Document Type : Research Article

Authors

1 Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

2 Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background: The emotional challenges faced by divorced women can significantly affect their mental well-being. This study aimed to evaluate the effectiveness of Transcranial Direct Current Stimulation (tDCS) and hypnotherapy on rumination, selfcompassion, and quality of life in divorced women.
Method: This quasi-experimental study used a pre-test, post-test, and control group design. The statistical population consisted of divorced women visiting counseling centers in Ardabil, Iran in 2024. A total of 45 divorced women were selected through convenience sampling. The study participants were randomly assigned to three groups, each consisting of 15 individuals: tDCS, hypnotherapy, and control groups. Each intervention group underwent eight weekly individual sessions. Data collection included the Ruminative Responses Scale (RRS), Self-Compassion Scale (SCS), and the Short Form Health Survey (SF-36). Data were analyzed using analysis of covariance (ANCOVA) and Tukey’s post hoc test at a significance level of 0.05 using SPSS version 27.
Results: After controlling the pre-test effects and ensuring that demographic characteristics were homogeneous and non-significant, the post-test scores for rumination, self-compassion, and quality of life in the tDCS group were 53.67±7.65, 65.27±11.07, and 52.80±9.53, respectively. In the hypnotherapy group, these scores were 44.93±3.92, 75.47±9.16, and 58.73±9.51, respectively. The control group had post-test scores of 61.73±5.87, 54.40±10.40, and 39.40±10.89. Tukey’s post hoc test confirmed that both tDCS and hypnotherapy significantly affected the dependent variables (P<0.001), with hypnotherapy having a greater impact than tDCS.
Conclusions: The findings showed that although both tDCS and hypnotherapy interventions had significant effects on all three dependent variables, the hypnotherapy intervention demonstrated a more substantial and meaningful positive effect compared with transcranial direct current stimulation.

Highlights

Ali Nasiri: (Google Scholar)

Mohammadreza Noroozi Homayoon: (Google Scholar)

 

How to Cite: Nasiri A, Narimani M, Sadri Damirchi E, Noroozi Homayoon M. A Comparison of the Effectiveness of Transcranial Direct Current Stimulation and Hypnotherapy on Rumination, Self-compassion, and Quality of Life in Divorced Women. Women. Health. Bull. 2025;12(3):206-217. doi: 10.30476/whb.2025.105249.1333.

