Comparison of the Effectiveness of Schema Therapy and Acceptance and Commitment Therapy on the Dimensions of Posttraumatic Growth in Students with the Experience of Romantic Breakup
Keywords:
Schema Therapy, Acceptance and Commitment Therapy, Post-Traumatic Growth, Emotional BreakupAbstract
Objective: The present study aimed to compare the effectiveness of Schema Therapy and Acceptance and Commitment Therapy (ACT) on dimensions of post-traumatic growth in students with a history of emotional breakup.
Methods and Materials: This was a quasi-experimental study with a three-group, three-stage design (pretest, posttest, and two-month follow-up). The statistical population consisted of university students who had experienced emotional failure and were referred to the Counseling Center of Shiraz University of Medical Sciences in 2022. Forty-five students were purposefully selected and randomly assigned to three groups: Schema Therapy, ACT, and control (15 in each). Data collection tools included the Post-Traumatic Growth Inventory (PTGI) and the Love Trauma Inventory. Each intervention group received ten 60-minute sessions. Data were analyzed using repeated measures ANOVA, MANCOVA, and Bonferroni post hoc tests.
Findings: The results indicated significant differences between groups in the posttest and follow-up stages across all dimensions of post-traumatic growth, including change in life priorities, relationships with others, spiritual connection, new possibilities, and personal strength (p<0.01). Both intervention groups were significantly more effective than the control group. Additionally, the ACT group outperformed the Schema Therapy group specifically in the "new possibilities" dimension.
Conclusion: The findings suggest that both Schema Therapy and ACT are effective in promoting post-traumatic growth among students with emotional trauma, with ACT showing greater effectiveness in certain emotional domains.
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References
Aliaskari, S. (2024). Comparing the Effectiveness of Schema Therapy and Cognitive-Behavioral Therapy on the Regulation of Primary Emotions in Young Girls With Body Deformity Disorder. Injoeacs, 5(2), 73-82. https://doi.org/10.61838/kman.ijecs.5.2.9
Alokandeh, R. S. (2024). Enhancing Emotion Regulation and Psychological Flexibility, and Body Image Concern in Girls With Body Image Dissatisfaction Through Schema Modes Therapy. Jarac, 6(2), 177-184. https://doi.org/10.61838/kman.jarac.6.2.22
Amiri, A. M., Hassanzadeh, R., & Heydari, S. (2024). Comparison of the Effectiveness of Schema Therapy and Life Therapy on Emotion Regulation and Attitudes Towards Eating in Women With Obesity. Hn, 2(2), 68-76. https://doi.org/10.61838/kman.hn.2.2.8
Barooti, M., Chinaveh, M., & Saedi, S. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Cognitive Emotion Regulation in Patients With Major Depressive Disorder. Jayps, 5(3), 44-54. https://doi.org/10.61838/kman.jayps.5.3.5
Ebrahimi, F., Amini, N., & Keykhosrovani, M. (2023). Effectiveness of Schema Therapy on Symptoms of Love Trauma, Depression, and Anxiety in Young Women With Experience of Emotional Failure. PWJ, 4(4), 156-163. https://doi.org/10.61838/kman.pwj.4.4.19
Egli, S., Badenbach, T., Emmerik, A. v., Stefan, A. M., & Kopf‐Beck, J. (2024). Emotion Regulation and Attachment as Mechanisms of Change in Schema Therapy and Cognitive Behaviour Therapy for Depression. https://doi.org/10.31219/osf.io/67vhn
Ezzatpanah, F., & Latifi, Z. (2019). The effectiveness of acceptance, commitment, and compassion-based training on pain catastrophizing, distress tolerance, and post-traumatic growth in patients with fibromyalgia syndrome. Health Psychology(32), 127-142. https://civilica.com/doc/1906146/
Ghasemkhanloo, A., Atadokht, A., & Sabri, V. (2021). The Effectiveness of Emotional Schema Therapy on the Severity of Depression, Emotional Dysregulation and Emotional Schemas in Patients With Major Depressive Disorder. Shenakht Journal of Psychology and Psychiatry, 8(3), 76-88. https://doi.org/10.32598/shenakht.8.3.76
Ghasemkhanloo, A., Atadokht, A., & Sabri, V. (2022). The Effectiveness of Emotional Schema Therapy on Severity of Depression and Cognitive Emotional Regulation Strategies in Major Depression Disorder. Journal of North Khorasan University of Medical Sciences, 14(1), 38-44. https://doi.org/10.52547/nkums.14.1.38
