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Volume 6, Issue 1 (2025)                   J Clinic Care Skill 2025, 6(1): 17-23 | Back to browse issues page
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Ethics code: IR.IAU.YASOOJ.REC.1402.005


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Zarei Z, Maredpour A, Kharamin S. Effect of Dialectical Behavior Therapy on Death Anxiety in Patients with HIV. J Clinic Care Skill 2025; 6 (1) :17-23
URL: http://jccs.yums.ac.ir/article-1-306-en.html
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1- Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran
2- Department of Psychology, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
* Corresponding Author Address: Department of Psychology, Yasuj Branch, Islamic Azad University, km 4, Siskhet Road, Yasuj, Iran. Postal Code: 7591971111 (maredpour@iau.ir)
Abstract   (401 Views)
Aims: Deficiency in the human immune system is one of the most common physiological-neurological disorders affected by harsh living conditions and cognitive pressures. Therefore, the present study aimed to investigate the effect of dialectical behavior therapy on death anxiety in patients with human immunodeficiency virus.
Materials & Methods: The present quasi-experimental including two intervention groups (20 individuals each) and a control group (20 individuals) was conducted over three pre-test, post-test, and follow-up stages. The statistical population consisted of all patients with HIV who were referred to counseling centers (behavioral diseases) and healthcare centers, using purposive sampling in 2024. The intervention group received dialectical behavior therapy during eight training sessions, while the control group did not receive any intervention. The Templer Death Anxiety Questionnaire was used to collect data. The data were analyzed using SPSS 26 software with descriptive statistics (mean and standard deviation) and inferential statistics (ANOVA, MANCOA, and Bonferroni post hoc test.
Findings: The mean score of death anxiety and all its subscales—including fear of death, fear of pain and illness, thoughts about death, time passing and short life, and fear of the future—decreased in the intervention group after dialectical behavior therapy. The differences among times and between the two groups were significant (p<0.001). The mean score in the intervention group decreased from 11.85±1.38 before the intervention to 5.40±2.43 after the intervention. However, there was no significant change at the follow-up time compared to after the intervention.
Conclusion: Dialectical behavior therapy effectively reduces death anxiety in patients with HIV.
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References
1. Morales F, Montserrat-de La Paz S, Leon MJ, Rivero-Pino F. Effects of malnutrition on the immune system and infection and the role of nutritional strategies regarding improvements in children's health status: A literature review. Nutrients. 2023;16(1):1. [Link] [DOI:10.3390/nu16010001]
2. Bogers SJ, Van Der Loeff MFS, Davidovich U, Boyd A, Van Der Valk M, Brinkman K, et al. Promoting HIV indicator condition-guided testing in hospital settings (PROTEST 2.0): Study protocol for a multicentre interventional study. BMC Infect Dis. 2021;21(1):519. [Link] [DOI:10.1186/s12879-021-06183-8]
3. Van Sighem AI, Wit FWNM, Boyd A, Smit C, Matser A, Van Der Valk M. Monitoring report 2021. Human Immunodeficiency Virus (HIV) Infection in the Netherlands. Amsterdam: Stichting HIV Monitoring; 2021. [Link]
4. UNAIDS. Global AIDS report 2023. Geneva: Joint United Nations Programme on HIV/AIDS; 2023. [Link]
5. Seyed Alinaghi SA, Roozbahani MM, Farhoudi B, Manshadi SA, Jahanfar S. HIV infection in Iran: An update on epidemiology, testing and gaps. ACTA MEDICA IRANICA. 2024;62(4):173-81. [Link] [DOI:10.18502/acta.v62i4.17430]
6. Leadebal OD, Pereira RR, Nóbrega LM, Oliveira JA, Chaves RB, Medeiros LB, et al. Prevalence of clinical complications high risk associated with AIDS death. ACTA PAULISTA DE ENFERMAGEM. 2019;32(6):683-90. [Link] [DOI:10.1590/1982-0194201900094]
7. Roza D, Yanti N, Suryarinilsih Y, Alfitri A, Sasmita H. Cognitive behavior therapy (CBT) to reduce death anxiety (thanatophobia) in HIV/AIDS patients. JURNAL AISYAH JURNAL ILMU KESEHATAN. 2022;7(4):1131-8. [Link] [DOI:10.30604/jika.v7i4.1320]
8. Miller AK, Lee BL, Henderson CE. Death anxiety in persons with HIV/AIDS: A systematic review and meta-analysis. Death Stud. 2012;36(7):640-63. [Link] [DOI:10.1080/07481187.2011.604467]
9. Hong Y, Yuhan L, Youhui G, Zhanying W, Shili Z, Xiaoting H, et al. Death anxiety among advanced cancer patients: A cross-sectional survey. Support Care Cancer. 2022;30(4):3531-9. [Link] [DOI:10.1007/s00520-022-06795-z]
10. Venes D, Taber CW. Taber's cyclopedic medical dictionary. Philadelphia: F.A. Davis Company; 2020. [Link]
11. Zhang J, Peng J, Gao P, Huang H, Cao Y, Zheng L, et al. Relationship between meaning in life and death anxiety in the elderly: Self-esteem as a mediator. BMC Geriatr. 2019;19(1):308. [Link] [DOI:10.1186/s12877-019-1316-7]
