Comparing the Effectiveness of Emotion-Focused Group Therapy and Cognitive Behavioral Therapy on Suicidal ideation and Emotional Security of Women with Major Depression
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Objective: This study aims to assess the efficacy of Emotion-Focused Group Therapy and cognitive behavioral therapy on Suicidal ideation and Emotional security of women diagnosed with major depression.
Methods and Materials: The current study utilized a semi-experimental design with a pre-test, post-test, and three-month follow-up arrangement, involving three groups consisting of two experimental groups one utilizing emotion-focused group therapy and the other cognitive-behavioral therapy, along with a control group. The statistical population for this study comprised all women diagnosed with major depression who sought treatment at psychological and counseling centers in Tehran between July and November 2023. A total of 45 female patients with major depression were purposefully selected as the sample for the study. The emotion-focused group therapy received eight 90-minute sessions twice a week, whereas the cognitive-behavioral therapy group underwent eleven 90-minute sessions twice a week, while the control group did not receive any intervention. The assessment tools used in this study included the Beck Scale for Suicidal Ideation (BSSI) and the Security in the Family System Scale (SIFS). The data collected was analyzed using Kruskal-Wallis H, repeated measure ANOVA, and MANCOVA tests at a significance level of 0.05, with all statistical analyses conducted using SPSS version 27.
Findings: The present study found no significant difference between the EFT and CBT groups in terms of suicidal ideation (P=0.897). However, there was a significant difference between the experimental groups and the control group (P<0.001). Both EFT and CBT interventions were effective in reducing suicidal ideation, with no significant difference between the experimental groups. However, there was a significant difference in Emotional security between the EFT and CBT groups (p < 0.001), as well as between the experimental groups and the control group (p < 0.001). EFT and CBT interventions were effective in increasing emotional security. Research showed that emotion-focused group therapy was superior to cognitive behavioral therapy in improving emotional security.
Conclusion: The findings of the current research indicated that both cognitive behavioral therapy and emotion-focused group therapy can decrease suicidal ideation and enhance emotional security in women with major depressive disorder. However, emotion-focused group therapy was found to be more beneficial than cognitive behavioral therapy in this regard. Additionally, the aim is to improve emotional security.
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Alavi, S. H., Ghasemi Motlagh, M., & Bakhshipour, A. (2022). The Effectiveness of Emotion-Focused Therapy on Emotional, Cognitive, Motivational, and Biological Symptoms of Major Depressive Disorder. Razavi International Journal of Medicine, 10(2), 58-64. https://journal.razavihospital.ir/article_118464.html
Arnone, D., Karmegam, S. R., Östlundh, L., Alkhyeli, F., Alhammadi, L., Alhammadi, S., Alkhoori, A., & Selvaraj, S. (2024). Risk of Suicidal behavior in patients with major depression and bipolar disorder: A systematic review and meta-analysis of registry-based studies. Neuroscience & Biobehavioral Reviews, 105594. https://doi.org/10.1016/j.neubiorev.2024.105594
Barghi Irani, Z., Bagian Kolemarz, M., & Foladvand, S. (2014). The study of the efficacy of "focused on emotion therapy" group training on quality of life improvement and marital satisfaction of mothers of children with cancer. Journal of Health Psychology, 2(6), 79-94. https://journals.pnu.ac.ir/article_659.html
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343. https://doi.org/10.1037/0022-006X.47.2.343
Beheshti, Z., Aramon, A., Javaheri, J., & Mousanejad, S. (2023). Comparing the Effectiveness of Cognitive Behavioral Therapy and Motivational Interviewing on Depression in Divorced Women. Journal of Jiroft University of Medical Sciences, 10(2), 1272-1282. http://journal.jmu.ac.ir/article-1-714-fa.html
