Comparison of the Effectiveness of Self-Compassion Training and Positive Psychotherapy on Emotional Distress Tolerance and Resilience in Women with Panic Disorder
Keywords:
Self-compassion, positive psychotherapy, resilience, emotional distress tolerance, panic disorderAbstract
Objective: The aim of the present study was to compare the effectiveness of self-compassion training and positive psychotherapy on resilience and emotional distress tolerance in women with panic disorder.
Methods and Materials: This research employed a quasi-experimental design with a pre-test–post-test structure. The statistical population consisted of women diagnosed with panic disorder in Kermanshah, from whom 40 individuals were selected through systematic random sampling. Data were collected using the Distress Tolerance Scale (DTS) and the Connor-Davidson Resilience Scale (2003). Data analysis was conducted using inferential statistical tests, including the Kolmogorov–Smirnov test, and hypothesis testing was performed using SPSS version 26. The significance level was set at 0.05.
Findings: The results indicated that both interventions—self-compassion training and positive psychotherapy—had a significant effect on enhancing resilience and emotional distress tolerance in women with panic disorder. The effect size of positive psychotherapy on resilience was 68%, and on emotional distress tolerance was 73%, while the effect size of self-compassion training was 94.4% for resilience and 42.6% for emotional distress tolerance.
Conclusion: The findings of this study demonstrated that both therapeutic approaches contribute to the improvement of resilience and emotional distress tolerance in women with panic disorder. However, self-compassion training had a greater impact on increasing resilience, whereas positive psychotherapy showed a stronger effect on improving emotional distress tolerance. Therefore, the application of these approaches in psychological centers and treatment clinics can be beneficial in improving the condition of patients with panic disorder.
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References
Aghili, S. M., Tigh Dast, S., & Babaei, A. (2022). The Effectiveness of Compassion-Focused Therapy on Quality of Life and Resilience of Caregivers of Patients with Multiple Sclerosis. Applied Research in Behavioral Sciences, 14(52), 69-84. https://journals.iau.ir/article_702528.html?lang=en
Darbani, S. A., & Parsakia, K. (2023). Investigating the effectiveness of strength-based counseling on adolescent resilience. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(5), 169-175. https://doi.org/10.61838/kman.jayps.4.5.16
Fatollahzadeh, S., Kianimoghadam, A. S., Bahri, R., Khesali, M., Aghaei, Z. P. S., & Arani, A. M. (2023). The Effectiveness of Compassion-Focused Therapy on Resilience, Shame, Internal Self-criticism, and Quality of Life of Patients with Vitiligo. Iranian journal of psychiatry and behavioral sciences, 17(4).
Ghahremani, M., Khalatbari, J., & Taghvaei, D. (2022). Comparing the effectiveness of cognitive-behavioral therapy and treatment focused on compassion therapy on the resilience of women on the verge of divorce. Applied Family Therapy Journal (AFTJ), 3(3), 474-488. http://journals.kmanpub.com/index.php/aftj/article/view/1005
Halamová, J., Koróniová, J., Kanovský, M., Túniyová, M. K., & Kupeli, N. (2019). Psychological and physiological effects of emotion focused training for self-compassion and self-protection. Res Psychother, 22(2). https://doi.org/10.4081/ripppo.2019.345
Javanmardi, F., Shafi Abadi, A., & Poshaneh, K. (2024). The Prediction of distress tolerance model in the elderly based on perceived support, experiential avoidance and spiritual intelligence with the mediating role of mindfulness. The Women and Families Cultural-Educational, 19(1), 283-310. https://cwfs.ihu.ac.ir/article_208480_en.html?lang=en
Karami, P., Ghanifar, M. H., & Ahi, G. (2024). Comparing the Effectiveness of Cognitive Behavioral Therapy and Compassion-Focused Therapy in Improving Distress Tolerance and Self-Compassion in Women with Experiences of Marital Infidelity. Journal of Assessment and Research in Applied Counseling (JARAC), 6(2), 27-35. https://doi.org/10.61838/kman.jarac.6.2.4
Karbasdehi, Z. N., Fakhri, M., & Ghanadzadegan, H. (2024). Comparing the Effectiveness of Mindfulness and Positive Psychology Training on Reappraisal and Suppression in Students with Generalized Anxiety Disorder Symptoms. J Assess Res Appl Counsel, 6(1), 195-203. https://doi.org/10.32598/jarac.6.1.195
