Volume 6, Issue 3 (Summer 2018)
PCP 2018, 6(3): 143-152 |
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Mowlaie M, Hajloo N, Sadeghi Hashjin G, Mikaeili N, Heidari S. The Effectiveness of Empathic Dynamic Psychotherapy and Anxiety-Regulating Psychodynamic Therapy in Treating Adult Separation Anxiety Disorder. PCP 2018; 6 (3) :143-152
URL: http://jpcp.uswr.ac.ir/article-1-526-en.html
URL: http://jpcp.uswr.ac.ir/article-1-526-en.html
1- Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2- Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. ,Hajloo53@uma.ac.ir
3- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
4- Department of Psychology, Faculty of Educational Sciences and Psychology, Payame Noor University, Amol, Iran.
2- Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. ,
3- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
4- Department of Psychology, Faculty of Educational Sciences and Psychology, Payame Noor University, Amol, Iran.
Abstract: (6403 Views)
Objective: Dynamic psychotherapies are effective in treating anxiety disorders. However, little is known about their effectiveness in treating Adult Separation Anxiety Disorder (ASAD). The present research aimed to examine the effectiveness of Brief Empathic Psychotherapy (BEP) and anxiety-regulating dynamic therapy or Affect Phobia Therapy (APT) in reducing depression and anxiety in a sample of Iranian university students with ASAD symptoms.
Methods: In total, 30 subjects were randomly assigned to three equal groups [two experimental (BEP and APT) groups and one control group]. Questionnaires were administered in pre-treatment, post-treatment, and follow-up sessions. BEP and APT were provided to the experimental groups in 12 sessions over 4 weeks. All participants provided written informed consent during the pre-treatment assessment.
Results: The results indicated that the measures of Depression Anxiety and Stress Scales showed significant decreases in depression and anxiety in the experimental groups and BEP was more effective than APT in reducing depression, whereas APT showed more significant therapeutic effects than BEP on anxiety but not on depression.
Conclusion: In summary, the results of the present research showed that psychodynamic psychotherapies are effective for treating anxiety disorders, especially ASAD, and have significant therapeutic effects on depression and anxiety.
Methods: In total, 30 subjects were randomly assigned to three equal groups [two experimental (BEP and APT) groups and one control group]. Questionnaires were administered in pre-treatment, post-treatment, and follow-up sessions. BEP and APT were provided to the experimental groups in 12 sessions over 4 weeks. All participants provided written informed consent during the pre-treatment assessment.
Results: The results indicated that the measures of Depression Anxiety and Stress Scales showed significant decreases in depression and anxiety in the experimental groups and BEP was more effective than APT in reducing depression, whereas APT showed more significant therapeutic effects than BEP on anxiety but not on depression.
Conclusion: In summary, the results of the present research showed that psychodynamic psychotherapies are effective for treating anxiety disorders, especially ASAD, and have significant therapeutic effects on depression and anxiety.
Type of Study: Research |
Subject:
Analytical approach
Received: 2017/11/17 | Accepted: 2018/05/5 | Published: 2018/07/1
Received: 2017/11/17 | Accepted: 2018/05/5 | Published: 2018/07/1
References
1. Abbass, A. A., Hancock, J. T., Henderson, J., & Kisely, S. (2014). Short-term psychodynamic psychotherapies for common mental disorders. The Cochrane Database of Systematic Reviews, 18(4):CD004687. [DOI:10.1002/14651858.CD004687.pub3] [DOI:10.1002/14651858.CD004687.pub3]
2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Washington, D.C.: American Psychiatric Association Publishing. [DOI:10.1176/appi.books.9780890425596]
3. Bögels, S. M., Knappe, S., & Clark, L. A. (2013). Adult separation anxiety disorder in DSM-V. Clinical Psychological Review, 33(5), 663–74. [DOI:10.1016/j.cpr.2013.03.006] [DOI:10.1016/j.cpr.2013.03.006]