12. Uslu-Sahan F, Terzioglu F, Koc G. Hopelessness, death anxiety, and social support of hospitalized patients with gynecologic cancer and their caregivers. Cancer Nurs. 2019;42(5):373-80. [Link] [DOI:10.1097/NCC.0000000000000622]
13. Wang JJ, Dhir A, Hildebrand KJ, Turvey SE, Schellenberg R, Chen LY, et al. Inborn errors of immunity in adulthood. Allergy Asthma Clin Immunol. 2024;20(1):6. [Link] [DOI:10.1186/s13223-023-00862-8]
14. Peddi NC, Vuppalapati S, Sreenivasulu H, Muppalla SK, Reddy Pulliahgaru A. Guardians of immunity: Advances in primary immunodeficiency disorders and management. Cureus. 2023;15(9):e44865. [Link] [DOI:10.7759/cureus.44865]
15. Onu DU, Ifeagwazi CM, Chukwuorji JC. Does posttraumatic growth buffer the association between death anxiety and quality of life among people living with HIV/AIDS?. J Clin Psychol Med Settings. 2021;28(2):229-38. [Link] [DOI:10.1007/s10880-020-09708-6]
16. Dixon LJ, Linardon J. A systematic review and meta-analysis of dropout rates from dialectical behaviour therapy in randomized controlled trials. Cogn Behav Ther. 2020;49(3):181-96. [Link] [DOI:10.1080/16506073.2019.1620324]
17. Wilks CR, Lungu A, Ang SY, Matsumiya B, Yin Q, Linehan MM. A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. J Affect Disord. 2018;232:219-28. [Link] [DOI:10.1016/j.jad.2018.02.053]
18. Shamshirsaz T. Effectiveness of dialectical behavior therapy on depression symptoms and emotion regulation of self-injury teenagers. J Child Emot Dev Psychol. 2024;1(1):2-13. [Persian] [Link]
19. Fitzpatrick S, Bailey K, Rizvi SL. Changes in emotions over the course of dialectical behavior therapy and the moderating role of depression, anxiety, and posttraumatic stress disorder. Behav Ther. 2020;51(6):946-57. [Link] [DOI:10.1016/j.beth.2019.12.009]
20. Malas O, Gómez-Domenech A. Effect of dialectical behavior therapy on negative affect, and symptoms of depression and anxiety in individuals with borderline personality disorder during COVID-19 pandemic. J Clin Med. 2024;13(9):2603. [Link] [DOI:10.3390/jcm13092603]
21. Khodabakhshi-Koolaee A, Falsafinejad MR, Zoljalali T, Ghazizadeh C. Dialectical behavior therapy: Effect on emotion regulation and death anxiety in older female adults. Omega. 2024;88(3):1218-31. [Link] [DOI:10.1177/00302228211065960]
22. Badrkhani M, Zangeneh Motlagh F, Pirani Z. Comparison the efficacy of acceptance and commitment therapy and dialectical behavioral therapy on death obsession of women in corona pandemic. J Psychol Sci. 2022;21(116):1649-62. [Persian] [Link] [DOI:10.52547/JPS.21.116.1649]
23. Lotfalizadeh M, Miri S, Foroughameri G, Farokhzadian J. The effect of anger management skills training on anger status of the people with HIV. Perspect Psychiatr Care. 2020;56(3):605-13. [Link] [DOI:10.1111/ppc.12475]
24. Templer DI. The construction and validation of a death anxiety scale. J Gen Psychol. 1970;82(2d Half):165-77. [Link] [DOI:10.1080/00221309.1970.9920634]
25. Rajabi Gh, Bahrani M. Factor analysis of questions on the death anxiety scale. J Psychol. 2002;5(4):331-4. [Persian] [Link]
26. Faraji M. The effectiveness of dialectical behavior therapy (DBT) in reducing distress and increased life expectancy in patients with breast cancer. Cumhur Univ Fac Sci. 2015;36(3):1340-6. [Link]
27. Liang L, Feng L, Zheng X, Wu Y, Zhang C, Li J. Effect of dialectical behavior group therapy on the anxiety and depression of medical students under the normalization of epidemic prevention and control for the COVID-19 epidemic: A randomized study. Ann Palliat Med. 2021;10(10):10591-9. [Link] [DOI:10.21037/apm-21-2466]
28. Navarro-Haro MV, Modrego-Alarcón M, Hoffman HG, López-Montoyo A, Navarro-Gil M, Montero-Marin J, et al. Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy® mindfulness skills training for the treatment of generalized anxiety disorder in primary care: A pilot study. Front Psychol. 2019;10:55. [Link] [DOI:10.3389/fpsyg.2019.00055]
29. Hemmati Sabet V, Hoseini SA, Afsharinia K, Arefi M. Comparison of the effectiveness of schema therapy and dialectical behavior therapy on temperament and character dimensions and cognitive emotion regulation strategies in patients with HIV. Iran Evolut Educ Psychol J. 2021;3(2):138-47. [Link] [DOI:10.52547/ieepj.3.2.138]
30. Afshari B, Hasani J. Study of dialectical behavior therapy versus cognitive behavior therapy on emotion regulation and mindfulness in patients with generalized anxiety disorder. J Contemp Psychother. 2020;50(4):305-12. [Link] [DOI:10.1007/s10879-020-09461-9]
31. Montaser AA, El Malky MI, Atia MM. The effect of a dialectical behavioral therapy on anxiety level and emotional regulation among drug addict patients. Menoufia Nurs J. 2023;8(2):431-49. [Link] [DOI:10.21608/menj.2023.323707]
32. Villalongo Andino M, Garcia KM, Richey JA. Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review. Front Psychol. 2024;14:1331200. [Link] [DOI:10.3389/fpsyg.2023.1331200]