The effectiveness of the educational program based on motivational interviewing and mentalization approaches on the experiential avoidance of students with childhood trauma

Izadabadi, Behrooz; Akbari, Bahman; Moqhtader, Leila

doi:10.61186/jcmh.11.3.8

[Home ] [Archive]

[ فارسی ]

Quarterly Journal of Child Mental Health

Main Menu

Home

Journal Information

Articles archive

For Authors

For Reviewers

Registration

Contact us

Site Facilities

Search in website

Receive site information

Open Access

Registered in

Indexing and Abstracting

wwww.magiran.com
scholar.google.com
www.sid.ir
...

Volume 11, Issue 3 (Vol11 No3 Fall 2024- 2024)

J Child Ment Health 2024, 11(3): 97-114

Back to browse issues page

The effectiveness of the educational program based on motivational interviewing and mentalization approaches on the experiential avoidance of students with childhood trauma

Behrooz Izadabadi¹

, Bahman Akbari ^*¹

, Leila Moqhtader¹

1- Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran

Abstract: (395 Views)

Background and Purpose: Experiencing any traumatic event in childhood can affect people's well-being. This research was conducted with the aim of the efficacy of the training program based on motivational interviewing and mentalization approaches on the experiential avoidance of students with childhood trauma.
Method: This was a quasi-experimental with a pre-test, post-test, and two-month follow-up design with an experimental group and a control group. The statistical population of this research included all students with childhood trauma from 12 to 15 years who were referred to education counseling centers in Rasht city in 2022-2023. The target sample consisted of thirty students selected from the statistical population based on inclusion, exclusion, and voluntary criteria and convenience sampling. The students were randomly placed in the experimental and control groups (15 students in each group). The training program based on motivational interviewing and mentalization approaches was performed in group form for eleven sessions of 90 minutes in the experimental group, and the control group did not receive any intervention during the study process. Research tools included the latest validated version of The Multidimensional Experiential Avoidance Questionnaire (MEAQ) (2011) and Childhood Trauma Questionnaire–Short Form (CTQ-SF; Bernstein & Fink, 1998). The data was analyzed using the Mixed variance analysis and SPSS-26 software.
Results: The results showed that there was a significant difference between the mean reduction in experiential avoidance (F=3.115, P=0.04) and behavioral avoidance components (F=6.670, P=0.01), distress aversion (F=3.464, P=0.04), and distraction- suppression (F=5.975, P=0.02) in the post-test phase of the experimental and control groups, and these results (reduction in experiential avoidance) continued in the experimental group and the follow-up phase (P<0.05).
Conclusions: Based on the results of this research, it can be concluded that training based on motivational interviewing and mentalization has helped prevent the downward spiral of negative mood and thinking and the tendency to anxious and avoidant responses of students with childhood trauma by creating the necessary cognitive strategies to face stress.

Article number: 7

Keywords: Motivational interview, mentalization, experiential avoidance, childhood trauma, students

Full-Text [PDF 1617 kb] (173 Downloads)

Type of Study: Applicable | Subject: Special
Received: 2024/08/24 | Accepted: 2024/09/9 | Published: 2025/02/16

References

1. Park JY, Lee CW, Jang Y, Lee W, Yu H, Yoon J, et al. Relationship between childhood trauma and resilience in patients with mood disorders. Journal of Affective Disorders. 2023; 323:162-170. https://pubmed.ncbi.nlm. nih.gov/36395993/ [Link] [DOI:10.1016/j.jad.2022.11.003]

2. Doba K, Saloppé X, Choukri F, Nandrino JL. Childhood trauma and posttraumatic stress symptoms in adolescents and young adults: The mediating role of mentalizing and emotion regulation strategies.Child Abuse & Neglect. 2022; 132:105815. https://pubmed.ncbi.nlm.nih.gov/35914329/ [Link] [DOI:10.1016/j.chiabu.2022.105815]

