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Babaei HefzAbad S, Ammari H, Kordestani D. Determining the Effectiveness of Schema Therapy on the Cognitive Emotion Regulation of Intensive Care Unit Nurses. MEJDS 2022; 12 :206-206
URL: http://jdisabilstud.org/article-1-3000-en.html
1- PhD Student, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
2- Assistant Professor, Department of Psychology, West Tehran Branch, Islamic Azad University, Tehran, Iran
3- Assistant Professor, Department of Psychology, Payam Noor University, Tehran, Iran
Abstract:   (746 Views)

Abstract
Background & Objectives: Intensive care unit (ICU) nurses experience more stress than nurses in other units. They are at higher risk regarding health and psychological well–being than nurses in other units. This issue affects the vital aspects of their performance. Cognitive emotion regulation is one of the psychological factors that can potentially improve people's health and performance in different work settings. Emotions play a significant role in solving problems, processing information, and analyzing it. Emotion regulation how people change their reactions to emotion expression time. Emotion regulation plays a key role in the normal transformation and health of people. Weakness in emotion regulation skills significantly causes psychological problems. Schemas are one of the factors affecting the lack of emotion regulation in people. Yang proposed schema therapy to change them. Thus, the present study aimed to evaluate the schema therapy's effectiveness on the cognitive emotion regulation of ICU nurses.
Methods: This quasi–experimental research has a pretest–posttest and a two–month follow–up design with a control group. Its statistical population included all nurses working in the intensive care unit of Shohada Tajrish and Shahid Taleghani hospitals in Tehran City in 2021. We conveniently selected 40 nurses for the study based on inclusion and exclusion criteria and then randomly divided into the experimental and control groups. The inclusion criteria were as follows: willingness to participate in the research and providing informed consent, employment for at least one year in the special care department, not doing psychological treatment or not participating in other educational sessions at the same time, not taking certain medications, lacking The stressful events, such as divorce, death, etc. in close relatives in the last six months, obtaining a lower than average score (average score=72) in the Cognitive Emotion Regulation Questionnaire (Garnefski et al, 2001). The exclusion criteria were as follows: unwillingness to continue cooperating with the research, not attending more than two consecutive sessions out of 11 educational sessions, and unwillingness to do homework. The experimental group received eleven 75– to 90–minutes sessions per week of schema therapy. The control group did not receive any intervention. The data collection tool was the Cognitive Emotion Regulation Questionnaire (Garnefski et al., 2001) in three stages of pretest, posttest, and follow–up for two groups. The obtained data were analyzed using descriptive statistics, including mean, standard deviation, and inferential statistics, including repeated measures analysis of variance and Bonferroni post hoc test in SPSS software version 25. The significance level of statistical tests was set at 0.05.
Results: The effects of time (p<0.001), group (p<0.001), and the time and group interaction (p<0.001) on cognitive emotion regulation were significant. In the schema therapy group, the cognitive emotion regulation scores increased significantly in the posttest compared to the pretest (p=0.001). Also, in the schema therapy group, no significant difference was observed between the posttest and follow–up stages regarding the variable of cognitive regulation of emotion, which indicated the lasting effect of the intervention in the follow–up stage (p=0.986).
Conclusion: According to the findings, schema therapy improves the cognitive emotion regulation of intensive care unit (ICU) nurses. Therefore, this treatment approach can be used as an effective intervention to improve the nurses’ emotional regulation and psychological health.

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Type of Study: Original Research Article | Subject: Psychology

