Comparing the Effectiveness of Combination Therapy Based on Psychological Resilience and Mindfulness to Cognitive Behavioral Therapy for Anxiety, Depression, Stress, and Job Burnout in the Staff of Isfahan Regional Electric Company

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Educational Science and Psychology, University of Isfahan, Isfahan, Iran.

2 Department of psychology, Faculty of Educational Science and Psychology, University of Isfahan, Isfahan, Iran.

3 Department of Industrial-Organizational Psychology, Faculty of Educational Science and Psychology, University of Isfahan, Isfahan, Iran.

4 Department of Psychology and Education of Children with Special Needs, Faculty of Educational Science and Psychology, University of Isfahan, Isfahan, Iran.

Abstract

This study aimed to compare the effectiveness of combination therapy based on resilience and mindfulness with cognitive behavioral therapy on job burnout, anxiety, stress, and depression in the staff of Isfahan Regional Electric Company who suffered from a mixed anxiety-depressive disorder. This was a quasi-experimental study with a pre-test-post-test design and a control group. In 2021, the statistical universe included the whole male staff of Isfahan Regional Electric Company. 45 employees were selected using a purposeful sampling method based on entry and exit criteria and randomly assigned to one control group and two experimental groups. Maslach's job burnout inventory (MBI) and the Depression, Anxiety, and Stress Scale (DASS-21) were used to obtain the data. Statistical analyses were conducted using SPSS-23 and the multivariate covariance test and Tukey’s post hoc procedure. Both applied therapeutic methods (CBT and Combined therapy) reduced anxiety, stress, depression, and burnout significantly in experimental group members. However, post hoc analyses revealed that there was no statistically significant difference between two methods for reducing dependent variables. According to the findings, the resilience and mindfulness-based combination therapy can be used in conjunction with other therapeutic protocols to ameliorate psychological disturbances such as mood and anxiety symptoms as well as job burnout in individuals.
 

