The effectiveness of compassion-focused therapy (CFT) on subjective well-being of students with sleep disorders

Abstract

Background and Objective: Students are one of the susceptible groups for sleep disorders. High prevalence of psychological stresses and rumination in this group disturb the quality and quantity of sleep. Studies have shown that psychological treatments can improve sleep disorders. Therefore, the purpose of this research was to study the effectiveness of compassion-focused therapy (CFT) on subjective well-being of the students with sleep disorders.
 
Materials and Methods: The research method was semi-experimental and pre-test and post- test design with control group. The statistical population of this study was students with sleep disorders in Payame noor University of Ghahderijan city during the years 2017-2018. The sample was 30 students from this population that were selected by available sampling method and randomly assigned to two experimental and control groups (15 individuals for each group). Participants in the experimental group participated in 8 weekly sessions, 90 minutes of CFT, while the control group did not receive any interventions. Both groups completed subjective well-being questionnaire and sleep disorders questionnaire in pre-test and post-test. Data were analyzed using univariate and multivariate covariance analysis using SPSS-16.
 
Results: The results of multivariate covariance analysis indicated a significant difference between the two groups of experiment and control in all research variables (p=0.002). In addition, this intervention affected the components of subjective well-being (positive and negative affective) (p<0.05).
 
Conclusion: According to the finding of this study, the efficacy of CFT on subjective well-being of the students with sleep disorder is confirmed. Therefore, interventions based on this approach can be useful for the students with sleep disorders.

Keywords


1. Sadock B, Virginaia A, Pedro R. Synopsis of psychiatry: behavioral sciences/ clinical psychiatry, Translation by Farzin Rezaee, Tehran: Arjmand Book Publishing 2015; 2: 11. 2. Ghale Bandi MD. A group of facuity members of medical universities. Text of sleep medicine, Tehran: Arjmand Publications 2017. 3. Linde Sh, Hauri P. Sleep and Sleepless. Translated by Mehdi Gharachdaghi. Tehran: Mosalas 2012. 4. World Health Organization. WHO technical meeting one sleep and health. Bonn: World Health Organization Regional Office for Europe, 2004. 5. Low Y, Goforth H, Preud Homme X, Edinger C, Krystal A. Insomnia in HIV- infected patients pathophysiologic implications. Aids Reviews 2014; 16: 3- 13. 6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM5), 2013: 485. 7. Harris K, et al. Sleep- related attentional bias in insomnia: A state-of-the-science review. Clinical Psychology Review 2015; 42: 16-27. 8. Amin nia M, Aghaei A, Molavi H, Najafi M. The effectiveness of group cognitive therapy on symptoms of insomnia in women with chronic insomnia. Knowledge & Research in Applied Psychology 2011; 12(2): 13-9. (Persian) 9. Molen YF, Carvalho LBC, Fernandesprado L, Fernandesprado G. Insomnia psychological and neurobiological aspects and nonpharmogological treatments. Arquivos de Neuro-Psiquiatria 2014; 72: 63- 71. 10. Petterson PH, Suffoletto Bp, Kupas DF, Matthew DW, Hostler ND. Sleep quality and fatigue among prehopital provider. Prehospital Emergency Care 2010; 14(2): 187-93. 11. Lowry M, Dean K, Manders K. The link between Sleep quantity and academic performance for the college student. The university of Minnesota Undergraduate Journal of Psychology 2010; 23: 16- 9. 12. Jiang XL, et al. A systematic review of studies on the prevalence of Insomnia in university students. Public Health 2015; 16: 1-6. 13. Sánchez X, Bailey C, Arcos E, Muñoz LA, González L, Miranda R. Subjective well-being and the perception of health opportunities: The case study of senior citizens of the neighborhood of Playa ancha. World Development Perspective 2017; 5: 7-9. 14. Sabzi Z, Mancheri H, Royani Z, Aryaie M, Jafari S, Ahmadi G. Subjective well-being in nursing and midwifery students of Golestan university of medical sciences. Journal of Research Development in Nursing and Midwifery 2015; 12(1): 76-84. 15. Bernerth JB, Hirschfeld RR. The subjective wellbeing of group leaders as explained by the quality of leader–member exchange. Leadersh Qualities 2016; 27(4): 697-710. 16. Tagharobi Z, sharifi KH, Sluki Z. Subjective well-being among students of kashan nursing and midwifery faculty. Scientific Journal of Hamadan Nursing and Midwifery Faculty 2012; 20(1): 54-62. (Persian) 17. Jin CH. The role of users motivations in generating social capital building and subjective well-being: The case of social network games. Computers in Human Behavior 2014; 39: 29-38. 18. Neff KD, Germer CK. A pilot study and randomized controlled trial of the mindful selfcompassion program. Journal of Clinical Psychology 2013; 69: 28-44. 19. Bordwine VC, Huebner ES. The role of coping in mediating the relationship between positive affect and school satisfaction in adolescents. Child Indicators Research 2010; 3(3): 349-66. 20. Barber LK, Rupprecht BR & Munz DC. Sleep habits may undermine well-being through the stressor appraisal process. Journal of Happiness Studies 2014; 5(2): 285-299. 21. Gilbert, P. Introducing compassion focused-therapy. Advances in Psychiatric Treatment 2009; 15: 199–208. 22. Gilbert P. Compassion: Conceptualization, research and use in psychotherapy. New York: Routledge Publication 2005. 23. Gilbert P. The origins and nature of compassion focused therapy. British Journal of Clinical Psychology 2014; 53(1): 6-41. 24. Irons C, Lad S. Using compassion focused therapy to work with shame and self-criticism in complex trauma. Australian Clinical Psychologist 2017; 21: 3(1). 25. Leaviss J, Uttley L. Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological Medicine 2015; 45(5): 927-45. 26. Gilbert P, Procter S. Compassionate mind training for people with high shame and self‐criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy 2006; 13(6): 353-79. 27. Gale C, Gilbert P, Read N, Goss K. An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy 2014; 21(1): 1-2. 28. Molavi H, TorKan H, Soltani I, Palahang H. Structure standardization,validity and reliability of subjective well-being questionnaire. Iranian Journal of Psychiatry and Clinical Psychology 2010; 16(3): 231-238. (Persian) 29. Alimohammadi M, Dadkhah B, Mozaffari N, MoIarr B. The prevaience of sleep disorder in Ardabil city university students. Journal of Nursing and Midwifery 2009; 11:1-11. (Persian) 30. Delavar, A. Method of Resignation in Psychology and Educational Sciences, Fourth Edition 1397. (Persian) 31. Karami T, Hosseini A, Dashtbozorgy Z. The effectiveness of copassion –focused therapy on resilience, self-disruption, life expectancy and psychological well-being of menopausal woman in Ahwaz. Social Welfare 2017; 5(3): 197-189. (Persian) 32. Jeon H, Lee K, Kwon S. Investigation of structural relationships between social support. self-compassion and subjective well-being in Korean elite student athletes. Psychological Reports 2016; 119(1): 39-54. 33. Neff KD. The role of self-compassion in development: A healthier way to relate to oneself. Human Development 2009; 52: 211-214. 34. Neff KD. The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness 2016; 7(1): 264-274.