Comparison of the effectiveness of dialectical behavior therapy and metacognitive therapy on reducing depression and rumination in depressed patients

Abstract

Abstract Introduction: Dialectical behavior therapy and metacognitive therapy are the third wave therapies whose effectiveness has been tested in a range of mental disorders. The aim of this study was to compare the effectiveness of dialectical behavior therapy and metacognitive therapy on reducing depression and rumination in depressed patients. Methods: The research method was quasi-experimental with a pretest-posttest design with a control group. The statistical population included referring to the counseling unit of Samen Al-Aimeh Hospital in Mashhad in 1397, which was selected by available sampling method of 42 depressed people according to the Beck Depression Inventory (BDI-II) cut-off score and randomly divided into three groups, behavior therapy. 13 patients underwent dialectics, 14 underwent metacognitive therapy and 15 underwent control. Beck Depression Inventory (1996) and Ruminant Response Scale (1991) were administered to all three groups before treatment. Follow-up evaluation was performed three months after treatment. Analysis of variance with repeated measures was used to analyze the data. And SPSS 22 software was used. Results: The results show that both dialectical behavior therapy and metacognitive therapy have emphasized on reducing the symptoms of depression and rumination and there is no significant difference between the effectiveness of dialectical behavior therapy and metacognitive therapy in reducing the symptoms of depression and rumination (0.05). 0P>). Discussion and Conclusion: The improvement observed in the two experimental groups was maintained in the quarterly follow-up. Thus, the findings of the present study indicate the effectiveness of dialectical behavior therapy and metacognitive therapy in improving pathological rumination and the rate of depression in depressed patients.