Efektivitas Empty Chair Therapy dalam Menurunkan Gejala Depresi Pada Istri Yang Berduka Kehilangan Suami
DOI:
https://doi.org/10.21009/JPPP.151.01Keywords:
empty chair therapy, duka, gangguan depresi mayor, single-case designAbstract
This study aimed to examine the effectiveness of empty chair therapy in reducing depressive symptoms among a wife experiencing bereavement following the loss of her husband. The study employed a single-case experimental design (A–B–A) involving a 28-year-old woman who had lost her husband one year prior and was presenting with depressive symptoms. Depression severity was assessed using the Beck Depression Inventory–II (BDI-II) across the initial baseline, intervention, and final baseline phases. The results demonstrated a consistent reduction in depressive symptoms across phases. During the initial baseline phase, the participant obtained a BDI-II score of 35, which was categorized as severe depression. Following the intervention phase, the score decreased to 31 and remained within the severe range, indicating a reduction in symptom intensity. Two weeks after the final therapy session, the BDI-II score further decreased to 21, corresponding to moderate depression. Clinically, this quantitative improvement was accompanied by positive changes, including reduced feelings of guilt, increased acceptance of the loss, improvements in sleep and appetite, greater engagement in daily activities, and a more optimistic outlook toward the future. These findings suggest that empty chair therapy facilitated the expression of previously inhibited emotions, contributed to the resolution of unresolved emotional conflicts, and supported a more adaptive integration of the loss experience.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Bardideh, F., Jarareh, J., Mofrad, M., & Bardideh, K. (2025). The Effectiveness of Integrated Group Therapy on Prolonged Grief Disorder of Bereaved People from COVID-19 Randomized Controlled Trial. Omega, 91(2), 675–692. https://doi.org/10.1177/00302228221141126
Comtesse, H., Edelhoff, H., Rosner, R., & Lechner-Meichsner, F. (2024). Cluster analysis of prolonged grief, posttraumatic stress, and depression symptoms in bereaved asylum seekers and refugees. European journal of psychotraumatology, 15(1), 2383525. https://doi.org/10.1080/20008066.2024.2383525
Eisma, M. C., Janshen, A., Huber, L. F. T., & Schroevers, M. J. (2023). Cognitive reappraisal, emotional expression and mindfulness in adaptation to bereavement: a longitudinal study. Anxiety, stress, and coping, 36(5), 577–589. https://doi.org/10.1080/10615806.2023.2165647
Heeke, C., Franzen, M., Hofmann, H., Knaevelsrud, C., & Lenferink, L. I. M. (2022). A Latent Class Analysis on Symptoms of Prolonged Grief, Post-Traumatic Stress, and Depression Following the Loss of a Loved One. Frontiers in psychiatry, 13, 878773. https://doi.org/10.3389/fpsyt.2022.878773
Holmström, É., Kykyri, VL. & Martela, F. (2024). Chair Work with the Empathic Other: Providing Basic Need Support for Resolving Unfinished Business. J Contemp Psychother 54, 343–352 (2024). https://doi.org/10.1007/s10879-024-09632-y
Greenberg & R. N. Goldman .(2019). Clinical handbook of emotion-focused therapy (pp. 293–314). American Psychological Association. https://doi.org/10.1037/0000112-013
Greenberg, L. S. (2015). Emotion-focused therapy: Coaching clients to work through their feelings (2nd ed.). American Psychological Association. https://doi.org/10.1037/14692-000
Greenberg, L. (2014). The Therapeutic Relationship in Emotion-Focused Therapy. Psychotherapy, 51(3), 350–357. https://doi.org/10.1037/a0037336
Greenberg, L. S., & Watson, J. C. (2006). Emotion-focused therapy for depression. Washington, DC: American Psychological Association.
Keyes, K. M., Pratt, C., Galea, S., McLaughlin, K. A., Koenen, K. C., & Shear, M. K. (2014). The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study. The American journal of psychiatry, 171(8), 864–871. https://doi.org/10.1176/appi.ajp.2014.13081132
Lenferink, L. I. M., Nickerson, A., de Keijser, J., Smid, G. E., & Boelen, P. A. (2020). Trajectories of grief, depression, and posttraumatic stress in disaster-bereaved people. Depression and anxiety, 37(1), 35–44. https://doi.org/10.1002/da.22850
Mason, T. M., Tofthagen, C. S., & Buck, H. G. (2020). Complicated Grief: Risk Factors, Protective Factors, and Interventions. Journal of social work in end-of-life & palliative care, 16(2), 151–174. https://doi.org/10.1080/15524256.2020.1745726
Neimeyer, R. A., Klass, D., & Dennis, M. R. (2014). A social constructionist account of grief: loss and the narration of meaning. Death studies, 38(6-10), 485–498. https://doi.org/10.1080/07481187.2014.913454
Perls, F.S., Hefferline, R.E. and Goodman, P. (1951) Gestalt Therapy: Excitement and Growth in the Human Personality. Dell, New York.
Pinheiro, P., Gonçalves, M. M., Sousa, I., & Salgado, J. (2021). What is the effect of emotional processing on depression? A longitudinal study. Psychotherapy research : journal of the Society for Psychotherapy Research, 31(4), 507–519. https://doi.org/10.1080/10503307.2020.1781951
Pugh, M., Dixon, A., & Bell, T. (2023). Chairwork and the therapeutic relationship: Can the cart join the horse?. Journal of clinical psychology, 79(7), 1615–1626. https://doi.org/10.1002/jclp.23473
Safitri, A.K., Nurizza, N.A., & Khairat, I. (2025). Empty Chair sebagai Media Ekspresi Emosi: Studi Literatur dalam Konteks Terapi Gestal. Pendas: Jurnal Ilmiah Pendidikan Dasar. 10(2). https://doi.org/10.23969/jp.v10i02.27421
Susanti, H., Mudiyanselage, S. P. K., Indrayani, N. L. D., Ariani, T. A., Tsai, H. Y., Keliat, B. A., & Lin, M. F. (2025). Social Support for Grief, Attachment, and Mental Health Among Bereaved Spouses During COVID-19 Pandemic. Family Process, 64(1), Article e70022. https://doi.org/10.1111/famp.70022
Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: a decade on. Omega, 61(4), 273–289. https://doi.org/10.2190/OM.61.4.b
Szuhany, K. L., Malgaroli, M., Miron, C. D., & Simon, N. M. (2021). Prolonged Grief Disorder: Course, Diagnosis, Assessment, and Treatment. Focus (American Psychiatric Publishing), 19(2), 161–172. https://doi.org/10.1176/appi.focus.20200052
Widodo, Y.W.P., & Ambarini, T.K. (2024). Studi Kasus: Terapi Kursi Kosong pada PenyintasBunuh Diri yang Mengalami Depresi dengan Psikotik. Psikoborneo: Jurnal Ilmiah Psikologi. 12(2). http://dx.doi.org/10.30872/psikoborneo.v12i2
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