The Effectiveness of Group-Based Dialectical Behavior Therapy in Aggression and Social Adjustment of Single-Parent Adolescents
Authors
-
Mohsen Nazarifar
Department of Psychology and Counseling, Faculty of Humanities, Arak University, Arak, Iran.
https://orcid.org/0000-0003-2285-7905
-
Hadi Savari
Counseling Department, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
https://orcid.org/0000-0003-0633-2447
-
Hamid Kalalian Moghaddam
Addiction Research Center, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0000-0002-8342-919X
DOI:
https://doi.org/10.22100/ijhs.v8i4.942Keywords:
Dialectical behavior therapy, Aggression, Social Adjustment, Single-parent adolescentsAbstract
Background: The absence of each parent impairs the psychological and the social adjustment of single-parent adolescents. The objective of this study was to investigate the effectiveness of group-based dialectical behavior therapy in reducing aggression and increasing social adjustment of single-parent adolescents.
Methods: The research method was quasi-experimental using a pretest and posttest design with a control group. The statistical population included single-parent adolescent boys in the junior high schools of Baghmalek. The sample consisted of 24 students who were randomly assigned to the experimental and the control groups. The experimental group received dialectical behavioral therapy during eight sessions. The research instruments included Ahwaz Aggression Questionnaire (AAI) and Bell’s Adjustment Inventory (BAI). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (multivariate analysis of covariance).
Results: Findings showed that group-based dialectical behavior therapy reduced aggression and increased social adjustment of the experimental group compared to the control group (p < 0.05). In fact, the results showed the effect of dialectical behavior therapy in reducing aggression and improving social adjustment in single-parent adolescents.
Conclusion: According to the research results, counselors and psychotherapists can use dialectical behavior therapy to intervene aggression and social adjustment.
Keywords: Dialectical behavior therapy, Aggression, Social Adjustment, Single-parent adolescents
References
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21. Saito E, Tebbett-Mock AA, McGee M. Dialectical Behavior Therapy Decreases Depressive Symptoms Among Adolescents in an Acute-Care Inpatient Unit. J Child Adolesc Psychopharmacol. 2020;30(4):244-249. doi:10.1089/cap.2019.0149
22. DeCou CR, Comtois KA, Landes SJ. Dialectical Behavior Therapy Is Effective for the Treatment of Suicidal Behavior: A Meta-Analysis. Behav Ther. 2019;50(1):60-72. doi:10.1016/j. beth.2018.03.009
23. Asmand P, Mami S, Valizadeh R. Efficacy of dialectical behavior therapy in irrational belief and anxiety among young male prisoners with antisocial personality disorder in Ilam prison. MEDICAL SCIENCES. 2014; 24 (3) :159-167. doi: 10.4103/2347-9019.147135 [Persian].
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26. Miller AL, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. Guilford Press; 2006 Nov 16.
27. Panos PT, Jackson JW, Hasan O, Panos A. Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT). Res Soc Work Pract. 2014;24(2):213-223. doi:10.1177/1049731513503047
28. Tomlinson MF. The impact of dialectical behaviour therapy on aggression, anger, and hostility in a forensic psychiatric population; 2015.
