The Effectiveness of Semantic Cognitive Reconstruction Therapy on Depression, Anxiety and Stress in Patients with Gender Dysphoria

Document Type : Research Paper

Authors

1 Department of Medical, Faculty of Medical Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran.

2 Assistant Professor, Department of Psychology, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran.

3 Department of Clinical Psychology, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.

Abstract

The present study was conducted with the aim of investigating the effectiveness of semantic cognitive reconstruction on depression, anxiety, and stress in patients with gender dysphoria. The present paper is a quasi-experimental investigation of the “pretest-posttest with control group design.” The statistical cohort comprised all gender dysphoric patients who were referred to the Ardabil Welfare in 2022. The statistical sample included 30 gender dysphoric patients according to the psychiatrist's diagnosis, who were selected in the available sampling method and randomly assigned to two experimental and control groups (15 people in each group). The Depression, anxiety, and stress scale (DASS-42) were used to measure research variables in the stages before and after treatment. The experimental group underwent nine sessions of semantic cognitive reconstruction therapy, each lasting 90 minutes, following the pretest. The post-test was administered at the conclusion of the treatment. The data were analyzed using the covariance analysis procedure and SPSS-24 software. The analysis results indicated that the experimental group's patients experienced a decrease in tension, anxiety, and depression as a result of this therapeutic intervention (P<0.001). For patients with GD, semantic cognitive reconstruction may serve as an effective treatment strategy for alleviating emotional disturbances. It is recommended to conduct training courses in this area.

