Comparing the effectiveness and continuity of the effect of metacognitive therapy and schema therapy in a group way on reducing symptoms, quality of life and social health of students with social anxiety disorder

Number of pages: 251 File Format: word File Code: 29996
Year: 2014 University Degree: PhD Category: Psychology
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    To receive a Ph.D. degree

    General Psychology

    Abstract

    Purpose: This research was conducted with the aim of comparing the effectiveness and continuity of the effect of schema therapy and metacognitive therapy in a group method on reducing symptoms, social health and quality of life of students with social anxiety disorder. was used 60 students with social anxiety disorder referred to the counseling centers of Kermanshah and West Islamabad universities were selected by a purposeful sampling method with the diagnosis of a psychologist and a psychiatrist and were randomly divided into three groups (two experimental groups and one control group). The participants underwent 10 sessions of group therapy with Yang's schema therapy model and 10 sessions of Wells' metacognitive therapy, and the follow-up phase was followed three months after the end of the treatment. In order to collect data, Milon's Multiaxial Clinical Questionnaire (MCMI), Structured Clinical Interview for DSM-IV Axis I Disorders (SCID), Social Anxiety Questionnaire (SPI), Social Health Scale, Quality of Life Questionnaire, Long Form Young Schema Questionnaire (YSQ-L 2) and Metacognitive Questionnaire (MCQ-30) were used.

    Findings: The results showed that schema therapy and metacognitive therapy had different effects on social anxiety variables and quality of life, so that changes in symptoms Social anxiety and quality of life increased more as a result of metacognitive therapy compared to the schema therapy group (p<0.05), but the two treatment methods did not have a significant difference in terms of the impact on the social health of the patients (p>0.05). The effect of metacognitive therapy on reducing social anxiety and increasing quality of life was significantly higher than schema-based therapy (p<0.05). However, there was no significant difference in the effectiveness of the two types of treatment on the social health of the participants (p>0.05). Conclusion: The above results provided preliminary support for the general impression that metacognitive beliefs have a greater effect on social anxiety and cognitive mechanisms that are responsible for maintaining this disorder. Both after the end of the treatment period and in the three-month follow-up period, metacognitive therapy was more efficient and effective than schema therapy in reducing the symptoms of social anxiety disorder and increasing the quality of life of patients. Discussion: According to the results of this research and previous studies, it seems that the metacognitive approach can compensate for the flaws and shortcomings of cognitive theories and to a large extent prevent the recurrence of this disease after treatment. It also plays a significant role in preventive measures. It seems that the metacognitive approach can provide a promising perspective to the experts in clinical terms.

    Key words: schema therapy, metacognitive therapy, social anxiety, social health, quality of life, students.

  • Contents & References of Comparing the effectiveness and continuity of the effect of metacognitive therapy and schema therapy in a group way on reducing symptoms, quality of life and social health of students with social anxiety disorder

    List:

     

     

    Table of Contents

     

    Title

    Page

     

     

     

     

    Chapter One: Research Overview

    1

    1-1-

    Introduction

    1

    1-2-

    Statement of the problem

    2

    1-3-

    Importance and necessity of research

    7

    1-4-

    Research objectives

    7

    1-5-

    Research questions

    8

    1-6-

    Hypotheses

    8

    1-7-

    Research variables

    9

    1-8-

    Conceptual and operational definition of variables

    10

     

     

    Chapter two: Theoretical foundations and research background

    11

    2-1-

    Social anxiety

    11

    2-1-1-

    Concept of social anxiety

    11

    2-1-2-

    Criteria for diagnosing social anxiety

    12

    2-1-3-

    Subtypes of social anxiety disorder

    16

    2-1-4-

    Epidemiology, onset, coexistence of the disease and demographic factors

    19

    2-1-5-

    Predictions of the developmental period

    25

    2-1-6-

    Nature vs. nurture and neurobiology: etiology of social anxiety disorder

    26

    2-1-7-

    Neuro-psychological factors

    34

    2-1-8-

    Course of social anxiety, its impact on quality of life and its financial cost

    36

    2-1-9-

    Stability of social anxiety: approaches and theories

    39

    2-1-10

    Psychological treatments in social anxiety disorder

    58

    2-1-11-

    Evaluation of treatment methods

    79

    2-2-

    Social health

    84

    2-2-1-

    The concept of individual social health

    84

    2-2-2-

    Dimensions of individual social health

    87

    2-2-3-

    Community social health indicators

    90

    2-2-4-

    Examination of studies related to social health in Iran

    99

    2-2-5-

    Methods and suggestions for investigating and improving social health

    109

    2-2-6-

    Proposed model for assessing social health in Iran

    113

    2-3-

    Quality of life

    118

    2-3-1-

    History of quality of life

    119

    2-3-2-

    Definitions related to quality of life

    121

    2-3-3-

    Quality approaches Life

    126

    2-3-4-

    Theories of quality of life

    129

    2-3-5-

    Effective factors on quality of life

    137

    2-3-6-

    Characteristics of quality of life

    139

    2-4-

    Research Background

    140

     