Brown, S. J., Christofides, K., Weissleder, C., Huang, X. F., Shannon Weickert, C., Lim, C. K., & Newell, K. A. (2024). Sex-and suicide-specific alterations in the kynurenine pathway in the anterior cingulate cortex in major depression. Neuropsychopharmacology, 49(3), 584-592. https://doi.org/10.1038/s41386-023-01736-8
Cantón-Cortés, D., Cortés, M. R., & Cantón, J. (2020). Child sexual abuse and suicidal ideation: The differential role of attachment and emotional security. International Journal of Environmental Research and Public Health, 17(9), 3163. https://doi.org/10.3390/ijerph17093163
Chiu, C. C., Liu, H. C., Li, W. H., Tsai, S. Y., Chen, C. C., & Kuo, C. J. (2023). Incidence, risk and protective factors for suicide mortality among patients with major depressive disorder. Asian Journal of Psychiatry, 80, 103399. https://doi.org/10.1016/j.ajp.2022.103399
Davoudi, R., Manshaee, G., & Golparvar, M. (2020). Comparison of the effectiveness of cognitive-behavioral therapy, emotion focused therapy and adolescent-centered mindfulness therapy on nomophobia symptoms and sleep quality of girls with nomophobic symptoms. Iranian J. of Psychiatric Nursing, 7(5), 62-71. http://ijpn.ir/browse.php?a_id=1400&sid=1&slc_lang=en&ftxt=1
Davoudi, R., Manshaee, G., & Golparvar, M. (2020). Comparison of the effectiveness of cognitive-behavioral therapy, emotion focused therapy and adolescent-centered mindfulness therapy on nomophobia symptoms and sleep quality of girls with nomophobic symptoms. Iranian Journal of Psychiatric Nursing, 7(5), 62-71. http://ijpn.ir/browse.php?a_id=1400&sid=1&slc_lang=en
Esfahani, M., Hashemi, Y., & Alavi, K. (2015). Psychometric assessment of Beck Scale for Suicidal Ideation (BSSI) in general population in Tehran. Medical Journal of the Islamic Republic of Iran, 29, 268. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4715388/
Forman, E. M., & Davies, P. T. (2005). Assessing children's appraisals of security in the family system: The development of the Security in the Family System (SIFS) scales. Journal of Child Psychology and Psychiatry, 46(8), 900-916. https://doi.org/10.1111/j.1469-7610.2004.00385.x
Frederick, J., Ng, M. Y., Valente, M. J., Chorpita, B. F., & Weisz, J. R. (2023). Do specific modules of cognitive behavioral therapy for depression have measurable effects on youth internalizing symptoms? An idiographic analysis. Psychotherapy Research, 33(3), 265-281. https://doi.org/10.1080/10503307.2022.2131475
Gili, S., Sadeghi Zavareh, V., Haghayegh, S. A., Alizadeh Ghavidel, A., & Rezayi Jamalloi, H. (2021). The Comparison of Effectiveness of Emotion-Focused Therapy and Transcranial Direct Current Stimulation on Anxiety and Depression of Patients with Coronary Artery Disease. Health Psychology, 9(36), 45-62. https://hpj.journals.pnu.ac.ir/article_7429.html?lang=en
Greenberg, L. J., Warwar, S. H., & Malcolm, W. M. (2008). Differential effects of emotion-focused therapy and psychoeducation in facilitating forgiveness and letting go of emotional injuries. Journal of Counseling Psychology, 55(2), 185. https://doi.org/10.1037/0022-0167.55.2.185
Henrich, D., Glombiewski, J. A., & Scholten, S. (2023). Systematic review of training in cognitive-behavioral therapy: Summarizing effects, costs and techniques. Clinical Psychology Review, 101, 102266. https://doi.org/10.1016/j.cpr.2023.102266
Jabari, N., & Aghili, M. (2023). The Effectiveness of Compassion and Emotion-focused Therapy on Self-harming Behaviors and Interpersonal Needs in Female Adolescents with Suicidal Ideation. Journal of Modern Psychological Researches, 18(69), 61-70. https://psychologyj.tabrizu.ac.ir/article_16242.html?lang=en
Jani, S., Hajloo, N., & Narimani, M. (2023). Comparing the Effectiveness of Internet-Based Cognitive-Behavioral Therapy and Emotion-Focused Therapy on Ambiguity Tolerance and Threat Sensitivity in Married Women with Obsessive-Compulsive Disorder. Clinical Psychology and Personality, 20(2), 77-89. https://cpap.shahed.ac.ir/article_3958.html?lang=en
Kang, H. (2021). Sample size determination and power analysis using the G* Power software. Journal of Educational Evaluation for Health Professions, 18. https://doi.org/10.3352/jeehp.2021.18.17
Kashkooli, F., Khormaei, F., Yousefi, F., & Fouladchang, M. (2018). Role of Temperament and Emotional Security in Academic Destructive Behaviors of Secondary School Students. Iranian School Health Research Journal. http://ismj.bpums.ac.ir/article-1-932-fa.html