Keywords

References

آزاد مرزآبادی، الف.، و غلامی فشارکی، م. (1390). بررسی عوامل مؤثر بر استرس شغلی نظامیان. مجلۀ طب نظامی. 12(1)، 6-1. https://militarymedj.bmsu.ac.ir/article_1000427.html
اعتمادی، ع.، و فقیه، م. (1387). بررسی علل فرسودگی شغلی معلمان مقطع ابتدایی اصفهان. مشاورۀ شغلی و سازمانی. 2(2)، 88-73.
ایران‌دوست، ف. (1400). تدوین بستۀ درمانی ترکیبی مبتنی بر تاب‌آوری روان‌شناختی و ذهن‌آگاهی و مقایسۀ اثربخشی آن با درمان شناختی-رفتاری بر اضطراب، افسردگی، استرس، فرسودگی شغلی و کاهش نشانه‌های کارکنان با نشانگان اختلال اضطراب افسردگی مختلط در شرکت برق منطقه‌ای اصفهان. پایان‌نامۀ دکتری روان‌شناسی عمومی. دانشکدۀ علوم تربیتی و روان‌شناسی. دانشگاه اصفهان.
برقی ایرانی، ز.، بگیان کوله‌مرز، م.، و هزاری، ن. (1395). اثربخشی آموزش تاب‌آوری بر بهبود کیفیت زندگی پرستاران. فصلنامۀ مدیریت پرستاری. 5(3)، 19-9. http://ijnv.ir/article-1-469-fa.html
جامع، ن.، و ربانی، ز. (1399). نقش تعدیل‌کنندۀ استرس شغلی در رابطۀ بین جو ایمنی و حوادث ناشی از کار. مجلۀ مطالعات روان‌شناسی صنعتی و سازمانی. 7(2)، 258-241. https://doi.org/10.22055/jiops.2020.32349.1172
راستگو، ن.، حرفه‌دوست، م.، و خیرجو، ا. (1395). اثربخشی آموزش گروهی ذهن‌آگاهی بر فرسودگی شغلی، رضایت شغلی و برخی نشانگان آسیب‌شناسی روانی معلمان. راهبردهای شناختی در یادگیری. 4(7)، 198-179.    https://doi.org/10.22084/j.psychogy.2017.1660
شکرکن، ح. (1389). مردم در سازمان‌ها. تهران: رشد.
صاحبی، ع.، اصغری، م.، و سالاری، ر. (1384). اعتباریابی مقیاس افسردگی اضطراب، تنیدگی (DASS-21) برای جمعیت ایرانی. فصلنامۀ روان‌شناسی تحولی: روان‌شناسان ایرانی. 1(4)، 54-36. https://jip.stb.iau.ir/article_512443.html
ضمیری‌نژاد، س.، گلزاری، م.، برجعلی، ا.، حجت، ک.، و اکابری، آ. (1391). مقایسۀ اثربخشی آموزش تاب‌آوری به‌صورت گروهی و شناخت‌درمانی گروهی بر کاهش میزان افسردگی دانشجویان دختر خوابگاهی. مجلۀ دانشگاه علوم پزشکی خراسان شمالی. 4(4)، 638-631. http://dx.doi.org/10.29252/jnkums.4.4.631
عطایی، ز. (1399). اثربخشی درمان شناختی-رفتاری بر استرس شغلی و رضایت زناشویی. مجلۀ مطالعات روان‌شناسی صنعتی و سازمانی. 7(2)، 378-367. https://doi.org/10.22055/jiops.2020.35996.1211
غباری بناب، ب، نبوی، م، و شیرکول، م. (1384). عوامل مؤثر بر بروز فرسودگی شغلی معلمان دانش آموزان نابینا, ناشنوا, و عادی در مقطع راهنمایی شهر تهران. مجلۀ روان‌شناسی و علوم تربیتی. 35(2)، 135-109. https://jpsyedu.ut.ac.ir/article_25659.html
غلامی، س.، و واحدی، ش. (1394). اثربخشی آموزش برنامۀ تاب‌آوری پن بر تنظیم شناختی هیجان افراد افسرده. مجلۀ پزشکی ارومیه. 26(12)، 1027-1019. http://umj.umsu.ac.ir/article-1-3285-fa.html
قدم‌پور، ع.، غلام‌رضایی، س.، و رادمهر، پ. (1395). تأثیر آموزش شناختی مبتنی بر ذهن‌آگاهی بر بهبود باورهای فراشناختی در مبتلایان به اختلال همبودی اضطراب اجتماعی و افسردگی. راهبردهای شناختی در یادگیری. 4(6)، 59-38. https://doi.org/10.22084/j.psychogy.2016.1436
مطلبی، ک.، و کیانی، ق. (1396). رابطۀ فرسودگی شغلی با سلامت روان معلمان مدارس استثنایی: نقش میانجی مشارکت شغلی. مجلۀ مدیریت ارتقای سلامت. 6(3)، 59-52. http://dx.doi.org/10.21859/jhpm-07017
نگهداری، ه‍.، و نگهداری، ه‍. (1390). ارزیابی رابطۀ استرس شغلی و اعمال ناایمن با حوادث شغلی در کارگران برق‌کار یک شرکت توزیع نیروی برق. انسان و محیط‌زیست. 9(4)، 14-7. https://he.srbiau.ac.ir/article_6204.html
هاوتون، ک.، سالکووس کیس، پ.، کرک، ج.، و کلارک، د. (1394). رفتاردرمانی شناختی: راهنمای کاربردی در درمان اختلال‌های روانی. ترجمۀ حبیب‌الله قاسم‌زاده. تهران: ارجمند.
یوسفی، ع.، و خیام نکویی، ز. (1389). مبانی آموزش‌های شناختی-رفتاری و کاربرد آن در بهبود بیماری‌های مزمن. مجلۀ ایرانی آموزش در علوم پزشکی (ویژه‌نامه توسعۀ آموزش). 10(5)، 800-792. http://ijme.mui.ac.ir/article-1-1548-fa.html
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub. https://psycnet.apa.org/doi/10.1176/appi.books.9780890425596