3. Tarber DN, Cohn TJ, Casazza S, Hastings SL, Steele J. The role of self-compassion in psychological well-being for male survivors of childhood maltreatment. Mindfulness. 2016;7:1193-202. https://link.springer.com/article/10.100 7/s12671-016-0562-4 [Link] [DOI:10.1007/s12671-016-0562-4]

4. Strathearn L. Maternal neglect: oxytocin, dopamine and the neurobiology of attachment. Journal of neuroendocrinology. 2011; 23(11):1054-65. https://doi.org/ 10.1111/j.1365-2826.2011.02228.x [Link] https://doi.org/10.1111/j.1365-2826.2011.02228.x [DOI:10.1111/j.1365-2826.2011.02228.x [Link]]

5. Hosseini Ramaghani NA, Rezaei F, Sepahvandi MA, Gholamrezaei S, Mirderikvand F. The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms. European journal of psychotraumatology. 2019;10(1):1648173. https://doi.org/10.1080/20008198.2019.1648173 [DOI:10.1080/20008198.2019.1648173 [Link]]

6. Hershenberg R, Mavandadi S, Wright E, Thase ME. Anhedonia in the daily lives of depressed veterans: A pilot report on experiential avoidance as a moderator of emotional reactivity. Journal of affective disorders.2017; 208:414-417. https://pubmed.ncbi.nlm.nih.gov/27814567/ [Link] [DOI:10.1016/j.jad.2016.10.011]

7. Kline NK, Berke DS, Rhodes CA, Steenkamp MM, Litz BT. Self-blame and PTSD following sexual assault: A longitudinal analysis. Journal of interpersonal violence. 2021;36(5-6):NP3153-168. https://doi.org/10.1177/0886260518770652 [DOI:10.1177/088626 0518770652 [Link]]

8. Shmouli Selah Cheini R, Naseri A. Mediating role of experiential avoidance in predicting borderline personality disorder based on childhood trauma. Shenakht Journal of Psychology and Psychiatry. 2024;10(6):142-156. [Persian] http://shenakht.muk.ac.ir/article-1-2186-en.html [Link]

9. Oehlman Forbes D, Lee M, Lakeman R. The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review. Psychotherapy. 2021; 58(1):50-67. https://pubmed.ncbi.nlm.nih.gov/32881544/ [Link] [DOI:10.1037/pst0000341]

10. Najian A, Kachooei M, Farahani H. Online mentalization-based treatment on negative affection and non- suicidal self-injury in adolescence. Journal of Research in Psychopathology. 2022; 3(8):34-40. [Persian] https://jrp .uma.ac.ir/article_1586.html [Link]

11. Hatam M, Abolghasemi A, Kafi M. The Impact of Empathy Training on Social Problem Solving Skills in Female Students with Traumatic Experience. J Child Ment Health 2019; 6 (2):107-118. [Persian] https://doi.org/10.29252/jcmh.6.2.10 [DOI:10.29252 /jcmh.6.2.10 [Link]]

12. Ensink K, Bégin M, Normandin L, Godbout N, Fonagy P. Mentalization and dissociation in the context of trauma: Implications for child psychopathology. Journal of trauma & Dissociation. 2017;18(1):11-30. https://pubmed.ncbi. nlm.nih.gov/27070273/ [Link] [DOI:10.1080/15299732.2016.1172536]

13. Lo CK, Tse N, Chiu J. A mixed-method non-randomized pilot evaluation of a mentalization-informed motivational interviewing group intervention for concerned significant others of adolescents withexcessive gaming behaviors. Children and Youth Services Review. 2024;159:107496. https://doi.org/10.1016/j.childyouth.2024.107496 [DOI:10.1016/j.childyouth.2024.107496 [Link]]

14. Almansour M, AlQurmalah SI, Razack HI. Motivational interviewing-an evidence-based,collaborative, goal-oriented communication approach in lifestyle medicine: A comprehensive review of the literature. Journal of Taibah University Medical Sciences. 2023;18(5):1170-1178. https://pubmed.ncbi.nlm.nih.gov/37206188/ [Link] [DOI:10.1016/j.jtumed.2023.03.011]