29. Shelton D, Kesten K, Zhang W, Trestman R. Impact of a Dialectic Behavior Therapy-Corrections Modified (DBT-CM) upon behaviorally challenged incarcerated male adolescents. J Child Adolesc Psychiatr Nurs. 2011;24(2):105-113. doi:10.1111/j.1744-6171.2011.00275. x
30. Berzins LG, Trestman RL. The development and implementation of dialectical behavior therapy in forensic settings. International Journal of Forensic Mental Health. 2004 Apr 1;3(1):93-103. doi.org/10.1080/14999013.2004.10471199
31. Perepletchikova F, Axelrod SR, Kaufman J, Rounsaville BJ, Douglas-Palumberi H, Miller AL. Adapting Dialectical Behaviour Therapy for Children: Towards a New Research Agenda for Paediatric Suicidal and Non-Suicidal Self-Injurious Behaviours. Child Adolesc Ment Health. 2011;16(2):116-121. doi:10.1111/j.1475-3588.2010.00583.x
2. Crowell SE, Kaufman EA. Development of self-inflicted injury: Comorbidities and continuities with borderline and antisocial personality traits. Dev Psychopathol. 2016;28(4pt1):1071-1088. doi:10.1017/S0954579416000705
3. Hartley SL, Papp LM, Blumenstock SM, Floyd F, Goetz GL. The effect of daily challenges in children with autism on parents' couple problem-solving interactions. J Fam Psychol. 2016;30(6):732-742. doi:10.1037/fam0000219
4. Woods SE, Menna R, McAndrew AJ. The mediating role of emotional control in the link between parenting and young children's physical aggression. Early child development and care. 2017 Jul 3;187(7):1157-69. doi.org/10.1080/03004430.2016.1159204
5. Krueger PM, Jutte DP, Franzini L, Elo I, Hayward MD. Family structure and multiple domains of child well-being in the United States: a cross-sectional study. Popul Health Metr. 2015;13:6. Published 2015 Feb 21. doi:10.1186/s12963-015-0038-0
6. Lakeman R, Emeleus M, Davies S, Anderson S. A pragmatic evaluation of a high-fidelity dialectical behaviour therapy programme for youth with borderline personality disorder. Advances in mental health. 2021 May 4;19(2):116-26. doi.org/10.1080/18387357.2020.1761262
7. Prattley J, Buffel T, Marshall A, Nazroo J. Area effects on the level and development of social exclusion in later life. Soc Sci Med. 2020;246:112722. doi:10.1016/ j.socsci med.2019.112722
8. Agholor S, Agholor AO, Aborisade DO. A Real-Time Observation Approach for Assessing the Impact of SocialMedia on Students’ Academic Performance. The Journal of SocialMedia in Society. 2020; 9(2): 214-235.
9. Matson JL, Matson ML, Rivet TT. Social-skills treatments for children with autism spectrum disorders: An overview. Behavior modification. 2007 Sep;31(5):682-707. doi.org/10.1177/0145445507301650
10. Ramirez LE. Acceptance and Commitment Therapy (ACT): Efficacy of Brief Group Treatment for Latinx Adults with Depressive Symptoms (Doctoral dissertation, University of La Verne).
11. Kranzler A, Fehling KB, Lindqvist J, et al. An Ecological Investigation of the Emotional Context Surrounding Nonsuicidal Self-Injurious Thoughts and Behaviors in Adolescents and Young Adults. Suicide Life Threat Behav. 2018;48(2):149-159. doi:10.1111/sltb.12373
12. Eisenlohr-Moul TA, Miller AB, Giletta M, et al. HPA axis response and psychosocial stress as interactive predictors of suicidal ideation and behavior in adolescent females: a multilevel diathesis-stress framework. Neuropsychopharmacology. 2019;43(13):2564-2571. doi:10.1038/s41386-018-0206-6
