Comparing the Effectiveness of compassion-focused therapy and quality of life therapy on selfcriticism and Depression patient with major depression

Document Type : Research Paper

Authors

Department Of Psychology, Neyshabur branch, Islamic Azad University, Neyshabur, Iran.

Abstract

Background & Aims: Depression is one of the most common problems with various consequences in economic, social, psychological Fields. Thus, the present study aimed to Comparing the effectiveness of compassion-focused therapy and quality of life therapy on selfcriticism and Depression patient with major depression.
Methods & Materials: This study is a semi-experimental ‎research with a pretest-‎posttest and follow-‎up ‎control group design. The statistical population of this study comprises all patient with major depression who referred to counseling centers in Neyshabur during the first three months of 1398 SH (2018-2019) that 45 of these patient who were selected by available sampling and were randomly assigned into two experimental groups 1 and 2 (15 subjects) and one control group. The first experimental group underwent compassion-focused therapy, the second experimental group received quality of life therapy and the control group was placed on the waiting list. Data were collected using Gilbert selfcriticism Questionnaire and Beck Depression Questionnaire. For data analysis, repeated measures ‎ANOVA‎ was applied.
Results: compassion-focused therapy and quality of life therapy improves self-criticism and depression patient with major depression. Also, the effectiveness of compassion-focused therapy in reducing these psychological problems is more than quality of life therapy.

Conclusion: Both treatments have been shown to reduce self-criticism and depression, but compassion-focused therapy has been significantly superior to quality of life therapy.

