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Ethics code: IR.IAU.SRB.REC.1403.005

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Hossein Alizadeh M, Ghamari M, Gholamitooranposhti M. The Effectiveness of Integrated Trans-Diagnostic Therapy on Alexithymia and Suicidal Ideation in Female Victims of Domestic Violence: A Quasi-Experimental Study. JRUMS 2025; 24 (2) :168-185
URL: http://journal.rums.ac.ir/article-1-7530-en.html
The Effectiveness of Integrated Trans-Diagnostic Therapy on Alexithymia and Suicidal Ideation in Female Victims of Domestic Violence: A Quasi-Experimental Study
Mahboobe Hossein Alizadeh , Mohammad Ghamari , Marzieh Gholamitooranposhti
Science and Research Branch, Islamic Azad University
Abstract:   (312 Views)

Background and Objectives: Considering the increase in the number of victims of domestic violence and their major problems in the field of on alexithymia and suicidal ideation, it seems necessary to use psychological intervention such as integrated trans-diagnostic therapy with the aim of reducing domestic violence. Therefore, the present study was conducted with aim of investigating integrated trans-diagnostic therapy and on alexithymia and suicidal ideation and in female victims of domestic violence.
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population of the research included all female victims of domestic violence who referred to social emergency centers and family counseling clinics in Tehran from October 2023 to March 2024. Thirty-three people were selected by purposive sampling and randomly assigned into experimental (18 people) and control groups (18 people). The experimental group was trained in 10 60-minute sessions, and the control group did not receive any training. Data collection tools included Violence Against Women (Haj-Yahia, 2001), Alexithymia (Bagby, 1994), and Suicidal Ideation (Beck & Steer, 1991) Questionnaires. Data were analyzed using two-way repeated measures ANOVA.
Results: The results showed that there was a significant difference across the three stages of pre-test, post-test, and follow-up in alexithymia (F=117.27, p<0.001) and suicidal ideation (F=47.19, p<0.001), and this difference lasted through the follow-up stage.
Conclusion: The present study showed that trans-diagnostic therapy is effective on alexithymia and suicidal ideation in female victims of domestic violence. Therefore, using this approach to reduce alexithymia and suicidal ideation is recommended to psychologists and family specialists.

Keywords:Background and Objectives: Considering the increase in the number of victims of domestic violence and their major problems in the field of on alexithymia and suicidal ideation, it seems necessary to use psychological intervention such as integrated trans-diagnostic therapy with the aim of reducing domestic violence. Therefore, the present study was conducted with aim of investigating integrated trans-diagnostic therapy and on alexithymia and suicidal ideation and in female victims of domestic violence.
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population of the research included all female victims of domestic violence who referred to social emergency centers and family counseling clinics in Tehran from October 2023 to March 2024. Thirty-three people were selected by purposive sampling and randomly assigned into experimental (18 people) and control groups (18 people). The experimental group was trained in 10 60-minute sessions, and the control group did not receive any training. Data collection tools included Violence Against Women (Haj-Yahia, 2001), Alexithymia (Bagby, 1994), and Suicidal Ideation (Beck & Steer, 1991) Questionnaires. Data were analyzed using two-way repeated measures ANOVA.
Results: The results showed that there was a significant difference across the three stages of pre-test, post-test, and follow-up in alexithymia (F=117.27, p<0.001) and suicidal ideation (F=47.19, p<0.001), and this difference lasted through the follow-up stage.
Conclusion: The present study showed that trans-diagnostic therapy is effective on alexithymia and suicidal ideation in female victims of domestic violence. Therefore, using this approach to reduce alexithymia and suicidal ideation is recommended to psychologists and family specialists.

Keywords: Integrated trans-diagnostic therapy, Alexithymia, Suicidal ideation, Domestic violence
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University of Science and Research, Tehran Branch, approved the study (IR.IAU.SRB.REC.1403.005).
Authors’ Contributions:
- Conceptualization: Mahboobeh Hossein Alizadeh
- Methodology: Mahboobeh Hossein Alizadeh
- Data collection: Mahboobeh Hossein Alizadeh
- Formal analysis: Mahboobeh Hossein Alizadeh
- Supervision: Mohammad Ghamari, Marzieh Gholami Tooranposhti
- Project administration: Mohammad Ghamari, Marzieh Gholami Tooranposhti
- Writing – original draft: Mahboobeh Hossein Alizadeh
- Writing – review & editing: Mahboobeh Hossein Alizadeh

Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University of Science and Research, Tehran Branch, approved the study (IR.IAU.SRB.REC.1403.005).
Authors’ Contributions:
- Conceptualization: Mahboobeh Hossein Alizadeh
- Methodology: Mahboobeh Hossein Alizadeh
- Data collection: Mahboobeh Hossein Alizadeh
- Formal analysis: Mahboobeh Hossein Alizadeh
- Supervision: Mohammad Ghamari, Marzieh Gholami Tooranposhti
- Project administration: Mohammad Ghamari, Marzieh Gholami Tooranposhti
- Writing – original draft: Mahboobeh Hossein Alizadeh
- Writing – review & editing: Mahboobeh Hossein Alizadeh
 

