Volume 28, Issue 2 (9-2026)
yafte 2026, 28(2): 148-159 |
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Soleymani S, Gorji Y, Latifi D. Comparing the Effectiveness of Cognitive-Behavioral Therapy Integrated with Spirituality, Hope Therapy, and Self-System Therapy in Reducing Perfectionism and Persistent Depression in Women. yafte 2026; 28 (2) :148-159
URL: http://yafte.lums.ac.ir/article-1-3843-en.html
URL: http://yafte.lums.ac.ir/article-1-3843-en.html
Department of Psychology, Kho.C., Islamic Azad University, Khomeinishahr, Iran
Abstract: (7 Views)
Background: Persistent depression and perfectionism have significant psychological, therapeutic, and economic consequences for individuals and healthcare systems. This study compared the effectiveness of three therapeutic approaches, namely Religious Cognitive-Behavioral Therapy (RCBT), Hope Therapy, and Self-System Therapy (SST), in reducing the symptoms of these two disorders.
Materials and Methods: This semi-experimental study employed a pretest–posttest design with a control group. The study population consisted of women aged 20 to 50 diagnosed with persistent depression. Based on inclusion and exclusion criteria, 48 participants were randomly assigned to four groups of 12 (three intervention groups and one control group). The intervention groups received RCBT, Hope Therapy, or SST in 10 weekly sessions. The research instruments included the Cornell Dysthymia Rating Scale and Hill’s Perfectionism Questionnaire.
Results: All three therapeutic methods led to significant reductions in persistent depression and perfectionism. The mean depression score decreased from 72.3 to 36.1 in the SST group, from 71.8 to 47.2 in the RCBT group, and from 70.5 to 56.1 in the Hope Therapy group. Similarly, perfectionism scores dropped from 172.8 to 93.4 in the SST group, from 171.5 to 122.1 in the RCBT group, and from 173.2 to 147.6 in the Hope Therapy group. The control group showed no changes. Statistical analysis confirmed that SST was the most effective method, with significant differences between groups (P < 0.001). The three-month follow-up indicated the stability of treatment outcomes.
Conclusion: The findings suggest that innovative therapies, particularly SST and RCBT, can offer effective solutions for reducing depression and perfectionism. It is recommended that these approaches be incorporated into clinical interventions with consideration for patients’ cultural and religious backgrounds.
Materials and Methods: This semi-experimental study employed a pretest–posttest design with a control group. The study population consisted of women aged 20 to 50 diagnosed with persistent depression. Based on inclusion and exclusion criteria, 48 participants were randomly assigned to four groups of 12 (three intervention groups and one control group). The intervention groups received RCBT, Hope Therapy, or SST in 10 weekly sessions. The research instruments included the Cornell Dysthymia Rating Scale and Hill’s Perfectionism Questionnaire.
Results: All three therapeutic methods led to significant reductions in persistent depression and perfectionism. The mean depression score decreased from 72.3 to 36.1 in the SST group, from 71.8 to 47.2 in the RCBT group, and from 70.5 to 56.1 in the Hope Therapy group. Similarly, perfectionism scores dropped from 172.8 to 93.4 in the SST group, from 171.5 to 122.1 in the RCBT group, and from 173.2 to 147.6 in the Hope Therapy group. The control group showed no changes. Statistical analysis confirmed that SST was the most effective method, with significant differences between groups (P < 0.001). The three-month follow-up indicated the stability of treatment outcomes.
Conclusion: The findings suggest that innovative therapies, particularly SST and RCBT, can offer effective solutions for reducing depression and perfectionism. It is recommended that these approaches be incorporated into clinical interventions with consideration for patients’ cultural and religious backgrounds.
Keywords: Persistent Depression, Perfectionism, Religious Cognitive-Behavioral Therapy (RCBT), Hope Therapy, Self-System Therapy (SST), Psychotherapy, Women
Type of Study: Original Research |
Subject:
روانشناسی
Received: 2025/08/21 | Accepted: 2026/06/22 | Published: 2026/09/1
Received: 2025/08/21 | Accepted: 2026/06/22 | Published: 2026/09/1
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