Effectiveness of Spiritually Augmented Psychotherapy on Dysfunctional Attitudes in Patients with Dysthymic Disorder

Associate Professor, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Clinical Psychologist, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Professor, Behavioral Sciences Research Center AND Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran


Background: The aim of this study was to evaluate the efficacy of spiritually augmented psychotherapy (SAPT) on the dysfunctional attitudes of patients with dysthymic disorder.

Methods: A mixed qualitative and quantitative method was used in the present study. SAPT model was prepared in the first phase, and in the second phase, a double-blind randomized clinical trial was performed. The study subjects consisted of 62 patients with dysthymic disorder selected from several clinical centers of Isfahan University of Medical Sciences in Isfahan, Iran. The participants were randomly assigned to 3 experimental groups and 1 control group. The first group received 8 sessions of SAPT treatment, the second group also had 8 sessions of cognitive behavioral therapy (CBT) which was specific to dysthymic disorder, and third group were under antidepressant treatment. The Dysfunctional Attitudes Scale was used to evaluate all the participants in 4 measurement stages. The data were analyzed using repeated measures MANCOVA.

Results: Findings showed that SAPT had higher efficacy on the modification of dysfunctional attitudes than CBT and medication (p < 0.05).

Conclusion: These findings supported the efficacy of psychotherapy enriched with cultural structures and spiritual teachings.


  • Psychotherapy
  • Spiritual
  • Cognitive behavioral therapy (CBT)
  • Depression
  • Dysfunctional attitude

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DOI: http://dx.doi.org/10.22122/ijbmc.v2i1.23