Keywords: Integrated trans-diagnostic therapy, Alexithymia, Suicidal ideation, Domestic violence
Full-Text [PDF 348 kb]   (139 Downloads) |   |   Full-Text (HTML)  (128 Views)  
Type of Study: Research | Subject: Community Medicine
Received: 2024/10/11 | Accepted: 2025/04/21 | Published: 2025/05/20
References
1. Rocha F, Diaz MDM, Pereda PC, Árabe IB, Cavalcanti F, Lordemus S, et al. COVID-19 and violence against women: Current knowledge, gaps, and implications for public policy. World Development 2024; 174: 106461.
2. Organization WH. Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women: World Health Organization; 2021.
3. Mannarini S, Taccini F, Rossi AA. The role of alexithymia and impulsivity in male victims and perpetrators of intimate partner violence. Behavioral Sciences 2023; 13(5): 402.
4. Preece DA, Gross JJ. Conceptualizing alexithymia. Personality and Individual Differences 2023; 215: 112375.
5. Signorelli MS, Fusar-Poli L, Arcidiacono E, Caponnetto P, Aguglia E. Depression, PTSD and alexithymia in victims of intimate partner violence: a case-control study. Archives of Clinical Psychiatry (São Paulo) 2020; 47: 45-50.
6. Aker S, Kartal YA. Examining the relationship between intimate partner violence and alexithymia and depression levels of women: Kadınların yakın partner şiddeti ile aleksitimi ve depresyon düzeyleri arasindaki ilişkinin incelenmesi. Journal of Human Sciences 2023; 20(4): 741-51.
7. Jamshad P, Davari R. Predicting Covert Relational Aggression based on Personality Traits and Alexithymia of Married Women in Tehran. Social Psychology Research 2023; 12(48): 89-102.
8. Nur N. Suicidal thoughts and attempts among married women who experience intimate partner violence in Türkiye Pensées suicidaires et tentatives de suicide chez les femmes mariées qui subissent des violences exercées par leur partenaire intime en Türkiye. Eastern Mediterranean Health Journal 2023; 29(9): 725-33.
9. Cai H, Jin Y, Liu S, Zhang Q, Zhang L, Cheung T, et al. Prevalence of suicidal ideation and planning in patients with major depressive disorder: a meta-analysis of observation studies. Journal of Affective Disorders 2021; 293: 148-58.
10. Dewar C, Heggs DA, Davies J. Exploring the relationship between domestic violence perpetration and suicidal behavior in male prisoners. Archives of Suicide Research 2022; 26(4): 1831-46.
11. Dalve K, Ellyson AM, Bowen D, Kafka J, Rhew IC, Rivara F, et al. Suicide-related behavior and firearm access among perpetrators of domestic violence subject to domestic violence protection orders. Preventive Medicine Reports 2024; 37: 102560.
12. Mohammadi F, Oshvandi K, Shamsaei F, Khodaveisi M, Khazaei S, Masoumi SZ. Child exposure to domestic violence, substance dependence and suicide resilience in child laborers. BMC Public Health 2023; 23(1): 467.
13. Taqizadeh N, Aghababaei H, Nazarinejad MR. Risks of Domestic Violence Against Women and Preventive Solutions of It. Criminal Law Doctrines 2024; 20(25): 127-52.
14. Lakin DP, García-Moreno C, Roesch E. Psychological interventions for survivors of intimate partner violence in humanitarian settings: an overview of the evidence and implementation considerations. International journal of Environmental Research and Public Health 2022; 19(5): 2916.
15. Bullis JR, Boettcher H, Sauer‐Zavala S, Farchione TJ, Barlow DH. What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention. Clinical Psychology: Science and Practice 2019; 26(2): 20.
16. Barlow DH, Farchione TJ, Bullis JR, Gallagher MW, Murray-Latin H, Sauer-Zavala S, et al. The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry 2017; 74(9): 875-84.
17. Zolhghadrnia L, Jahangir P, Dokaneifard F. The Effectiveness of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders on Alexithymia of Children and their Mother’s Parental Self-Efficacy in Divorced Families during the COVID-19 Pandemic. International Journal of Behavioral Sciences 2022; 16(3): 212-7.
18. Gohari S, Hosseini Almadani SA, Afkari F. Efficacy of Child-Oriented Unified Trans-Diagnostic Treatment for Alexithymia in Divorce-Engaged Children with Emotional Self-Regulation Difficulties. Journal of Applied Psychological Research 2023; 14(2): 179-94.
19. Bagheri F, Ghazanfari F, Mirdrikvand F. The Effectiveness of the Unified Transdiagnostic Treatment on Metacognitive Beliefs and Alexithymia in Individuals with Substance Use in Outpatient Centers. Scientific Quarterly Research on Addiction 2023; 17(67): 55-78.
20. Kolivand M, Amraei K, Rezaei F. The effectiveness of unified transdiagnostic treatment on psychological distress and alexithymia in people with hypertension comorbid with stress. Shenakht Journal of Psychology and Psychiatry 2022; 9(5): 88-100.
