Comparison of the Effectiveness of Narrative-focused and Solution-focused Questioning on Anxiety Reduction in People with Over Anxiety Disorder

Document Type : Original Article

Author

Ph.D candidate of counseling, Department of Counseling, Faculty of Education and Psychology Mohaghegh Ardabili university, Ardabil, Iran

Abstract

This study aimed to compare the effectiveness of narrative-focused and solution-focused questioning on anxiety reduction in people withover anxiety disorder. The statistical population of this study was all patients suffering over anxiety disorder who referred to Sepand Counseling Center in Ardabil or the people who referred to the center by other specialists in 2016-2017. The subjects were selected through the available method from the clinical population. Of these patients, 30 patients (15 in each group) were interviewed and the Beck Anxiety Inventory was distributed among them as a pretest. Then, the narrative-focused and solution-focused questioning counseling program was implemented for 8 sessions of 2 hours. After the sessions, the Beck Anxiety Inventory (RCA) was repeatedly administered as a post-test. Results: The data analysis using content analysis method showed that there is a significant difference between the content narrative-focused and solution-focused questioning in the over anxiety disorder. Also, the result of the covariance analysis indicated that the effectiveness of the narrative-focused method is significantly more than the solution-focused questioning. Conclusion: Therefore, it can be concluded that the questioning technique is effective regardless of the counseling method, which was used at the level of a common and general change factor.

