Abstract

Background: Generalized anxiety disorder is among the most common psychiatric disorders. We aimed to compare the effectiveness of emotion regulation training and assertiveness training on resilience and clinical symptoms of students with generalized anxiety disorder. Methods: This study was a quasi-experimental pretest-posttest study with a control group. The statistical population included all 16-18 years old male high school students in Karaj who were studying in the academic year 2019-2020, of whom 75 were selected by multi-stage random sampling and assigned to two groups of 25. Participants in experimental group 1 received eight sessions of assertiveness training for 60 minutes per week. Participants in experimental group 2 received five sessions of emotion regulation training for 60 minutes per week, and participants in the control group did not receive any intervention. The Generalized Anxiety Disorder and Resilience questionnaires were used to collect data. Results: Multivariate analysis of covariance (MANCOVA) showed that both assertiveness and emotion regulation training programs increased resilience and reduced clinical signs of generalized anxiety disorder in the experimental groups (P<0.001). Moreover, there was no significant difference between the effectiveness of the two training programs. Conclusion: It is suggested that assertiveness and emotion regulation training be provided for students and included in their curriculum, to enhance assertiveness and emotion regulation skills.

Highlights

  • Anxiety disorders are one of the most common disorders among adolescents.[1]

  • Considering the psychological damage in students with generalized anxiety disorder and the need to use appropriate and timely intervention methods and treatment, and on the other hand, by observing the effectiveness of assertiveness training and emotion regulation in improving resilience in different statistical communities, we aimed to compare the effectiveness of assertiveness and emotion regulation training programs on resilience and clinical signs of students with generalized anxiety disorder symptoms

  • For the first experimental group, assertiveness training was performed in 8 sessions of 60 minutes per week and for the second experimental group, emotion regulation training was performed in five weekly 60-minute sessions, and at this time, the control group did not receive any intervention

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Summary

Introduction

Anxiety disorders are one of the most common disorders among adolescents.[1] Generalized anxiety disorder is a chronic anxiety disorder characterized by severe and uncontrollable anxiety and associated physicalpsychological symptoms. We aimed to compare the effectiveness of emotion regulation training and assertiveness training on resilience and clinical symptoms of students with generalized anxiety disorder. Participants in experimental group 2 received five sessions of emotion regulation training for 60 minutes per week, and participants in the control group did not receive any intervention. Results: Multivariate analysis of covariance (MANCOVA) showed that both assertiveness and emotion regulation training programs increased resilience and reduced clinical signs of generalized anxiety disorder in the experimental groups (P < 0.001).

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