Volume 21, Issue 3 (June 2023)
Nursing and Midwifery Journal 2023, 21(3): 174-183 |
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Kermanshahi Z, Alilu L, Radfar M, Khalkhali H, Bushehri B. THE EFFECT OF COGNITIVE BEHAVIORAL THERAPY ON THE DEPRESSION OF SUICIDE ATTEMPTERS DISCHARGED FROM MEDICAL EDUCATION CENTERS IN URMIA, IRAN IN 2020. Nursing and Midwifery Journal 2023; 21 (3) :174-183
URL: http://unmf.umsu.ac.ir/article-1-4696-en.html
URL: http://unmf.umsu.ac.ir/article-1-4696-en.html
1- MSc, Department of psychiatric Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Associate Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
3- Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran
4- Professor of Biostatistics, Associate Professor of Urmia University of Medical Sciences, Urmia, Iran
5- Associate Professor of Forensic Medicine, Department of Forensic Medicine, Urmia University of Medical Sciences, Urmia, Iran
2- Associate Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
3- Professor of Nursing, Urmia University of Medical Sciences, Urmia, Iran
4- Professor of Biostatistics, Associate Professor of Urmia University of Medical Sciences, Urmia, Iran
5- Associate Professor of Forensic Medicine, Department of Forensic Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (1666 Views)
Background & Aims: Suicide is among the most important indicators of the mental health of the people in a society, which is caused by several factors, and depression is one of the most critical factors related to suicide attempts. Cognitive psychotherapy is one of the effective methods for people with suicidal thoughts, which can be effective on depression symptoms. Therefore, a study aimed to determine the effect of cognitive behavioral therapy on the depression of people attempting to commit suicide who were discharged from medical education centers in Urmia in 2020.
Materials & Methods: This semi-experimental study was conducted on 60 participants who tried to commit suicide and were discharged from medical centers in Urmia City, Iran, in 2020. With the convenience sampling method, 60 people were selected from the suicide attempters and then randomly and equally assigned to control and intervention groups. The short form of Beck depression questionnaire and demographic questionnaire were used to collect data before the intervention, immediately after the intervention, and three months after the intervention. The training package for the intervention group was held during eight sessions of 60-90 minutes with a frequency of two sessions per week. No intervention was done for the control group. Data collected by SPSS software (22) were analyzed through Chi-square statistical test, Fisher's exact test and Repeated Measure ANOVA.
Results: The results showed that there was a significant difference between the intervention and control groups in the trend of depression scores of the suicide attempters discharged from the treatment centers (P<0.001). The pairwise comparisons based on the Bonferroni test showed no statistically significant difference concerning the depression score of people attempting to commit suicide discharged from medical centers in the control group in the periods before and after the intervention (p=0.001). However, there was a statistically significant difference between the periods before, after, and three months after the intervention in the intervention group (P<0.001).
Conclusions: In this study, the effectiveness of cognitive behavioral therapy was observed in the intervention group, and the symptoms of depression improved significantly. Therefore, it could be concluded that cognitive behavioral therapy may have a significant improvement in reducing suicidal thoughts and despair. In addition, this treatment can positively affect a person's behavior and improve the quality of his/her life. However, more studies are needed to measure the exact effectiveness.
Materials & Methods: This semi-experimental study was conducted on 60 participants who tried to commit suicide and were discharged from medical centers in Urmia City, Iran, in 2020. With the convenience sampling method, 60 people were selected from the suicide attempters and then randomly and equally assigned to control and intervention groups. The short form of Beck depression questionnaire and demographic questionnaire were used to collect data before the intervention, immediately after the intervention, and three months after the intervention. The training package for the intervention group was held during eight sessions of 60-90 minutes with a frequency of two sessions per week. No intervention was done for the control group. Data collected by SPSS software (22) were analyzed through Chi-square statistical test, Fisher's exact test and Repeated Measure ANOVA.
Results: The results showed that there was a significant difference between the intervention and control groups in the trend of depression scores of the suicide attempters discharged from the treatment centers (P<0.001). The pairwise comparisons based on the Bonferroni test showed no statistically significant difference concerning the depression score of people attempting to commit suicide discharged from medical centers in the control group in the periods before and after the intervention (p=0.001). However, there was a statistically significant difference between the periods before, after, and three months after the intervention in the intervention group (P<0.001).
Conclusions: In this study, the effectiveness of cognitive behavioral therapy was observed in the intervention group, and the symptoms of depression improved significantly. Therefore, it could be concluded that cognitive behavioral therapy may have a significant improvement in reducing suicidal thoughts and despair. In addition, this treatment can positively affect a person's behavior and improve the quality of his/her life. However, more studies are needed to measure the exact effectiveness.
