Volume 7, Issue 1 (2026)                   J Clinic Care Skill 2026, 7(1): 33-38 | Back to browse issues page
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Ethics code: IR.IAU.AHVAZ.REC.1404.052


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Yazdanipour M, Kazemian Moghadam K, Shahbazi M. Effect of Compassion-Focused Therapy on Self-Control and Cognitive Flexibility in Opioid-Dependent Women. J Clinic Care Skill 2026; 7 (1) :33-38
URL: http://jccs.yums.ac.ir/article-1-491-en.html
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1- Department of Psychology, Ahv.C. (Ahvaz Campus), Islamic Azad University, Ahvaz, Iran
2- Department of Psychology, Dez.C. (Dezful Campus), Islamic Azad University, Dezful, Iran
3- Department of Counseling, MaS.C. (Masjed Soleiman Campus), Islamic Azad University, Masjed Soleiman, Iran
* Corresponding Author Address: Department of Counseling, Ahvaz Islamic Azad University, Golestan Highway, Ahvaz, Iran. Postal Code: 6887561349 (yazdanipourmad@gmail.com)
Abstract   (598 Views)
Aims: Opioid use disorder severely impacts psychological well-being, particularly in women, highlighting the need for targeted psychological interventions. This study aimed to investigate the effect of compassion-focused therapy on self-control and cognitive flexibility in women with opioid use disorder.
Materials & Methods: This clinical trial was conducted in 2025 among treatment-seeking women in Ahvaz, Iran. Using convenience sampling, 30 eligible women were selected and randomly assigned to experimental and control groups (n=15 per group). The experimental group received eight 90-minute compassion-focused therapy sessions, while the control group received no additional intervention during this period. Data were collected using the Brief Self-Control Scale and the Cognitive Flexibility Inventory. Data were analyzed using a mixed-design ANOVA with repeated measures and Bonferroni post-hoc tests.
Findings: There was a significant difference between the two groups post-intervention. Specifically, compassion-focused therapy significantly enhanced self-control and cognitive flexibility in the experimental group compared with the control group (p<0.001).
Conclusion: Compassion-focused therapy is effective for enhancing self-regulation and cognitive adaptability in women with opioid use disorder.
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References
1. Saraiya TC, Helpinstill S, Gray D, Hien DA, Brady KT, Hood CO, et al. The lived experiences and treatment needs of women with opioid use disorder and posttraumatic stress symptoms: A mixed methods study. J Subst Use Addctn Treat. 2024;161:209344. [Link] [DOI:10.1016/j.josat.2024.209344]
2. Evans EA, Goff SL, Upchurch DM, Grella CE. Childhood adversity and mental health comorbidity in men and women with opioid use disorders. Addctn Behav. 2020;102:106149. [Link] [DOI:10.1016/j.addbeh.2019.106149]
3. Tangney JP, Baumeister RF, Boone AL. High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. J Pers. 2004;72(2):271-324. [Link] [DOI:10.1111/j.0022-3506.2004.00263.x]
4. Van Steenbergen H, Eikemo M, Leknes S. The role of the opioid system in decision making and cognitive control: A review. Cogn Affect Behav Neurosci. 2019;19(3):435-58. [Link] [DOI:10.3758/s13415-019-00710-6]
5. Garland EL, Howard MO. Opioid attentional bias and cue-elicited craving predict future risk of prescription opioid misuse among chronic pain patients. Drug Alcohol Depend. 2014;144:283-7. [Link] [DOI:10.1016/j.drugalcdep.2014.09.014]
6. Dajani DR, Uddin LQ. Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Trends Neurosci. 2015;38(9):571-8. [Link] [DOI:10.1016/j.tins.2015.07.003]
7. Regier PS, Macedo De Arruda TC, Sinko L, Teitelman AM, Childress AR. Factors associated with cognitive flexibility in people with opioid-use disorder: A pilot study. Front Psychiatry. 2024;15:1505391. [Link] [DOI:10.3389/fpsyt.2024.1505391]