Keywords

  1. Noroozi Homayoon M, Sadri Damirchi E, Sadeghi M, Hatami Nejad M. Comparing the Effectiveness of Cognitive-Emotional Regulation Training and Transcranial Direct Current Stimulation on Difficulty in Regulating Emotions, Rumination and Quality of Life in Divorced Women. Women Health Bull. 2025;12(1):21-29. doi: 10.30476/whb.2024.103315.1300. ##
  2. Broujeni MM, Sajjadian I, Golparvar M. The Effectiveness of the Narrative-Based Acceptance and Commitment Counseling Package on Experiential Avoidance, Affective Capital and Desire to Divorce in Women on the Verge of Divorce. Psychology of Woman Journal. 2024;5(1):23-35. doi: 10.61838/kman.pwj.5.1.3. ##
  3. Alibudbud R, Smith A, Liebrenz M, Arnado JM. Reframing divorce as a mental health policy issue in the Philippines. Lancet Psychiatry. 2024;11(4):241-242. doi: 10.1016/S2215-0366(24)00002-6. PubMed PMID: 38301675. ##
  4. Ciobotaru D, Jones CJ, Cohen Kadosh R, Violante IR, Cropley M. “Too much of a burden”: Lived experiences of depressive rumination in early adulthood. J Couns Psychol. 2024;71(4):255-267. doi: 10.1037/cou0000740. PubMed PMID: 38815103. ##
  5. Park H, Kuplicki R, Paulus MP, Guinjoan SM. Rumination and Over-Recruitment of Cognitive Control Circuits in Depression. Biol Psychiatry Cogn Neurosci Neuroimaging. 2024;9(8):800-808. doi: 10.1016/j.bpsc.2024.04.013. PubMed PMID: 38703822; PubMed Central PMCID: PMC11305927. ##
  6. Arana FG, Rice KG, Aiello M. A cross-cultural look at the role of rumination in the relationship between trait anxiety and romantic breakup distress. European Journal of Trauma & Dissociation. 2024;8(1):100376. doi: 10.1016/j.ejtd.2023.100376. ##
  7. Erduran Tekin Ö, Şirin A. Rumination Mediates the Relationship Between Childhood Traumas with Cognitive Defusion, Acceptance, and Emotion Regulation: A Qualitative and Quantitative Study. J Ration Emot Cogn Behav Ther. 2023;41(4):1-28. doi: 10.1007/s10942-023-00503-4. PubMed PMID: 37360921; PubMed Central PMCID: PMC10081932. ##
  8. Saberi F, Mahdi MA, Kazemi AS. The Effect of Compassion-Based Therapy on Women's Mental Health After Divorce. International Journal of New Findings in Health and Educational Sciences (IJHES). 2024;2(3):78-90. doi: 10.63053/ijhes.90. ##
  9. Putri TA, Kurniawan R. Gambaran Self-Compassion pada Wanita yang Pernah Mengalami Dating Violence: Sebuah Pendekatan Fenomenologi. ALSYS. 2024;4(6):805-819. doi: 10.58578/alsys.v4i6.4010. ##
  10. Rakhshani T, Amirsafavi M, Motazedian N, Harsini PA, Kamyab A, Jeihooni AK. Association of quality of life with marital satisfaction, stress, and anxiety in middle-aged women. Front Psychol. 2024;15:1357320. doi: 10.3389/fpsyg.2024.1357320. PubMed PMID: 39291177; PubMed Central PMCID: PMC11405199. ##
  11. Noroozi Homayoon M, Almasi M, Sadri Damirchi E, Hatami Nejad M. Comparing the Effectiveness of Transcranial Direct Current Stimulation and Repeated Transcranial Magnetic Stimulation Treatment on Working Memory, Impulsivity and Self-Harm Behaviors in People with Borderline Personality. Neuropsychology. 2023;8(31):1-19. doi: 10.30473/clpsy.2023.65222.1678. Persian. ##
  12. Almasi M, Noroozi Homayoon M, Rezaei sharif A. The Effectiveness of Neurofeedback Therapy and Transcranial Direct Current Stimulation in Cognitive Dominance of Children with Attention Deficit/ Hyperactivity Disorder. Neuropsychology. 2021;7(25):111-130. doi: 10.30473/clpsy.2021.59266.1603. Persian. ##
  13. Subramaniam A, Liu S, Lochhead L, Appelbaum LG. A systematic review of transcranial direct current stimulation on eye movements and associated psychological function. Rev Neurosci. 2022;34(3):349-364. doi: 10.1515/revneuro-2022-0082. PubMed PMID: 36310385. ##
  14. Noroozi Homayoon M, Akhavi Samarein Z, Sadeghi M, Hatami Nejad M, Jafari Moradlo M. Comparing the efficacy of emotion-focused therapy and transcranial direct current stimulation on impulsivity, emotional regulation, and suicidal ideation in young people with borderline personality disorder. Journal of Research in Psychopathology. 2025;6(1):33-42. doi: 10.22098/jrp.2024.14488.1221. ##
  15. Esht V, Alshehri MM, Balasubramanian K, Sanjeevi RR, Shaphe MA, Alhowimel A, et al. Transcranial direct current stimulation (tDCS) for neurological disability among subacute stroke survivors to improve multiple domains in health-related quality of life: Randomized controlled trial protocol. Neurophysiol Clin. 2024;54(3):102976. doi: 10.1016/j.neucli.2024.102976. PubMed PMID: 38663043. ##
  16. Yavari F, Chhabra H, Polania R, Nitsche MA. Mechanisms of action of transcranial direct current stimulation. Interventional Psychiatry. Elsevier; 2024. p. 149-86. doi: 10.1016/B978-0-443-18496-3.00006-9. ##
  17. Pdl P, Hasanah N, Rahmawati NAL. A Systematic Review of the Effect of Self-Hypnosis on Quality of Life in Breast Cancer Patients. International Journal of Advanced Health Science and Technology. 2024;4(3). doi: 10.35882/ijahst.v4i3.335. ##
  18. Pang JWV, Subramaniam P, Amit N, Wahab S, Moustafa AA. Hypnotherapy as treatment for depression: A scoping review. Int J Clin Exp Hypn. 2024;72(2):155-188. doi: 10.1080/00207144.2024.2317193. PubMed PMID: 38416132. ##
