Choice Theory Implementation on Negative Automatic Thoughts, Suicide Cogitation and Quality of Life in Depressed Individuals

Naderi, Frah

doi:10.22055/psy.2019.25734.2069

Document Type : Research Article

Author

frah Naderi

Associate Professor, Islamic Azad University, Ahvaz, Iran

https://doi.org/10.22055/psy.2019.25734.2069

Abstract

Introduction
Depression ranges among the most impairing mental disorders worldwide, and its early detection is a global health priority (Gundel, Pedersen, Munk-Olsen, and Dalsgaard, 2018). The World Health Organization recently announced depression, particularly in adolescents and young adults, as especially important, and selected this impairing mental disorder for their World Health Day 2017 (The World Health Organization, 2017). Depression is associated with higher negative thoughts (Giy, 2014), increased risk of suicide (Laursen, Musliner, Benros, Vestergaard and Munk-Olsen, 2016) and lower life quality (Vojta, Kinosian, Glick, Altshuler and Bauer, 2010). Identifying groups at high-risk of developing depression is an important public health concern and aids clinicians to diagnose the disorder earlier, can potentially reduce individual, familial and societal costs. The research was purposed to investigate the effects of choice theory implementation on negative automatic thoughts, cogitating suicide and quality of life in depressed clients in therapeutic clinics of Ahvaz.

Material and Method
The sample consisted of 30 subjects of the mentioned population whom were selected randomly via simple random sampling procedure. The participants were allocated to two experimental and control groups, 15 each. The research design was a pretest-posttest with control group and follow up. Automatic Thoughts Questionnaire- 30 (ATQ-30, Kendall and Hollon, 1980), Beck Scale for Suicidal Ideation (BSSI) (1991) and WHO Quality of Life Questionnaire (WHO QoL-BREF, 2000) were utilized as data source. The two groups were pretested. Choice theory based intervention was implemented for 8 sessions, 90 minutes each, on experimental group. The control group received none. Then the two groups were post tested and one month follow-up was finally proceeded. To analyze data, multiple analysis of covariance (MANCOA) and one way analysis of covariance (ANCOVA) were used as statistical main procedures.

Results
The results indicated decreasing negative automatic thoughts and suicide cogitation but increasing the life quality in depressed individuals. The results were persistent after one month follow-up.

Discussion
Choice theory, with the seven caring habits, supporting, encouraging, listening, accepting, trusting, respecting and negotiating differences replaces external control and the seven deadly habits, criticizing, blaming, complaining, nagging, threating, punishing and bribing (rewarding to control).
The only person whose behavior we can control is our own. All we can give another person is information. All long-lasting psychological problems are relationship problems. The relationship problem is always part of our present life. What happened in the past has everything to do with what we are today, but we can only satisfy our basic needs right now and plan to continue satisfying them in the future. We can only satisfy our needs by satisfying the pictures in our Quality World. All we do is behave. All behavior is Total Behavior and is made up of four components: acting, thinking, feeling and physiology. All Total Behavior is chosen, but we only have direct control over the acting and thinking components. We can only control our feeling and physiology indirectly through how we choose to act and think. All Total Behavior is designated by verbs and named by the part that is the most recognizable. While the choice theory implementation via controlling the feeling and through how we choose to act and think demolishing negative automatic thoughts, lowering suicide cogitation risks and finally elevating quality of life.

Conclusion
The results confirmed the effects of choice theory implementation on negative automatic thoughts, suicide cogitation and quality of life in depressed individuals while the outcome was continuing to endure over a prolonged period.

Keywords

20.1001.1.22286144.1397.25.2.4.4

References

Ahmadi, F. (2015). The Efficacy of Reality Therapy on Suicide Rate and Quality of Life in Depressed Female; M. A. Dissertation; Samnan Branch, Islamic Azad University, [Persian]

Akiskal, H. S. (2009). The prevalent clinical spectrum of bipolar disorders: Beyond DSM-IV. Journal of Clinical Psychopharmacology, 16 (suppl. 1), 4-14.