     

     

     

    Chapter Three: Research Method

    150

    3-1-

    Introduction

    150

    3-2-

    Design Research

    150

    3-3-

    Statistical society, sample and sampling method

    150

    3-4-

    Research tool

    152

    3-5-

    Research implementation process

    156

    3-6-

    Method Information analysis

    160

     

     

     

     

    Chapter four: research findings

    161

    4-1-

    Introduction

    161

    4-2-

    Reliability of questionnaires

    161

    4-3-

    Description of data

    162

    4-4-

    Analysis of data

    168

     

     

     

     

     

    Chapter five: discussion and conclusion

    197

    5-1-

    Introduction

    197

    5-2-

    Overview of research hypotheses

    198

    5-3-

    Overview of the results and innovation of findings

    214

    5-4-

    Limitations

    215

    5-5

    Suggestions

    217

     

     

     

     

    List of References

    219

     

    Abstract/p>

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    List of tables

     

     

     

     

    Number

    Title

    Page

     

     

     

    2-1

    Social health structures according to levels of analysis and size continuum Giri

    87

    2-2

    Longitudinal trend of Iran's quality of life index during the years 2005-2010

    99

    2-3

    The amount and rank of social health in each of the country's provinces based on the composite social health index

    103

    2-4

    Rank of the development index 2011 Middle Eastern and North African countries

    107

    3-1

    demographic characteristics of participants

    151

    4-1

    reliability of questionnaires

    161

    4-2

    summary of descriptive statistics of social anxiety variable in pre-test and post-test groups Various

    162

    4-3

    Summary of descriptive statistics of social health variable in pre-test and post-test of different groups

    164

    4-4

    Summary of descriptive statistics of quality of life variable in pre-test and post-test of different groups

    166

    4-5

    Kolmogrov-Smirnov test To check the normality of distribution of dependent variables

    169

    4-6

    Levin's test for equality of error variance for social anxiety variable

    170

    4-7

    Box test for equality of covariance matrices for social anxiety variable

    170

    4-8

    Tests Multivariate repeated measurement design for social anxiety

    171

    4-9

    within-group and between-group tests of repeated measurement design for social anxiety variable

    171

    4-10

    Sheffe test for paired comparison of social anxiety variable between different groups

    172

    4-11

    Levin's test for equality of error variance for social anxiety

    173

    4-12

    Box test for equality of covariance matrices of social anxiety components

    174

    4-13

    Multivariate tests of repeated measurement design of social anxiety components

    175

    4-14

    Intragroup and between-group tests of the repeated measurement design of social anxiety components

    176

    4-15

    Scheffé test for pairwise comparison of social anxiety between different groups

    177

    4-16

    Levin's test for equality Error variance for quality of life

    178

    4-17

    Box test for equality of covariance matrices for quality of life variable

    179

    4-18

    Multivariate tests of repeated measures design for quality of life

    179

    4-19

    Tests Within-group and between-group repeated measurement design of quality of life

    180

    4-20

    Sheffe test for paired comparison of quality of life between different groups

    180

    4-21

    Levin test for equality of error variance for quality of life components

    182

    4-22

    Box test for equality of covariance matrices of quality of life components

    183

    4-23

    Repeated measurement design test for quality of life components

    183

    4-24

    Intragroup and intergroup tests of repeated measurement design of quality of life components

    184

    4-25

    Sheffe test for pairwise comparison of quality of life between different groups

    186

    4-26

    Levin test for equality of error variance for social health

    188

    4-27

    Box test for equality of covariance matrices for health variable Social

    189

    4-28

    Multivariate tests of the repeated measurement design for social health

    189

    4-29

    Intragroup and intergroup tests of the repeated measurement design of social health

    190

    4-30

    Sheffe test For pairwise comparison of social health between different groups 190 4-31 Levine's test for equality of error variance for the component

Comparing the effectiveness and continuity of the effect of metacognitive therapy and schema therapy in a group way on reducing symptoms, quality of life and social health of students with social anxiety disorder