The Effectiveness of the Cognitive-Behavioral Treatment on the Experience of Grief, Depression and Anxiety by Bereft Families of Covid-19 Victims

Document Type : Research Paper

Authors

1 PhD Student of Counseling, Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran

2 Associate Professor, Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran

Abstract

The present research was conducted with the aim of investigating the effectiveness of cognitive-behavioral intervention on the grief experience, depression and anxiety of relatives of Covid-19 victims. In terms of objective, the research was an applied one and used the mixed methodology (quantitative and qualitative). The statistical population included men and women over 18 years old in the city of Shiraz. The research used the non-random sampling technique. The people whose grief experience lasted over 4 months and scored above 68 were selected as samples. Following the interview and qualitative analysis, the control and experimental groups were compared using Beck's depression questionnaire and Good's existential anxiety questionnaire. The results of Mann–Whitney U test and Wilcoxon test showed that cognitive-behavioral therapy had a significant effect on the grief experience, depression and anxiety of the relatives of the victims of Covid-19. According to the results, the cognitive-behavioral therapy had an effect on the experience of grief, depression and anxiety by the families of the Covid-19 victims. This method can be used individually and in groups to deal with problems and can promote mental health and cause effective and adaptive reactions by people to traumatic life events.

Keywords

References

حمیدی، رزگار، فکری زاده، زهره، آزاد بخت، مجتبی، گرمارودی، غلامرضا، طاهری تنجانی، پریسا، فتحی زاده، شادی، قیسوندی، الهام. (1394). بررسی روایی و پایایی نسخه‌ی دوم پرسش‌نامه‌ی افسردگی بک (BDI- II) در سالمندان ایرانی. مجله علمی - پژوهشی دانشگاه علوم پزشکی سبزوار، 22 (1)، 189-198.
شیرالی، شیرین.، و دشت بزرگی، زهرا. (1398). تاثیر گروه درمانی مبتنی بر پذیرش و تعهد بر اضطراب وجودی, تحمل پریشانی و فرانگرانی در زنان سالمند مبتلا به بیماری های قلبی عروقی بیمارستان مهرشهر اهواز در سال 1397. سلامت جامعه, 13(4 ), 1-11.
فتحی، داوود. (1394). اثر بخشی درمان شناختی رفتاری بر هوش هیجانی، افسردگی و اضطراب مرگ سالمندان دارای تجربه سوگ. پایان نامه کارشناسی ارشد. دانشگاه محقق اردبیلی.
مهدی پور، سمیه.، و شهیدی، شهریار.، و روشن، رسول.، و دهقانی، محسن. (1388). تعیین اعتبار و روایی پرسشنامه تجربه سوگ (GEQ) در نمونه ایرانی. دانشور رفتار، 16(37 (روان شناسی بالینی و شخصیت 13)، 35-48.
Aguiar, A., Pinto, M., & Duarte, R. (2020). Grief and Mourning during the COVID-19 Pandemic in Portugal. Acta medica portuguesa, 33(9), 543–545.
Almén, N. (2021). A cognitive behavioral model Proposing that clinical burnout may maintain itself. International Journal of Environmental Research and Public Health, 18(7), 3446.
Amsalem, D., Dixon, L. B., & Neria, Y. (2021). The coronavirus disease 2019 (COVID-19) outbreak and mental health: current risks and recommended actions. JAMA psychiatry, 78(1), 9-10.
Axelsson, E., Hesser, H., Andersson, E., Ljótsson, B., & Hedman-Lagerlöf, E. (2020). Mediators of treatment effect in minimal-contact cognitive behaviour therapy for severe health anxiety: A theory-driven analysis based on a randomised controlled trial. Journal of anxiety disorders, 69, 102172.
Bailley, S. E.  ,  Dunham, K. , & Kral, M. J. (2000). Factor structure of the grieve experience questionnaire (GEQ). Death studies, 24, 721 – 738. Taylor & Francis.
Bennett, S. M., Ehrenreich-May, J., Litz, B. T., Boisseau, C. L., & Barlow, D. H. (2012). Development and preliminary evaluation of a cognitive-behavioral intervention for perinatal grief. Cognitive and Behavioral Practice, 19(1), 161-173.
Diaz, K., & Murguia, E. (2015). The philosophical foundations of cognitive behavioral therapy: Stoicism, Buddhism, Taoism, and Existentialism. Journal of Evidence-Based Psychotherapies, 15(1).
Farias, M., Newheiser, A. K., Kahane, G., & de Toledo, Z. (2013). Scientific faith: Belief in science increases in the face of stress and existential anxiety. Journal of experimental social psychology, 49(6), 1210–1213.
Fathi, D. (2014). Effectiveness of cognitive behavioral therapy on emotional intelligence, depression and death anxiety of the elderly with bereavement experience. Master's thesis. Mohaghegh Ardabili University [persian].
Fava, G. A., & Tomba, E. (2009). Increasing psychological well‐being and resilience by psychotherapeutic methods. Journal of personality, 77(6), 1903-1934.
Gasiorowska, A., Zaleskiewicz, T., & Kesebir, P. (2018). Money as an existential anxiety buffer: Exposure to money prevents mortality reminders from leading to increased death thoughts. Journal of Experimental Social Psychology, 79, 394-409.
Good, L. R., & Good, K. C. (1974). A preliminary measure of existential anxiety. Psychological Reports. 34(1), 72-74.
