The Effectiveness of Metacognitive Therapy on Family Functioning in Parents with A Child Diagnosed with Bipolar II Disorder
| Author | Hoda Hasani | en |
| Author | Mahmoud Goudarzi | en |
| Author | Parviz Karimisani | en |
| Orcid | Hoda Hasani [0000-0002-8762-5665] | en |
| Orcid | Mahmoud Goudarzi [0000-0001-8480-7263] | en |
| Orcid | Parviz Karimisani [0000-0002-1972-2199] | en |
| Issued Date | 2025-06-30 | en |
| Abstract | Background: Bipolar II disorder is a chronic mental health condition characterized by recurrent depressive and hypomanic episodes, significantly affecting individuals and their families. Objectives: This study aimed to evaluate the effectiveness of metacognitive therapy (MCT) in improving family functioning among parents of children diagnosed with bipolar II disorder. Methods: A quasi-experimental pre-test, post-test, and 3-month follow-up design with a control group was employed. The population included parents of children diagnosed with bipolar II disorder seeking counseling services in Isfahan, Iran, in 2023. A convenience sample of 30 parents was randomly assigned to either an MCT group (n = 15) or a control group (n = 15). The MCT group received 8 weekly 120-minute sessions, while the control group received no intervention during the study period and remained on a waiting list. Family functioning was assessed using the Family Functioning Scale at pre-test, post-test, and 3-month follow-up. Data were analyzed using descriptive statistics and repeated measures analysis of variance (ANOVA) in SPSS version 26. Results: Repeated measures ANOVA revealed a significant main effect of MCT on family functioning, F = 67.41, P < 0.001, with improvements in problem-solving, communication, roles, affective responsiveness, affective involvement, behavioral control, and general functioning at post-test (P < 0.001). These gains were maintained at follow-up (P < 0.001), indicating sustained intervention effects. Conclusions: Metacognitive therapy significantly enhances family functioning among parents of children with bipolar II disorder, offering a promising adjunct to pharmacological treatments. These findings suggest MCT could improve family resilience and coping, with implications for clinical practice by supporting family-centered interventions. Future research should explore long-term outcomes and patient-parent combined interventions to further validate and extend these results. | en |
| DOI | https://doi.org/10.5812/jcrps-159910 | en |
| Keyword | Metacognition | en |
| Keyword | Family | en |
| Keyword | Parents | en |
| Keyword | Bipolar Disorder | en |
| Publisher | Brieflands | en |
| Title | The Effectiveness of Metacognitive Therapy on Family Functioning in Parents with A Child Diagnosed with Bipolar II Disorder | en |
| Type | Research Article | en |
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