15. Snape L, Atkinson C. The evidence for student-focused motivational interviewing in educational settings: A review of the literature. Advances in School Mental Health Promotion. 2016;9(2):119-139. https://www.tandfonline. com/doi/full/10.1080/1754730X.2016.1157027 [Link] [DOI:10.1080/1754730X.2016.1157027]

16. Rokhyani E, Sugiyo S, Edy P. Effectiveness of Motivational Interviewing (MI) Technique Towards Resilience of Sexual Violence Students of Yunior High School in Nganjuk. International Journal of Innovative Science and Research Technology. 2020; 5(7)ISSN No: 2456-2165. [Link] [DOI:10.38124/IJISRT20JUL571]

17. Arkowitz H, Miller WR, Rollnic S. Motivational Interviewing in the Treatment of Psychological Problems. Second Edition, The Guilford Press.2015;NewYorkLond on. https://www.amazon.com/Motivational-Interviewing-Treatment-Psychological-Applications/dp/1593855850 [Link]

18. Schwarzer NH, Nolte T, Fonagy P, Feigenbaum J, King-Casas B, Rüfenacht E, et al. Linking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatment. Children and Youth Services Review.2024;163,10778. https://doi.org/10.1016/j.childyouth.2024.107787 [DOI:10.1016/j.childyouth.2024.107787 [Link]]

19. Darabi M, Manavipour D, Mohammadi A. The effectiveness of the program based on mentalization and mindfulness (mother and child) in behavioral and emotional problems of primary school children. Journal of Applied Family Therapy. 2023;4(1):115-133. [Persian] https://doi.o rg/10.22034/aftj.2023.336257.1511 [Link] [DOI:10.61838/kman.aftj.4.1.7]

20. Hamidi M, Shariat S, Aghabozorgi S, Keshavarz Mohammadi R. The Effectiveness of Child-based Mindfulness Program on Impulsivity and Aggression in Children with Externalizing Disorders. J Child Ment Health 2020; 6 (4 :144-155. [Persian] https://doi.org10.29252/j cmh.6.4.14 [Link] [DOI:10.29252/jcmh.6.4.14]

21. Mohammadi Y, Savabi Niri V, Shayanfar S. The Effectiveness of Child-Centered Mindfulness Therapy on Emotion Regulation and Self-Concept Improvement in Children with Divorced Parents. J Child Ment Health 2023; 10 (2): 4. [Persian] https://doi.org/10.61186/jcmh.10.2.5 [DOI:10.61186/jcmh.10.2.5 [Link]]

22. Oh H, Lee C. Culture and motivational interviewing. Patient education and counseling. 2016; 99(11):1914-1919. https://doi.org/10.1016/j.pec.2016.06.010 [DOI:10.1016/j.pec.2016.06.010 [Link]]

23. Bourojeni SF, Ahmadi R, Ghazanfari A, Sharifi T. The effectiveness of mindfulness-based and motivational interviewing group therapy on pain self-efficacy and distress tolerance in patients with multiple sclerosis. Journal of Psychological Science. 2021; 20(100):635-51.[Persian]

24. http://psychologicalscience.ir/article-1-1084-en.html [Link]

25. Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. McGraw-hill education (UK). 2020; 778 - 780. https://doi.org/10.4324/9781003117452 [DOI:10.4324/9781003117452 [Link]]

26. Gámez W, Chmielewski M, Kotov R, Ruggero C, Watson D. Development of a measure of experiential avoidance: the Multidimensional Experiential Avoidance Questionnaire. Psychological assessment. 2011; 23(3):692-713. https://pubmed.ncbi.nlm.nih.gov/21534697/ [Link] [DOI:10.1037/a0023242]

27. Bernstein D, Fink L. Childhood Trauma Questionnaire. A Retrospective Self-Report. Manual/The Psychological Corporation, Harcourt Brace & Company; 1998. https://doi.org/10.1037/t02080-000 [DOI:10.1037/t02080-000[Link]]

