. (2012). Self-compassion in Iranian Muslims: Relationships with integrative self-knowledge, mental health, and religious orientation. The International Journal for the Psychology of Religion, 22(2), 106-18. [DOI:10.1080/10508619.2011.638601] [DOI:10.1080/10508619.2011.638601]
13. Gilbert, P. (2009c). Evolved minds and compassion-focused imagery in depression. In L. Stopa (Ed.), Imagery and the Threatened Self: Perspectives on Mental Imagery and the Self in Cognitive Therapy (pp. 206-31). Abingdon: Routledge.
14. Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6-41. [DOI:10.1111/bjc.12043] [PMID] [DOI:10.1111/bjc.12043]
15. Gooding, J. J., Wood, A. M., & Tarrier, N. (2010). Resilience as positive coping appraisals: Testing the Schematic Appraisals Model of Suicide (SAMS). Behaviour Research and Therapy, 48(3), 179-86. [DOI:10.1016/j.brat.2009.10.007] [PMID] [DOI:10.1016/j.brat.2009.10.007]
16. Gutierrez, P. M., Freedenthal, S., Wong, J. L., Osman, A., & Norizuki, T. (2012). Validation of the Suicide Resilience Inventory–25 (SRI–25) in adolescent psychiatric inpatient samples. Journal of Personality Assessment, 94(1), 53-61. [DOI:10.1080/00223891.2011.608755] [PMID] [DOI:10.1080/00223891.2011.608755]
17. Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press.
18. Leenaars, A. A. (2010). Edwin S. Shneidman on suicide. Suicidology Online, 1(1), 5-18.
19. Li, H., Xie, W., Luo, X., Fu, R., Shi, C., Ying, X., et al. (2014). Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes. Suicide & Life-Threatening Behavior, 44(1), 78-88. [DOI:10.1111/sltb.12056] [PMID] [DOI:10.1111/sltb.12056]
20. Madiyar, M., & Nejati, S. F., (2016). Validation of the suicide resilience inventory. Health Psychology, 4(4), 97-108.
21. Martin, C. G., Leslie, E., Zalewski, R. M., & Cummins, N. (2017). A dialectical behavior therapy skills group case study on mothers with severe emotion dysregulation. Cognitive and Behavioral Practice, 24(4), 405-15. [DOI:10.1016/j.cbpra.2016.08.002] [DOI:10.1016/j.cbpra.2016.08.002]
22. May, A. M., & Klonsky, E. D. (2013). Assessing motivations for suicide attempts: development and psychometric properties of the Inventory of Motivations for Suicide Attempts. Suicide and Life-Threatening Behavior, 43(5), 532–46. [DOI:10.1111/sltb.12037] [DOI:10.1111/sltb.12037]
23. May, A. M., O'Brien, K. M., Liu, R. T., & Klonsky, E. D. (2016). Descriptive and psychometric properties of the Inventory of Motivations for Suicide Attempts (IMSA) in an inpatient adolescent sample. Archives of Suicide Research, 20(3), 476-82. [DOI:10.1080/13811118.2015.1095688] [PMID] [PMCID] [DOI:10.1080/13811118.2015.1095688]
24. McCullough Jr, J. P. (2010). CBASP, the Third Wave and the treatment of chronic depression. Journal of European Psychotherapy, 9(1), 169-90.
25. McCullough Jr, J. P. (2012). Introduction and state-of-the-art issues for CBASP. In M. Belz, F. Caspar, & E. Schramm (Eds.). CBASP in Practice: Basic Concepts and New Developments (Chapter 1). Amsterdam: Elsevier.
26. McCullough Jr, J. P., Schramm, E., & Penberthy, J. K. (2014). CBASP as a distinctive treatment for persistent depressive disorder: Distinctive features. Abingdon: Routledge.