  19. Talaeezadeh M, Saadi ZE, Heydari A, Joharifard R. Comparing the Effectiveness of" Hypnotherapy" and" Schema Therapy" on Mental Health in Men and Women Who Have Been Marital infidelity in Tehran. Journal of Health Promotion Management. 2023;12(3):65-81. doi: 10.22034/JHPM.12.3.63. Persian. ##
  20. Khazraee H, Bakhtiari M, Kianimoghadam AS, Ghorbanikhah E. The effectiveness of mindful hypnotherapy on depression, self-compassion, and psychological inflexibility in females with major depressive disorder: A single-blind, randomized clinical trial. Int J Clin Exp Hypn. 2023;71(1):63-78. doi: 10.1080/00207144.2022.2160257. PubMed PMID: 36715628. ##
  21. Sharma S, Tiwari P. A systematic review on role of hypnotherapeutic intervention in promoting positive psychological health. International Journal of Health Sciences. 2022;6(S2):4672-4689. doi: 10.53730/ijhs.v6nS2.6123. ##
  22. Menon S, Bhagat V. The role of integrative clinical hypnotherapy interventions and their place in modern medical and psychological treatment: A review study. Research Journal of Pharmacy and Technology. 2022;15(9):4333-40. doi: 10.52711/0974-360X.2022.00727. ##
  23. Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology. 1991;61(1):115-121. doi: 10.1037/0022-3514.61.1.115. ##
  24. Kazemi N, Arjmandnia AA, Moradi R, Mohammadi S, Sadeghi fard M. The effectiveness of self compassion training program on psychological well-being and rumination of the Mothers of Children with Special Learning Disabilities. Rooyesh. 2020;9(1):27-36. Persian. ##
  25. Bagherinezhad M, Salehi Fadardi J, Tabatabayi SM. The relationship between rumination and depression in a sample of Iranian student. Foundations of Education. 2010;11(1):21-38. doi: 10.22067/fe.v11i1.2246. Persian. ##
  26. Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2(3):223-250. doi: 10.1080/15298860309027. ##
  27. Khosravi S, Sadeghi M, Yabandeh MR. Psychometric Properties of Self-Compassion Scale (SCS). Psychological Models and Methods. 2013;4(13):47-58. Persian. ##
  28. Azizi A, Mohammadkhani P, Foroughi AA, Lotfi S, Bahramkhani M. The validity and reliability of the Iranian version of the Self-Compassion Scale. PCP. 2013;1(3):149-155. ##
  29. Ware JE. SF-36 Health Survey: Manual and Interpretation Guide. Boston: Health Institute; 1993. ##
  30. Banihashmiyan K, Bahrami Ehsan H, Moazen M. Relation between head masters’ general health and emotional intelligence and job satisfaction of teachers. Journal of Behavioral Sciences. 2010;4(1):45-50. Persian. ##
  31. Rostami M, Abolghasemi A, Narimani M. The effectiveness of quality of life therapy on quality of life in maladjustment couples. Pajouhan Sci J. 2016;15(1):19-27. doi: 10.21859/psj-15013. Persian. ##
  32. Montazeri A, Goshtasebi A, Vahdaninia MS. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Payesh (Health Monitor). 2006;5(1):50-56. Persian. ##
  33. Surowka AD, Ziomber A, Czyzycki M, Migliori A, Kasper K, Szczerbowska-Boruchowska M. Molecular and elemental effects underlying the biochemical action of transcranial direct current stimulation (tDCS) in appetite control. Spectrochim Acta A Mol Biomol Spectrosc. 2018;195:199-209. doi: 10.1016/j.saa.2018.01.061. PubMed PMID: 29414579. ##
  34. Erickson MH. Hypnotherapy: An exploratory casebook; 1979. ##
  35. Zeig JK. Ericksonian approaches to hypnosis and psychotherapy; 1982. ##
  36. Meinzer M, Shahbabaie A, Antonenko D, Blankenburg F, Fischer R, Hartwigsen G, et al. Investigating the neural mechanisms of transcranial direct current stimulation effects on human cognition: current issues and potential solutions. Front Neurosci. 2024;18:1389651. doi: 10.3389/fnins.2024.1389651. PubMed PMID: 38957187; PubMed Central PMCID: PMC11218740. ##
  37. Bouchard AE, Renauld E, Fecteau S. Changes in resting-state functional MRI connectivity during and after transcranial direct current stimulation in healthy adults. Front Hum Neurosci. 2023;17:1229618. doi: 10.3389/fnhum.2023.1229618. PubMed PMID: 37545594; PubMed Central PMCID: PMC10398567. ##
  38. Haipt A, Rosenbaum D, Fuhr K, Batra A, Ehlis A-C. Differential effects of hypnotherapy and cognitive behavioral therapy on the default mode network of depressed patients. Front Psychol. 2024;15:1401946. doi: 10.3389/fpsyg.2024.1401946. PubMed PMID: 38993341; PubMed Central PMCID: PMC11238146. ##
  39. Leo DG, Keller SS, Proietti R. “Close your eyes and relax”: the role of hypnosis in reducing anxiety, and its implications for the prevention of cardiovascular diseases. Front Psychol. 2024;15:1411835. doi: 10.3389/fpsyg.2024.1411835. PubMed PMID: 39035095; PubMed Central PMCID: PMC11258040. ##
  40. Ozgunay SE, Kasapoglu Aksoy M, Deniz KN, Onen S, Onur T, Kilicarslan N, et al. Effect of hypnosis on pain, anxiety, and quality of life in female patients with fibromyalgia: Prospective, randomized, controlled study. Int J Clin Exp Hypn. 2024;72(1):51-63. doi: 10.1080/00207144.2023.2277853. PubMed PMID: 38060828. ##