8. Díaz-López A, Lozano ÓM, Moraleda-Barreno E, Velo S. Differential contribution of drug classes to impulsive behaviors in patients diagnosed with substance use disorder. Curr Addctn Rep. 2026;13(1):40. [Link] [DOI:10.1007/s40429-026-00739-x]
9. Gilbert P. The origins and nature of compassion focused therapy. Br J Clin Psychol. 2014;53(1):6-41. [Link] [DOI:10.1111/bjc.12043]
10. Gilbert P. Compassion focused therapy: An introduction to the theoretical framework and clinical applications. In: Gilbert P, editor. Compassion: Concepts, research and applications. London: Routledge; 2017. p. 97-114. [Link]
11. Carlyle M, Rockliff H, Edwards R, Ene C, Karl A, Marsh B, et al. Investigating the feasibility of brief compassion focused therapy in individuals in treatment for opioid use disorder. Subst Abuse. 2019;13:1178221819836726. [Link] [DOI:10.1177/1178221819836726]
12. Ameri Felihi N, Bavi S, Farashbandi A. Effect of resilience and self-compassion training on emotion regulation and frustration tolerance in students with clinical aggression symptoms. J Clin Care Skill. 2025;6(3):161-7. [Link]
13. Millard LA, Wan MW, Smith DM, Wittkowski A. The effectiveness of compassion focused therapy with clinical populations: A systematic review and meta-analysis. J Affect Disord. 2023;326:168-92. [Link] [DOI:10.1016/j.jad.2023.01.010]
14. Kotera Y, Beaumont J, Edwards AM, Cotterill M, Kirkman A, Tofani AC, et al. A narrative review of compassion focused therapy on positive mental health outcomes. Behav Sci. 2024;14(8):643. [Link] [DOI:10.3390/bs14080643]
15. Alijani F. The effectiveness of compassion-focused therapy on integrative self-knowledge, self-destructive behaviors and fatigue in drug users. J Assess Res Appl Couns. 2026;8(1). [Link] [DOI:10.61838/kman.jarac.1934]
16. Leaviss J, Uttley L. Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychol Med. 2015;45(5):927-45. [Link] [DOI:10.1017/S0033291714002141]
17. Roberts G, Parish N, Samuel V. The use and outcomes of compassion-focused group interventions with children and adolescent clinical populations: A systematic review and narrative synthesis. Clin Psychol Psychother. 2026;33(2):e70259. [Link] [DOI:10.1002/cpp.70259]
18. Durpoix A, Rolling J, Coutelle R, Lalanne L. Psychotherapies in opioid use disorder: Toward a step-care model. J Neural Transm. 2024;131(5):437-52. [Link] [DOI:10.1007/s00702-023-02720-8]
19. Barbosa-Leiker C, Campbell ANC, McHugh RK, Guille C, Greenfield SF. Opioid use disorder in women and the implications for treatment. Psychiatr Res Clin Pract. 2021;3(1):3-11. [Link] [DOI:10.1176/appi.prcp.20190051]
20. Asgarian FS, Namdari M, Soori H. Reliability and validity of Persian version of Brief Self-Control Scale (BSCS) in motorcyclists. Int J Psychiatry Clin Pract. 2020;24(2):176-82. [Link] [DOI:10.1080/13651501.2019.1711423]
21. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn Ther Res. 2010;34(3):241-53. [Link] [DOI:10.1007/s10608-009-9276-4]
22. Feizollahi Z, Asadzadeh H, Bakhtiarpour S, Farrokhi N. Association between mental flexibility and somatic symptom disorder mediated by smartphone addiction among university students. Soc Determinants Health. 2021;7(1):1-10. [Link]
23. Joseph VW, Moniz-Lewis DIK, Richards DK, Pearson MR, Luoma JB, Witkiewitz K. Internalized shame among justice-involved women in substance use disorder treatment: Measurement invariance and changes during treatment. Stigma Health. 2024;9(3):303-10. [Link] [DOI:10.1037/sah0000427]
24. Karlou I, Karakasidou E. The predictive and mediating role of self-compassion in substance use disorders. Eur J Couns Psychol. 2025. [Link] [DOI:10.46853/001c.133794]
25. Chen G. The role of self-compassion in recovery from substance use disorders. OBM Integr Complement Med. 2019;4(2). [Link] [DOI:10.21926/obm.icm.1902026]
26. Gilbert P, Simos G. Compassion focused therapy: Clinical presentation and applications. London: Routledge; 2017. [Link]