Goveas, J. S., & Shear, M. K. (2020). Grief and the COVID-19 pandemic in older adults. The American Journal of Geriatric Psychiatry, 28(10), 1119-1125.
Hamidi, R., Fekrizadeh, Z., Azadbakht, M., Garmaroudi, G., Taheri Tanjani, P., Fathizadeh, S., Ghisvandi, E. (2015). Validity and reliability Beck Depression Inventory-II among the Iranian elderly Population. Journal of Sabzevar University of Medical Sciences, 22(1), 189-198 [persian].
Hanauer, D. I. (2021). Mourning writing: A poetic autoethnography on the passing of my father. Qualitative Inquiry, 27(1), 37-44.
Harootunian, H. (2021). 8. Memory, Mourning, and National Morality: Yasukuni Shrine and the Reunion of State and Religion in Postwar Japan. In Nation and Religion (pp. 144-160). Princeton University Press.
Heidenreich, T., Noyon, A., Worrell, M., & Menzies, R. (2021). Existential approaches and cognitive behavior therapy: Challenges and potential. International Journal of Cognitive Therapy, 14(1), 209-234.
Hofmann, S., & Hayes, SC. (2018). Process-based CBT: the science and core clinical competencies of cognitive behavioral therapy. Oakland, CA: New Harbinger.
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395(10223), 497-506.
Jacobson, N. C., & Newman, M. G. (2017). Anxiety and depression as bidirectional risk factors for one another: A meta-analysis of longitudinal studies. Psychological bulletin, 143(11), 1155.
Kapci, E. G., Uslu, R., Turkcapar, H., & Karaoglan, A. (2008). Beck Depression Inventory II: Evaluation of the psychometric properties and cut-off points in a Turkish adult population, Depression and Anxiety, 25, 104–110.
Kvale, S. (1996). Interview Views: An Introduction to Qualitative Research Interviewing. Thousand Oaks, CA: Sage Publications.
Leonidou, C., & Panayiotou, G. (2018). How do illness-anxious individuals process health-threatening information? A systematic review of evidence for the cognitive-behavioral model. Journal of psychosomatic research, 111, 100-115.
Li, J., Tendeiro, J. N., & Stroebe, M. (2019). Guilt in bereavement: Its relationship with complicated grief and depression. International Journal of Psychology, 54(4), 454-461.
McIvor, D. W., Hooker, J., Atkins, A., Athanasiou, A., & Shulman, G. (2021). Mourning work: Death and democracy during a pandemic. Contemporary Political Theory, 20(1), 165-199.
Mehdipour, S., & Shahidi, S., & Roshan, R., & Dehghani, M. (2009). The Validity Aad Reliability Of "Grief Experience Questionaire" In an Iranian Sample. Daneshvar Raftar, (Special Edition on Clinical Psychology & Personality), 16 (37) 35-48 [persian].
Murphy, R., Calugi, S., Cooper, Z., & Dalle Grave, R. (2020). Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist, 13.
Özel, Y., & Özkan, B. (2020). Psychosocial approach to loss and mourning. Psikiyatride Guncel Yaklasimlar, 12(3), 352-367.
Rajabi, G., Karju Kasmai, S. (2012). Psychometric properties of a Persian language version of the beck depression inventory second edition. Quarterly of Educational Measurement, 3(10), 139-158.
Sampogna, F., Fania, L., Mastroeni, S., Fusari, R., Napolitano, M., Ciccone, D., ... & Abeni, D. (2020). Correlation between depression, quality of life and clinical severity in patients with hidradenitis suppurativa. Acta Dermato-Venereologica, 100(18), 1-6.
Sharpe, L., Curran, L., Butow, P., & Thewes, B. (2018). Fear of cancer recurrence and death anxiety. Psycho‐oncology, 27(11), 2559-2565.
Shirali, S., DashtBozorgi, Z. (2019). Effect of Acceptance and Commitment-based Group Therapy on Existential Anxiety, Distress Tolerance, and Meta-worry in Elderly Women with Cardiovascular Disease in Mehr Hospital of Ahvaz City in 2018. Community Health Journal, 13(4), 1-11 [persian].
Stice, E., Rohde, P., Seeley, J. R., & Gau, J. M. (2008). Brief cognitive-behavioral depression prevention program for high-risk adolescents outperforms two alternative interventions: a randomized efficacy trial. Journal of consulting and clinical psychology, 76(4), 595.
Testoni, I., Franco, C., Palazzo, L., Iacona, E., Zamperini, A., & Wieser, M. A. (2020). The endless grief in waiting: a qualitative study of the relationship between ambiguous loss and anticipatory mourning amongst the relatives of missing persons in Italy. Behavioral sciences, 10(7), 110.
Tomaszek, K., & Muchacka-Cymerman, A. (2020). Thinking about my existence during COVID-19, I feel anxiety and awe—The mediating role of existential anxiety and life satisfaction on the relationship between PTSD symptoms and post-traumatic growth. International journal of environmental research and public health, 17(19), 7062.
Zhang, Y. Y., Chen, J. J., Ye, H., & Volantin, L. (2020). Psychological effects of cognitive behavioral therapy on internet addiction in adolescents: A systematic review protocol. Medicine, 99(4).

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