Anclair, M., Lappalainen, R., Muotka, J., & Hiltunen, A.J. (2018). Cognitive behavioural therapy and mindfulness for stress and burnout: a waiting list-controlled pilot study comparing treatments for parents of children with chronic conditions. Scandinavian Journal of Caring Sciences, 32(1), 389-396. https://doi.org/10.1111/scs.12473
Andrews, G., Basu, A., Cuijpers, P., Craske, M. G., McEvoy, P., English, C. L., & Newby, J. M. (2018). Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. Journal of Anxiety Disorders. 55, 70–78. https://doi.org/10.1016/j.janxdis.2018.01.001
Ataie, Z. (2020). The Effectiveness of Cognitive-Behavioral Therapy on Job Stress and Marital Satisfaction. Industrial and Organizational Psychology Studies, 7(2), 367-378. https://jiops.scu.ac.ir/article_16511.html?lang=fa (In Persian)
Azad Marzabadi, E., & Gholami Fesharaki, M. (2022). Effective factors on job stress in military personnel. Journal of Military Medicine, 13(1), 1-6. (In Persian) https://militarymedj.bmsu.ac.ir/article_1000427.html?lang=fa
Barghi, Z. (2017). The Effectiveness of resilience training program on improving nurses' quality of life. Nursing Management, 5 (3-4), 9-18.     
http://ijnv.ir/article-1-469-en.html (In Persian)
Batelaan, N. M., Spijker, J., de Graaf, R., & Cuijpers, P. (2012). Mixed anxiety depression should not be included in DSM-5. Journal of Nervous and Mental Disease, 200(6), 495-498.‌ https://doi.org/10.1097/NMD.0b013e318257c4c9
Bayes, A., Tavella, G., & Parker, G. (2021). The biology of burnout: Causes and consequences. The world journal of biological psychiatry: the official journal of the World Federation of Societies of Biological Psychiatry, 22(9), 686-698. https://doi.org/10.1080/15622975.2021.1907713
Bogar, C. B., & Hulse-Killacky, D. (2006). Resiliency determinants and resiliency processes among female adult survivors of childhood sexual abuse. Journal of Counseling & Development, 84(3), 318–327. https://doi.org/10.1002/j.1556-6678.2006.tb00411.x
Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68(6), 539-544.‌ https://doi.org/10.1016/j.jpsychores.2009.10.005
Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to rhrive after extremely aversive events?. The American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20
Clark, K. D. (2010). The relationship of perceived stress and self-efficacy among correctional employees in close-security and medium-security-level institutions. Doctoral Dissertation of Psychology. Walden University, Minneapolis, Minnesota. https://www.proquest.com/openview/fa7a894fca2c1ef8519709b20c230612/1?pq-origsite=gscholar&cbl=18750
Connor, K. M., & Zhang, W. (2006). Resilience: Determinants, measurement, and treatment responsiveness. CNS Spectrums, 11(S12), 5-12. ‌ https://doi.org/10.1017/S1092852900025797
Dugas, M. J., Brillon, P., Savard, P., Turcotte, J., Gaudet, A., Ladouceur, R., Leblanc, R. & Gervais, N. J. (2010). A randomized clinical trial of cognitive- behavioral therapy and applied relaxation for adults with generalized anxiety disorder. Behavior Therapy, 41(1), 46-58. https://doi.org/10.1016/j.beth.2008.12.004
Edward, K. L., & Hercelinskyj, G. (2007). Burnout in the caring nurse: learning resilient behaviours. British Journal of Nursing, 16(4), 240–242.     https://doi.org/10.12968/bjon.2007.16.4.22987
Etemadi, A., & Faghih, M. (2008). Investigation the causes of job burnout in primary school teachers in Isfahan. Career and Organization Counseling, 2(2), 73-88. (In Persian)
Fava, G.A., & Tomba, E. (2009). Increasing psychological well-being and resilience by psychotherapeutic methods. Journal of Personality, 77(6), 1903-1934. https://doi.org/10.1111/j.1467-6494.2009.00604.x
