How the Paradoxical Timetable Cure (PTC) Fosters Post-Traumatic Growth and Self-Compassion Among Long-Term Grief Sufferers Following COVID-19 Bereavement
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Objective: The present study aimed to investigate the effectiveness of the Paradoxical Timetable Cure (PTC) on post-traumatic growth and self-compassion among long-term grief sufferers following COVID-19 bereavement.
Methods and Materials: Employing a pre-test, post-test design with a control group, this study included a two-month follow-up period. Thirty individuals in Kermanshah, identified in 2023 as suffering from prolonged grief disorder (PGD) as per the Prolonged Grief Disorder Scale (PGD-13-R; Prigerson et al., 2021), were purposively selected based on specific criteria. Subsequently, they were randomly assigned into two equal groups: an experimental group receiving PTC and a control group with no intervention. Data were collected using the Post-Traumatic Growth Questionnaire (PTGQ; Tedeschi & Calhoun, 1996) and the Self-Compassion Scale (SCS; Neff et al., 2003). Statistical analysis was performed using univariate and multivariate analyses, along with repeated measures ANCOVA, in SPSS version 25.
Findings: The analysis revealed that the PTC significantly improved post-traumatic growth (P < 0.001, F = 7.40) and self-compassion (P < 0.001, F = 4.75) among participants coping with long-term grief following COVID-19 bereavement.
Conclusion: The study's findings indicate that PTC is effective in fostering post-traumatic growth and self-compassion among long-term grief sufferers after COVID-19 bereavement. The efficacy of PTC in enhancing these constructs suggests its value as a therapeutic approach for individuals experiencing prolonged grief due to the pandemic.
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Baumann, I., Künzel, J., Goldbeck, L., Tutus, D., & Niemitz, M. (2022). Prolonged grief, posttraumatic stress, and depression among bereaved parents: prevalence and response to an intervention program. OMEGA-Journal of Death and Dying, 84(3), 837-855. https://doi.org/10.1177/0030222820918674
Besharat, M. (2020). The application of paradox therapy for the treatment of body dysmorphic disorder: a case report. Journal of psychologicalscience, 19(95), 1371-1387. http://psychologicalscience.ir/browse.php?a_id=1025&sid=1&slc_lang=en
Besharat, M., & Naghipoor, M. (2019a). The Application of a New Model of Paradox Therapy for the Treatment of Illness Anxiety Disorder: A Case Report. Clin Case Rep Int. 2019; 3, 1100. https://www.clinicalcasereportsint.com/open-access/pthe-application-of-a-new-model-of-paradox-therapy-for-the-treatment-of-illness-anxiety-disorder-a-case-reportp-2282.pdf
Besharat, M., & Naghipoor, M. (2019b). Paradox therapy for the treatment of social anxiety disorder: A case study. Journal of Systems and Integrative Neuroscience, 6, 1-5. https://doi.org/10.15761/JSIN.1000213
Besharat, M. A. (2022). The application of paradox therapy for the treatment of obsessive-compulsive disorder: A case study. Clinical Case Reports and Studies, 3(4). https://doi.org/10.31579/2690-8808/106
Biskas, M., Sirois, F. M., & Webb, T. L. (2022). Using social cognition models to understand why people, such as perfectionists, struggle to respond with self‐compassion. British Journal of Social Psychology, 61(4), 1160-1182. https://doi.org/10.1111/bjso.12531
Chen, J.-j., Yu, B., Yan, L., Sun, X.-x., & Dai, Q. (2024). A study on post-traumatic stress disorder and post-traumatic growth among patients infected with COVID-19 in Wuhan. Frontiers in Psychology, 15, 1343264. https://doi.org/10.3389/fpsyg.2024.1343264
Chow, S. C. (2011). Sample size calculations for clinical trials. Wiley Interdisciplinary Reviews: Computational Statistics, 3(5), 414-427. https://doi.org/10.1002/wics.155
Crowe, E., Staiger, P. K., Bowe, S. J., Rehm, I., Moulding, R., Herrick, C., & Hallford, D. J. (2023). The association between trichotillomania symptoms and emotion regulation difficulties: A systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2023.11.010
Doering, B. K., Barke, A., Vogel, A., Comtesse, H., & Rosner, R. (2022). Predictors of prolonged grief disorder in a German representative population sample: Unexpectedness of bereavement contributes to grief severity and prolonged grief disorder. Frontiers in Psychiatry, 13, 853698. https://doi.org/10.3389/fpsyt.2022.853698
Eatesamipour, R., Moghadam, K. R., & Amirpour, B. (2021). Effectiveness of Paradox Therapy on COVID-19 Anxiety in Adult Population in Jahrom. Modern Care Journal, 18(4).
