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The Effectiveness of Psychological Empowerment Training and Schema Therapy on Resilience and Cognitive Fusion in Adolescent Girls Exposed to Domestic Violence

Document Type : Research Article

Authors

1 Department of Psychology, Yasooj Branch, Islamic Azad University, Yasooj, Iran

2 Department of Psychology and Counseling, Farhangian University, Tehran, Iran

3 Department of Psychology, Faculty of Sciences, Zand Institute of Higher Education, Shiraz, Iran

10.30476/whb.2024.103743.1309

Abstract

Background: Adolescent girls exposed to domestic violence are at high risk for long-term psychological issues. This study aimed to evaluate the efficacy of psychological empowerment training and schema therapy in enhancing resilience and reducing cognitive fusion, ultimately improving their mental health and overall well-being.
Methods: This quasi-experimental study employed a three-phase (pre-test, post-test, follow-up) design with three groups and a two-month follow-up period. The population comprised adolescent girls who were victims of domestic violence in Dehdasht, Iran in 2022 and were under the supervision of the Dehdasht County Welfare Organization, Dehdasht, Iran. A convenience sample of 45 girls was selected and randomly assigned to the experimental and control groups (15 girls in each psychological empowerment training group, 15 girls in the schema therapy group, and 15 girls in the control group). The first experimental group underwent schema therapy for ten 90-minute sessions, while the second group received psychological empowerment training for twelve 90-minute sessions. The research instruments included the Connor-Davidson Resilience Scale (CD-RISC) and the Cognitive Fusion Scale (CFQ). Repeated measures ANOVA was used to analyze the data using SPSS version 24.
Results: The mean resilience score for the psychological empowerment training group at the post-test was 60.48 (±5.31), and 60.96 (±4.72) at follow-up, while the mean resilience score for the control group at the post-test was 52.44 (±3.82), and 50.53 (±5.25) at follow-up. The mean cognitive fusion score for the psychological empowerment training group at the post-test was 40.76 (±2.66), and 41.47 (±5.73) at follow-up, while the mean cognitive fusion score for the control group at the post-test was 48.73 (±4.50), and 49.54 (±3.77) at follow-up. Both psychological empowerment training and schema therapy had a significant positive effect on increasing resilience in adolescent girls exposed to domestic violence (P<0.001). Additionally, the findings demonstrated that both interventions significantly decreased cognitive fusion in these girls (P<0.001).
Conclusions: This study demonstrated that psychological empowerment training and schema therapy are effective treatments for adolescent girls who have experienced domestic violence. These interventions improve resilience and reduce cognitive fusion, highlighting the importance of specialized therapeutic approaches for this population.

Highlights

How to Cite: Andisheh H, Rasouli SY, Ramezani K. The Effectiveness of Psychological Empowerment Training and Schema Therapy on Resilience and Cognitive Fusion in Adolescent Girls Exposed to Domestic Violence. Women. Health. Bull. 2024;11(4):262-271. doi: 10.30476/whb.2024.103743.1309.

 