Flook, L., Goldberg, S. B., Pinger, L., Bonus, K., & Davidson, R. J. (2013). Mindfulness for teachers: A pilot study to assess effects on stress, burnout and teaching efficacy. Mind Brain Education, 7(3), 10.1111/mbe.12026. https://doi.org/10.1111/mbe.12026
Ghadampour, E., Gholamrezaee, S., & Radmehr, P. (2016). The effect of mindfulness–based cognitive training on recovery meta-cognitive beliefs in suffering disorder comorbidity social anxiety and depression. Biquarterly Journal of Cognitive Strategies in Learning, 4(6), 38-58.. https://asj.basu.ac.ir/article_1436.html?lang=fa (In Persian)
Gholami, S., & Vahedi, S. (2016). Effectiveness of PENN resiliency program on cognitive emotion regulation in depressed people. Studies in Medical Sciences, 26(12), 1019-1027.
http://umj.umsu.ac.ir/article-1- (In Persian)
Gilbert, P. (2007). Evolved minds and compassion in the therapeutic relationship. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies (pp. 106–142). London: Routledge/Taylor & Francis Group. https://doi.org/10.4324/9780203099995
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Kearney, D. J., & Simpson, T. L. (2019). Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: a meta-analysis. Cognitive Behaviour Therapy, 48(6), 445–462. https://doi.org/10.1080/16506073.2018.1556330
Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83-91. https://doi.org/10.1037/a0018441
González-Navarro, P., Zurriaga-Llorens, R., Tosin Olateju, A., & Llinares-Insa, L. I. (2018). Envy and Counterproductive Work Behavior: The Moderation Role of Leadership in Public and Private Organizations. International Journal of Environmental Research and Public Health, 15(7), 1455. https://doi.org/10.3390/ijerph15071455
Grensman, A., Acharya, B. D., Wändell, P., Nilsson, G. H., Falkenberg, T., Sundin, O., & Werner, S. (2018). Effect of traditional yoga, mindfulness–based cognitive therapy, and cognitive behavioral therapy, on health-related quality of life: a randomized controlled trial on patients on sick leave because of burnout. BMC Complementary and Alternative Medicine, 18(1), 80. https://doi.org/10.1186/s12906-018-2141-9
Haghighat, S., & Mohammadi, A. (2018). Comparison of the effectiveness of cognitive behavioral therapy and acceptance and commitment therapy on reducing mood symptoms in patients with substance abuse. Intentional Clinical Neuroscience Journal, 5(4), 22-26. https://journals.sbmu.ac.ir/Neuroscience/article/view/23395
Hamilton, K. E., Wershler, J. L., Macrodimitris, S. D., Backs-Dermott, B. J., Ching, L.E., & Mothersill, K. J. (2012). Exploring the effectiveness of a mixed-diagnosis group cognitive behavioral therapy intervention across diverse populations. Cognitive and Behavioral Practice, 19(3), 472-482. https://doi.org/10.1016/j.cbpra.2011.12.002
Hawton, K., Salkovskis, P., Kirk, J., & Clarc, D. (1995). Cognitive behaviour therapy for psychiatric problems: A practical guide. Translated by Habibollah Ghasemzadeh. Tehran: Arjamd Publication. (In Persian)
Hojjat, K., Monadi Ziarat, H., Rezaei, M., Hatami, E., Ghaljooghi, R., & Norozi Khalili, M. (2017). Effectiveness of group resiliency training on anxiety, depression, and marital satisfaction in mothers of children with attention deficit hyperactivity disorder. Journal of Family Psychotherapy, 28(3), 257-268.   https://doi.org/10.1080/08975353.2017.1294967
Hope, S., Overland, S., Brun, W., & Matthiesen, S. B. (2010). Associations between sleep, risk and safety climate: A study of offshore personnel on the Norwegian continental shelf. Safety Science, 48(4), 469-477. https://doi.org/10.1016/j.ssci.2009.12.006