Asgari, P., Heydari, A., & Naderi, F. (2011). Manual of Psychological Tests Battery. Published by Ahvaz Branch, Islamic Azad University. [Persian]

Asghari, M. (2012). Comparison of General Health, Locus of Control, Promotion Motivation and Suicide Ideations in Type A and B Personality Adolescent, M. A. Dissertation, Fars Science and Research Branch University. [Persian]

Bonomi, A., Patric, D., & Bushnell, D. (2010). Validation of the United States Version of the World Health Organization Quality of Life (WHOQOL) Instrurmal. Jornal of Clinical Epidemiology, 53, 1-12.

Chang, E. C., Sanna, L. J., Riley, M., Thornburg, A. M., Zumber, M., & Edwards, M. C. (2007). Relations between problem solving styles and psychological adjustment in young adults: Is stress a mediating variable? Personality and Individual Differences, 42, 135-144.

Corey, G. (1937). Theory and practice of consuling and psychotherapy (9 th ed.). Translated by: Y. S. Mohammmadi (2006). Tehran: Arasbaran Publication. [Persian]

Daniberger, R. (2015). The effect of reality therapy on the irrational beliefs and self_dissociation in disorder depression. Journal of Personality, 41, 139-154.

Demisan. D., Lasiu, K., & Hegadoren, M. (2004). The effects of choice theory on emotion regulation and negative thoughts, resilience to mood in women. Biological Research for Narsing, 9, 147-160.

Divid, A., & Milesi, H. (2014). Theefficacy of reality therapy on obsessive rumination and cogitationes suicide of depression. Journal of Clinical Psychology, 14, 123-136.

Entezari, M. (2014). The Effectiveness of ACT on Depression and Life Quality in University Sudents M. A. Dissertation, Central Tehran Branch, Islamic Azad University. [Persian]

Ferench, M. (2014). The relationship between of self-compassion and acceptance, mental health with suicidein students. Journal of Applied Psychology, 86, 400-418.

Giy, K. (2014). The relationship between emotional intelligenc with meta cognitive belief and mental health of students. International Journal of Stress, 59 (1), 90-110.

Glasser, W. (1998). Choice Theory: A new Psychology of Personal Freedom, Translated By: Ali Sahebi (2017), Tehran: Sayeh Sokhan Publication. [Persian]

Glasser, W. (2001). Fibromyalgia—hope from a completely new perspective. Chatsworth, CA: William Glasser, Inc.

Gros, F. (2014). The effect of choice theory on the quality of life in depression. Journal of Health. 23, 113-124.

Gundela, L. K., Pedersen, C. B., Munk-Olsen, T., & Dalsgaard, S. (2018). Longitudinal association between mental disorders in childhood and subsequent depression – A nationwide prospective cohort study; Journal of Affective Disorders, 227 56-64.

Halk, K., Faner, H., & Jeaer, F. (2014). The effect of reality therapy on the adversity quotient and negative automatic thoughts. Journal of Advanced Academics. 20 (1), 155-163.

Hassan-zadeh Zahraei, R., Fahami, F., Yazdani, R., Ahmadi, Z., & Bashar-dousot, N. (2014). Midwife Supporting Role in Depression Preventing. Ghazvin Journal of Medical Sciences and Health –Treatment Services, 7 (25), 35-46. [Persian]

Hollon, S. D., & Kendall, P. (1980). Development of an Automatic Thoughts Questionnaire. Cognition Therapy and Research. 4, 383-395.

Jab-Amali, Sh., Neshat Dousat, H. T., Kajbaf, M. B., & Molavi, H. (2014). The effectiveness of islamic psychotherapy on quality of life and anxiety in individual suffering general anxiety disorder. Journal of Psychological Achievements, 21 (2), 1-18. (DOI): 10.22055/psy.2016.12316; www.http:// psychac.scu.ac.ir [Persian]

Jones, C. J., & Rose, D. (2005). Physical activity instruction of older adults. Human Kinetics, 4, 30.

Jorj, A. (2014). The effect of reality therapyon the resilience and obsessive

rumination of cogitationes suicide. Behavior Research and Therapy, 40, 773-787.

Kalu, U., Sexton, C., Loo, C., & Ebmeier, K. (2012). Transcranial direct current stimulation in the treatment of major depression: A meta-analysis. Psychol Med, 42 (09), 800-1791.

Kim, U. (2010). ''The effect of a R/T group counseling program on the internet addiction level and self-esteem of internet addiction university students", International Journal of Reality Therapy, XXVII, 2.