Keywords

References

اوسطی، ک.، و صالحی، م. (1399). اثربخشی درمان مبتنی بر ذهن‌آگاهی بر افسردگی، اضطراب و استرس در بیماران مبتلا به اختلال ملال جنسیتی. مجله روان‌شناسی بالینی، 12(2)، 70-63.  https://doi.org/10.22075/jcp.2020.19316.1781
بلوچی، د.، آتش‌پور، ح.، و گل‌پرور، م. (1398). اثربخشی درمان شناختی رفتاری بر مشکلات بین‌فردی افراد مبتلا به اختلال هویت جنسیتی. فصلنامۀ روان‌شناسی تحلیلی شناختی، 10(3)، 59-49. https://sanad.iau.ir/fa/Journal/psy/DownloadFile/866679
خدایاری فرد، م.، علوی‌نژاد، ث.، سجادی، س.، و زندی، س. (1395). اثربخشی خانواده‌درمانی شناختی- رفتاری بر اختلال تنوع‌طلبی‌ جنسی. رویش روان‌شناسی، 5(4)، 116-85. http://dorl.net/dor/20.1001.1.2383353.1395.5.4.2.3
رحیمی احمدآبادی، س.، حجازی، آ.، عطاران، ح.، رحیمی، ا.، کوهستانی، ل.، و کارشکی، ح. (1395). مقایسۀ استرس، اضطراب، افسردگی و نقش جنسی افراد مبتلا به نارضایتی جنسیتی (دیسفوریای جنسیتی) با افراد عادی. مجله پزشکی قانونی ایران، 22(1)، 75-67. https://sjfm.ir/article-1-783-en.pdf
سامانی، س.، و جوکار، ب. (1386). بررسی اعتبار و روایی فرم کوتاه مقیاس افسردگی، اضطراب و فشار روانی. مجلۀ علوم اجتماعی و انسانی دانشگاه شیراز. 26(3)، 75-65. https://www.magiran.com/p573757
سلیمی بجستانی‏، ح.، و اعتمادی، ا. (1388). مقایسۀ اثربخشی به شیوۀ آدلری و بازسازی شناختی مبتنی بر تمثیل، بر تاب‌آوری دانشجویان. فصلنامۀ فرهنگ مشاوره و روان‌درمانی، 1(1)، 74-49. https://doi.org/10.22054/qccpc.2010.5866
صابری، م. (1400). افزایش دو برابری پرونده‌های ملال جنسیتی در بخش روان‌پزشکی پزشکی قانونی، خبرگزاری ایلنا، تهران، 14مهر 1400، کدخبر:1139136، https://www.ilna.ir/fa/tiny/news-1139136
طهماسبی‌پور، ن. (1399). معنادرمانی، از نظریه تا عمل از دیدگاه فرانکل. پژوهش‌های هستی‌شناختی، 9(18)، 499-522. https://orj.sru.ac.ir/article_1518.html
کریمی، ع.، رضایی شریف، ع.، و قمری‌گیوی، ح. (1393). اثربخشی رویکرد بازسازی شناختی بر باورهای غیرمنطقی افراد مبتلا به اختلال سوِء‌مصرف مواد. کنفرانس آسیب شناسی، ریشه‌یابی و ترمیم در روان‌شناسی. 29مرداد1393، شیراز، ایران. https://civilica.com/doc/299896/
گنجی، م. (1395). آسیب شناسی روانی بر اساس DSM-5. تهران: نشر ساوالان.
مسیبی، م.، قنادزادگان، ح.، و میرزائیان، ب. (1400). مقایسۀ درمان بازسازی شناختی معنایی و درمان خود‌ دلگرم‌سازی بر خستگی مزمن در افراد مبتلا به روان‌تنی پوستی. رویش روان‌شناسی. 10(9)، 204-193. http://dorl.net/dor/20.1001.1.2383353.1400.10.9.19.5
مفردی دوست، ر. (1395). مقایسۀ ابعاد شخصیتی، حس انسجام و کنترل عاطفی در افراد مبتلا به ملال جنسیتی و افراد عادی. پایان‌نامۀ کارشناسی ارشد روان‌شناسی ‌بالینی، دانشکدۀ روان‌شناسی و علوم تربیتی، دانشگاه محقق اردبیلی. https://elmnet.ir/doc/11219252-71791
References
Anderson, D., Wijetunge, H., Moore, P., Provenzano, D., Li, N., Hasoon, J., Viswanath, O., Kaye, A. D., & Urits, I. (2022). Gender dysphoria and its non-surgical and surgical treatments. Health psychology research, 10(3), 38358. https://doi.org/10.52965/001c.38358
Asikhia, O. A. (2014). Effect of cognitive restructuring on the reduction of mathematics anxiety among senior secondary school students in ogun state, nigeria. International Journal of Education and Research. 2(2), 1-20. https://www.ijern.com/journal/February-2014/30.pdf
Baluchi, D., Atashpour, H., & Golparvar, M. (2019). Effectiveness of cognitive-behavioral therapy on the interpersonal problems of the people with sexual identity disorder, Journal of Analytical Cognitive Psychology, 10(38), 49-59. https://sanad.iau.ir/fa/Journal/psy/DownloadFile/866679 (In Persian)
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York, NY: International Universities Press.
Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: automatic and strategic processes. Behaviour Research and Thrapy. 35(1), 49-58. https://doi.org/10.1016/S0005-7967(96)00069-1
Biedermann, S. V., Asmuth, J., Schröder, J., Briken, P., Auer, M. K., & Fuss, J. (2021). Childhood adversities are common among trans people and associated with adult depression and suicidality. Journal of Psychiatric Research. 141(1), 318-324. https://doi.org/10.1016/j.jpsychires.2021.07.016