Hollon, S. D., Cohen, Z. D., Singla, D. R., & Andrews, P. W. (2019). Recent developments in the treatment of depression. Behavior Therapy, 50 (2), 257-269. https://doi.org/10.1016/j.beth.2019.01.002
Hranov, L. G. (2007). Comorbid anxiety and depression: illumination of a controversy. International Journal of Psychiatry in Clinical Practice, 11(3), 171-189. https://psycnet.apa.org/doi/10.1080/13651500601127180
Irandoost, F. (2021). Developing a therapeutic package based on psychological resilience and mindfulness and comparing its effectiveness with cognitive-behavioral therapy on Anxiety, depression, stress, burnout and reducing symptoms of employees with mixed anxiety-depression disorder in Isfahan regional electric company. Dissertation of Doctor of Psychology. University of Isfahan. (In Persian)
Jamea, N., & Rabbani, Z. (2020). The moderating role of job stress in the relationship between safety climate and work-related accidents. Industrial and Organizational Psychology Studies, 7(2), 241-258. https://jiops.scu.ac.ir/article_16244.html?lang=fa (In Persian)
 Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R.A., & Harvey, S.B. (2018). Road to resilience: a systematic review and meta-analysis of resilience training programs and interventions. BMJ Open, 8(6), e07858. https://doi.org/10.1136/bmjopen-2017-017858
Kemeny, M. E., Foltz, C., Cavanagh, J. F., Cullen, M., Giese - Davis, J., Jennings, P., & Ekman, P. (2014). Contemplative/emotion training reduces negative emotional behavior and promotes prosaically responses. Emotion, 12(2), 338-350.     https://doi.org/10.1037/a0026118
Kim, K. W., Park, S. J., Lim, H. S., & Cho, H. H. (2017). Safety climate and
occupational stress according to occupational accidents experience and
employment type in shipbuilding industry of Korea. Safety and Health at Work, 8(3), 290-295. https://doi.org/10.1016/j.shaw.2017.08.002
Kladnitski, N., Smith, J., Uppal, S., James, M. A., Allen, A. R., Andrews, G., & Newby, J. M. (2020). Transdiagnostic internet-delivered CBT and mindfulness-based treatment for depression and anxiety: A randomised controlled trial. Internet Interventions, 20, 100310. https://doi.org/10.1016/j.invent.2020.100310
Kohler, S, Hoffmann, S., Unger, T., Steinacher, B., Dierstein, N., & Fydrich, T. (2011). Effectiveness of cognitive behavioural therapy plus pharmacotherapy in inpatient treatment of depressive disorders. Clinical Psychology and Psychotherapy, 2(2), 97-106. https://doi.org/10.1002/cpp.795
Konradt, C. E., Cardoso, T. A., Mondin, T. C., Souza, L. D. M., Kapczinski, F., Silva, R. A., & Jansen, K. (2018). Impact of resilience on the improvement of depressive symptoms after cognitive therapies for depression in a sample of young adults. Trends in Psychiatry and Psychotherapy, 40(3), 226-231. https://doi.org/10.1590/2237-6089-2017-0047
Kordich-Hall, D., & Pearson, J. (2005). Resilience, giving children the skills to bounce back. Training Early Childhood Educators in Canada to model resilient thinking behaviours in childcare settings has had a positive impact on the teachers, the centres and the children in their care. Education and Health, 23(1), 12-15.    https://sheu.org.uk/sheux/EH/eh231dk.pdf
Ladou, J. (2007). Current occupational & environmental medicine. New York: McGraw Hill.
Liu, Q., He, H., Yang, J., Feng, X., Zhao, F., & Lyu, J. (2020). Changes in the global burden of depression from 1990 to 2017: Findings from the Global Burden of Disease study. Journal of Psychiatric Research, 126, 134-140. https://doi.org/10.1016/j.jpsychires.2019.08.002
Lovibond, S. H. & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: The Psychology Foundation of Australia Inc.