Keywords


1- Abedi, M. R., & Vostanis, P. (2010). Evaluation of quality of life therapy for parents of children with obsessivecompulsive disorders in Iran. European Child & Adolescent Psychiatry. 19 (7), 605-13.
2- Ahmad Poor Yazji, J., Zahrakar, K., & Kiamensh, A. (2017). Comparison of the Effectiveness of Compassion-Based Therapy and Well-Being Therapy on the Psychological Capital of Female Students with Emotional Failure. Women and Culture Research.  8 (21), 7-31.
3- Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness6(3), 444-454.‏
4- Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. Journal of personality assessment67(3), 588-597.‏
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 Psychology52(2), 199-214.‏
6- Brophy, K., Brähler, E., Hinz, A., Schmidt, S., & Körner, A. (2020). The role of self-compassion in the relationship between attachment, depression, and quality of life. Journal of affective disorders260, 45-52.‏
7- Chukhraev, N., Vladimirov, A., Zukow, W., Chukhraiyeva, O., & Levkovskaya, V. (2017). Combined physiotherapy of anxiety and depression disorders in dorsopathy patients. Journal of Physical Education and Sport17(1), 414.‏
8- Cuppage, J., Baird, K., Gibson, J., Booth, R., & Hevey, D. (2018). Compassion focused therapy: Exploring the effectiveness with a transdiagnostic group and potential processes of change. British Journal of Clinical Psychology57(2), 240-254.‏
9- Diener, E. (2006). Guidelines for national indicators of subjective well-being and ill-being. Journal of happiness studies7(4), 397-404.‏
10- Dobson, K. S., & Mohammadkhani, P. (2007). Psychometric properties of the BDI-II in a sample of patients with major depression disorder. J Rehabilitation8(2), 80-6.‏
11- Elaine, B. C. J., & Hollins, M. (2016). Exploration of a training programme for student therapists that employs Compassionate Mind Training (CMT) to develop compassion for self and others. The Arts in Psychotherapy22, 5-13.‏
12- Emami, Z., Kajbaf, M. (2015). The Effectiveness of Quality of Life Therapy on Anxiety and Depression in Female High School students. Research in Cognitive and Behavioral Sciences, 4(2), 89-102.
13- Enns, M. W., & Cox, B. J. (1999). Perfectionism and depression symptom severity in major depressive disorder. Behaviour research and therapy37(8), 783-794.‏
14- Faridhosseini, F., Baniasadi, M., Bordbar, M. R. F., Pourgholami, M., Ahrari, S., & Asgharipour, N. (2017). Effectiveness of psychoeducational group training on quality of life and recurrence of patients with bipolar disorder. Iranian journal of psychiatry12(1), 21.‏
15- Frisch, M. B. (2006). Quality of life therapy: Applying a life satisfaction approach to positive psychology and cognitive therapy. John Wiley & Sons.‏
16- Frisch, M. B. (2013). Evidence-based well-being/positive psychology assessment and intervention with quality of life therapy and coaching and the Quality of Life Inventory (QOLI). Social Indicators Research114(2), 193-227.‏
17- Gilbert, P. (2009). The compassionate mind: Anew approach to life chaleng. london: constable and The develoment of a new measure. Addiction Research and theoty. 19, 3-13.
18- Gilbert, P. (2010). Compassion Focused Therapy: Special Issue. International Journal of Cognitive Therapy, 3(2): 97-201.
19- Gilbert, P. (2014). The origins and nature of compassion focused therapy. Br J Clin Psychol. 53(1): 6-41
20- Gilbert, P. (2019). Explorations into the nature and function of compassion. Current Opinion in Psychology28, 108-114.‏
21- Gilbert, P., & Irons, C. (2004). A pilot exploration of the use of compassionate images in a group of self‐critical people. Memory12(4), 507-516.‏
22- Gonzalez-Hernandez, E., Romero, R., Campos, D., Burychka, D., Diego-Pedro, R., Baños, R., & Cebolla, A. (2018). Cognitively-based compassion training (CBCT®) in breast cancer survivors: A randomized clinical trial study. Integrative cancer therapies17(3), 684-696.‏
23- Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications.‏
24- Jang, H. J. (2016). Comparative study of health promoting lifestyle profiles and subjective happiness in nursing and non-nursing students. Adv Sci Technology Letter128(7), 78-82.‏
25- Joeng, J. R., & Turner, S. L. (2015). Mediators between self-criticism and depression: Fear of compassion, self-compassion, and importance to others. Journal of Counseling Psychology62(3), 453.‏
26- Kannan, D., & Levitt, H. M. (2013). A review of client self-criticism in psychotherapy. Journal of Psychotherapy Integration, 23(2), 166-178.
27- Kennard, E. J., Lieberman, J., Saaid, A., & Rolfe, K. J. (2015). A preliminary comparison of laryngeal manipulation and postural treatment on voice quality in a prospective randomized crossover study. Journal of Voice29(6), 751-754.‏
28- Khandaker, G. M., Zuber, V., Rees, J. M., Carvalho, L., Mason, A. M., Foley, C. N., & Burgess, S. (2020). Shared mechanisms between coronary heart disease and depression: findings from a large UK general population-based cohort. Molecular psychiatry25(7), 1477-1486.‏
29- Kılıç, A., Hudson, J., McCracken, L. M., Ruparelia, R., Fawson, S., & Hughes, L. D. (2020). A Systematic Review of the Effectiveness of Self-Compassion-Related Interventions for Individuals with Chronic Physical Health Conditions. Behavior Therapy.‏
30- Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in Acceptance and Commitment Therapy. Current Opinion in Psychology, 2, 97-101.
31- Miller, A. H., & Raison, C. L. (2016). The role of inflammation in depression: from evolutionary imperative to modern treatment target. Nature reviews immunology16(1), 22.‏
32- Navarro-Gil, M., Lopez-del-Hoyo, Y., Modrego-Alarcón, M., Montero-Marin, J., Van Gordon, W., Shonin, E., & Garcia-Campayo, J. (2020). Effects of attachment-based compassion therapy (ABCT) on self-compassion and attachment style in healthy people. Mindfulness11(1), 51-62.‏
33- Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of clinical psychology69(1), 28-44.
34- Neff, K. D., & Tóth-Király, I. (2020). Self-Compassion Scale (SCS).‏
35- Neff, K., & Germer, C. (2017). Self-Compassion and Psychological. The Oxford handbook of compassion science, 371.‏
36- Noorbala, F., Borjali, A., & Noorbala, A. (2013). The interaction effect between " self-Compassion" and " Rumination" of depressed patients in " Compassion Focused Therapy", Daneshvar Medicine, 20(104), 77-84.
37- Percy, M., & Richardson, C. (2018). Introducing nursing practice to student nurses: How can we promote care compassion and empathy. Nurse education in practice29, 200-205.‏
38- Quoidbach, J., Mikolajczak, M., & Gross, J. J. (2015). Positive interventions: An emotion regulation perspective. Psychological bulletin141(3), 655.‏
39- Rajabi, G., Malik Mohammadi, F., Amanallahifar, A., & Sudani, M. (2015). Self-criticism, internal religious orientation, depression, and feeling of loneliness with mediation of silencing the self among students involved in romantic relationships: A path analysis model. Journal of fundamentals of mental health17(6), 284-291.‏
40- Riemann, D., Krone, L. B., Wulff, K., & Nissen, C. (2020). Sleep, insomnia, and depression. Neuropsychopharmacology45(1), 74-89.‏
41- Rostami, M,. Abolghasemi, A., & Narimani, M. (2016). The effectiveness of quality-based treatment on the quality of life of incompatible couples. Journal of Scientific Researchers. 15 (1). 19-27.
42- Seligman, M. E., Ernst, R. M., Gillham, J., Reivich, K., & Linkins, M. (2009). Positive education: Positive psychology and classroom interventions. Oxford review of education35(3), 293-311.‏
43- Soltannejad, S. (2013). The efficacy of quality of life training on Self-efficacy in patient under hemodialysis treatment. Med Surg Nurs J2(1-2), e87593.‏
44- Toghiani, M. (2011). The Effectiveness of Quality of Life Therapy on mental health, vitality and mental wellbeing of adolescent boys. Master's thesis of clinical psychology: Isfahan University.‏
45- Wadsworth, L. P., Forgeard, M., Hsu, K. J., Kertz, S., Treadway, M., & Björgvinsson, T. (2018). Examining the role of repetitive negative thinking in relations between positive and negative aspects of self-compassion and symptom improvement during intensive treatment. Cognitive Therapy and Research42(3), 236-249.‏
46- Xu, S., Zhang, Z., Wang, A., Zhu, J., Tang, H., & Zhu, X. (2018). Effect of self-efficacy intervention on quality of life of patients with intestinal stoma. Gastroenterology Nursing, 41(4), 341.‏