27. Meerwijkand, E., & Weiss, S. J. (2016). Does suicidal desire moderate the association between frontal delta power and psychological pain? Peer J, 4, e1538. [DOI:10.7717/peerj.1538] [PMID] [PMCID] [DOI:10.7717/peerj.1538]
28. Mehlum, L., Ramberg, M., Tørmoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., et al. (2016). Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: Outcomes over a one-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 55(4), 295-300. [DOI:10.1016/j.jaac.2016.01.005] [PMID] [DOI:10.1016/j.jaac.2016.01.005]
29. Miller, A. L., Rathus, J. H., & Linehan, M. M. (2006). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press.
30. Najarpour, S., Khalatbari, J. (2015). [The effectiveness of group cognitive therapy and dialectical behavior therapy on students' general health (Persian)]. Journal of Clinical Psychology Andishe va Raftar, 10(38), 17-26.
31. Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Early Human Development, 52(4), 211-4. [DOI:10.1159/000215071] [PMCID] [DOI:10.1159/000215071]
32. Orbach, I., Mikulincer, M., Sirota, P., Gilboa-Schechtman, E. (2003). Mental pain: A multidimensional operationalization and definition. Suicide Life Threatment Behavior, 33(3), 219-30. [DOI:10.1521/suli.] [DOI:10.1521/suli.]
33. Osman, A., Gutierrez, P. M., Muehlenkamp, J. J., Dix-Richardson, F., Barrios, F. X., & Kopper, B. A. (2004). Suicide resilience inventory–25: Development and preliminary psychometric properties. Psychological Reports, 94(suppl 3), 1349-60. [DOI:10.2466/pr0.94.3c.1349-1360] [PMID] [DOI:10.2466/pr0.94.3c.1349-1360]
34. Sayegh L., & Penberthy, J. K. (2016). Group treatment manual for persistent depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Abingdon: Routledge. https://doi.org/10.4324/9781315674544 [DOI:10.4324/9781315683317]
35. Shneidman, E. S. (1993). Suicide as psychache: A clinical approach to self-destructive behavior. Lanham, Maryland: Jason Aronson.
36. Soler, J., Pascual, J. C., Tiana, T., Cebrià, A., Barrachina, J., Campins, M. J., et al. (2009). Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 47(5), 353-8. [DOI:10.1016/j.brat.2009.01.013] [PMID] [DOI:10.1016/j.brat.2009.01.013]
37. Sullivan, E. M., Annest, J. L., Simon, T. R., Luo, F., & Dahlberg, L. L. (2015). Suicide trends among persons aged 10-24 years-United States, 1994-2012. Morbidity and Mortality Weekly Report, 64(8), 201-5. [PMID] [PMCID] [PMID] [PMCID]
38. Swan, J. S. & Hull, A. M. (2007). The cognitive behavioural analysis system of psychotherapy: A new psychotherapy for chronic depression. Advances in Psychiatric Treatment. 13, 458–69. [DOI:10.1192/apt.bp.106.003376]
39. Teicher, M. H., & Samson, J. A. (2013). Childhood maltreatment and psychopathology: A case for ecophenotypic variants as clinically and neurobiologically distinct subtypes. American Journal of Psychiatry, 170(10), 1114-33. [DOI:10.1176/appi.ajp.2013.12070957] [PMID] [PMCID]
40. Van Vliet, K. J., & Kalnins, G. R. C. (2011). A compassion-focused approach to nonsuicidal selfInjury. Journal of Mental Health Counseling. 33(4), 295-311. [DOI:10.17744/mehc.33.4.j7540338q223t417]
41. Uher, R. (2011). Genes, environment, and individual differences in responding to treatment for depression. Harvard Review of Psychiatry, 19(3), 109-24. [DOI:10.3109/10673229.2011.586551] [PMID] [DOI:10.3109/10673229.2011.586551]
42. Wang, X., Chen, Z., Poon, K. T., Teng, F., & Jin, S. (2017). Self-compassion decreases acceptance of own immoral behaviors. Personality and Individual Differences, 106, 329-33. [DOI:10.1016/j.paid.2016.10.030] [DOI:10.1016/j.paid.2016.10.030]

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