İki Uçlu Bozuklukta Bütüncül Bilişsel Modelin Grup-Temelli Müdahalesinin Etkisinin İncelenmesi

Abstract

The Integrative Cognitive Model, which is developed to understand and to explain the mood swings, assumes that extreme, conflicting and personalized appraisals regarding internal states have significant roles in mood swings. The main aim of this research was to investigate the effect of the 8-session group-based intervention for the Integrative Cognitive Model. For this, the mixed method (both quantitative and qualitative analyses) was used. Within the quantitative analyses, the effect of the intervention was examined in terms of depressive symptoms and psychological processes (psychological well-being and life satisfaction). Within the qualitative analyses, both the process of each participant was evaluated in terms of his or her expressions throughout group sessions and the subjective experiences of each participant regarding the group intervention were analyzed. The group sessions were held once a week for 1.5 hour. The main purpose was to identify related but conflicting appraisals and to develop more effective and functional ways to cope with changes in internal states (feeling-thoughtphysiological reaction). The sample was composed of 10 patients with Bipolar-I and Bipolar II diagnoses. Beck Depression Inventory, Psychological Well-being Scale and The Satisfaction with Life Scale were applied for pretest, posttest, 1-month and 3-month follow-up. The statistical analyses revealed that 8-session group intervention could not make any significant change in terms of depressive symptoms, psychological wellbeing and life satisfaction. The qualitative analyses indicated that participants perceived the group leader as calm, caring and keen to understand. Participants mentioned that they are more apt to make self-observations regarding their inner changes and their reactions as well as taking a step to accept themselves, their disorder and their processes. The findings of the research indicated that the group-based intervention of The Integrative Cognitive Model had a meaningful effect with regards to clinical significance. For the prospective researches, it is suggested that the effect of this intervention might be examined in larger samples being composed of participants with different medical history and from different mood centers.