Keywords


Altundağ, Y., & Bulut, S. (2019). The effect of solution-focused brief consulting on reducing test anxiety. Avances en Psicología Latin-American37(1), 1-12.‏
Anet, G. (2015). The efficacy of solution – focused group consultimg on the motivation and academic engagement of Students High School. Journal of personality and Social psychology,32: 323-334.
Beck, A.T., Epstein, N., Brown, G., Steer, R. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Counseling and Clinical Psychology, 56: 893-897.
Brzezowskl, K.M. (2012). A Solution-Focused Grouped Treatment Approach for Individuals Maladaptively Expressing Anger. Wright State University, Dayton, OH.
Capaaydin, Y. (2014). The Efficacy of solution focused group consultimg on the self regulation academic and anxiety of complementary education High school students emotions and emotional regulation during test taking.Department of Educational Sciences Middle East Technical University Ankara, Turkey.
Carr, A. (1998). Michaela whites Narrative therapy.
Cashin, A. (2008). Narrative Therapy: A psychotherapeutic Approach in the Treatment of Adolescent with Aspergers     disorder. Journal of child and Adolescent Psychiatric Nursing, 21,1, 48-56.
Dastbaz, A., Younesi, S.J., Moradi, O & Ebrahimi, M (2014). The Effect of "Solution - Focused" Group Consultimg on Adjustment and SelfEfficacy of High School Male Students in Shahriar City. Knowledge & Research in Applied Psychology, 15, 1, 90-98.
De Castro, S & Guterman, J.T. (2008).  Solution-focused therapy for families coping with suicide. Journal of Marital and Family Therapy, 34(1): 93-106.
Fox, J., Erlandsson, L. K & Shiel, A. (2019). A systematic review and narrative synthesis of occupational therapy-led interventions for individuals with anxiety and stress-related disorders. Occupational Therapy in Mental Health35(2), 179-204.‏
Ganji, k., Yaghoubi, A & Lotfali, R. (2013). The effectiveness of teaching questioning skills to teachers on critical thinking of high school students. Educational Psychology, 27, 9, 1-25.
Ghavami, M., Fatehizadeh, M., Faramarzi, S & Nouri Emamzadehei, A (2014). The effectiveness of the narrative therapy on the social anxiety and the self- esteem among the girl students. Journal of school psychology, 3, 3, 136-143.
Hooman, H.A. (2012). A practical guide to qualitative research. Fourth Edition, Tehran: Samat.
Hossein Kaviani, H & Mousavi, A.S. (2008). Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal. 66, 2, 136-140.
Jamalzade azad, Sh & Kafi, M. (2015). Investigation of the Impact of Group Narrative-Therapy on Increasing Old People's Happiness in Rasht City Nursery Homes. Journal of Applied Environmental and Biological Sciences, 5(6), 267-264.
Javid, N., Ahmadi, A., Mirzaei, M & Atghaei, M. (2019). Effectiveness of Solution-Focused Group Consultimg on the Mental Health of Midwifery Students. Revista Brasileira de Ginecologia e Obstetrícia41(8), 500-507.‏
Karimian, N,. Askari, M,. Karimi, Y & Zarei, E. (2013). The effectiveness of group narrative therapy on reducing identity crisis and mental health improvement of Divandarre students. Hormozgan Medical Journal, 18, 5, 447-454.
Komijani, M & Vakili, P. (2015). Evaluation of Narrative Therapy in the Decrease of Female Students’ Identity Crisis in the Department of Sciences and Consultimg of Islamic Azad University, Roudehen Branch, Roudehen, Iran. Internation Journal of Ody, Mind, Culture, 2,1, 41-49.
Koshan, M & Vagei, S. (2011).  Psychiatric Nursing. Tehran: Rafi .
Kvarme, L.G., Helseth, S., Sqrum, R., Luth-Hansen, V., Haugland, S & Karin, N.G. (2010). The effect of a solution focused approach to improve self-efficacy in socially withdrawn school children: A non- randomized controlled trial. International Journal Nurseing Student, 47, 1389-96.
Lely, J. C., Smid, G. E., Jongedijk, R. A., W. Knipscheer, J & Kleber, R. J. (2019). The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis. European journal of psychotraumatology, 10, 1, 1550344.‏
Lethem, J. (2002). Brief Solution Focused Therapy. Child and Adolescent mental health, 7, 4, 189-192.
Linda, J. (2013). The efficacy solution focused group consultimg on the quality of life academic and Emotional Burnout of Students. Journal of Behavior, 32,: 323-334.
Lynette, P., Vromas., Robert, D & Schweitzer. (2011). Narrative therapy for adults with major depressive disorder: Improved symptom and interpersonal outcomes. Psychotherapy Research, 21,1,4-15.
MacKean,, S.S. Eskandari, H., Borjali, A & Ghodsi, D. (2010). The comparison between efficacy of narrative therapy and diet therapy on body image in women with overweight and obesity. Pajoohande, 15, 5, 225-232.
Maljanen, T., Paltta, P., Harkanen, T., Virtala, E., Lindfors, O., Laaksonen, M.A., et al. (2012). The cost-effectiveness of short-term psychodynamic psychotherapy and solution-focused therapy in the treatment of depressive and anxiety disorders during a one-year follow-up. The Journal of Mental Health Policy and Economics, 15, 1, 13-23.
Nouri Tir-Tashi, E & Kazemi, N. (2012). The Effectiveness of Narrative Therapy on Amount of Forgiveness in Women. Journal of Clinical Psychology, 2, 14, 71-78.
O'Hanlon, M., Weiner, D. (1989). In Search of Solutions: A New Direction in Psychotherapy. Wiley.
Payne, M. (2004). Narrative therapy (An introduction for counsellors). 1 ed. Sage publication.
Pomeroy, E.C., Green, D.L & Van Laningham, L. (2002). Couples who care: The effectiveness of a psych educational group intervention for HIV serodiscordant couples. Research on Social Work Practice, 12, 2, 238-52.
Porochaska, J & Norocross, J (2015). Theories of psychotherapy and consultimg. Tehran: Roshd.
Reddy, P.D., Thirumoorthy, A., Vijayalakshmi, P & Hamza, M.A. (2015). Effectiveness of solution-focused brief therapy for an adolescent girl with moderate depression. Indian Journal of Psychological Medicine, 37, 1, 87-9.
Russell-Martin, L.A. (2006).  Equine facilitated couples therapy and solution focused couples therapy: A comparison study [dissertation]. USA: North Central University.
Sadok, B., Sadok, V & Ruiz, P (2015). Summary of Kaplan and Sadok Psychiatry. Ganji, Mehdi. (2015). Volume II. Tehran: Savalan.
Sajadian, A, Dokanei Fard, F & Behboodi, M. (2016). HER3 Gene Expression Study by RT-PCR in Patient with Breast Cancer. Iranian Journal of Breast Diseases, 9, 2, 43-51.
Shahbaazi, P., Taklavi, S & Narimani, M. (2020). The Effectiveness of Solution-Focused Approach on Temperament and Character Dimensions among Probative University Students. International Journal of Behavioral Sciences, 13, 4, 159-165.‏
Sudani, M., Shafiabadi, A., Etemadi, A & Delavar, Ali (2010). Comparison of the effectiveness of Dissizer solution-oriented consultimg method individually and together in reducing marital conflicts. Quarterly Journal of Educational Psychology, 5, 14, 39-54.
Sween, E. (1998). The one-minute question: What is narrative therapy. Internatioal Journal of Narrative Therapy and Community Work. Dulwich Center,12, 3.
Wand, T. (2010). Mental health nursing from a solution focused perspective. Mental health nursing, 19, 3, 210-219.
Weber, M., Davis, K & McPhie, L. (2006). Narrative therapy, Eating Disorder and Groups Enhancing outcomes in Rural NSW. Australian Social work, 59,4.
Zimmerman, T.S., Prest, L.A & Wetzel, B.E. (1997). Solution-focused couple therapy groups: An empirical study. Journal of Family Therapy, 19, 2, 125-44.