Eatesamipour, R., & Ramazanzade Moghadam, K. (2023). The Effectiveness of Paradox Therapy on Anger Rumination in People with Anxiety Caused by Corona Disease. Clinical Psychology and Personality, 21(2), 105-116. https://doi.org/10.22070/cpap.2023.17770.1370
Eisma, M. C., & Boelen, P. A. (2023). Commentary on: A call to action: Facing the shadow pandemic of complicated forms of grief. OMEGA-Journal of Death and Dying, 87(1), 334-340. https://doi.org/10.1177/00302228211016227
Hashemizadeh, F., Atashpour, S. H., & Farhadi, H. (2023). Comparison of the Effectiveness of Paradoxical Timetable Cure (PTC), Acceptance and Commitment Therapy Matrix (ACTM), and Emotion-Focused Therapy (EFT) on Self-Esteem and Marital Boredom in Women with Marital Conflict. Psychology of Woman Journal, 4(4), 27-38. https://doi.org/10.61838/kman.pwj.4.4.4
Jahanpanah, M., Besharat, M., & Asayesh, M. (2023). The effectiveness of paradox therapy on the symptoms of complicated grief in bereaved women The 9th Scientific & Research Conference on the Development and Promotion of Educational Sciences & Psychology of Iran, Tehran, Iran. https://jhpm.ir/article-1-1831-fa.pdf
Jiang, C., Zhuang, Y., Li, Z., Lin, W., Huang, P., Feng, Y., Liu, S., & Zhang, L. (2022). Posttraumatic growth and postpartum depression in women after childbirth: The moderating role of postpartum negative life events. Journal of Obstetrics and Gynaecology Research, 48(9), 2392-2404. https://doi.org/10.1111/jog.15328
Kotera, Y., & Van Gordon, W. (2021). Effects of self-compassion training on work-related well-being: A systematic review. Frontiers in Psychology, 12, 630798. https://doi.org/10.3389/fpsyg.2021.630798
Levi-Belz, Y., Krysinska, K., & Andriessen, K. (2021). “Turning personal tragedy into triumph”: A systematic review and meta-analysis of studies on posttraumatic growth among suicide-loss survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 13(3), 322. https://doi.org/10.1037/tra0000977
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2(3), 223-250. https://doi.org/10.1080/15298860309027
Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual review of psychology, 74, 193-218.
Prigerson, H. G., Boelen, P. A., Xu, J., Smith, K. V., & Maciejewski, P. K. (2021). Validation of the new DSM‐5‐TR criteria for prolonged grief disorder and the PG‐13‐Revised (PG‐13‐R) scale. World Psychiatry, 20(1), 96-106. https://doi.org/10.1002/wps.20823
Salimi, H., & Zare Mehdi Abadi, F. (2023). Presenting the Model of the Role of Self-Compassion and Compassion for the Romantic Partner in Psychological Distress with the Mediation of Intimate Partner Violence (IPV) in Female Victims: A Descriptive Study. Journal of Rafsanjan University of Medical Sciences, 22(4), 349-366. https://doi.org/10.61186/jrums.22.4.349
Seyad Mahmodi, S. J., R, C., & M, N. (2013). Psychometric Properties of Posttraumatic Growth Inventory in an Iranian Sample. Psychological Models and Methods, 3(vol 3/ no 12), 93-108. https://jpmm.marvdasht.iau.ir/article_294_ee59b4a24b609bd99c6b14dfc19a7c2b.pdf
Sperandio, K. R., Gutierrez, D., Kirk, M., Lopez, J., & Nathaniel Mason, W. (2022). Post-traumatic growth after the drug-related death of a loved one: Understanding the influence of self-compassion and hope. The Family Journal, 30(3), 390-400. https://doi.org/10.1177/10664807211052479
Stegmeir, D. (2023). Prolonged grief disorder: recognition and provision of care along the bereavement journey. Journal of Christian Nursing, 40(3), 166-170. https://doi.org/10.1097/CNJ.0000000000001074
Tahernejad, J. Z., BESHARAT, M., BELYAD, M., Hosseinzadeh, T. M., & Peyvandi, P. (2022). Determining the Effectiveness of Paradox Therapy on Symptoms of Ego Strength, Self-knowledge, Depression, Anxiety, and Stress in People With Spinal Cord Injury: A Case Study. https://jdisabilstud.org/browse.php?a_id=2408&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Tang, R., Xie, T., Jiao, K., Xu, X., Zou, X., Qian, W., & Wang, J. (2021). Grief reactions and grief counseling among bereaved Chinese individuals during COVID-19 pandemic: study protocol for a randomized controlled trial combined with a longitudinal study. International Journal of Environmental Research and Public Health, 18(17), 9061. https://doi.org/10.3390/ijerph18179061
Tang, S., Peng, W., Qian, X., & Chen, Y. (2024). Healing grief–an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial. European Journal of Psychotraumatology, 15(1), 2323422. https://doi.org/10.1080/20008066.2024.2323422
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-471. https://doi.org/10.1002/jts.2490090305
Uneno, Y., Kotera, Y., Fujisawa, D., Kataoka, Y., Kosugi, K., Murata, N., Kessoku, T., Ozaki, A., Miyatake, H., & Muto, M. (2022). Development of a novel COMPAssion focused online psyChoTherapy for bereaved informal caregivers: the COMPACT feasibility trial protocol. BMJ Open, 12(12), e067187. https://doi.org/10.1136/bmjopen-2022-067187
Wintermeyer-Pingel, S. A., Murphy, D., & Hammelef, K. J. (2013). Improving a grief and loss program: Caring for patients, families, and staff. OMEGA-Journal of Death and Dying, 67(1-2), 233-239. https://doi.org/10.2190/OM.67.1-2.z3
Yousefi, R., & Haghnazari Esfahlam, A. (2024). Cross-validation of the Persian version of the revised scale of Prolonged Grief Disorder. Clinical psychology and personality. https://cpap.shahed.ac.ir/article_4409.html?lang=en
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