[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Articles archive::
Publication Ethics::
Peer Review Process::
Indexing Databases::
For Authors::
For Reviewers::
Contact us::
Site Facilities::
Google Scholar Metrics

Citation Indices from GS

AllSince 2019

Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
Registered in



:: Volume 30, Issue 5 (12-2022) ::
Journal of Ilam University of Medical Sciences 2022, 30(5): 1-13 Back to browse issues page
Effectiveness of Dialectical Behavior Therapy in Worry, Anxiety, and Intolerance of Uncertainty in Women with COVID-19-induced Anxiety
Mahdi Lashgari1 , Qasem Ahi * 2, Fatemeh Shahabizadeh1 , Ahmad Mansouri3
1- Dept of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
2- Dept of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran , ahigh1356@yahoo.com
3- Dept of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
Abstract:   (1250 Views)
Introduction: Since the COVID-19 epidemic, numerous studies have shown an increase in mental health problems. According to the findings, women are more likely than men to be concerned about the spread of the disease. This study aimed to investigate the effectiveness of dialectical behavior therapy in worry, anxiety, and intolerance of uncertainty in women with COVID-19-induced anxiety.
Material & Methods: This single-case quasi-experimental study was conducted with multiple baseline, continuous assessment, and three-month follow-up. Three female patients were purposefully selected from the statistical population based on the criteria set for entering the study and were treated upon dialectical behavior therapy protocol. These individuals were assessed by completing the Corona Disease Anxiety Scale, Penn State Worry Questionnaire, and Intolerance of Uncertainty Scale. Data were analyzed by graph, recovery percentage, and reliable change index.
(Ethic code: IR.IAUDAMGHAN.REC.1399.025)
Findings: The overall recovery values of participants after treatment (follow-up) were 25% (34%) in terms of anxiety, 56% (57%) in terms of COVID-19-induced anxiety, and 49% (52%) in terms of intolerance of uncertainty, which is statistically significant at 95% confidence level. The results show that participants' worry and intolerance of uncertainty have improved in the three-month follow-up, and the enhancement of their COVID-19-induced anxiety has been stabilized.
Discussion & Conclusion: In general, dialectical behavior therapy is effective in improving anxiety, worry, and intolerance of uncertainty in women with COVID-19-induced anxiety.
Keywords: COVID-19, COVID-19-induced anxiety, Dialectical behavior therapy, Intolerance of uncertainty, Worry
Full-Text [PDF 921 kb]   (677 Downloads)    
Type of Study: Research | Subject: clinical psychology
Received: 2021/12/13 | Accepted: 2022/02/27 | Published: 2022/12/6
1. Feng LS, Dong ZJ, Yan RY, Wu XQ, Zhang L, Ma J, et al. Psychological distress in the shadow of the COVID-19 pandemic: Preliminary development of an assessment scale. Psychiatry Res 2020;291:113202. doi: 10.1016/j.psychres.2020.113202.
2. Jungmann SM, Witthoft M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? J Anxiety Disord 2020;73:102239. doi: 10.1016/j.janxdis.2020.102239
3. Tull MT, Barbano AC, Scamaldo KM, Richmond JR, Edmonds KA, Rose JP, et al. The prospective influence of COVID-19 affective risk assessments and intolerance of uncertainty on later dimensions of health anxiety. J Anxiety Disord. 2020;75:102290. doi: 10.1016/j.janxdis.2020.102290.
4. Alizade fard S, Saffarinia M. The prediction of mental health based on the anxiety and the social cohesion that caused by Coronavirus. Quarterly Social Psychol Res 2020;9:129-41(In persian).
5. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary Validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian Sample. Quarterly J Health Psychol 2020;8:163-75(In persian).
6. Malesza M, Kaczmarek MC. Predictors of anxiety during the COVID-19 pandemic in Poland. Pers Individ Dif 2021;170:110419. doi: 10.1016/j.paid.2020.110419.
7. Islam MS, Ferdous MZ, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. J Affect Disord 2020;276:30-7. doi: 10.1016/j.jad.2020.06.049.
8. Maaravi Y, Heller B. Not all worries were created equal: the case of COVID-19 anxiety. Public Health 2020;185:243-5. doi: 10.1016/j.puhe.2020.06.032
9. Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatr 2020;51:102076. doi: 10.1016/j.ajp.2020.102076.
10. Borkovec TD, Inz T. The nature of worry in generalized anxiety disorder: a prominence of thought activity. Behav Res Ther 1990;28:153-8. doi: 10.1016/0005-7967(90)90027-g.