4. Busch, F. N., & Milord, B. L. (2015). Psychodynamic treatment for separation anxiety disorder in a treatment nonresponder. Journal of the American Psychoanalytic Association, 63(5), 893-919. [DOI:10.1177/0003065115607491] [DOI:10.1177/0003065115607491]
5. Carmassia, C., Gesia C., Corsia M., Pergentinia I., Cremonea I. M, Conversanoa C., et al. (2015). Adult separation anxiety differentiates patients with complicated grief and/or major depression and is related to lifetime mood spectrum symptoms. Comprehensive Psychiatry, 58, 45-49. [DOI:10.1016/j.comppsych.2014.11.012] [DOI:10.1016/j.comppsych.2014.11.012]
6. Copeland, W. E., Angold, A., & Shanahan, L. (2014). Longitudinal patterns of anxiety from childhood to adulthood: The Great Smoky Mountains Study. Journal of American Academic Child Adolescence Psychiatry, 53(1), 21-33. [DOI:10.1016/j.jaac.2013.09.017] [DOI:10.1016/j.jaac.2013.09.017]
7. Cyranowski, J. M., Shear, M. K., Rucci, P., Fagiolini, A., Frank, E., & Grochocinski, V. J. (2002). Adult separation anxiety: Psychometric properties of a new structured clinical interview. Journal of Psychiatric Research, 36(2), 77–86. [DOI:10.1016/S0022-3956(01)00051-6] [DOI:10.1016/S0022-3956(01)00051-6]
8. Dirioz, M., Alkin, T., Yemez, B., Onur, E., & Eminağaoğlu, N. (2012). the validity and reliability of Turkish version of separation anxiety symptom inventory and adult separation anxiety question-naire. Turkish Journal of Psychiatry, 23(2), 108-116. [PMID] [PMID]
9. Dornelas, E., Ferrand, J., & Stepnowski, R. (2010). A pilot study of affect-focused psychotherapy for antepartum depression. Journal of Psychotherapy Integration, 20(4), 364–82. [DOI:10.1037/a0022035] [DOI:10.1037/a0022035]
10. Ferrero A., Piero, A., Fassina, S., Massola, T., Lanteri, A., & AbbateDaga, G. (2007). A 12-month comparison of brief psychodynamic psychotherapy and pharmacotherapy treatment in subjects with generalized anxiety disorders in a community setting. European Psychiatry, 22(8), 530-9. [DOI:10.1016/j.eurpsy.2007.07.004] [DOI:10.1016/j.eurpsy.2007.07.004]
11. Frank, E., Rucci, P., Katon, W., Barrett, J., Williams, J. W., Oxman, T., et al. (2002). Correlates of remission in primary care patient treated for minor depression. General Hospital Psychiatry, 24(1), 12-9. [DOI:10.1016/S0163-8343(01)00173-6] [DOI:10.1016/S0163-8343(01)00173-6]
12. Heidari, S., Lewis, A. J., Allahyari, A., Azadfallah, P., & Bertino, M. D. (2013). A pilot study of brief psychodynamic psychotherapy for depression and anxiety in young Iranian adults: The effect of attachment style on outcomes. Psychoanalytic Psychology, 30(3), 381-93. [DOI:10.1037/a0033503] [DOI:10.1037/a0033503]
13. Hock, E., McBride, S., & Gnezda, M. T. (1989). Maternal Separation Anxiety: Mother-Infant Separation from the Maternal Perspective. Child Development, 60(4), 793–802. [DOI:10.2307/1131019] [DOI:10.2307/1131019]
14. Johansson, R., Bjorklund, M., Hornborg, C., & Anderson, G. (2013). Affect-focused psychodynamic psychotherapy for depression and anxiety through the internet: A randomized controlled trial. Peer Journal, 1(2), 102. [DOI:10.7717/peerj.102] [DOI:10.7717/peerj.102]
15. Johansson, R., Hesser, H., Ljótsson, B., Frederick, R. J., & Andersson, G. (2016). Transdiagnostic, affect-focused, psychodynamic, guided self-help for depression and anxiety through the internet: study protocol for a randomized controlled trial. BMJ Open, 2(6), e002167. [DOI:10.1136/bmjopen-2012-002167] [DOI:10.1136/bmjopen-2012-002167]
16. Kessler, R. C., Chiu, W. T., Jin, R., Ruscio, A. M., Shear, K., & Walters, E. E. (2006). The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Archives of General Psychiatry, 63(4), 415–24. [DOI:10.1001/archpsyc.63.4.415] [DOI:10.1001/archpsyc.63.4.415]
17. Khorshidvand, Z., RahimianBoogar, I., & Talepasand, S. (2015). Comparison of Temperament–character Dimensions of Personality among Patients with Separation Anxiety Disorderand Healthy Individuals. Iranian Journal of Psychiatry and Clinical Psychology, 21(3), 201-193.