Mangolini, V. I., Andrade, L. H., Lotufo-Neto, F., & Wang, Y. P. (2019). Treatment of anxiety disorders in clinical practice: a critical overview of recent systematic evidence. Clinics (Sao Paulo, Brazil), 74, e1316. https://doi.org/10.6061/clinics/2019/e1316
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113. https://doi.org/10.1002/job.4030020205
Mealer, M., Conrad, D., Evans, J., Jooste, K., Solyntjes, J., Rothbaum, B., & Moss, M. (2014). Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care, 23(6), 97-105.      ‌ https://doi.org/10.4037/ajcc2014747
Menezes de Lucena Carvalho, V. A., Fernández Calvo, B., Hernández Martín, L., Ramos Campos, F., & Contador Castillo, I. (2006). Resiliencia y el modelo burnout-engagement en cuidadores formales de ancianos [Resilience and the burnout-engagement model in formal caregivers of the elderly]. Psicothema, 18(4), 791–796. https://www.psicothema.com/pi?pii=3310
Motalebi, K., & Kiani Q. (2017). The Correlation between Job Burnout and Mental Health of Teachers in Special Schools of Zanjan: Mediation of Job Involvement. Health Promotion Management, 6(3), 52-60. http://jhpm.ir/article-1-724-fa.html (In Persian)
Napoli, M. (2004). Mindfulness training for teachers: A pilot program. Complemantary Health Practice Review, 9(1), 31 – 42. https://doi.org/10.1177/1076167503253435
Negahdari, H., & Negahdari, H. (2011). Assessment of occupational stress and unsafe acts relationship with occupational accidents at the electrical workers in an electricity power distribution management. Human & Environment, 9(4), 7-14.       https://he.srbiau.ac.ir/article_6204.html?lang=fa (In Persian)
Newby, J. M., Mackenzie, A., Williams, A. D., McIntyre, K., Watts, S., Wong, N., & Andrews, G. (2013). Internet cognitive behavioural therapy for mixed anxiety and depression: a randomized controlled trial and evidence of effectiveness in primary care. Psychological Medicine, 43(12), 2635-2648. ‌ https://doi.org/10.1017/s0033291713000111
Olfson, M., Amos, T. B., Benson, C., McRae, J., & Marcus, S. C. (2018). Prospective service use and health care costs of medicaid beneficiaries with treatment-resistant depression. Journal of Managed Care & Specialty Pharmacy, 24(3), 226–236.   https://doi.org/10.18553/jmcp.2018.24.3.226
Parker, P. D., Martin, A. J., Colmar, S., & Liem, G. A. (2014). Teachers’ workplace well-being: Exploring a process model of goal orientation, coping behavior, engagement, and burnout. Teaching and Teacher Education, 28(4), 503-513.       https://doi.org/10.1016/j.tate.2012.01.001
Pendergast, K. A. (2017). The role of resilience, emotion regulation, and perceived stress on college academic performance. MA thesis in psychology. University of Tennessee at Chattanooga. https://scholar.utc.edu/cgi/viewcontent.cgi?article=1665&context=theses
Prince-Embury, S. (2008). Translating Resiliency Theory for assessment and application in schools. Canadian Journal of School Psychology, 23(1), 4-10.      https://doi.org/10.1177/0829573508316560
Rastgoo, N., herfedost, M., & kheyrjoo, E. (2017). The effectiveness of a group-based mindfulness training on teacher’s burnout, job satisfaction, and some psychopathological symptoms. Biquarterly Journal of Cognitive Strategies in Learning, 4(7), 179-198.. https://asj.basu.ac.ir/article_1660.html?lang=fa (In Persian)
Rusli, B. N., Edimansyah, B. A., & Naing, L. (2008). Working conditions, self perceived stress, anxiety, depression and quality of life: A structural equation modelling approach. BMC Public Health, 8, 48. https://doi.org/10.1186/1471-2458-8-48
