Volume 7, Issue 2 (Spring 2021)                   JCCNC 2021, 7(2): 159-166 | Back to browse issues page


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Pourpashang M, Mousavi S. The Effects of Group Schema Therapy on Psychological Wellbeing and Resilience in the Clients Under Substance Dependence Treatment. JCCNC 2021; 7 (2) :159-166
URL: http://jccnc.iums.ac.ir/article-1-304-en.html
1- Department of Psychology, Payame Noor University, Tehran, Iran.
2- Department of Psychology, Payame Noor University, Tehran, Iran. , mousaviskf@gmail.com
Abstract:   (2290 Views)
Background: Low psychological resilience is an essential component in substance abuse relapse in individuals with substance use disorder. The present study aimed to investigate the effects of group schema therapy on psychological wellbeing and resilience in individuals under treatment with methadone and buprenorphine.
Methods: This was a quasi-experimental study with a pre-test, post-test design and a control group. The statistical population comprised 248 subjects with substance dependence under treatment in Samaa Addiction Treatment Clinic in Isfahan Province, Iran, in 2019. A sample of 40 patients was selected by convenience sampling method; accordingly, they were randomly allocated to the experimental and control groups. The experimental group underwent ten 90-minute weekly sessions of group schema therapy. The research instruments included the 75-item Early Maladaptive Schema Questionnaire-Short Form, the Connor-Davidson Resilience Scale, and the Ryff’s Scale of Psychological Wellbeing. Data analysis was conducted by Multivariate Analysis of Covariance (MANCOVA) using SPSS.
Results: The obtained results revealed that group schema therapy was effective in promoting psychological wellbeing and resilience in individuals under treatment with methadone and buprenorphine (P<0.01). 
Conclusion: This study provided evidence for the effectiveness of group schema therapy in enhancing psychological wellbeing and resilience among individuals with substance dependence. This intervention program can thus be implemented by substance dependence therapists and psychiatric nurses.
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• Group schema therapy improves hopefulness and self-efficacy in clients with substance dependence.
• Group schema therapy effectively promoted psychological wellbeing in clients with substance dependence. 
• Group schema therapy increased resilience in substance-dependent clients under treatment with methadone and buprenorphine.
Plain Language Summary 
Substance dependence has destructive effects on the physical aspects and psychological wellbeing of individuals. Those with substance dependence have a lower level of psychological resilience and less life satisfaction, compared with non-substance abusers. The positive effects of schema therapy on emotion regulation, developing effective relationships, biopsychological health, self-acceptance, self-efficacy, competency, and the acceptance of change are associated with enhanced resilience against stressful life events and psychological wellbeing. The most important results of the present study were as follows: group schema therapy is effective in enhancing the psychological wellbeing and resilience in people with substance dependence under maintenance treatment with methadone and short-term detoxification with buprenorphine.

Type of Study: Research | Subject: General
Received: 2020/09/11 | Accepted: 2021/02/1 | Published: 2021/05/1

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