References
1. American Association of Colleges of Nursing. Nursing Fact Sheet [Internet]; 2022. [Article]
2. Roth E. A multifaceted approach to decreasing burnout and increasing staff engagement in adult critical care. Nurse Leader. 2020;18(4):370–5. [DOI]
3. Steinberg BA, Klatt M, Duchemin AM. Feasibility of a mindfulness-based intervention for surgical intensive care unit personnel. Am J Crit Care. 2017;26(1):10–8. [DOI]
4. Omran T, (Browning) Callis AM. Bereavement needs of critical care nurses: a qualitative study. Dimens Crit Care Nurs. 2021;40(2):83–91. [DOI]
5. Friganović A, Selič P, Ilić B, Sedić B. Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review. Psychiatr Danub. 2019;31(1):21–31.
6. Yüksel A, Bahadir‐Yilmaz E. Relationship between depression, anxiety, cognitive distortions, and psychological well‐being among nursing students. Perspect Psychiatr Care. 2019;55(4):690–6. [DOI]
7. Engen HG, Anderson MC. Memory control: a fundamental mechanism of emotion regulation. Trends Cogn Sci. 2018;22(11):982–95. [DOI]
8. Desatnik A, Bel-Bahar T, Nolte T, Crowley M, Fonagy P, Fearon P. Emotion regulation in adolescents: an ERP study. Biol Psychol. 2017;129:52–61. [DOI]
9. Kring AM, Sloan DM. Emotion regulation and psychopathology: a transdiagnostic approach to etiology and treatment. Guilford Press; 2009.
10. Thompson RA. Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev. 1994;59(2-3):25-52.
11. Naragon-Gainey K, McMahon TP, Chacko TP. The structure of common emotion regulation strategies: a meta-analytic examination. Psychol Bull. 2017;143(4):384–427. [DOI]
12. Gross JJ. Emotion regulation: current status and future prospects. Psychological Inquiry. 2015;26(1):1–26. [DOI]
13. Foster K, Roche M, Giandinoto J, Furness T. Workplace stressors, psychological well‐being, resilience, and caring behaviours of mental health nurses: a descriptive correlational study. Int J Mental Health Nurs. 2020;29(1):56–68. [DOI]
14. Li ZS, Hasson F. Resilience, stress, and psychological well-being in nursing students: a systematic review. Nurse Educ Today. 2020;90:104440. [DOI]
15. Young JE, Klosko J, Weishaar ME. Schema therapy: a practitioner’s guide. First edition. New York: Guilford Press; 2007.
16. Infurna MR, Reichl C, Parzer P, Schimmenti A, Bifulco A, Kaess M. Associations between depression and specific childhood experiences of abuse and neglect: a meta-analysis. J Affect Disord. 2016;190:47–55. [DOI]
17. Herts KL, Evans S. Schema therapy for chronic depression associated with childhood trauma: a case study. Clinical Case Studies. 2021;20(1):22–38. [DOI]
18. Louis JP, Wood AM, Lockwood G, Ho MHR, Ferguson E. Positive clinical psychology and schema therapy (ST): the development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 short form (YSQ-S3). Psychol Assess. 2018;30(9):1199–213. [DOI]
19. Tamborini CR, Couch KA, Reznik GL. Long-term impact of divorce on women’s earnings across multiple divorce windows: a life course perspective. Adv Life Course Res. 2015;26:44–59. [DOI]
20. Hoffart Lunding S, Hoffart A. Perceived parental bonding, early maladaptive schemas and outcome in schema therapy of cluster c personality problems: parental bonding, schemas and outcome in schema therapy. Clin Psychol Psychother. 2016;23(2):107–17. [DOI]
21. Nikoogoftar M, Sangani A. The Effectiveness of schema therapy on rumination, loneliness and general health of divorced women. Knowledge & Research in Applied Psychology. 2020;21(2):1–12. [Persian] [Article]
22. Siyadat SM, Khajevand Khoshli A, Akbari H. Effectiveness of schema therapy on mental well-being (emotional, psychological and social) of mothers with autistic children of Gorgan township. Journal of Social Psychology. 2019;7(51):69–78. [Persian] [Article]
23. Kopf-Beck J, Zimmermann P, Egli S, Rein M, Kappelmann N, Fietz J, et al. Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC Psychiatry. 2020;20(1):506. [DOI]
24. Dadomo H, Panzeri M, Caponcello D, Carmelita A, Grecucci A. Schema therapy for emotional dysregulation in personality disorders: a review. Curr Opin Psychiatry. 2018;31(1):43–9. [DOI]
25. Carter JD, McIntosh VV, Jordan J, Porter RJ, Douglas K, Frampton CM, et al. Patient predictors of response to cognitive behaviour therapy and schema therapy for depression. Aust N Z J Psychiatry. 2018;52(9):887–97. [DOI]
26. Renner F, Arntz A, Peeters FPML, Lobbestael J, Huibers MJH. Schema therapy for chronic depression: Results of a multiple single case series. J Behav Ther Exp Psychiatry. 2016;51:66–73. [DOI]
27. Ilanloo H, Ahmadi S, Farahani N, Hasani MB, Rezaei M. Life satisfaction prediction based on early maladaptive schemas and lifestyle in nurses. Journal of Psychological Science. 2020;19(88):431–7. [Persian] [Article]
28. Sarmad Z, Bazargan A, Hejazi E. Ravesh haye tahghigh dar oloom raftari [Research methods in behavioral sciences]. Tehran: Agah Pub; 2019. [Persian]
29. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Pers Individ Dif. 2001;30(8):1311–27. [DOI]
30. Kraaij V, Garnefski N. The Behavioral Emotion Regulation Questionnaire: development, psychometric properties and relationships with emotional problems and the Cognitive Emotion Regulation Questionnaire. Pers Individ Dif. 2019;137:56–61. [DOI]
31. Hasani, J. The psychometric properties of the Cognitive Emotion Regulation Questionnaire (CERQ). Journal of Clinical Psychology. 2010;3(7):73–84. [Persian] https://jcp.semnan.ac.ir/article_2031.html?lang=en
32. Mahmoodinia S, Sepahmansoor M, Emamipoor S, Hasani F. Effect of aggression replacement training on impulsivity and positive and negative cognitive emotion regulation strategies in delinquent adolescent boys. Psychological Studies. 2019;15(2):93–110. [Persian] [Article]
33. Hashemi N, Ghayour Baghbani SM, Khadivi G, Hashemian Nejad F, Ashoori J. Asar bakhshiye darman shenakhti raftari va tarhvare darmani bar shadkami va salamat ravan daneshjooyan parastari [The effectiveness of cognitive behavioral therapy and schema therapy on happiness and mental health of nursing students]. Journal of Multidisciplinary Care. 2016;5(1):12–22. [Persian]
34. Ghaderi F, Kalantari M, Mehrabi H. Effectiveness of group schema therapy on early maladaptive schemas modification and reduce of social anxiety disorder symptoms. Clinical Psychology Studies. 2016;6(24):1–28. [Persian] [Article]

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