Sahebi, A., Asghari, M. J., & Salari, R. S. (2005). Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian Population. Developmental Psychology, 1(4), 36-54. https://jip.stb.iau.ir/article_512443.html?lang=fa (In Persian)
Samaan, M., Diefenbacher, A., Schade, C., Dambacher, C., Pontow, I., Pakenham, K., & Fydrich, T. (2021). A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders. Psychotherapy Research, 31(3), 355-368. https://doi.org/10.1080/10503307.2020.1802080
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford press.
Shokrkon, H. (2010). People in Organization. Tehran: Roshd Publication. (In Persian)
Skovholt, T. M., & Mathison, M. J. (2014). The resilient practitioner: Burnout prevention and self - care strategies for counselors, therapists, teachers, and health professionals. London: Routledge.
Slatyer, S., Craigie, M., Heritage, B. Davis. S., & Rees, R. (2017). Evaluating the effectiveness of a brief mindful self-care and resiliency (MSCR) intervention for nurses: A controlled trial. Mindfulness, 9, 534–546. https://doi.org/10.1007/s12671-017-0795-x
Wiles, N., Thomas, L., Abel, A., Ridgway, N., Turner, N., Campbell, J., ... & Lewis, G. (2013). Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment resistant depression: results of the CoBalT randomised controlled trial. Lancet (London, England), 381(9864), 375–384. https://doi.org/10.1016/S0140-6736(12)61552-9
Tiller, J. W. (2013). Depression and anxiety. The Medical journal of Australia, 199(S6), S28–S31. https://doi.org/10.5694/mja12.10628
Tyrer, P., Seivewright, H., Simmonds, S., & Johnson, T. (2001). Prospective studies of cothymia (mixed anxiety-depression): how do they inform clinical practice?. European Archives of Psychiatry and Clinical Neuroscience, 251, 53-56.‌ http://dx.doi.org/10.1007/BF03035128
Vranceanu, A. M., Bannon, S., Mace, R., Lester, E., Meyers, E., Gates, M., ... & Rosand, J. (2020). Feasibility and efficacy of a resiliency intervention for the prevention of chronic emotional distress among survivor-caregiver dyads admitted to the neuroscience intensive care unit: A randomized clinical trial. JAMA Network Open, 3(10), e2020807. https://doi.org/10.1001/jamanetworkopen.2020.20807
Watkins, E. R., Mullan, E., Wingrove, J., Rimes, K., Steiner, H., Bathurst, N., Eastman, R., & Scott, J. (2011). Rumination focused cognitive–behavioural therapy for residual depression: phase ІІ randomized controlled trial. British Journal of Psychiatry, 199(4), 317-322. https://doi.org/10.1192/bjp.bp.110.090282
Yousefy, A., & KhayamNekouei, Z. (2011). Basis of Cognitive-Behavioral Trainings and its Applications in Recovery of Chronic Diseases. Iranian Journal of Medical Education, 10(5), 792-800. http://ijme.mui.ac.ir/article-1- (In Persian)
Zamirinejad, S., Golzari, M., Borjali, A., Hojjat, S., & Akaberi, A. (2013). The comparison of effectiveness of group resilience training and group cognitive therapy on decreasing rate of depression in female students who live in dorm. Journal of North Khorasan University of Medical Sciences, 4(4), 631-638. https://journal.nkums.ac.ir/index.php?slc_lang=fa&sid=1 (In Persian)
Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19(2), 597-605.‌ https://psycnet.apa.org/doi/10.1016/j.concog.2010.03.014
 
 
Journal of Applied Psychological Research
Volume 14, Issue 2
2023
Pages 195-215

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History

  • Receive Date: 16 November 2021
  • Revise Date: 02 January 2022
  • Accept Date: 15 January 2022
  • First Publish Date: 23 July 2023
  • Publish Date: 23 July 2023

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