18. Knekt, P., Heinonen, E., Härkäpää, K., Järvikoski, A., Virtala, E., Rissanen, J., et al. (2015). Randomized trial on the effectiveness of long- and short-term psychotherapy on psychosocial functioning and quality of life during a5-year follow-up. Psychiatry Research, 229(1-2), 381-88. [DOI:10.1016/j.psychres.2015.05.113] [DOI:10.1016/j.psychres.2015.05.113]
19. Knekt, P., Lindfors, O., Laaksonen, M. A., Raitasalo, R., Haaramo, P., & Järvikoski, A. (2008). The Helsinki Psychotherapy Study Group Effectiveness of short-term and long-term psychotherapy on work ability and functional capacity — A randomized clinical trial on depressive and anxiety disorders. Journal of Affective Disorders, 107(1-3), 95–106. [DOI:10.1016/j.jad.2007.08.005] [DOI:10.1016/j.jad.2007.08.005]
20. Leichsenring, F., & Salzer, S. (2014). A unified protocol for the transdiagnostic psychodynamic treatment of anxiety disorders: an evidence-based approach. Psychotherapy, 51(2), 224–45. [DOI:10.1037/a0033815] [DOI:10.1037/a0033815]
21. Leichsenring, F., Salzer, S., Beutel, M. E., Herpertz, S., Hiller, W., Hoyer, J., et al. (2014). Long-term outcome of psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder. American Journal of Psychiatry, 171(10), 1074-82. [DOI:10.1176/appi.ajp.2014.13111514] [DOI:10.1176/appi.ajp.2014.13111514]
22. Lovibond, P. F., Lovibond, S. H. (1995). The Structure Of Negative Emotional States: Comparison Of The Depression Anxiety Stress Scales (DASS) With The Beck Depression And Anxiety Inventories. Behavior Research and Therapy, 33(3), 335-43. [DOI:10.1016/0005-7967(94)00075-U] [DOI:10.1016/0005-7967(94)00075-U]
23. Maljanen, T., Knekt, P., Lindfors, O., Virtala, E., Tillman, P., Harkanen, T., et al. (2016). The cost-effectiveness of short-term and long-term psychotherapy in the treatment of depressive and anxiety disorders during 5-year follow up. Journal of Afective Disorders, 15(190), 254-63. [DOI:10.1016/j.jad.2015.09.065] [DOI:10.1016/j.jad.2015.09.065]
24. Manicavasagar, V., Silove, D., Curtis, J., & Wagner, R. (2000). Continuities of separation anxiety from early life into adulthood. Journal of Anxiety Disorders, 14(1), 1–18. [DOI:10.1016/S0887-6185(99)00029-8] [DOI:10.1016/S0887-6185(99)00029-8]
25. Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J. (2003). A Self-Report Questionnaire for Measuring Separation Anxiety in Adulthood. Comprehensive Psychiatry, 44(2), 146-53. [DOI:10.1053/comp.2003.50024] [DOI:10.1053/comp.2003.50024]
26. Mayseless, O., & Scher, A. (2000). Mother's attachment concerns regarding spouse and infant's temperament as modulators of maternal separation anxiety. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(7), 917-25. [DOI:10.1111/1469-7610.00679] [DOI:10.1111/1469-7610.00679]
27. McCullough, L., Kuhn, N., Andrews, S., Kaplan, A., Wolf, J., & Hurley, C. L. (2003). Treating affect phobia: A manual for short-term dynamic psychotherapy. New York: Guilford Press.