Type of Study: Research |
Subject:
روانپزشکی- روان شناسی
References
1. Shpigelman CN, HaGani N. The impact of disability type and visibility on self‐concept and body image: Implications for mental health nursing. J Psych Ment Health Nurs 2019;26(3-4):77-86. [DOI:10.1111/jpm.12513] [PMID]
2. Janghorbani M, Bakhshi, S.The Relationship of Mental Health and Suicidal Ideation with Health-Related Quality of Life and Its Dimensions among Students of Isfahan University of Medical Sciences, Iran, in 2014-2015. J Res Behav Sci 2017;14(4):444-54. [Google Scholar]
3. Kang C, Zheng Y, Yang L, Wang X, Zhao N, Guan TF, et al. Prevalence, risk factors and clinical correlates of suicidal ideation in adolescent patients with depression in a large sample of Chinese. J Affect Disord 2021;290:272-8. Available from: http://dx.doi.org/10.1016/j.jad.2021.04.073. [DOI:10.1016/j.jad.2021.04.073] [PMID]
4. Baziar J, Delpisheh A, Sayehmiri K, Esmaeilnasab N. Epidemiology of self-immolation in Ilam Province in the years 2011 to 2015. Sci J Ilam Univ Med Sci 2016;24(5):109-17. [DOI:10.18869/acadpub.sjimu.24.5.109]
5. Ivey-Stephenson AZ, Crosby AE, Hoenig JM, Gyawali S, Park-Lee E, Hedden SL. Suicidal thoughts and behaviors among adults aged≥ 18 Years-United States. MMWR Surveillance Summaries. 2015;71(1). [DOI:10.15585/mmwr.ss7101a1] [PMID] [PMCID]
6. Kim YT, Cha C, Lee MR. Comparison of causes for suicidal ideation and attempt: Korean Longitudinal Survey of Women and Families. Arch Womens Ment Health 2021;24(1):107-17. Available from: http://dx.doi.org/10.1007/s00737-020-01048-6. [DOI:10.1007/s00737-020-01048-6] [PMID]
7. Mahdavi SA, Rezaeian S, Rostami M. Profile of fatal suicide in Iran: a report from the Iranian forensic medicine between 2016 and 2018. Acta Medica Iranica 2020:508-12. [DOI:10.18502/acta.v58i10.4913]
8. Fakhari A, Farahbakhsh M, Esmaeili ED, Azizi H. A longitudinal study of suicide and suicide attempt in northwest of Iran: incidence, predictors, and socioeconomic status and the role of sociocultural status. BMC Pub Health 2021;21(1):1-1. [DOI:10.1186/s12889-021-11527-9] [PMID] [PMCID]
9. Zemestani M, Yousefi N, Keshavarzi S. The effectiveness of group cognitive behavioral therapy with family education on suicide-related components in girls attempting suicide. Fam Counsel Psychother 2015;5(3):107-20. [URL]
10. Talebiazar N, Choobianzali B, Hassanpour A, Goli R, Shakorzadeh S, Ghalandari M. The effect of hypnotherapy on the hospital anxiety in three children with cancer: A case report. Int J Surg Case Rep 2022;93(106961):106961. http://dx.doi.org/10.1016/j.ijscr.2022.106961. [DOI:10.1016/j.ijscr.2022.106961] [PMID] [PMCID]
11. Parizad N, Goli R, Mirzaee R, Baghaie R, Habibzadeh H. Satisfaction with nursing care and its related factors in patients with COVID-19: A descriptive correlational study. J Educ Health Promot 2021;10:437. http://dx.doi.org/10.4103/jehp.jehp_79_21. [DOI:10.21203/rs.3.rs-108405/v1]
12. Heidari S, Parizad N, Goli R, Mam-Qaderi M, Hassanpour A. Job satisfaction and its relationship with burnout among nurses working in COVID-19 wards: A descriptive correlational study. Ann Med Surg (Lond) 2022;82(104591):104591. http://dx.doi.org/10.1016/j.amsu.2022.104591. [DOI:10.1016/j.amsu.2022.104591] [PMID] [PMCID]
13. Talebiazar N, Choobianzali B, Hassanpour A, Goli R, Shakorzadeh S, Ghalandari M. The effect of hypnotherapy on the hospital anxiety in three children with cancer: A case report. Int J Surg Case Rep 2022;93(106961):106961. http://dx.doi.org/10.1016/j.ijscr.2022.106961 [DOI:10.1016/j.ijscr.2022.106961] [PMID] [PMCID]