Kermanshahi, Z., Alilu, L., Radfar, M., Khalkhali, H., & Bushehri, B. (2023). The Effect of Cognitive Behavioral Therapy on the Depression of Suicide Attempters Discharged from Medical Education Centers in Urmia, Iran in 2020. Nursing and Midwifery Journal, 21(3), 174-183. https://doi.org/10.61186/unmf.21.3.174
Kitay, B. M., Murphy, E., Macaluso, M., Corlett, P. R., Hershenberg, R., Joormann, J., Martinez-Kaigi, V., Nikayin, S., Rhee, T. G., & Sanacora, G. (2023). Cognitive behavioral therapy following esketamine for major depression and suicidal ideation for relapse prevention: the CBT-ENDURE randomized clinical trial study protocol. Psychiatry Research, 330, 115585. https://doi.org/10.1016/j.psychres.2023.115585
Lashkari, A., Gholamali Lavasani, M., Mojtabaie, M., & Hajhosseini, M. (2024). Developing a group therapy protocol focused on emotion and testing it on the symptoms of people with social anxiety disorder. Journal of Psychological Science, 17-40. https://psychologicalscience.ir/browse.php?a_id=2185&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Li, J., Li, X., Jiang, J., Xu, X., Wu, J., Xu, Y., Lin, X., Hall, J., Xu, H., & Xu, J. (2020). The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial. Frontiers in Psychiatry, 11, 580827. https://doi.org/10.3389/fpsyt.2020.580827
Majidzadeh, S., Mirghafourvand, M., Farvareshi, M., & Yavarikia, P. (2023). The effect of cognitive behavioral therapy on depression and anxiety of women with polycystic ovary syndrome: a randomized controlled trial. BMC Psychiatry, 23(1), 332. https://doi.org/10.1186/s12888-023-04814-9
Mikaeili, N., Molavi, P., Einy, S., & Tagavy, R. (2017). Effectiveness of emotion-focused therapy on emotional dysregulation, hopelessness and suicidal ideation in post-traumatic stress disorder veterans. Iranian Journal of War and Public Health, 9(3), 111-117. https://doi.org/10.18869/acadpub.ijwph.9.3.111
Ninla-Aesong, P., Puangsri, P., Kietdumrongwong, P., Jongkrijak, H., & Noipha, K. (2023). Being overweight and obese increases suicide risk, the severity of depression, and the inflammatory response in adolescents with major depressive disorders. Frontiers in Immunology, 14, 1197775. https://doi.org/10.3389/fimmu.2023.1197775
Niu, G., He, J., Lin, S., Sun, X., & Longobardi, C. (2020). Cyberbullying victimization and adolescent depression: the mediating role of psychological security and the moderating role of growth mindset. International Journal of Environmental Research and Public Health, 17(12), 4368. https://doi.org/10.3390/ijerph17124368
O'Hara, K. L., Cummings, E. M., & Davies, P. T. (2024). Interparental conflict and adolescent emotional security across family structures. Family Process, 63(1), 265-283. https://doi.org/10.1111/famp.12872
Qin, K., Li, H., Zhang, H., Yin, L., Wu, B., Pan, N., Chen, T., Roberts, N., Sweeney, J. A., Huang, X., Gong, Q., & Jia, Z. (2024). Transcriptional Patterns of Brain Structural Covariance Network Abnormalities Associated with Suicidal Thoughts and Behaviors in Major Depressive Disorder. Biological psychiatry. https://pubmed.ncbi.nlm.nih.gov/38316331/
Razani, M., & Piriaei, H. (2025). Comparing the Effectiveness of "Cognitive-Behavioral Therapy" and "Metacognitive Therapy" on Hope in Patients with Obsessive-Compulsive Disorder. Journal of Health Promotion Management, 13(2), 1-13. https://jhpm.ir/article-1-1731-fa.html
Soruri, M., Bayat, A., & Hosseinzadeh, A. (2023). Mediating Role of Emotional Security in Relationship between High-risk Behaviors and Family Communication Patterns in Adolescents. https://jfr.sbu.ac.ir/article_104095.html?lang=en
Su, Y. A., Ye, C., Xin, Q., & Si, T. (2023). Major depressive disorder with suicidal ideation or behavior in Chinese population: A scoping review of current evidence on disease assessment, burden, treatment and risk factors. Journal of Affective Disorders. https://pubmed.ncbi.nlm.nih.gov/37619652/
Wicke, F. S., Otten, D., Schulz, A., Wild, P. S., Lackner, K. J., Münzel, T., König, J., Ernst, M., Wiltink, J., & Reiner, I. (2024). Current and past depression as risk factors for incident type 2 diabetes mellitus and pre-diabetes in men and women: evidence from a longitudinal community cohort. Diabetology & Metabolic Syndrome, 16(1), 34. https://doi.org/10.1186/s13098-024-01273-4
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