13. Linehan M. DBT? Skills training manual. Guilford Publications; 2014 Oct 20.
14. Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder [published correction appears in Arch Gen Psychiatry. 2007 Dec;64(12):1401]. Arch Gen Psychiatry. 2006;63(7):757-766. doi:10.1001/archpsyc.63.7.757
15. Salehi M, Hamid N, Beshlideh K, Arshadi N. Comparison of the Effectiveness of Holographic Reprocessing and Dialectical Behavioral Therapy on Cognitive Flexibility and Impulsivity among Depressed Patients with a Suicide Attempt in Ilam, Iran. sjimu. 2019; 27 (5) :1-14. doi.org/10.29252/sjimu.27.5.1
16. Anestis JC, Charles NE, Lee-Rowland LM, Barry CT, Gratz KL. Implementing dialectical behavior therapy skills training with at-risk male youth in a military-style residential program. Cognitive and Behavioral Practice. 2020 May 1;27(2):169-83. doi.org/10.1016/j.cbpra.2019.07.001
17. Safitri S. Enhancing Adolescent's Emotion Regulation with Dialectical Behavior Therapy's Skill Training: The Applications across Borderline, Mild, and Moderate Intellectual Disability. Journal of Intellectual Disability-Diagnosis and Treatment. 2020 May 15;8(2):244-53. doi.org/10.6000/2292-2598.2020.08.02.21
18. Iri H, Makvandi B, Bakhtiarpour S, Hafezi F. Comparison of the effectiveness of Acceptance and Commitment Therapy and Dialectical Behavioral Therapy on health anxiety, psychosocial adjustment and cognitive emotion regulation of divorced women. medical journal of mashhad university of medical sciences. 2019 Jan 21;61(supplment1):79-88. doi:10.22038/MJMS.2019.13786
19. Wetterborg D, Dehlbom P, Långström N, Andersson G, Fruzzetti AE, Enebrink P. Dialectical Behavior Therapy for Men With Borderline Personality Disorder and Antisocial Behavior: A Clinical Trial. J Pers Disord. 2020;34(1):22-39. doi:10.1521/pedi_2018_32_379
20. Pardo ES, Rivas AF, Barnier PO, et al. A qualitative research of adolescents with behavioral problems about their experience in a dialectical behavior therapy skills training group. BMC Psychiatry. 2020;20(1):245. Published 2020 May 19. doi:10.1186/s12888-020-02649-2
21. Saito E, Tebbett-Mock AA, McGee M. Dialectical Behavior Therapy Decreases Depressive Symptoms Among Adolescents in an Acute-Care Inpatient Unit. J Child Adolesc Psychopharmacol. 2020;30(4):244-249. doi:10.1089/cap.2019.0149
22. DeCou CR, Comtois KA, Landes SJ. Dialectical Behavior Therapy Is Effective for the Treatment of Suicidal Behavior: A Meta-Analysis. Behav Ther. 2019;50(1):60-72. doi:10.1016/j. beth.2018.03.009
23. Asmand P, Mami S, Valizadeh R. Efficacy of dialectical behavior therapy in irrational belief and anxiety among young male prisoners with antisocial personality disorder in Ilam prison. MEDICAL SCIENCES. 2014; 24 (3) :159-167. doi: 10.4103/2347-9019.147135 [Persian].
24. Fathi-Ashtiani A, Dastani M. Psychological tests: Personality and mental health. Tehran: besat. 2009;46.
25. Zahedifar, S., Najarian, B., Shokrkon, H. Construction and Validation of a Scale for the Measurement of Aggression. Journal of Educational Scinces, 2000; 7(1): 73-102. doi: 10.22055/edus.2000.16084
26. Miller AL, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. Guilford Press; 2006 Nov 16.
27. Panos PT, Jackson JW, Hasan O, Panos A. Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT). Res Soc Work Pract. 2014;24(2):213-223. doi:10.1177/1049731513503047
28. Tomlinson MF. The impact of dialectical behaviour therapy on aggression, anger, and hostility in a forensic psychiatric population; 2015.
29. Shelton D, Kesten K, Zhang W, Trestman R. Impact of a Dialectic Behavior Therapy-Corrections Modified (DBT-CM) upon behaviorally challenged incarcerated male adolescents. J Child Adolesc Psychiatr Nurs. 2011;24(2):105-113. doi:10.1111/j.1744-6171.2011.00275. x
30. Berzins LG, Trestman RL. The development and implementation of dialectical behavior therapy in forensic settings. International Journal of Forensic Mental Health. 2004 Apr 1;3(1):93-103. doi.org/10.1080/14999013.2004.10471199
31. Perepletchikova F, Axelrod SR, Kaufman J, Rounsaville BJ, Douglas-Palumberi H, Miller AL. Adapting Dialectical Behaviour Therapy for Children: Towards a New Research Agenda for Paediatric Suicidal and Non-Suicidal Self-Injurious Behaviours. Child Adolesc Ment Health. 2011;16(2):116-121. doi:10.1111/j.1475-3588.2010.00583.x
Published
2022-02-22
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How to Cite
The Effectiveness of Group-Based Dialectical Behavior Therapy in Aggression and Social Adjustment of Single-Parent Adolescents. (2022). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 8(4), 1-5. https://doi.org/10.22100/ijhs.v8i4.942
