Volume 21, Issue 1 (Pajouhan Scientific Journal, Winter 2023)
Pajouhan Sci J 2023, 21(1): 32-39 |
Back to browse issues page
Research code: 99/d/20/24418
Ethics code: IR.UMA.REC.1400.068
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Asghari Sharabiani A, Atadokht A, Hajloo N, Mikaeili N. An Efficacy of Group Dialectical Behavior Therapy for Emotion Regulation and Irritability in Students with Disruptive Mood Dysregulation Disorder. Pajouhan Sci J 2023; 21 (1) :32-39
URL: http://psj.umsha.ac.ir/article-1-947-en.html
URL: http://psj.umsha.ac.ir/article-1-947-en.html
1- Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran , abbas.asghari04@gmail.com
2- Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2- Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
Abstract: (1715 Views)
Background and Objectives: Disruptive mood dysregulation disorder (DMDD) is a new diagnosis with multiple treatment challenges. The most prominent features of this disorder consist of behavioral as well as mood disruptions. There are very few treatment studies on DMDD. The aim of this study was to determine the efficacy of Dialectical Behavior Therapy on emotion regulation and irritability in students with disruptive mood disorders.
Materials and Methods: The current research was a semi-experimental type of pre-test-post-test with a control group. The statistical population of the research included all male students of the first secondary level of East Azarbaijan province who referred to the counseling centers of education and training departments in the academic year of 2020–2021. The study population included 30 students with disruptive mood disorders who were chosen through a nonprobability purposive sampling method. Emotional Affective Reactivity Index, the Emotion Regulation Questionnaire, and the clinical interview were used to collect data. The collected data were analyzed through the statistical test of ANOVA with repeated measurements.
Results: Dialectical Behavior Therapy was found to be significantly effective in reducing irritability and regulating emotions in students with disruptive mood dysregulation disorders (P < 0.001). Furthermore, the results revealed that the educational effect persisted throughout the follow-up period (P > 0.05).
Conclusions: According to the results of the research, dialectical behavior therapy can increase the awareness of the disruptive mood disorder sufferers about their problems and gain a more correct understanding in dealing with problems, especially in the interpersonal field. Therefore, in the field of treatment of disruptive mood disorder, dialectical behavior therapy can be implemented as part of the treatment plan.
Materials and Methods: The current research was a semi-experimental type of pre-test-post-test with a control group. The statistical population of the research included all male students of the first secondary level of East Azarbaijan province who referred to the counseling centers of education and training departments in the academic year of 2020–2021. The study population included 30 students with disruptive mood disorders who were chosen through a nonprobability purposive sampling method. Emotional Affective Reactivity Index, the Emotion Regulation Questionnaire, and the clinical interview were used to collect data. The collected data were analyzed through the statistical test of ANOVA with repeated measurements.
Results: Dialectical Behavior Therapy was found to be significantly effective in reducing irritability and regulating emotions in students with disruptive mood dysregulation disorders (P < 0.001). Furthermore, the results revealed that the educational effect persisted throughout the follow-up period (P > 0.05).
Conclusions: According to the results of the research, dialectical behavior therapy can increase the awareness of the disruptive mood disorder sufferers about their problems and gain a more correct understanding in dealing with problems, especially in the interpersonal field. Therefore, in the field of treatment of disruptive mood disorder, dialectical behavior therapy can be implemented as part of the treatment plan.
Keywords: Dialectical Behavior Therapy, Disruptive Mood Dysregulation Disorder, Irritability, Emotion Regulation
Type of Study: Research Article |
Subject:
Psychology and Psychiatry
Received: 2022/07/23 | Accepted: 2022/10/16 | Published: 2023/03/20
Received: 2022/07/23 | Accepted: 2022/10/16 | Published: 2023/03/20
References
1. Findling RL, Zhou X, George P, Chappell PB. Diagnostic trends and prescription patterns in disruptive mood dysregulation disorder and bipolar disorder. J Am Acad Child Adolesc Psychiatry. 2022,61(3):434-45. [DOI:10.1016/j.jaac.2021.05.016] [PMID]
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013. [DOI:10.1176/appi.books.9780890425596]
3. Chase D, Harvey PD, Pogge DL. Disruptive mood dysregulation disorder (DMDD) in psychiatric inpatient child admissions: Prevalence among consecutive admissions and in children receiving NOS diagnoses. Neurol Psychiatry Brain Res. 2020;38:102-6. [DOI:10.1016/j.npbr.2020.11.001]
