Volume 3, Issue 3 (8-2018)                   hrjbaq 2018, 3(3): 155-162 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Belir S, Ansari Shahidi M, Mohammadi S. Efficacy of Dialectical Behavior Therapy on Risky Behaviors, Depression, Anxiety and Stress in Patients with AIDS. hrjbaq. 2018; 3 (3) :155-162
URL: http://hrjbaq.ir/article-1-63-en.html
Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran , (n.zamani1367@yahoo.com)
Abstract:   (188 Views)

Introduction: Dialectical behavioral therapy is one of the new therapeutic approaches based on cognitive-behavioral approach. The aim of this study was to investigate the effect of this method on risk behaviors, depression, anxiety and stress in patients with AIDS by using a case study design. 

Materials and Methods: In a single-trial study, a multiple baseline multi-treatment process was performed on two AIDS patients who were evaluated pre-internally, during and after intervention using Bart's Impact Scale, Depression Scale, Anxiety and Stress Scale of Lovibond and Lovibond.

Results: The results suggested that this treatment reduces symptoms of risky behaviors and depression, anxiety and stress. The rate of recovery in hazardous behaviors after the 8 sessions of treatment for the first patient was 51% and 43% for second case. Also, the overall recovery rate for both patients was 44%. The rate of recovery in subscales of depression, anxiety and stress after 8 sessions of treatment for the first patient was 44% and for the second patient was 0.47. Moreover, the overall recovery rate for both patients was 44% and the total recovery rate in the subscales was 44%.

Conclusion: The positive effects of dialectic therapy on mental health and risk behaviors indicate its clinical effectiveness on the treatment of risky behaviors and symptoms of depression, anxiety and stress in AIDS patients.

Full-Text [PDF 972 kb]   (9 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/08/17 | Revised: 2018/10/15 | Accepted: 2016/09/10 | Published: 2018/10/15 | ePublished: 2018/10/15

References
1. Organization WH. Orientation programme on adolescent health for health care providers. 2006.
2. Organization WH. Key facts: 2008 HIV/AIDS Programme Highlights. WHO. 2009.
3. Smeltzer S, Bare B, Hinkle J, Cheever K, Carpenito-Moyet L. Textbook of Medical-Surgical Nursing + Nursing Diagnosis. Lippincott Williams & Wilkins; 2008.
4. Roudi-Fahimi F. Time to intervene: preventing the spread of HIV/AIDS in the Middle East and North Africa. Population Reference Bureau. 2007:1-8.
5. Kirby D, Laris B, Rolleri L. Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries: Family Health International, YouthNet Program North Carolina; 2005.
6. Marks KM, Clarke RM, Bussel JB, Talal AH, Glesby MJ. Risk factors for thrombocytopenia in HIV-infected persons in the era of potent antiretroviral therapy. J Acquir Immune Defic Syndr. 2009;52(5):595-9. DOI: 10.1097/QAI.0b013e3181b79aff PMID: 19734800
7. Walsh C, Krigel R, Lennette E, Karpatkin S. Thrombocytopenia in homosexual patients. Prognosis, response to therapy, and prevalence of antibody to the retrovirus associated with the acquired immunodeficiency syndrome. Ann Intern Med. 1985;103(4):542-5. PMID: 2994531
8. Zamani N, Habibi M, Darvishi M. Compare the effectiveness of Dialectical Behavior Therapy and Cognitive Behavioral Group Therapy in Reducing Depression in Mothers of Children with Disabilities. Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Arāk. 2015;18(1):32-42.
9. Leahy RL, Holland SJ, McGinn LK. Treatment plans and interventions for depression and anxiety disorders: Guilford press; 2011.
10. Dimidjian S, Hollon SD, Dobson KS, Schmaling KB, Kohlenberg RJ, Addis ME, et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. J Consult Clin Psychol. 2006;74(4):658-70. DOI: 10.1037/0022-006X.74.4.658 PMID: 16881773
11. Yang X, Zhao J, Chen Y, Zu S, Zhao J. Comprehensive self-control training benefits depressed college students: A six-month randomized controlled intervention trial. J Affect Disord. 2018;226:251-60. DOI: 10.1016/j.jad.2017.10. 014 PMID: 29017069
12. Zamani N, Habibi M. Compare the influence of both dialectic and cognitive behavior therapies to maintain mothers’ mental health whose childrenwith special needs. J Res Health. 2014;6:631-5.
13. Association AP. Diagnostic and statistical manual of mental disorders: DSM-III draft/prepared by the Task Force on Nomenclature and Statistics of the American Psychiatric Association: American Psychiatric Association; 1978.
14. Ganji M. Abnormal psychology based on DSM-5 . Tehran: Savalane pub; 2013.
15. Linehan M. Evidence Based Practices Panel Report on Dialectical Behavior Therapy. USA (Montpelier): Vermont Council of Developmental and Mental Health Services. 2006.
16. Lynch TR, Chapman AL, Rosenthal MZ, Kuo JR, Linehan MM. Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. J Clin Psychol. 2006;62(4):459-80. DOI: 10.1002/jclp.20243 PMID: 16470714
17. Swales M, Heard H. Dialectical Behavior Therapy. New Yourk: Routledge; 2009.
18. Dimeff L, Rizvi SL, Brown M, Linehan MM. Dialectical behavior therapy for substance abuse: A pilot application to methamphetamine-dependent women with borderline personality disorder. Cognitive and Behavioral Practice. 2000;7(4):457-68.
19. van den Bosch LM, Koeter MW, Stijnen T, Verheul R, van den Brink W. Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour Research and Therapy. 2005;43(9):1231-41.
20. Miller A, Rathus J, Linehan M. Dialectical Behavioral Therapy with Suicidal Adolescents. New York. Guilford Press; 2007.
21. van den Bosch LM, Verheul R, Schippers GM, van den Brink W. Dialectical Behavior Therapy of borderline patients with and without substance use problems. Implementation and long-term effects. Addict Behav. 2002;27(6):911-23. PMID: 12369475
22. Kroger C, Harbeck S, Armbrust M, Kliem S. Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behav Res Ther. 2013;51(8):411-6. DOI: 10.1016/j.brat. 2013.04.008 PMID: 23727659
23. Barratt ES, Stanford MS, Kent TA, Alan F. Neuropsychological and cognitive psychophysiological substrates of impulsive aggression. Biological psychiatry. 1997;41(10):1045-61.
24. Ekhtiari H, Rezvanfard M, Mokri A. Impulsivity and its different assessment tools: A review of view points and conducted researches. Iranian Journal of Psychiatry and Clinical Psychology. 2008;14(3):247-57.
25. Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological assessment. 1998;10(2):176.
26. SAMANI S, JOUKAR B. A study on the reliability and validity of the short form of the depression anxiety stress scale (DASS-21). 2007.
27. Houghton S, Curran J, Ekers D. Behavioural activation in the treatment of depression. Mental Health Practice. 2011;14 (7).
28. Ritschel LA, Ramirez CL, Jones M, Craighead WE. Behavioral activation for depressed teens: A pilot study. Cognitive and Behavioral Practice. 2011;18(2):281-99.
29. Jalili A. Effectiveness of group behavioral activation on decreasing of depression symptoms and effect of this treatment decreasing of dysfunctional attitudes. Tehran2006.

Add your comments about this article : Your username or Email:
CAPTCHA code

Send email to the article author


© 2018 All Rights Reserved | Health Research Journal

Designed & Developed by : Yektaweb