The Comparison between the Effect of the Cognitive- Behavior Combinatory Therapy with MMT (Methadone Maintenance Therapy) on Uncompromising Cognitive Emotion Regulation Strategies of Addicts Volunteer for Quitting in Jiroft City

محورهای موضوعی : Report of Health Care

Ommolbanin Roodbari ¹ , Alireza Agha yousefi ² , Ahmad Alipour ³ , Mohammad Oraki ⁴

1 - Department of Psychology, University of Payam Nour, Tehran, Iran
2 - Department of Psychology, University of Payam Nour, Tehran, Iran
3 - Department of Psychology, University of Payam Nour, Tehran, Iran
4 - Department of Psychology, University of Payam Nour, Tehran, Iran

تاریخ دریافت : 1397/12/12 تاریخ پذیرش : 1398/10/01 تاریخ انتشار : 1398/09/10

کلید واژه: Addicts, Methadone Maintenance Therapy, Cognitive- Behavior Combinatory, Emotion Regulation Strategies,

چکیده مقاله :

Introduction: Substance abuse disorder with chronic and recurrent nature has dedicated a wide range of psychosocial interventions and drug therapy. Today, a combination of pharmaceutics and psychological treatments for treatment and prevention of re-use and subsequent increase in psychological co-existence in these patients have been used. One of the most important guidelines for recovery and prevention of recurrence, is psychological treatments and maintenance therapy with drugs such as methadone. Accordingly, the present study has taken place for comparison of the effect of the cognitive behavior combinatory therapy with MMT (Methadone Maintenance Therapy) on uncompromising cognitive emotion regulation strategies in patients with substance abuse. Methods: The present study was a quasi-experimental pretest-posttest with a control group. Accordingly, 30 addict participants referring to drug rehabilitation centers were considered as the sample of the study and were randomly assigned into three groups: cognitive-behavior therapy, methadone maintenance therapy, and control. The subjects completed the Cognitive Emotion Regulation Questionnaire, before and after the intervention. Data were analyzed using descriptive statistical methods and analysis of covariance. Results: The findings showed that cognitive behavior therapy led to the reduction of uncompromising cognitive emotion regulation strategies compared to methadone maintenance therapy. However, methadone maintenance therapy was also effective (p <0.05). Conclusion: Cognitive-behavior therapy, by changing the cognitive and behavioral variables associated with drug abuse, such as uncompromising emotion regulation strategies, helps the addicts for drug rehabilitation.

منابع و مأخذ:

1. Ganji, M. Psychological pathology based on. DSM-5 Tehran: Savalan publishing. 2014.  


2. Carpentier PJ, Krabbe PF, Van Gogh MT, Knapen LJ, Buitelaar JK, De Jong CA. Psychiatric co morbidity reduces the quality of life in chronic methadone maintained. Am J Addict. 2009; 18 (6): 470- 480.


3. Ghamari, M. Comparing the dimensions of family function and quality of life and the relation of this variable among addicts and non-addicts. J Addict Res. 2012; 17 (5): 55- 67.


4. McGee R, Wolfe D, Olson J. Multiple maltreatment, attribution of blame, and adjustment among adolescents. Develop Psycho-Pathol. 2007; 13 (3): 827- 846.


5. Kennedy AP, Gross RE, Whitfield N, Drexler KPG, Kilts CD. A controlled trial of the adjunct use of D-cycloserine to facilitate cognitive behavioral outcomes in a cocaine-dependent population. Addict Behav. 2012; 37: 900- 907.


6. Dabaghi P, Asgharnejad Farid AA, Atef Vahid MK, Boalahri J. Effectiveness of group cognitive therapy on the basis of observational thinking (mindfulness) and the activation of spiritual schemes in preventing the recurrence of opioid use. Iranian J Psychiatry Clin Psychol. 2007; 4 (51): 366- 375.


7. Newberry M. Effectiveness of methadone as a treatment for heroin use disorder. Bemidji State Univ .2017.


8. Gross JJ. Emotion regulation in adulthood: Timing is everything. Current Direct Psychol Sci. 2001; 10: 214- 219.


9. Gross J. Handbook of emotion regulation. The Guilford Press. 2007.


10. Hasani C. Psychometric properties of emotional cognitive ordering questionnaire. Clin Psychol. 2010; 3 (2): 73- 83.


11. Ochsner KN, Gross JJ. The cognitive control of emotion. Trends Cognitive Sci. 2005; 9: 242- 249.


12. Tsaousis I, Nikolaou I. Exploring the relationship of emotional intelligence with physical and psychological health functioning. Stress Health. 2005; 25 (2): 77- 86.


13. Raio CM, Orederu TA, Palazzolo L, Shurick AA, Phelps EA. Cognitive emotion regulation fails the stress test. Proceed National Academy Sci. 2013; 559 (37): 54530- 54555.


14. Gross JJ, Thompson RA. Emotion regulation: Conceptual foundations. New York: Guilford Press. 2007.


15. Kring AM, Sloan DM. Emotion regulation and psychopathology: Atransdiagnostic approach to etiology and treatment. New York: The Guilford Press. 2010.


16. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation, and emotional problems. Person Indiv Diff. 2001; 30: 1311- 1327.


17. Esmaeili A, Khodadadi M, Norozi E, Miri MR. Effectiveness of mindfulness-based cognitive group therapy on cognitive emotion regulation of patients under treatment with methadone. J Substance Use. 2017; 22 (4): 58- 62.


18. Ghorbani M, Kazemi H, Ghorbani T. Comparison of the effectiveness of cognitive-behavioral group therapy CBT treatment methadone maintenance therapy MMT and bupronorphine mantenence therapy BMT in improving self-efficacy and cognitive emotion regulation in substance abuse subjects. Int Psycho-Congress. 2008; 12- 19.


19. Ghorbani T, Mohammadkhani SH, Saraemi Gh. Comparison of the effectiveness of cognitive-behavioral group therapy based on coping skills and methadone maintenance therapy in improving emotion regulation strategies and relapse prevention. Quarter Sci Res Drug Addict. 2012; 5 (17): 59- 74.


20. Hasin D, Liu X, Nunes E, MacCloud S, Samet S. Effects of major depression onremission and relapse of substance dependence. Arch Gen Psychiatry. 2002; 59: 375- 380.


21. Quello BS, Brady TK, Sonne CS. Mood disorders and substance usedisorder: A complex comorbidity. Sci Pract Perspective. 2005; 8- 13.


22. Jalali F, Hashemi SF, Hasani A, Fakoor Sharghi N. The effectiveness of cognitive group therapy based on schema- focused approach on self- esteem and emotion regulation in drug addicted prisoners under the methadone maintenance treatment (MMT). J Groups Addict Recovery. 2017; 12: 4- 8.


23. Andami khoshk A, Golzari M, Isma'ili Nasab M. Role of strategies the ninthe cognitive emotion regulation in resilience forecast. Thoughts and behavior. 2014; 27: 57- 91.


24. Rasoul-e- Azad M, Ganbari Hashem Abadi BA, Tabataba'ee SM. The effect of group therapy with cognitive behavioral approach to opioid men with comorbidity of major depressive disorder. Health Psychol Principl. 2009; 43 (11): 195- 204.


25. Otto MW, Powers MB, Fischmann D. Clinical psychology review, result research study at one year changes in substance use health and criminal behavior after one year. Brain Res. 2005; 965: 212- 221.


26. Naderi SH, Norouzi MR, Binazadeh M, Safatian S. Self- adolescent therapy. Tehran; Kholous Publications. 2006; 138.