11. Gana K, Martin B, Canouet M. Worry and Axiety: is There a Casual Relationship? Psychopathology 2001;34:221-9. doi: 10.1159/000049314.
12. Freeston MH, Rhéaume J, Letarte H, Dugas MJ, Ladouceur R. Why do people worry? Pers Individ Differ 1994;17:791-802.doi:10.1016/0191-8869(94)90048-5
13. Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. J Anxiety Disord 2020;70:102196.doi:10.1016/j.janxdis.2020.102196
14. Dominguez-Rodriguez A, Chavez-Valdez SM, Avitia GC, Valencia-Espinoza LC. Unified protocol for anxiety disorders in two cities of Mexico measuring gamma activity: Study protocol for a randomized controlled trial. Contemp Clin Trials Commun 2020;18:100556-. doi: 10.1016/j.conctc.2020.100556.
15. Cincidda C, Pizzoli SFM, Oliveri S, Pravettoni G. Regulation strategies during Covid-19 quarantine: the mediating effect of worry on the links between coping strategies and anxiety. Eur Rev Appl Psychol 2021:100671. doi: 10.1016/j.erap.2021.100671.
16. Asnaani A, Tyler J, McCann J, Brown L, Zang Y. Anxiety sensitivity and emotion regulation as mechanisms of successful CBT outcome for anxiety-related disorders in a naturalistic treatment setting. J Affect Disord 2020;267:86-95. doi: 10.1016/j.jad.2020.01.160.
17. Fassbinder E, Schweiger U, Martius D, Brand-de Wilde O, Arntz A. Emotion Regulation in Schema Therapy and Dialectical Behavior Therapy. Front Psychol 2016;7:1373. doi: 10.3389/fpsyg.2016.01373.
18. Kröger C, Schweiger U, Sipos V, Arnold R, Kahl KG, Schunert T, et al. Effectiveness of dialectical behaviour therapy for borderline personality disorder in an inpatient setting. Behav Res Ther 2006;44(8):1211-7. doi: 10.1016/j.brat.2005.08.012.
19. Steil R, Dyer A, Priebe K, Kleindienst N, Bohus M. Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study of an intensive residential treatment program. J Trauma Stress 2011;24:102-6. doi: 10.1002/jts.20617.
20. Harned MS, Korslund KE, Linehan M. A pilo trandomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behav Res Ther 2014;55:7-17.doi:10.1016/j.brat.2014.01.008
21. Bohus M, Dyer AS, Priebe K, Krüger A, Kleindienst N, Schmahl C, et al. Dialectical behaviour therapy for post-traumatic stress disorder after childhood sexual abuse in patients with and without borderline personality disorder: a randomised controlled trial. Psychother Psychosom 2013;82:221-33. doi: 10.1159/000348451.
22. Lane K, Wolery M, Reichow B, Rogers L. Describing baseline conditions: Suggestions for study reports. J Behav Edu 2007;16:224-34.doi:10.1007/s10864-006-9036-4
23. McKay M, Wood JC, Brantley J. The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation & ... (A New Harbinger Self-Help Workbook). 1 th ed. Oackland, canada: New Harbinger Publication Inc.; 2007.
24. Meyer TJ, Miller ML, Metzger RL, Borkovec TD. Development and validation of the Penn State Worry Questionnaire. Behav Res Ther 1990;28:487-95.doi:10.1016/0005-7967(90)90135-6
25. Mansouri A, Khodayarifard M, Besharat M, M GL. Moderating and Mediating Role of Spiritual Coping and Cognitive Emotion Regulation Strategies in the Relationship between Transdiagnostic Factors and Symptoms of Generalized Anxiety Disorder: Developing a Conceptual Model. J Res Behav Sci 2018;16:130-42. (In Persian)
26. Buhr K, Dugas MJ. Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. J Anxiety Disord 2006;20:222-36. doi: 10.1016/j.janxdis.2004.12.004.
27. Linehan M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993.
28. Prochaska JO, Norcross JC. Systems of psychotherapy: A transtheoretical analysis. 4 ed. Pacific Grove, CA: Brooks/Cole Publishing Company; 1999.
29. Borkovec TD, Costello E. Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. J Consult Clin Psychol 1993;61:611-9. doi: 10.1037//0022-006x.61.4.611.
30. Durham RC, Allan T, Hackett CA. On predicting improvement and relapce in generalized anxiety disorder following psychotherapy. Br J Clin Psychol 1999;36:101-19. doi: 10.1111/j.2044-8260.1997.tb01234.x.
Send email to the article author

Add your comments about this article
Your username or Email:


Ethics code: IR.IAUDAMGHAN.REC.1399.025

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Lashgari M, Ahi Q, Shahabizadeh F, Mansouri A. Effectiveness of Dialectical Behavior Therapy in Worry, Anxiety, and Intolerance of Uncertainty in Women with COVID-19-induced Anxiety. J. Ilam Uni. Med. Sci. 2022; 30 (5) :1-13
URL: http://sjimu.medilam.ac.ir/article-1-7408-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 30, Issue 5 (12-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
Persian site map - English site map - Created in 0.15 seconds with 41 queries by YEKTAWEB 4657