28. Watson D, Clark LA , Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Pers Soc Psychol. 1988; 54(6):1063-70. https://pubmed.ncbi.nlm.nih.gov/3397865/ [Link] [DOI:10.1037//0022-3514.54.6.1063]

29. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual differences. 2001; 30(8):1311-27. [DOI:10.1016/S0191-8869(00)00113-6]

30. https://doi.org/10.1016/S0191-8869(00)00113-6 [DOI:10.1016/S0191-8869(00)00113-6 [Link]]

31. McCrae RR, Costa PT,. Jr. Rotation to Maximize the Construct Validity of Factors in the NEO Personality Inventory. Multivariate Behavioral Research. 1989; 24 (1), 107-124. https://doi.org/10.1207/s15327906mbr2401_7 [DOI:10.1207/s15327906mbr2401_7 [Link]]

32. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T, Zettle RD. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior therapy. 2011; 42(4):676-88. https://pubmed.ncbi.nlm.nih.gov/22035996/ [Link] [DOI:10.1016/j.beth.2011.03.007]

33. Moradi A, Barghi Irani Z, Bagiyan Koulemarz MJ, Kariminejad K, Zabet M. Factor determination and psychometric features of the Multidimensional Experiential Avoidance Questionnaire (MEAQ). Social Cognition. 2018; 6(2):57-82. [Persian] https://sc.journals.pnu.ac.ir/arti cle_4422.html [Link]

34. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect. 2003; 27(2):169-190. https://pu bmed.ncbi.nlm.nih.gov/12615092/ [Link] [DOI:10.1016/S0145-2134(02)00541-0]

35. Roy A. Combination of family history of suicidal behavior and childhood trauma may represent correlate of increased suicide risk. Journal of affective disorders. 2011; 130(1-2):205-208. https://pubmed.ncbi.nlm.nih.gov/20943272/ [Link] [DOI:10.1016/j.jad.2010.09.022]

36. Garrusi B, Nakhaee N. Validity and reliability of a Persian version of the childhood trauma questionnaire. Psychological reports. 2009; 104: 509-516. https://doi. org/10.2466/PR0.104.2.509-516 [Link] [DOI:10.2466/PR0.104.2.509-516]

37. Rosengren DB. Building motivational interviewing skills: A practitioner workbook. Guilford publications; 2009. https://www.amazon.com/Building-Motivational-Interviewing-Skills Practitioner/dp/1606232991[Link]

38. Bateman A, Fonagy P. Mentalization-based treatment for personality disorders: A practical guide. Oxford University Press; 2016. https://doi.org/10.1093/med:psych/9780199680375.001.0001 [DOI:10.1093/med:psych/9780199 680375.001.0001 [Link]]

39. Midgley N, Ensink K, Lindqvist K, Malberg N, Muller N. Mentalization-based treatment for children: A time-limited approach. 2017. https://www.amazon.com/Mentalization-Based-Treatment-Children-Time-Limited-Approach/dp/1433827328 [Link] [DOI:10.1037/0000028-000]

40. Izadabadi B, Akbari B, Moqhtader L. Determining the Validity of the Educational Package Based on Motivational Interviewing and Mentalization Approaches for Experiential Avoidance and Sense of Agency of Students with Childhood Trauma. Salamat-I ijtimai (Community Health). 2023; 10(4).30-41. [Persian] [DOI:10. 22037/ch.v10i4.31734 [Link]]

Send email to the article author

Add your comments about this article

‎ 10.61186/jcmh.11.3.8

Mendeley

Zotero

RefWorks

Izadabadi B, Akbari B, Moqhtader L. The effectiveness of the educational program based on motivational interviewing and mentalization approaches on the experiential avoidance of students with childhood trauma. J Child Ment Health 2024; 11 (3) : 7
URL: http://childmentalhealth.ir/article-1-1446-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 11, Issue 3 (Vol11 No3 Fall 2024- 2024)

Back to browse issues page

Persian site map - English site map - Created in 0.07 seconds with 43 queries by YEKTAWEB 4710