The Effect of Cognitive Therapy on Depression among the Adults with Stuttering

Document Type : Original Articles

Authors

1 MSc Student, Department of Clinical Psychology, School of Educational Sciences and Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

2 Associate Professor, Department of Clinical Psychology, School of Educational Sciences and Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

10.22122/jrrs.v13i2.2875

Abstract

Introduction: The aim of this study was to determine the effectiveness of cognitive therapy on depression among the adults with stuttering.Materials and Methods: This was a quasi-experimental study with pretest-posttest design and control group. The statistical population included all adults referred to speech therapy clinics in Karaj City, Iran, in 2016; among them, 40 respondents diagnosed with depression were selected via available sampling and randomly assigned in experimental and control groups. The depression level was assessed among all the patients using the Beck Depression Inventory (pretest). Interventions were administered based on cognitive therapy in 10 sessions for the experimental group. At the end of intervention, all the participants were assessed again for depression level (posttest). The data were analyzed via SPSS software using ANCOVA test.Results: Comparing the mean pretest and posttest scores in both the experimental and control groups, the mean posttest depression score decreased significantly in experimental group (P < 0.010).Conclusion: Our results provide the evidence to suggest that cognitive therapy is an excellent method for treatment of depression in adults with stuttering. In addition, regarding the effectiveness of intervention, it can be widely used for treatment of mental disorders in clinics.

Keywords

  1. Rautakoski P, Hannus T, Simberg S, Sandnabba NK, Santtila P. Genetic and environmental effects on stuttering: A twin study from Finland. J Fluency Disord 2012; 37(3): 202-10.
  2. Iverach L, Jones M, O'Brian S, Block S, Lincoln M, Harrison E, et al. The relationship between mental health disorders and treatment outcomes among adults who stutter. J Fluency Disord 2009; 34(1): 29-43.
  3. Boyle MP, Dioguardi L, Pate JE. A comparison of three strategies for reducing the public stigma associated with stuttering. J Fluency Disord 2016; 50: 44-58.
  4. Blumgart E, Tran Y, Craig A. Social anxiety disorder in adults who stutter. Depress Anxiety 2010; 27(7): 687-92.
  5. Stein MB, Baird A, Walker JR. Social phobia in adults with stuttering. Am J Psychiatry 1996; 153(2): 278-80.
  6. Smith KA, Iverach L, O'Brian S, Kefalianos E, Reilly S. Anxiety of children and adolescents who stutter: A review. J Fluency Disord 2014; 40: 22-34.
  7. Matthey S, Petrovski P. The Children's Depression Inventory: Error in cutoff scores for screening purposes. Psychol Assess 2002; 14(2): 146-9.
  8. Iverach L, Lowe R, Jones M, O'Brian S, Menzies RG, Packman A, et al. A speech and psychological profile of treatment-seeking adolescents who stutter. J Fluency Disord 2017; 51: 24-38.
  9. Miller S, Watson BC. The relationship between communication attitude, anxiety, and depression in stutterers and nonstutterers. J Speech Hear Res 1992; 35(4): 789-98.
  10. Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 2015; 173: 90-6.
  11. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: APA; 2013.
  12. Mayberg HS. Defining the neural circuitry of depression: toward a new nosology with therapeutic implications. Biol Psychiatry 2007; 61(6): 729-30.
  13. de Roten Y, Ambresin G, Herrera F, Fassassi S, Fournier N, Preisig M, et al. Efficacy of an adjunctive brief psychodynamic psychotherapy to usual inpatient treatment of depression: Results of a randomized controlled trial. J Affect Disord 2017; 209: 105-13.
  14. Cuijpers P, Ebert DD, Acarturk C, Andersson G, Cristea IA. Personalized psychotherapy for adult depression: A meta-analytic review. Behav Ther 2016; 47(6): 966-80.
  15. Beck AT. Cognitive therapy: Nature and relation to behavior therapy - Republished article. Behav Ther 2016; 47(6): 776-84.
  16. Jarrett RB, Vittengl JR, Clark LA, Thase ME. Skills of Cognitive Therapy (SoCT): A new measure of patients' comprehension and use. Psychol Assess 2011; 23(3): 578-86.
  17. Adler AD, Strunk DR, Fazio RH. What changes in cognitive therapy for depression? An examination of cognitive therapy skills and maladaptive beliefs. Behav Ther 2015; 46(1): 96-109.
  18. Menzies RG, Onslow M, Packman A, O'Brian S. Cognitive behavior therapy for adults who stutter: A tutorial for speech-language pathologists. J Fluency Disord 2009; 34(3): 187-200.
  19. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.
  20. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck Depression Inventory--Second edition: BDI-II-PERSIAN. Depress Anxiety 2005; 21(4): 185-92.
  21. Kahrizi E, Aghayousefi A, Mirshahi M. The effect of cognitive group therapy on reducing depression in prisoners based on Michael Ferry’s method. Thought and Behavior in Clinical Psychology 2012; 6(22): 21-30. [In Persian].
  22. Free ML. Cognitive therapy in groups: Guidelines and resources for practice. 2nd ed. Hoboken, NJ: Wiley; 2007.
  23. McAllister J, Collier J, Shepstone L. The impact of adolescent stuttering and other speech problems on psychological well-being in adulthood: evidence from a birth cohort study. Int J Lang Commun Disord 2013; 48(4): 458-68.
  24. Mulcahy K, Hennessey N, Beilby J, Byrnes M. Social anxiety and the severity and typography of stuttering in adolescents. J Fluency Disord 2008; 33(4): 306-19.
  25. Manning W, Gayle BJ. The role of psychological processes in estimates of stuttering severity. J Fluency Disord 2013; 38(4): 356-67.
  26. Haller M, Norman SB, Cummins K, Trim RS, Xu X, Cui R, et al. Integrated cognitive behavioral therapy versus cognitive processing therapy for adults with depression, substance use disorder, and trauma. J Subst Abuse Treat 2016; 62: 38-48.
  27. Lemmens LHJM, Galindo-Garre F, Arntz A, Peeters F, Hollon SD, DeRubeis RJ, et al. Exploring mechanisms of change in cognitive therapy and interpersonal psychotherapy for adult depression. Behav Res Ther 2017; 94: 81-92.
  28. Menzies RG, O'Brian S, Onslow M, Packman A, St Clare T, Block S. An experimental clinical trial of a cognitive-behavior therapy package for chronic stuttering. J Speech Lang Hear Res 2008; 51(6): 1451-64.
  29. Powell VB, Abreu N, Oliveira IRd, Sudak D. Cognitive-behavioral therapy for depression. Rev Bras Psiquiatr 2008; 30: s73-s80.
  30. Reddy RP, Sharma MP, Shivashankar N. Cognitive behavior therapy for stuttering: a case series. Indian J Psychol Med 2010; 32(1): 49-53.
  31. Gunn A, Menzies RG, O'Brian S, Onslow M, Packman A, Lowe R, et al. Axis I anxiety and mental health disorders among stuttering adolescents. J Fluency Disord 2014; 40: 58-68.
  32. Craig A, Hancock K, Tran Y, Craig M. Anxiety levels in people who stutter: A randomized population study. J Speech Lang Hear Res 2003; 46(5): 1197-206.
  • Receive Date: 07 September 2017
  • Revise Date: 28 March 2024
  • Accept Date: 22 May 2022