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The Effectiveness of Compassion-Based Therapy and Emotion-Focused Therapy on Self-Control and Distress Tolerance in Women with Substance Use Disorder | ||
| Women’s Health Bulletin | ||
| مقالات آماده انتشار، اصلاح شده برای چاپ، انتشار آنلاین از تاریخ 12 فروردین 1405 اصل مقاله (753.42 K) | ||
| نوع مقاله: Research Article | ||
| شناسه دیجیتال (DOI): 10.30476/whb.2026.107731.1363 | ||
| نویسندگان | ||
| Maedeh Yazdanipour1؛ Kobra Kazemian Moghadam* 2؛ Masoud Shahbazi3 | ||
| 1Department of Counseling, Ahv.C., Islamic Azad University, Ahvaz, Iran | ||
| 2Department of Psychology, Dez.C., Islamic Azad University, Dezful, Iran | ||
| 3Department of Counseling, MaS.C., Islamic Azad University, Masjed Soleiman, Iran | ||
| چکیده | ||
| Background: Substance use disorder (SUD), particularly opioid dependence, poses significant challenges for women and is frequently associated with impaired self-control and reduced distress tolerance—two key factors strongly linked to relapse risk. The present study aimed to investigate the effectiveness of compassion-based therapy (CBT) and emotion-focused therapy (EFT) in improving self-control and distress tolerance among women with SUD. Methods: This quasi-experimental study employed a pre-test, post-test, and three-month follow-up design with a waitlist control group. The study participants were women receiving treatment for SUD in Ahvaz, Iran, in 2023. Forty-five eligible women were recruited through convenience sampling technique and randomly assigned to three equal groups of compassion-based therapy, emotion-focused therapy, and waitlist control group (n=15 each). The intervention groups received eight weekly 90-minute sessions, while the control group continued with routine care only. Outcomes were assessed using the Brief Self-Control Scale (BSCS) and the Distress Tolerance Scale (DTS). Data were analyzed using repeated-measures analysis of variance (ANOVA) in SPSS version 27. Results: Both intervention groups showed statistically significant improvements in self-control and distress tolerance compared with the control group (P<0.001). In the compassion-based therapy group, self-control scores increased from a pre-test mean value of 32.13±4.27 to 39.26±5.22 at post-test (P<0.001). In the EFT group, scores increased from 33.13±3.58 to 42.13±4.24 (P<0.001). The control group showed only a negligible change (33.13±4.30 to 33.73±3.56; P=0.593). Similarly, distress tolerance scores improved significantly in the compassion-based therapy group (from 34.06±4.71 to 41.38±4.40; P<0.001) and the EFT group (from 33.60±4.68 to 41.26±4.77; P<0.001), while remaining essentially were unchanged in the control group (33.00±4.17 to 33.26±4.36; P=0.799). Conclusions: Our findings indicated that both compassion-based therapy and emotion-focused therapy are effective interventions for enhancing self-control and distress tolerance in women with substance use disorder. These approaches offer promising options for improving recovery outcomes and reducing relapse risk in this vulnerable population. | ||
| کلیدواژهها | ||
| Substance-related Disorders؛ Self-compassion؛ Emotion-focused Therapy؛ Self-Control | ||
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