Hatkehposhti, Z. K., Hasanzadeh, R., & Emadian, S. O. (2022). Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Emotional Schema Therapy on Neuroticism and Dysfunctional Attitudes in Cardiovascular Patients. Aftj, 3(3), 280-296. https://doi.org/10.61838/kman.aftj.3.3.16
Hepworth, N. S. (2025). “When Standard Treatments Are Not Enough” – Showcasing Schema Therapy for the Treatment of Anorexia Nervosa and Borderline Personality Disorder. Journal of Clinical Psychology. https://doi.org/10.1002/jclp.23801
Isari, S., Shahbazi, M., & Jofreh, M. G. (2023). The Effectiveness of Couple Therapy Based on Acceptance and Commitment on Love Schemas and Emotional Schemas in Couples With Extramarital Relationships. Jarac, 5(2), 24-33. https://doi.org/10.61838/kman.jarac.5.2.4
Kazemipour, A., Mirderikvand, F., & Amraei, K. (2021). Effectiveness of Acceptance and Commitment Therapy on the Acceptance and Post-Traumatic Growth in Colorectal Cancer Patients Comorbid with Stress. Research-in-Medicine, 45(3), 38-43. http://pejouhesh.sbmu.ac.ir/article-1-2518-en.html
Keyvanlo, S., Nariman, M., & Basharpoor, S. (2022). The Effectiveness of Group Therapy Based on Emotional Schema Therapy (EST) on Difficulties in Emotion Regulation Among Mothers Having Children With Intellectual Disabilities. Aftj, 3(1), 243-262. https://doi.org/10.61838/kman.aftj.3.1.13
Khandabi, E. G., Peymani, J., Tizdast, T., & Khalatbari, J. (2024). Comparing the Effectiveness of Schema Therapy and Emotion-Focused Therapy on Attitudes Towards Infidelity Among Individuals Experiencing Marital Conflict. Aftj, 5(2), 87-94. https://doi.org/10.61838/kman.aftj.5.2.10
Kim, K. A., & Кадыров, Р. В. (2022). Group Schema Therapy for Reducing Parenting Stress in Families With Children With Disabilities. Bulletin of Kemerovo State University, 24(4), 517-524. https://doi.org/10.21603/2078-8975-2022-24-4-517-524
Marashian, F. S., & Shahbazi, M. (2023). Relative Effectiveness of Acceptance/Commitment and Schema Therapies on Love Trauma Syndrome and Self-Compassion in Unmarried Girls With Emotional Breakdown. Journal of Research and Health, 13(6), 437-446. https://doi.org/10.32598/jrh.13.6.1973.3
Moghaddam, E. B., Madahi, M. E., & Ghodsi, P. (2023). Comparison of the Effectiveness of the Approach of Schema Therapy With Treatment Based on Acceptance and Commitment on Emotional Intelligence of Married Men and Women With Extramarital Relationship. Aftj, 4(1), 286-311. https://doi.org/10.61838/kman.aftj.4.1.15
Nezami, A., Vatankhah, H., Zarbakhsh, M. R., & Shiroudi, S. G. (2022). The Effectiveness of Schema Therapy and Imago Therapy on the Difficulty of Emotion Regulation and Failure in People Involved in Emotional Divorce. Aftj, 3(2), 166-187. https://doi.org/10.61838/kman.aftj.3.2.8
Omidbeygi, M., Hassanabadi, H., Hatami, M., & Vaezi, A. A. (2020). The Effectiveness of Acceptance and Commitment Therapy on Psychological Flexibility, Post Traumatic Growth and Quality of Life in Women with Breast Cancer. Journal of Clinical Psychology, 12(3), 47-58. https://doi.org/10.22075/jcp.2020.18211.1701
Seidyousefi, M., Mohamadian, F., & Nademi, A. (2024). Comparing the Effectiveness of Schema-Focused Couple Therapy and Emotion-Focused Couple Therapy on Marital Offense Forgiveness in Couples With Marital Discrepancies. Aftj, 5(1), 155-166. https://doi.org/10.61838/kman.aftj.5.1.17
Soleimani, M., Rostami, H., Ameri, M. A., & Ghasemi, S. (2024). The Effectiveness of Emotional Schema Therapy on Irrational Beliefs and Body Image of Women With Body Deformity Disorder. Medical Journal of Tabriz University of Medical Sciences, 46(2), 217-225. https://doi.org/10.34172/mj.2024.028
Yakın, D., & Arntz, A. (2023). Understanding the Reparative Effects of Schema Modes: An in-Depth Analysis of the Healthy Adult Mode. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1204177
Yin, B., Wang, Y., Fei, C.-Y., & Jiang, K. (2022a). Metaverse as a Possible Tool for Reshaping Schema Modes in Treating Personality Disorders. https://doi.org/10.31234/osf.io/m2a7t
Yin, B., Wang, Y., Fei, C.-Y., & Jiang, K. (2022b). Metaverse as a Possible Tool for Reshaping Schema Modes in Treating Personality Disorders. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.1010971
Yussefian, N. Z., Shiroudi, S. G., Khalatbari, J., & Rahmani, A. M. (2023). Effectiveness of a Transdiagnostic Educational Package Based on Cognitive Behavioral Therapy, Schema Therapy, and Meaning Therapy on Psychological Well-Being and Marital Burnout in Women Experiencing Emotional Divorce. PWJ, 4(4), 67-75. https://doi.org/10.61838/kman.pwj.4.4.8
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