Brokjøb, L. G., & Cornelissen, K. K. (2022). Internalizing minority stress: Gender dysphoria, minority stress, and psychopathology in a norwegian transgender population. Psychology of Sexual Orientation and Gender Diversity, 9(3), 272–286. https://doi.org/10.1037/sgd0000480.
Budge, S. L., Adelson, J. L., & Howard, K. A. S. (2013). Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping. Journal of Consulting and Clinical Psychology, 81(3), 545–557. https://doi.org/10.1037/a0031774
Busa, S., Wernick, J., Kellerman, J., Glaeser, E., McGregor, K., Wu, J., & Janssen, A. (2022). A descriptive case study of a cognitive behavioral therapy group intervention adaptation for transgender youth with social anxiety disorder. The Behavior Therapist. 45(4), 135-141. https://pmc.ncbi.nlm.nih.gov/articles/PMC9236272/
Busaa, S., Janssen, A., & Lakshman, M. (2018). A review of evidence based treatments for transgender youth diagnosed with social anxiety disorder. Transgender Health. 3(1), 27-33. https://doi.org/10.1089/trgh.2017.0037
Damanpak-Rizi, M., Farnam, F., & Khodakhah, P. (2021). Effect of cognitive-behavioral therapy on domestic violence and its consequences in transgender youth: A randomized clinical trial, parallel group study. BMC Psychiatry. 21(1), 1-7. https://doi.org/10.1186/s12888-021-03224-z
Ellis, A. (1957). Rational psychotherapy and individual psychology. Journal of Individual Psychology, 13, 38-44. https://psycnet.apa.org/record/1958-05549-001
Furlong, Y., & Janca, A. (2022). Epidemiology of personality disorders in individuals with gender dysphoria. Current Opinion in Psychiatry. 35(1), 78-82. https://doi.org/10.1097/YCO.0000000000000757
Ganji, M. (2015). Psychopathology according to DSM-5. Tehran: Savalan Publishing.  (In Persian)
Hall, W. J., Ruiz Rosado, B., & Chapman, M. V. (2019). Findings from a feasibility study of an adapted cognitive behavioral therapy group intervention to reduce depression among LGBTQ (Lesbian, Gay, Bisexual, Transgender, or Queer) Young People. Journal of Clinical Medicine, 8(7), 949. https://doi.org/10.3390/jcm8070949
Hart, T. A., Vernon, J. R. G., & Hart, T. L. (2021). Cognitive behavioral therapy for lesbian, gay, bisexual, and transgender populations. In A. Wenzel (Ed.), Handbook of cognitive behavioral therapy: Applications (pp. 795–822). American Psychological Association. https://doi.org/10.1037/0000219-026
Hoffman, B. R. (2014). The interaction of drug use, sex work, and HIV among transgender women. Substance Use & Misuse. 49(8), 1049-1053. https://doi.org/10.3109/10826084.2013.855787
Joseph, J. M., Busa, S., & Taylor, B. (2020). Using RE-CBT with transgender and gender- expansive children and youth. In rational-emotive and cognitive-behavioral approaches to child and adolescent mental health. Theory, Practice, Research, Applications. (pp. 351-370). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-030-53901-6_17
Karimi, A., Rezaei Sharif, A., & Qamarigivi, H. (2013). The effectiveness of cognitive restructuring approach on irrational beliefs of people with substance abuse disorder. Conference on pathology, rooting and restoration in psychology. August 29, 2013, Shiraz, Iran. https://civilica.com/doc/299896/ (In Persian)
Khodayarifard M, Alavinezhad S, Sajjadi Anari S, & Zandi S. (2017). Efficacy of family therapy combined with CBT techniques on treatment of sexual variety seeking. Rooyesh. 5(4), 85-116. http://dorl.net/dor/20.1001.1.2383353.1395.5.4.2.3 (In Persian)
Kozlowska, K., McClure, G., Chudleigh, C., Maguire, A. M., Gessler, D., Scher, S., & Ambler, G. R. (2021). Australian children and adolescents with gender dysphoria: clinical presentations and challenges experienced by a multidisciplinary team and gender service. Human Systems. 1(1), 70-95. https://doi.org/10.1177/26344041211010777
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales with the beck depression and anxiety inventories. Behaviour Research and Therapy. 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