28. Milord, B. (2015). An epidemiological contribution to clinical understanding of anxiety. American Journal of Psychiatry, 72(7), 601-2. [DOI:10.1176/appi.ajp.2015.15030312] [DOI:10.1176/appi.ajp.2015.15030312]
29. Miniati, M., Calugi, S., & Rucci, P. (2012). Predictors of response among patients with panic disorder treated with medications in a naturalistic follow-up: the role of adult separation anxiety. Journal of Affective Disorders, 136(3), 675–79. [DOI:10.1016/j.jad.2011.10.008] [DOI:10.1016/j.jad.2011.10.008]
30. Rochester, J., & Baldwin, D. (2015). Adult separation anxiety disorder: accepted but little understood. Human Psychopharmacology, 30(1), 1-3. [DOI:10.1002/hup.2452] [DOI:10.1002/hup.2452]
31. Sahebi, A., Asghari, M. A., & Salari, R. S. (2005). [Validation of Depression, Anxiety and Stress test (DASS-21) for Iranian population (Persian)]. Evolutionary Psychology, 1(4), 299-312.
32. Sass, H. (2003). [Diagnostic and Statistical Manual of mental disorders: Text Revision – DSM-IV-TR (French)]. Göttingen: Hogrefe.
33. Seruya, B. (1997). Brief empathic psychotherapy. Northvale, New Jersey: Janson Aronson.
34. Cyranowski, J., Shear, M. K., Rucci, P., Fagiolini, A., Frank, E., Grochocinsky, V. J., et al. (2002). Adult separation anxiety: Psychometric properties of a new structured clinical interview. Journal of Psychiatric Research, 36(2), 77–86. [DOI:10.1016/S0022-3956(01)00051-6] [DOI:10.1016/S0022-3956(01)00051-6]
35. Shear, K., Jin, R., Ruscio, A. M., Walters, E. E., & Kessler, R. C. (2006). Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey Replication. American Journal of Psychiatry, 163(6), 1074–83. [DOI:10.1176/ajp.2006.163.6.1074] [DOI:10.1176/ajp.2006.163.6.1074]
36. Silove D, Lonso J., Bromet, E., Grunber, M., & Sampson N., Scott K., (2015). Pediatric-onset and adult onset separation anxiety disorder across countries in the world mental health survey. American Journal of Psychiatry, 172(7), 647-656. [DOI:10.1176/appi.ajp.2015.14091185] [DOI:10.1176/appi.ajp.2015.14091185]
37. Silove, D. M., Marnane, C. L., Wagner, R., Manicavasagar, V. L., & Rees, S. (2010). The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic. BMC Psychiatry, 10(1), 21. [DOI:10.1186/1471-244X-10-21] [DOI:10.1186/1471-244X-10-21]
38. Silove, D., Marnane, C., Wagner, R., & Manicavasagar, V. (2011). Brief report associations of personality disorder with early separation anxiety in patients with adult separation anxiety disorder. Journal of Personality Disorders, 25(1), 128–33. [DOI:10.1521/pedi.2011.25.1.128] [DOI:10.1521/pedi.2011.25.1.128]
39. Silove, D., & Rees, S. (2014). Separation anxiety disorder across the lifespan: DSM-5 lifts age restriction on diagnosis. Asian Journal of Psychiatry, 11, 98-101. [DOI:10.1016/j.ajp.2014.06.021] [DOI:10.1016/j.ajp.2014.06.021]
40. Startup, M., Jackson, M. C., & Bendix, S. (2002). The concurrent validity of the Global Assessment of Functioning (GAF). British Journal of Clinical Psychology, 41(4), 417-22. [DOI:10.1348/014466502760387533] [DOI:10.1348/014466502760387533]
41. Swartz, H. A., Cyranowsky, J. M., Cheng, Y., Zuckoff, A., Brent, D. A., Markowitz, J. C., et al. (2016). Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children. Journal of the American Academy of Child & Adolescent Psychiatry, 55(6), 495-503. [DOI:10.1016/j.jaac.2016.04.003] [DOI:10.1016/j.jaac.2016.04.003]
42. Tran, T. D., Tran, T., & Fisher, J. (2013). Validation of the Depression Anxiety Stress Scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry, 13, 24. [DOI:10.1186/1471-244X-13-24] [DOI:10.1186/1471-244X-13-24]
43. Trauer, N. G. F. T., Dodd, S., Callaly, T., Campbell, S., & Berk, M. (2007). The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure. Acta Neuropsychiatric, 19(5), 304-10. [DOI:10.1111/j.1601-5215.2007.00217.x] [DOI:10.1111/j.1601-5215.2007.00217.x]
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