[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 22, Issue 4 (Bimonthly 2018) ::
Feyz 2018, 22(4): 412-418 Back to browse issues page
The effect of dialectical behavior therapy on executive function in patients with a bipolar disorder
Behrooz Afshari , Abdollah Omidi * , Mojtaba Sehat
Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, I. R. Iran. , abomidi20@yahoo.com
Abstract:   (116 Views)
Background: Bipolar disorder is a debilitating psychiatric disorder characterized by recurrent depression, manic and hippomanic episodes. The effect of a dialectical behavior therapy on executive functions in bipolar disorders has not been addressed so far. The aim of this study was to determine the effect of the dialectical behavior therapy on executive function in the bipolar disorder.
Materials and Methods: Sixty patients with a bipolar disorder were randomly assigned to the intervention (the dialectical behavior therapy combined with medication) and control (only medication) groups. The questionnaires and tests were used at baseline, after 12 weeks intervention, and three months after the intervention. Participants in the intervention group received twelve 90-min sessions of the standard dialectical behavior therapy for the bipolar disorder.
Results: The results showed that the intervention group had a lower score in mania, and depression. Also, the intervention group had a higher score in executive functions after three months intervention and three months follow-up.
Conclusion: The dialectical behavior therapy in combination with medication can lead to reduce manic and depression symptoms, and improve performance of the patients in planning and problem-solving.
Keywords: Bipolar disorder, Dialectical behavior therapy, Executive function
Full-Text [PDF 188 kb]   (10 Downloads)    
Type of Study: Research | Subject: medicine, paraclinic
Received: 2018/05/29 | Accepted: 2018/07/28 | Published: 2018/10/6
References
1. Kaplan HI, Sadock BJ. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Williams & Wilkins Co; 1998.
2. Association AP. Diagnostic and statistical manual of mental disorders, (DSM-5®): Amer Psychiatric Pub; 2013.
3. Van Dijk S, Jeffrey J, Katz MR. A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. J Affect Dis 2013; 145(3): 386-93.
4. McKay M, Wood JC, Brantley J. The dialectical behavior therapy skills workbook: Practical DBT exercises for learning mindfulness, interpersonal effectiveness, emotion regulation and distress tolerance. ReadHowYouWant. com; 2010 Apr 15.
5. Van Dijk S. DBT Made Simple: A Step-by-step Guide to Dialectical Behavior Therapy. New Harbinger Publications; 2013 Jan 2.
6. Gross JJ, editor. Handbook of emotion regulation. Guilford publications; 2013 Dec 17.
7. Goodman M, Carpenter D, Tang CY, Goldstein KE, Avedon J, Fernandez N, et al. Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorder. J Sychiatric Res 2014; 57: 108-16.
8. Harvey P, Rathbone BH. Dialectical Behavior Therapy for At-risk Adolescents: A Practitioner's Guide to Treating Challenging Behavior Problems. New Harbinger Publications; 2014 Jan 2.
9. McCloskey G, Perkins LA, Van Diviner B. Assessment and intervention for executive function difficulties. Routledge; 2008 Dec 5.
10. Cotrena C, Branco LD, Shansis FM, Fonseca RP. Executive function impairments in depression and bipolar disorder: association with functional impairment and quality of life. J Affective Dis 2016; 190: 744-53.
11. Marvel CL, Paradiso S. Cognitive and neurological impairment in mood disorders. Psychiatric Clinics 2004; 27(1): 19-36.
12. Unterrainer JM, Owen AM. Planning and problem solving: from neuropsychology to functional neuroimaging. J Physiol Paris 2006; 99(4-6): 308-17.
13. Yang C, Zhang T, Li Z, Heeramun-Aubeeluck A, Liu N, Huang N, et al. The relationship between facial emotion recognition and executive functions in first-episode patients with schizophrenia and their siblings. BMC Psychiatry 2015; 15(1): 241.
14. Akhondzadeh S, Mohajari H, Mohammadi MR, Amini H. Ritanserin as an adjunct to lithium and haloperidol for the treatment of medication-naive patients with acute mania: a double blind and placebo controlled trial. BMC Psychiatry 2003; 3(1): 7.
15. Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio 1996; 78(2): 490-8.
16. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. psychometric properties of a persian‐language version of the beck depression inventory‐second edition: BDI‐II‐PERSIAN. Dep Anxiety 2005; 21(4): 185-92.
17. Eisner L, Eddie D, Harley R, Jacobo M, Nierenberg AA, Deckersbach T. Dialectical beh‌av‌ior therapy group skills training for bipolar disorder. Behav Ther 2017; 48(4): 557-66.
18. Goldstein S, Naglieri JA, editors. Handbook of executive functioning. Springer Science & Business Media; 2013 Nov 19.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA code


XML   Persian Abstract   Print


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

Afshari B, Omidi A, Sehat M. The effect of dialectical behavior therapy on executive function in patients with a bipolar disorder. Feyz. 2018; 22 (4) :412-418
URL: http://feyz.kaums.ac.ir/article-1-3618-en.html


Volume 22, Issue 4 (Bimonthly 2018) Back to browse issues page
مجله علمی پژوهشی فیض ::: دانشگاه علوم پزشکی کاشان KAUMS Journal ( FEYZ )
Persian site map - English site map - Created in 0.05 seconds with 31 queries by YEKTAWEB 3764