MacMullin, L. N., Aitken, M., Nabbijohn, A. N., & VanderLaan, D. P. (2020). Self-harm and suicidality in gender-nonconforming children: A Canadian community-based parent-report study. Psychology of Sexual Orientation and Gender Diversity, 7(1), 76–90. https://doi.org/10.1037/sgd0000353
Mofardi Dost, R. (2015). Comparison of personality dimensions, sense of coherence and emotional control in people with sexual boredom and normal people. Master's thesis in clinical psychology, Faculty of Psychology and Educational Sciences, Mohaghegh Ardabili University. https://elmnet.ir/doc/11219252-71791 (In Persian)
Mosayebi M, Ghanadzadegan H, & Mirzaian B. (2021). Comparison of the Effectiveness of Semantic Cognitive Reconstruction Therapy and Self-Encouragement Therapy on Chronic Fatigue in People with Psychosomatic Skin. Rooyesh. 10(9), 193-204. http://dorl.net/dor/20.1001.1.2383353.1400.10.9.19.5 (In Persian)
Osaty, K., & Salehi, M. (2020). The effectiveness of mindfulness-based therapy on depression, anxiety and stress syndrome in patients with GDD. Journal of Clinical Psychology, 12(2), 63-70. https://doi.org/10.22075/jcp.2020.19316.1781 (In Persian)
Paz-Otero, M., Becerra-Fernández, A., Pérez-López, G., & Ly-Pen, D. (2021). A 2020 review of mental health comorbidity in gender dysphoric and gender non-conforming people. Journal of Psychiatry Treatment and Research. 3(1), 44-55. https://doi.org/10.36959/784/425
Phillip, A., Pellechi, A., DeSilva, R., & Semler, K. (2022). A plausible explanation of increased suicidal behaviors among transgender youth based on the interpersonal theory of suicide (IPTS): Case series and literature review. Journal of Psychiatric Practice. 28(1), 3-13. https://doi.org/10.1097/PRA.0000000000000604
Rahimi Ahmadabadi, S., Hejazi, A., Attaran, H., Rahimi, A., Kohestani, L., & Karashki, H. (2016). Comparison of stress, anxiety, depression & sexual role in subjects involved gender dysphoria with normal subjects. Iranian Journal of Forensic Medicine, 22 (1), 67-75. https://sjfm.ir/article-1-783-fa.html (In Persian)
Saberi, M. (2020). Doubling of cases of gender dysphoria in forensic psychiatry department, Ilna news agency, Tehran, 05 Oct 2020, news code: 1139136. https://www.ilna.ir/fa/tiny/news-1139136 (In Persian)
salimi Bajestani, H., & E'temadi, A. (2010). Comparing the effectiveness of Adrelrian's method counseling and cognitive reconstruction based on allegory in enhancing students' resiliency. Counseling Culture and Psycotherapy, 1(1), 49-74. https://doi.org/10.22054/qccpc.2010.5866 (In Persian)
Samani, S., & Jokar, B. (2008). Investigating the validity and reliability of the short form of depression, anxiety and psychological stress scale, Journal of Social and Human Sciences of Shiraz University, 26(3), 65. https://www.magiran.com/p573757 (In Persian)
Silva, D. C., Salati, L. R., Villas-Bôas, A. P., Schwarz, K., Fontanari, A. M., Soll, B., ... & Lobato, M. I. R. (2021). Factors associated with ruminative thinking in individuals with gender dysphoria. Frontiers in Psychiatry. 12(2), 602-293. https://doi.org/10.3389/fpsyt.2021.602293
Surace, T., Fusar-Poli, L., Vozza, L., Cavone, V., Arcidiacono, C., Mammano, R., & Aguglia, E. (2021). Lifetime prevalence of suicidal ideation and suicidal behaviors in gender non-conforming youths: a meta-analysis. European Child & Adolescent Psychiatry. 30(8), 1147-1161. https://doi.org/10.1007/s00787-020-01508-5
Tahmasbipour, N. (2021). Logotherapy, from theory to practice from Frankl' s point of view. Journal of Ontological Researches, 9(18), 499-522. https://orj.sru.ac.ir/article_1518.html (In Persian)
 
Journal of Applied Psychological Research
Volume 16, Issue 1
March 2025
Pages 153-165

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History

  • Receive Date: 15 October 2022
  • Revise Date: 27 December 2022
  • Accept Date: 03 January 2023
  • First Publish Date: 16 January 2025
  • Publish Date: 21 April 2025

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