4. Lin YJ, Tseng WL, Gau SS. Psychiatric comorbidity and social adjustment difficulties in children with disruptive mood dysregulation disorder: A national epidemiological study. J Affect Disord. 2021;281:485-92. [DOI:10.1016/j.jad.2020.12.039] [PMID] []
5. Laporte PP, Matijasevich A, Munhoz TN, Santos IS, Barros AJ, Pine DS, et al. Disruptive Mood Dysregulation Disorder: symptomatic and syndromic thresholds and diagnostic operationalization. J Am Acad Child Adolesc Psychiatry. 2021;60(2):286-95. [DOI:10.1016/j.jaac.2019.12.008] [PMID] []
6. Leibenluft E. Severe mood dysregulation, irritability, and the diagnostic boundaries of bipolar disorder in youths. Am J Psychiatry. 2011;168(2):129-42. [DOI:10.1176/appi.ajp.2010.10050766] [PMID] []
7. Woltering S, Lishak V, Hodgson N, Granic I, Zelazo PD. Executive function in children with externalizing and comorbid internalizing behavior problems. J Child Psychol Psychiatry. 2016;57(1):30-8. [DOI:10.1111/jcpp.12428] [PMID]
8. Leibenluft E. Irritability in children: what we know and what we need to learn. World Psychiatry. 2017;16(1):100-1. [DOI:10.1002/wps.20397] [PMID] []
9. Mehlum L, Tørmoen AJ, Ramberg M, Haga E, Diep LM, Laberg S, et al. Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial. J Am Acad Child Adolesc Psychiatry. 2014;53(10):1082-91. [DOI:10.1016/j.jaac.2014.07.003] [PMID]
10. Benarous X, Consoli A, Guilé JM, de La Rivière SG, Cohen D, Olliac B. Evidence-based treatments for youths with severely dysregulated mood: a qualitative systematic review of trials for SMD and DMDD. Eur Child Adolesc Psychiatry. 2017;26(1):5-23. [DOI:10.1007/s00787-016-0907-5] [PMID]
11. Perepletchikova F, Nathanson D, Axelrod SR, Merrill C, Walker A, Grossman M, et al. Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomes. J Am Acad Child Adolesc Psychiatry. 2017;56(10):832-40. [DOI:10.1016/j.jaac.2017.07.789] [PMID]
12. Knopf A. DBT found effective for children with DMDD. CABL. 2017;33(11):3-4. [DOI:10.1002/cbl.30253]
13. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Earlbaum Associates; 1988.
14. Imam Gholipour S, Zamani S, Jahangiri AH, Imani S, Zamani N. The effectiveness of impulse control and dialectical behavior therapy training on impulsivity, Lack of motor and cognitive planning in adolescent girls with disruptive mood dysregulation disorder [in Persian]. Thought & Behav Clin Psychol. 2015;10(35):7-16.
15. Stringaris A, Goodman R, Ferdinando S, Razdan V, Muhrer E, Leibenluft E, et al. The Affective Reactivity Index: a concise irritability scale for clinical and research settings. J Child Psychol Psychiatry. 2012;53(11):1109-17. [DOI:10.1111/j.1469-7610.2012.02561.x] [PMID] []
16. Ghahari S. Dialectical behaviour theapy [in Persian]. Tehran, Iran: Danzhe; 2018.
17. Sheybani H, Mikaeili N, Narimani M. The effectiveness of cognitive-behavioral therapy and emotion regulation training on irritability, depression, anxiety, and emotion regulation in adolescents with disruptive mood dysregulation disorder [in Persian]. J Clin Psychol. 2020;12(2):41-50.
18. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348-62. [DOI:10.1037/0022-3514.85.2.348] [PMID]
19. Soleimani E, Habibi Y. The relationship between emotion regulation and resiliency with psychological well-being in students [in Persian]. JSP. 2015;3(4):51-72.
20. Ward-Ciesielski EF, Limowski AR, Krychiw JK. History and overview of dialectical behavior therapy. In: Bedics J, editor. The hand book of dialectical behavior therapy. Amsterdam, Netherlands: Elsevier Science; 2020. [DOI:10.1016/B978-0-12-816384-9.00001-4]
21. Derella OJ, Johnston OG, Loeber R, Burke JD. CBT-enhanced emotion regulation as a mechanism of improvement for childhood irritability. J Clin Child Adolesc Psychol. 2019;48(Suppl 1):S146-54. [DOI:10.1080/15374416.2016.1270832] [PMID] []
22. Gatzke-Kopp LM, Greenberg M, Bierman K. Children's parasympathetic reactivity to specific emotions moderates response to intervention for early-onset aggression. J Clin Child Adolesc Psychol. 2015;44(2):291-304. [DOI:10.1080/15374416.2013.862801] [PMID]
23. Deveney CM, Connolly ME, Haring CT, Bones BL, Reynolds RC, Kim P, et al. Neural mechanisms of frustration in chronically irritable children. Am J Psychiatry. 2013;170(10):1186-94. [DOI:10.1176/appi.ajp.2013.12070917] [PMID] []
24. Zalewski M, Lewis JK, Martin CG. Identifying novel applications of dialectical behavior therapy: considering emotion regulation and parenting. Curr Opin Psychol. 2018;21:122-6. [DOI:10.1016/j.copsyc.2018.02.013] [PMID]
25. Rathus J, Campbell B, Miller A, Smith H. Treatment acceptability study of walking the middle path, a new DBT skills module for adolescents and their families. Am J Psychother. 2015;69(2):163-78. [DOI:10.1176/appi.psychotherapy.2015.69.2.163] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences.
Published by UMSHA Press
Journal Tel: +98 81 38380090
Publisher Tel: +98 81 38382022
Website: https://psj.umsha.ac.ir/
Email: psj@umsha.ac.ir
