The effectiveness of trauma-focused cognitive-behavioural therapy in the treatment of depression of divorced women

Abstract

Background Divorce and disintegration of the family centre is a social problem having consequences considered as the main problems of current societies. Aims Therefore, the aim of this study was to determine the effectiveness of trauma-based cognitive-behavioural therapy in the treatment of depressed divorced women. Methods Materials and Methods: The experimental method was a pretest-posttest design control group with a three-month follow up. The statistical population of this study was a total of 103 women who referred to Mehravar Consulting Centre and Psychotherapy Centre in Tehran. After the initial stages of evaluation, 77 divorced women had the highest mean score in Beck Depression Inventory and 30 were selected and randomly divided into two groups of experimental (15 women), and control (15 women). The experimental group received weekly group intervention in 8 sessions of 90 minutes. Data were analysed using repeated measure ANOVA. Results The findings showed a significant difference between the performance of the two experimental and control groups in depression (F=22.23, p=0.001) in the post-test and after three months of follow-up. Conclusion The results indicated that trauma-based cognitivebehavioural therapy reduced depression symptoms in divorced women. Therefore, it is recommended to use this therapeutic approach to improve reconciliation, interpersonal relationships, and the promotion of quality of life after divorce in divorced women.

Trauma informed interventions: A systematic review

“…Table 1 summarizes the main characteristics of the 32 unique studies included in the review, with one companion article [16] for a study which was later reported with a more thorough examination of findings [17] totaling 33 articles. More than half (n = 19) of the 32 studies were RCTs [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] whereas twelve studies were quasi-experimental [36][37][38][39][40][41][42][43][44][45][46][47] and one was retrospective study [48]. Thirteen studies were conducted in the U.S. [17][18][19]22,26,27,29,35,[39][40][41]45,47]; five in the Netherlands …”

“…The average sample size was 78 participants, with a range from 10 participants [38] to 297 participants [48]. Of the studies included, 67% had a sample size above 50 [18][19][20][21][22]26,[29][30][31][32][33][34]36,37,[39][40][41][42][46][47][48].…”

“…eye movement desensitization and reprocessing [38] and Diagnostic and Statistical Manual of Mental Disorders, 4 th edition [41] to identify or diagnose trauma. Fifteen studies did not include direct measurements for trauma [21,24,[28][29][30][31][32][33]36,37,40,[42][43][44]48]. shows final scores of quality assessment.…”

“…One study scored 4 of 12 [32]. The low rating study [32] lacked PLOS ONE relevant information to adequately score its methodological rigor. Most RCTs clearly described randomization, group equivalence at baseline, rates and reasons for attrition, study outcomes, and analysis.…”

“…Setting, scope, and delivery of intervention. Twenty of the interventions were identified to occur in an outpatient clinic/setting [19][20][21]24,25,[27][28][29][31][32][33][34]36,39,40,42,43,[46][47][48]. Four of the studies took place in a research lab or office [23,26,41,45], one study occurred in the community [17], and one study implemented therapy in three locations, two of which were outpatient and one of which was a residential treatment center [47].…”