Hojatollah Andisheh: https://scholar.google.com/citations?user=jnFzeOAAAAAJ

Seyed Yousef Rasouli: https://scholar.google.com/citations?user=05SMok8AAAAJ&hl

Keywords

References
  1. Newnham EA, Chen Y, Gibbs L, Dzidic PL, Guragain B, Balsari S, et al. The Mental Health Implications of Domestic Violence During COVID-19. Int J Public Health. 2022;66:1604240. doi: 10.3389/ijph.2021.1604240. PubMed PMID: 35126030; PubMed Central PMCID: PMC8813757. ##
  2. Malik M, Munir N, Ghani MU, Ahmad N. Domestic violence and its relationship with depression, anxiety and quality of life: A hidden dilemma of Pakistani women. Pak J Med Sci. 2021;37(1):191-194. doi: 10.12669/pjms.37.1.2893. PubMed PMID: 33437275; PubMed Central PMCID: PMC7794145. ##
  3. Howell KH, Barnes SE, Miller LE, Graham-Bermann SA. Developmental variations in the impact of intimate partner violence exposure during childhood. J Inj Violence Res. 2016;8(1):43-57. doi: 10.5249/jivr.v8i1.663. PubMed PMID: 26804945; PubMed Central PMCID: PMC4729333. ##
  4. Wessells MG, Kostelny K. The Psychosocial Impacts of Intimate Partner Violence against Women in LMIC Contexts: Toward a Holistic Approach. Int J Environ Res Public Health. 2022;19(21):14488. doi: 10.3390/ijerph192114488. PubMed PMID: 36361364; PubMed Central PMCID: PMC9653845. ##
  5. Doroudchi A, Zarenezhad M, Hosseininezhad H, Malekpour A, Ehsaei Z, Kaboodkhani R, et al. Psychological complications of the children exposed to domestic violence: a systematic review. Egypt J Forensic Sci. 2023;13(1):26. doi: 10.1186/s41935-023-00343-4. PubMed PMID: 37274510; PubMed Central PMCID: PMC10213576. ##
  6. Ayosanmi OSS, Agboola JO, Elijah F, Alaga A, Adeniran O, Ogunlade GI, et al. Characterization of Violence Against Reproductive-age Women in Southwest Nigeria. Women Health Bull. 2022;9(3):132-141. doi: 10.30476/whb.2022.94749.1170. ##
  7. Albayrak ZS, de Fátima da Silva Vaz A, Bordes J, Ünlü S, Sep MSC, Vinkers CH, et al. Translational models of stress and resilience: An applied neuroscience methodology review. Neuroscience Applied. 2024;3:104064. doi: 10.1016/j.nsa.2024.104064. ##
  8. Ford JD, King N, Galappaththi EK, Pearce T, McDowell G, Harper SL. The Resilience of Indigenous Peoples to Environmental Change. One Earth. 2020;2(6):532-543. doi: 10.1016/j.oneear.2020.05.014. ##
  9. Mousavi S, Mousavi S, Shahsavari MR. Effects of Compassion-Focused Therapy on Resilience and Distress Tolerance in Female Heads of Households. Women Health Bull. 2023;10(3):200-209. doi: 10.30476/whb.2023.99466.1238. ##
  10. Tsirigotis K, Łuczak J. Resilience in Women who Experience Domestic Violence. Psychiatr Q. 2018;89(1):201-211. doi: 10.1007/s11126-017-9529-4. PubMed PMID: 28801868; PubMed Central PMCID: PMC5807488. ##
  11. Rollero C, Speranza F. Intimate Partner Violence and Resilience: The Experience of Women in Mother-Child Assisted Living Centers. Int J Environ Res Public Health. 2020;17(22):8318. doi: 10.3390/ijerph17228318. PubMed PMID: 33182789; PubMed Central PMCID: PMC7696442. ##
  12. Eskandari L, Hooman F, Asgari P, Alizadeh M. Association between Maternal Cognitive Fusion and Depression and Children’s Sadness Management in Students with Specific Learning Disorders through an Artificial Neural Network. Women Health Bull. 2023;10(4):275-282. doi: 10.30476/whb.2024.100816.1259. ##
  13. García-Gómez M, Guerra J, López-Ramos VM, Mestre JM. Cognitive Fusion Mediates the Relationship between Dispositional Mindfulness and Negative Affects: A Study in a Sample of Spanish Children and Adolescent School Students. Int J Environ Res Public Health. 2019;16(23):4687. doi: 10.3390/ijerph16234687. PubMed PMID: 31775280; PubMed Central PMCID: PMC6926870. ##
  14. Farshad MR, Samavi SA. External Shame and Self-Criticism in Married Women: the Mediating Role of Cognitive Fusion and Experiential Avoidance. Women Health Bull. 2022;9(4):216-223. doi: 10.30476/whb.2022.96102.1187. ##
  15. Carvalho SA, Trindade IA, Gillanders D, Pinto-Gouveia J, Castilho P. Cognitive fusion and depressive symptoms in women with chronic pain: A longitudinal growth curve modelling study over 12 months. Clin Psychol Psychother. 2019;26(5):616-625. doi: 10.1002/cpp.2386. PubMed PMID: 31240784. ##
  16. Llorente-Alonso M, García-Ael C, Topa G. A meta-analysis of psychological empowerment: Antecedents, organizational outcomes, and moderating variables. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. 2024;43(2):1759-1784. doi: 10.1007/s12144-023-04369-8. ##
  17. Zhou H, Chen J. How Does Psychological Empowerment Prevent Emotional Exhaustion? Psychological Safety and Organizational Embeddedness as Mediators. Front Psychol. 2021;12:546687. doi: 10.3389/fpsyg.2021.546687. PubMed PMID: 34349690; PubMed Central PMCID: PMC8326325. ##
