Dialectical Behaviour Therapy Skills Training and Group Cognitive Behavioural Therapy for Hashimoto's Disease: Data on Quality of Life, Stress and Related Variables From a Randomised Controlled Trial

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2025-05-08 DOI:10.1002/capr.70020

Kadriye Slocum, F. Isil Bilican

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引用次数: 0

Abstract

Objective

Recent research suggests that there are aspects of Hashimoto's disease (HD) for which medical treatment may be limited. Medical treatment of HD involves returning thyroid hormone levels to the normal reference range, a condition called euthyroidism. Poor quality of life (QOL), low psychological well-being, depression, anxiety, and stress are among the factors associated with symptoms that persist despite being euthyroid.

Method

Considering these findings, the present study investigated the effects of dialectical behaviour therapy skills training (DBT-ST), group cognitive behavioural therapy (CBT) and a waitlist group on QOL, stress, and related variables in euthyroid HD women (N = 62). Data was collected pre-intervention, post-intervention, and at two-month follow-up.

Results

Results demonstrated that the DBT-ST intervention provided statistically significant benefits, while no significant changes occurred in the group CBT and waitlist group. Among the outcome variables, DBT-ST was found to significantly increase the general health domain of QOL, the environmental mastery subscale of psychological well-being, the persistence subscale of emotional reactivity, and the tolerance subscale of distress tolerance, and significantly decrease levels of depression, anxiety, stress, and difficulties in emotion regulation. Economic status was identified as a covariate for anxiety and stress, and body mass index for general health. Considering the effects of covariates, DBT-ST explained the decrease in stress by 10.1%, an additional 2.7% compared to economic status, which explained 7.4% (p < 0.05).

Discussion

Future research in line with the recommendations of this study may further contribute to the development of HD treatment guidelines.

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辩证行为疗法技能训练和群体认知行为疗法治疗桥本病：来自随机对照试验的生活质量、压力和相关变量的数据

目的最近的研究表明桥本氏病（HD）的某些方面的医学治疗可能受到限制。HD的医学治疗包括将甲状腺激素水平恢复到正常参考范围，这种情况被称为甲状腺功能亢进。生活质量差、心理健康水平低、抑郁、焦虑和压力是甲状腺功能正常但症状持续存在的相关因素。方法观察辩证行为治疗技能训练（DBT-ST）、群体认知行为治疗（CBT）和候补组对甲状腺功能正常的HD女性（N = 62）生活质量、压力及相关变量的影响。在干预前、干预后和两个月随访时收集数据。结果结果表明，DBT-ST干预提供了统计学上显著的益处，而CBT组和等候名单组没有显著的变化。结果变量中，DBT-ST显著提高了生活质量的一般健康域、心理健康的环境掌握子量表、情绪反应的坚持子量表和痛苦耐受的容忍子量表，显著降低了抑郁、焦虑、压力和情绪调节困难的水平。经济状况被确定为焦虑和压力的协变量，身体质量指数被确定为一般健康的协变量。考虑到协变量的影响，DBT-ST解释了压力下降10.1%，比经济状况解释了7.4%的额外2.7% （p < 0.05）。根据本研究的建议，未来的研究可能会进一步促进HD治疗指南的制定。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.