21. Mohammadpour S, Goodarzi M, Hadianfard H, Taghavi M. Effects of Transdiagnostic Treatment on Body Image Avoidance and Alexithymia in Body Dysmorphic Disorder. MEJDS 2021; 11: 64.
22. Durpoix A, Lachaux E, Weiner L, Weibel S. Transdiagnostic skills training group of dialectical behavior therapy: a long-term naturalistic study. Borderline Personality Disorder and Emotion Dysregulation 2023; 10(1): 37.
23. Batterham PJ, Gulliver A, Kurz E, Farrer LM, Vis C, Schuurmans J, et al. The effect of dissemination pathways on uptake and relative costs for a transdiagnostic, self-guided internet intervention for reducing depression, anxiety, and suicidal ideation: comparative implementation study. Journal of Medical Internet Research 2022; 24(5): e34769.
24. Asadi Hasanvand A, Sadri Damirchi E, Ghamari Kivi H, Sheykholeslami A. Comparison the effectiveness of integrated Transdiagnostic and Solution-Focused Intervention Methods on post-traumatic stress in Sexual Assault Victims. Advances in Cognitive Science 2023; 25(2): 73-86.
25. Bentley KH, Maimone JS, Nock MK. Addressing self-injurious thoughts and behaviors within the context of transdiagnostic treatment for emotional disorders. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (6th ed., pp. 443-479). The Guilford Press. 2021.
26. Gallegirian S, Deireh E, Ghamarani A, Poladi Reishahri A. The Effect of Unified Trans-Diagnostic Treatment on the Experiential Avoidance and Suicidal Ideation in the Girls Victim of Domestic Violence. Psychological Methods and Models 2022; 12(46): 69-84.
27. Barnes GL, Ozsivadjian A, Baird G, Absoud M, Hollocks MJ. Investigating the Effects of Transdiagnostic Processes on Anxiety and Depression Symptoms in Autistic Young People: the Mediating Role of Emotion Dysregulation. Journal of Autism and Developmental Disorders 2024: 1-12.
28. Haj-Yahia MM. Attitudes of Arab women toward different patterns of coping with wife abuse. Journal of interpersonal violence 2002; 17(7): 721-45.
29. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007; 39(2): 175-91.
30. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research 1994; 38(1): 23-32.
31. Jafarian T, Fathi M, Arshi M, Ghaderi RA. The effect of men’s emotional intelligence on violence against women among married couples. Knowl Res Appl Psychol 2016; 16: 76-83.
32. Golmohammad R, Ghasemi Firoozabadi M, Abdoli Z, Saghiha H. The effectiveness of emotion-focused therapy on psychological distress and depression of married women victims of domestic violence. Medical Journal of Mashhad University of Medical Sciences 2022; 64(6): 4338-48.
33. Besharat M. Psychometric characteristics of Persian version of the Toronto alexithymia scale-20 in clinical and non-clinical samples. Iranian Journal of Medical Sciences 2008; 33(1): 1-6.
34. Beck AT, Steer RA. Manual for the Beck scale for suicide ideation. San Antonio, TX: Psychological Corporation 1991; 63.
35. Anisi J, FATHI AA, Soltaninezhad A, Amiri M. Prevalence of suicidal ideation in soldiers and its associated factors. Military Medicine 2006; 8(2): 113-8.
36. McKay M, Fanning P, Ona PZ. Mind and emotions: A universal treatment for emotional disorders: New Harbinger Publications; 2011.
37. Lenton PL. The effectiveness of a Group Theraplay and Sunshine Circles intervention on reducing behavioural difficulties resulting from early Complex Trauma. 2020: 1-113.
38. Barlow DH, Harris BA, Eustis EH, Farchione TJ. The unified protocol for transdiagnostic treatment of emotional disorders. World Psychiatry 2020; 19(2): 245-6.
39. Peterson R, Darnell D, Berliner L, Dorsey S, Murray L, Monroe-DeVita M. Implementing transdiagnostic cognitive behavioral psychotherapy in adult public behavioral health: a pilot evaluation of the feasibility of the common elements treatment approach (CETA). The Journal of Behavioral Health Services & Research 2019; 46: 249-66.
40. Gutner CA, Presseau C. Dealing with complexity and comorbidity: Opportunity for transdiagnostic treatment for PTSD. Current Treatment Options in Psychiatry 2019; 6: 119-31.
41. Aguilera-Martín Á, Gálvez-Lara M, Cuadrado F, Moreno E, García-Torres F, Venceslá JF, et al. Cost-effectiveness and cost-utility evaluation of individual vs. group transdiagnostic psychological treatment for emotional disorders in primary care (PsicAP-Costs): a multicentre randomized controlled trial protocol. BMC Psychiatry 2022; 22(1): 99.
42. Grossman RA, Ehrenreich-May J. Using the unified protocol for transdiagnostic treatment of emotional disorders with youth exhibiting anger and irritability. Cognitive and Behavioral Practice 2020; 27(2): 184-201.
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