  18. Taghipour A, Sadat Borghei N, Latifnejad Roudsari R, Keramat A, Jabbari Nooghabi H. Psychological Empowerment Model in Iranian Pregnant Women. Int J Community Based Nurs Midwifery. 2016;4(4):339-351. PubMed PMID: 27713897; PubMed Central PMCID: PMC5045978. ##
  19. Karimivakil A, Shafiabadi A, Farahbakhsh K, Younesi J. Effectiveness of psychological empowerment training program based on individual psychology Adler's theory on female-headed household’s learned helplessness. Quarterly of Counseling Culture and Psychotherapy. 2017;8(31):23-51. doi: 10.22054/qccpc.2017.22427.1541. ##
  20. Arendt ITP, Gondan M, Juul S, Hastrup LH, Hjorthøj C, Bach B, et al. Schema therapy versus treatment as usual for outpatients with difficult-to-treat depression: study protocol for a parallel group randomized clinical trial (DEPRE-ST). Trials. 2024;25(1):266. doi: 10.1186/s13063-024-08079-9. PubMed PMID: 38627837; PubMed Central PMCID: PMC11022394. ##
  21. Kopf-Beck J, Zimmermann P, Egli S, Rein M, Kappelmann N, Fietz J, et al. Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC Psychiatry. 2020;20:506. doi: 10.1186/s12888-020-02880-x. PubMed PMID: 33054737; PubMed Central PMCID: PMC7557007. ##
  22. Peeters N, van Passel B, Krans J. The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. Br J Clin Psychol. 2022;61(3):579-597. doi: 10.1111/bjc.12324. PubMed PMID: 34296767; PubMed Central PMCID: PMC9544733. ##
  23. Peeters N, Stappenbelt S, Burk WJ, van Passel B, Krans J. Schema therapy with exposure and response prevention for the treatment of chronic anxiety with comorbid personality disorder. Br J Clin Psychol. 2021;60(1):68-76. doi: 10.1111/bjc.12271. PubMed PMID: 33319395; PubMed Central PMCID: PMC7898627. ##
  24. Mohammadi F, Taleb N, Rezaei Shojaei S, Emami roudi T. The Effectiveness of Schema Therapy on Cognitive Flexibility and Resiliency in Patients with Generalized Anxiety. Medical Journal of Mashhad University of Medical Sciences. 2019;63(2):34-42. doi: 10.22038/mjms.2020.16176. Persian. ##
  25. Ghaderi F, Kalantari M, Mehrabi H. Effectiveness of group schema therapy on early maladaptive schemas modification and reduce of social anxiety disorder symptoms. Clinical Psychology Studies. 2016;6(24):1-28. doi: 10.22054/jcps.2016.6512. Persian. ##
  26. Sharifi Nejad Rodani R, Marashian FS, Shahbazi M. Comparing the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Psychological Well-being and Cognitive Distortion of Single Women with Love Trauma Syndrome. Women Health Bull. 2023;10(2):112-121. doi: 10.30476/WHB.2023.98252.1227. ##
  27. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113. ##
  28. Keyhani M, Taghvaei D, Rajabi A, Amirpour B. Internal Consistency and Confirmatory Factor Analysis of the Connor-Davidson Resilience Scale (CD-RISC) among Nursing Females. Iranian Journal of Medical Education. 2015;14(10):857-865. Persian. ##
  29. Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, et al. The development and initial validation of the cognitive fusion questionnaire. Behav Ther. 2014;45(1):83-101. doi: 10.1016/j.beth.2013.09.001. PubMed PMID: 24411117. ##
  30. Soltani E, Izadi S, Sharifi P, Poursadeghfard M. Psychometric Properties of the Persian Version of Cognitive Fusion Questionnaire-Chronic Illness in Multiple Sclerosis. Iran J Psychiatry Behav Sci. 2022;16(1):e113524. doi: 10.5812/ijpbs.113524. ##
  31. Rahbar Karbasdehi F, Abolghasemi A, Rahbar Karbasdehi E. The Effectiveness of Schema Therapy on Psychological Resilience and Social Empowerment in Students with Depression Symptoms. Quarterly Journal of Psychological Studies. 2020;15(4):73-90. doi: 10.22051/psy.2019.23724.1808. Persian. ##
  32. Setoodeh G, Karami A, Edraki M, Nick N. Investigating the effect of psychological empowerment on using coping strategies, stress, anxiety and depression in adolescents with haemophilia: a randomized controlled trial. International Journal of Adolescence and Youth. 2023;28(1):2270036. doi: 10.1080/02673843.2023.2270036. ##
  33. Dehghanizadeh Z, Gharcheh S, Asghari K, Shabani H, Eydi - Baygi M. Relationship of Negative Strategies of Emotion Regulation with Anxiety and Depression in the Students of Shiraz University of Medical Sciences, Shiraz, Iran. Ann Mil Health Sci Res. 2017;15(3):e63315. doi: 5812/amh.63315. ##
  34. Safaeian M, Kakavand A, Bahrami Hidaji M, Mohammadi Shirmahaleh F. Comparing the Effectiveness of Mindfulness Training with Schema Therapy on Cognitive fusion and Job Burnout in Female Nurses. Archives of Hygiene Sciences. 2023;12(2):62-69. doi: 10.34172/AHS.12.2.1.417. ##
  35. Bardeen JR, Fergus TA. The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of Contextual Behavioral Science. 2016;5(1):1-6. doi: 10.1016/j.jcbs.2016.02.002. ##
Women’s Health Bulletin
Volume 11, Issue 4 - Serial Number 44
October 2024
Pages 262-271
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