Koraee, S., Soudani, M., Mehrabizadeh Honarmand, M., & Maktabi, G. H. (2015). The effectiveness of emotional intelligence trainning on family problem solving skills in married students, Journal of Psychological Achievements, 21 (2), 189-208. www.http://psychac.scu.ac.ir [Persian]

Laursen, T. M., Musliner, K. L., Benros, M. E., Vestergaard, M., Munk-Olsen, T., (2016). Mortality and life expectancy in persons with severe unipolar depression. Journal of Aective Disorders. 193, 203–207.

Lolen, D. (2012). The effects of choice theory on the resiliency and quality of life. Behavior Therapy, 54, 157-167.

Miler, A., Lediner, S., & Dalsir, H. (2012). Theefficacy of reality therapy on emotion regulation and quality of life in depression. Journal of Psychology, 10, 150- 161.

Neson, R. (2015). The effect of reality therapyon quality of life, and depression of bipolar disorder patients. Journal of Personality Assessment, 63 (2), 262-274.

Parker, D. (2014). The effect of choice theory on of quality of life: A mediation analysis. Behavior Res Therapy, 46, 487-495.

Pildsen, S. (2014). The efficacy of reality therapy on obsessive rumination and cogitationes suicide of depression. Behavior Res Therapy, 46, 487-495.

Pour-Namdaran, F., Saeidi, Z., & Mohammad-pour, M. (2011). Comparing emotional exhaustion and rumination in patient suffering from cancer and normal individuals, Journal of Clinical Psychiatry, 12 (3), 71-87. [Persian]

Sadock, B. J., Sadock, V. A., & Kaplan, H. I. (2009). Kaplan and Sadock's concise textbook of child and adolescent psychiatry. Lippincott Williams & Wilkins. 66-100.

Salehi, N. (2015). The Efficacy of Choice Theory on Negative Automatic Thoughts of Depressed Individuals; M. A. Dissertation; Tehran Branch, Islamic Azad University. [Persian]

Sargol, R. (2011). The Association of Addiction with Marital Dissatisfaction and Couple Quality of Life; M. A. Dissertation; Tehran Branch, Islamic Azad University. [Persian]

Scragg, P. (2014). Meta cognitive therapy developed by Adrian Wells. Trauma clinic LTD & University Collage, London.

Stone, J., Sood, R., & Brink, D. (2015). The reality therapyfor meta cognitive belief andanxiety. Journal of Personality and Social Psychology, 32, 323-334.

Tabatabei, F. (2011). The Comparison of Perceived Stress and Negative Automatic Thoughts in Addicted and Non-addicted Individuals, M. A. Dissertation, Mash-had Ferdosi University. [Persian]

Taylor, E. (2011). Cultural differences in the impact of social support on psychological and biological stress responses. Psychological Science, 18, 800-839.

The World Health Organization. (2017). https://www.who.int/mental health/ managment/depression/en/ ; retrived on wed.28/11/2018

Veen, S. (2014). The effect of choice theory on the adversity quotient and negative automatic thoughts of disorder depression. Journal of Applied Psychology, 51, 355-376.

Vojta, C., Kinosian, B., Glick, H., Altshuler, L., & Bauer, M. (2010). Self-reported quality of life across mood states in bipolar disorder. Compr Psychiatry, 42, 190-5.

Warden, I. (2012). The effect of reality therapy on the sleep quality of life and chronic insomnia and rumination of woman depression. Journal of Applied Psychology, 63 (3), 400-409.

Wubbolding, E. (2013). The evolution of psychotherapy: A Conference of Inner Control, International Journal of Reality Therapy, XXIV, 2.

Zaman-zadeh, M. (2013). The Relationship of Spiritual Intelligence, Meta-cognition Beliefs and Psychological Well-being of Nurses in Ahwaz City; M. A. Dissertation, Khouzestan Sciences and Research Branch, Islamic Azad University. [Persian]

Zareaa, H., & Nahravanian, P. (2015). Examining the effectiveness of attention skills training on visual searching and vigilance in children and adults. Quarterly of Cognitive Sciences Novels, 3 (4), 11-14. [Persian]

Choice Theory Implementation on Negative Automatic Thoughts, Suicide Cogitation and Quality of Life in Depressed Individuals

References

References

Volume 25, Issue 2 - Serial Number 20December 2018Pages 55-72

Volume 25, Issue 2 - Serial Number 20
December 2018
Pages 55-72