Keshavarz Mohammadi, R., Agha Bozorgi, S., Shariat, S., & Hamidi, M. (2018). The effectiveness of positive psychotherapy on mental endurance, self-compassion and resilience of infertile women. J Soc Behav Community Health, 2(2), 235-244. https://doi.org/10.18502/jsbmh.v2i2.68
Keshavarz Mohammadi, R., & Khalatbari, J. (2018). Effectiveness of self-compassion on distress tolerance, emotion regulation and anxiety sensitivity in divorced women. Fam Pathol Counsel Enrich J, 4(1), 17-32. https://doi.org/10.29252/fpcej.4.1.17
Khorasani, A. H. (2024). Investigating the effectiveness of positive psychotherapy on cognitive flexibility and distress tolerance in divorced women. J Fam Relat Stud, 4(13), 32-39. https://doi.org/10.32598/jfrs.4.13.32
Mousavi Asl, S. A., & Parouei, S. (2021). The Effectiveness of Positive Psychotherapy on Sense of Coherence, Self-Efficacy, Psychological Well-Being, and Resilience in Nurses of Social Security Hospitals. Scientific-Research Quarterly of Health Psychology, 10(39), 171-190. https://hpj.journals.pnu.ac.ir/article_8287.html
Nasiri Takami, G., Najafi, M., & Talepasand, S. (2020). Comparison Group Therapy of Positive Psychotherapy and Cognitive-Behavioral Efficacy on Adolescents' Psychological Capital with Depression Symptoms. Positive Psychology Research, 6(2), 79-98. https://doi.org/10.22108/ppls.2021.117838.1768
Nazemi, M., Shah Nazari, M., Ranjbaripour, T., Moshayekh, M., & Yousefi Kashi, A. S. (2023). Effectiveness of Positive Psychotherapy and Psychodrama on Resilience in Breast Cancer Patients. Mashhad University of Medical Sciences Journal, 66(4). https://mjms.mums.ac.ir/article_23696.html?lang=en
Neff, K. D. (2023). Self-Compassion: Theory, Method, Research, and Intervention. Annual review of psychology, 74(Volume 74, 2023), 193-218. https://doi.org/10.1146/annurev-psych-032420-031047
Ochoa, C., Casellas-Grau, A., Vives, J., Font, A., & Borràs, J. M. (2017). Positive psychotherapy for distressed cancer survivors: Posttraumatic growth facilitation reduces posttraumatic stress. International Journal of Clinical and Health Psychology, 17(1), 28-37. https://doi.org/10.1016/j.ijchp.2016.09.002
Omidi, A., Ahmadi, V., & Valizadeh, R. (2023). Comparing the Effects of Emotion Regulation Training and Mindfulness-based Cognitive Therapy on the Resilience and Self-compassion of Women With Irritable Bowel Syndrome. Iran J Nurs, 36(141), 80-93. https://doi.org/10.32598/ijn.36.1.80
Reisiee, H., Sharifi, T., Ghazanfari, A., & Chorami, M. (2021). Comparison of the Effectiveness of Self-Compassion Therapy and Psychological Capital Training on Stress Tolerance and Emotional Self-Regulation. RBS, 18(4), 481-492. https://doi.org/10.32598/rbs.18.4.481
Sadeghi Nisiani, S., Ghanifar, M. H., & Shahabizadeh, F. (2022). Comparison of the effectiveness of acceptance and commitment therapy (ACT) and compassion-focused therapy (CFT) on functional somatic syndromes and psychological distress in patients with physical symptoms disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS), 3(2), 17-30. https://doi.org/10.61838/kman.jayps.3.2.2
Saidi, B., Narimani, M., & Hosseini, S. (2024). Effectiveness of Compassion-Focused Art Therapy on Distress Tolerance in Female Adolescents from Dysfunctional Families: A Quasi-Experimental Study. Journal of Medical Sciences, Rafsanjan University of Medical Sciences, 23(3), 91-104. https://doi.org/10.61186/jrums.23.3.91
Shaw, J. (2018). How exposure to personal distress with and without self-compassion affects emotional distress tolerance: Results from a randomized controlled trial conducted in a sample of university students and a sample of community adults University of Waterloo].
Tofangchi, M., Raeisi, Z., Ghomrani, A., & Rezaee, H. (2021). Developing the distress tolerance promotion package and comparing its effectiveness with compassion-focused therapy on self-criticism, fear of negative evaluation, and anxiety in women with chronic tension-type headaches. J psychologicalscience, 20(100), 621-634. https://doi.org/10.29252/psychosci.20.100.621
Willis, D. N., Dowling, A. P. C., Deehan, T., & O'Reilly, P. G. (2023). Exploring the Impact of Trauma and the Role of Compassion Before and After a Phase-orientated Intervention for Complex Trauma. European Journal of Trauma & Dissociation, 7(1), 100308. https://www.sciencedirect.com/science/article/pii/S2468749922000503