14. Lagzi N, Bateni A, Goli R, Talebiazar N. The effect of multivitamins on anxiety and depression in patients undergoing methadone maintenance treatment: A double-blind randomized controlled trial. Int J Psychiatry Med 2023;912174231179320. http://dx.doi.org/10.1177/00912174231179320. [DOI:10.1177/00912174231179320] [PMID]
15. Wiegand-Grefe S, Sell M, Filter B, Plass-Christl A. Family functioning and psychological health of children with mentally ill parents. Int J Env Res Pub Health 2019;16(7):1278. [DOI:10.3390/ijerph16071278] [PMID] [PMCID]
16. Tramonti F, Bonfiglio L, Bongioanni P, Belviso C, Fanciullacci C, Rossi B, et al. Caregiver burden and family functioning in different neurological diseases. Psychol Health Med 2019;24(1):27-34. http://dx.doi.org/10.1080/13548506.2018.1510131 [DOI:10.1080/13548506.2018.1510131] [PMID]
17. Mohyadini H, Sadeghi Z, Aghamohammadian Shaer Baf H. The effect of cognitive-behavioral therapy group over desperation in women suicidal despair. J Res Health 2015;5(3):366-71. [Google Scholar]
18. Scogin F, Beutler L, Corbishley A, Hamblin D. Reliability and validity of the short form Beck Depression Inventory with older adults. J Clin Psychol 1988;44(6):853-7.
https://doi.org/10.1002/1097-4679(198811)44:6<853::AID-JCLP2270440604>3.0.CO;2-7 [DOI:10.1002/1097-4679(198811)44:63.0.CO;2-7] [PMID]
19. Beck A. Beck Scale for Suicide Ideation, BSS, Q-global Digital Manual, 0150180039. London, England: Psychological Corporation; 2020.
20. Anisi J., Fathi-Ashtiani A., Soltani Nejad A., Amiri M. Prevalence of Suicidal Ideation in Soldiers and its Associated Factors. J Mil Med 2006;8(2):113-8. [URL]
21. Abbaspour Z, Khojasteh Mehr R, Alipour,A Yousef Ali H, Rahmani A. The effectiveness of family-centered and solution-oriented cognitive-behavioral therapies on suicidal ideation, depressive symptoms, cohesion and family adaptation of those who commit suicide. Fam Coun Psychother 2014;4(2):185-227. [URL]
22. Rajabi G, Shamoni Ahwazi S, Amanollahi A. The effect of group cognitive-behavior therapy on depression symptoms decrease in adolescence girls. J Edu Psych Stud 2018;15(29):125-48. [Google Scholar]
23. Entezari S, Taher M, Aghaei H. The Comparison of the Effectiveness of Cognitive Behavioral Therapy and Metacognitive Therapy on Depression, Suicide Ideation, and Masochistic Aggression in Individuals with Subclinical Symptoms of Body Dysmorphic Disorder. J Child Ment Health 2021;7(4):1-18. [DOI:10.52547/jcmh.7.4.2]
24. Ashouri A, Atef Vahid MK, Gharaee B, Rasoulian M. Effectiveness of meta-cognitive and cognitivebehavioral therapy in patients with major depressive disorder. Iran J Psychiatry Behav Sci 2013;7(2):24- 34. [PMCID]
25. Mojtabaei M, Alavizadeh SM. Comparative Effectiveness of Meta-Cognitive Therapy (MCT) and Cognitive Behavioral Therapy (CBT) on Decreasing Anxiety and Worry of Participants with Generalized Anxiety Disorder. Psychol Res 2017;20(1):37-52. [DOI:10.25215/0202.021]
26. Nordahl HM, Borkovec TD, Hagen R, Kennair LEO, Hjemdal O, Solem S, et al. Metacognitive therapy versus cognitive-behavioural therapy in adults with generalised anxiety disorder. BJPsych Open 2018;4(5):393-400. http://dx.doi.org/10.1192/bjo.2018.54 [DOI:10.1192/bjo.2018.54] [PMID] [PMCID]
27. Ramezani S, Mohammadi N, Sadri Damirchi E, Rahmani S. Effectiveness of cognitive-behavioral therapy on emotional control and signs of suicide in veterans with PTSD. Iranian J War Pub Health 2018;10(1):1-7. [DOI:10.29252/ijwph.10.1.1]
28. Mahrami J, Abolqasemi A. Evaluation Effectiveness Cognitive-behavioral On disappointment Unpleasant of students with depression. Cult Islamic Univ 2016;6(3(. [URL]
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