Volume 29, Issue 8 (11-2022)                   RJMS 2022, 29(8): 287-296 | Back to browse issues page

Research code: 172469
Ethics code: IR.IAU.SHK.REC.1399.056
Clinical trials code: 1

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Mirzaie A, Sharifi T, Ghazanfari A, Cherami M. The Efficacy of Group Therapy of Emotion Regulation and Reality Therapy on Borderline Personality Disorder. RJMS 2022; 29 (8) :287-296
URL: http://rjms.iums.ac.ir/article-1-6767-en.html
Associate Professor, Psychology Department, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran , t.sharifi@iaush.ac.ir
Abstract:   (1046 Views)
Background & Aims: Borderline personality disorder is a mental disorder that is heterogeneous and patients suffering from this disorder have problems in most aspects of their lives, so that it causes widespread destruction in all aspects of a person's life, including marital, occupational and identity relationships (7). Borderline personality disorder is characterized by emotional instability, which includes dysmorphic mood and severe mood swings (8). Treatments that were of interest to therapists in the past include: dynamic therapy, interpersonal therapy, cognitive and behavioral therapy, behavior modification, problem-oriented therapy, and dialectical therapy (12). Emotion regulation by examining different emotions in sick people can be fruitful in the direction of people's recovery (13). In fact, emotion regulation is a diverse set of control processes aimed at managing when and where and how our emotions are experienced or expressed. Such processes allow people to enjoy most of the positive events in their lives and avoid negative events and increase or decrease their intensity or even create a facial expression of emotion, according to society's customs (14).
Considering the above contents and the importance of solving the problem of borderline personality disorder on the one hand, the general lack of consensus regarding the selection of a suitable and unified method in this field on the other hand, and finally because of the review of the research conducted inside and outside the research country It was not found in the context of the desired topic, so the researcher is trying to answer the question whether emotional regulation group therapy and reality therapy have an effect on borderline personality disorder in women or not? If there is an effect, which ones are more effective? It is hoped that by using the results of this research, a clear view on the effect of the two intervention methods can be provided to experts and officials so that they can plan in the best possible way to solve the problems of borderline personality disorder.
Methods: The current research is semi-experimental and applied, which was carried out with a pre-test, post-test and follow-up research design and experimental and control groups. The statistical population of the research was made up of women aged 18 to 40 with borderline personality disorder who visited Tawheed Clinic in Isfahan city (100 people). Among them, 27 people participated in the present research as volunteers and were randomly divided into 3 groups. Further, the experimental groups were subjected to group intervention for 8 sessions and 2 hours per week according to Table 1 and 2, and the control group did not receive any intervention, and then the post-test was conducted for both experimental and control groups.
It should be noted that the research tools included the Borderline Personality Questionnaire (BPI) designed by Leishner-Nigg, the Borderline Personality Scale (STB) designed by Jackson and Claridge.
Results: The results of the present research showed that there is a significant difference between the effects of two types of intervention on identity disturbance, reality testing, fear of intimacy, despair, impulsivity, dissociative symptoms in different stages and between different groups. Therefore, Bonferroni's post hoc test was used to determine the location of the difference, and based on this test, it was determined that the scores of all variables of borderline personality disorder in both experimental groups and in the post-test stage are relatively the same and lower than the Go group. In other words, both experimental groups had high and relatively equal effectiveness on improving these attachment styles. Also, these results show that identity confusion and hopelessness are significant in both groups, but the treatment based on emotion regulation has a more effective effect on the scores of this scale. Also, the fear of intimacy and impulsivity in both groups compared to the pre-test in both the post-test and follow-up phases of the experimental group has a significant difference, but reality therapy has registered more effectiveness than emotion regulation, and this is while the variable of fear Intimacy showed a significant difference compared to the pre-test in the experimental group only through reality-based therapy, and emotion regulation therapy could not have a significant effect on this variable, and finally, dissociative symptoms of borderline personality disorder in none of the treatments. There was no significant difference in the post-test stage compared to the pre-test and the follow-up compared to the pre-test and post-test in the experimental group compared to the control group.
Conclusion: The results of the research showed that the emotion regulation therapy of the Gross model and reality therapy are effective in reducing most of the symptoms of borderline personality disorder in women. Growing evidence over the past decades has identified emotion regulation and reality therapy as helpful in mental health. In all these researches, emotion regulation and reality therapy have been used to improve and reduce symptoms of disorders in this field. Goodman (2014) concluded in a research that dialectical behavior therapy and emotion regulation and amygdala activity are effective in reducing the symptoms of borderline personality disorder (25). Tousli and Agha Mohammadian (2017) studied the effectiveness of group reality therapy on the symptoms of love trauma and the overall performance of emotionally defeated people, and the results showed the effectiveness of this method in reducing the symptoms of patients (30). In fact, emotion regulation is a diverse set of control processes. It is with the aim of managing when and where and how and in what form our emotions are experienced or expressed. Emotion regulation can include a set of cognitive processes that occur automatically or with effort. Such processes allow people to enjoy most of the positive events in their lives and avoid negative events and increase or decrease their intensity or even create a facial expression of emotion, according to society's customs. In the emotional regulation process model, emotion regulation and its integration somehow moderates the contradictions within the person or between the person and the environment and in this way helps the person to be able to separate himself from his thoughts. Therefore, the findings of the present research seem reasonable.

 
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Type of Study: Research | Subject: Clinical Psychiatry

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