نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکترای روانشناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران.
2 دانشیار گروه روانشناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران.
3 استادیار گروه روانشناسی، دانشگاه سمنان، سمنان، ایران.
4 مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، گروه اپیدمیولوژی و آمار زیستی، دانشگاه علم پزشکی سمنان، سمنان، ایران
چکیده
زمینه و هدف: میزان رضایت از زندگی در افراد دارای وسواس فکری- عملی نسبت به افراد عادی جامعه پایین‌تر است بنابراین با درمان این اختلال می‌توان کیفیت زندگی و میزان رضایت زندگی در این افراد را افزایش داد. هدف از پژوهش حاضر، مقایسه اثربخشی درمان فعال‌سازی رفتاری و درمان شناختی- رفتاری مبتنی بر ذهن‌آگاهی بر تنظیم شناختی هیجان و اجتناب شناختی- رفتاری در افراد مبتلا به وسواس فکری- عملی بود.
مواد و روش‌ها: پژوهش حاضر از نوع تحقیقات کاربردی و روش نیمه‌آزمایشی از نوع پیش‌آزمون- پس‌آزمون با گروه کنترل می‌باشد. جامعه آماری شامل بیماران مبتلا به اختلال وسواس فکری- عملی شهرستان کرج در سال 1398بود. تعداد 45 نفر انتخاب و به‌صورت تصادفی در سه گروه درمان فعال‌سازی رفتاری، درمان شناختی- رفتاری مبتنی بر ذهن‌آگاهی و گروه کنترل جایگزین شدند. از پرسش‌نامه‌های تنظیم شناختی هیجان و اجتناب شناختی رفتاری برای اندازه‌گیری اثربخشی درمان‌ها استفاده شد. برای تجزیه‌وتحلیل داده‌ها، از روش‌های آمار توصیفی و تحلیل کوواریانس چندمتغیره و آزمون تعقیبی از نرم‌افزار SPSS-18 استفاده شده است.
یافته‌ها: نتایج تحلیل کوواریانس نشان داد که بین اثربخشی درمان فعال‌سازی رفتاری و درمان شناختی- رفتاری مبتنی بر ذهن‌آگاهی بر راهبردهای تنظیم شناختی سازش‌یافته هیجان تفاوت آماری معناداری وجود دارد (0/0001=p و 57/71=F) اما در میزان اثربخشی این دو روش درمانی در اجتناب شناختی- رفتاری تفاوت معنی‌داری مشاهده نشده است.
نتیجه‌گیری: درمان مبتنی بر فعال‌سازی رفتاری و درمان شناختی- رفتاری مبتنی بر ذهن‌آگاهی بر بهبود راهبردهای تنظیم شناختی هیجان و کاهش اجتناب شناختی- رفتاری در بیماران با اختلال وسواس فکری- عملی تأثیر دارد. بنابراین از این دو درمان می‌توان تنظیم هیجانات و انواع اجتناب‌ها در بیماران دارای وسواس- فکری عمل استفاده کرد.
کلیدواژه‌ها
- درمان فعال سازی رفتاری
- درمان شناختی- رفتاری مبتنی بر ذهن آگاهی
- تنظیم شناختی هیجان
- اجتناب شناختی- رفتاری
- وسواس فکری- عملی
موضوعات
عنوان مقاله [English]
Comparison of the Effectiveness of Behavioral Activation Therapy and Mindfulness-Based Cognitive-Behavioral Therapy on Cognitive Emotion Regulation and Cognitive-Behavioral Avoidance in People with Obsessive-Compulsive Disorder
نویسندگان [English]
- sima askari 1
- nemat sotoudeh asl 2
- parviz sabahi 3
- raheb ghorbani 4
1 Phd Student In Psychology, Department Of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran.
2 Associate Professor, Department Of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran.
3 Assistant Professor, Department Of Psychology, Semnan University, Semnan, Iran.
4 Social Determinants of Health Research Center, Epidemiology and Biostatistics Department, Semnan University Of Medical Sciences, Semnan, IranSemnan, Iran
چکیده [English]
Introduction: Life satisfaction in people with obsessive-compulsive disorder is lower than normal people in society, so by treating this disorder, the quality of life and life satisfaction in these people can be increased. The aim of this study was to compare the effectiveness of behavioral activation therapy and mindfulness-based cognitive-behavioral therapy on cognitive emotion regulation and cognitive-behavioral avoidance in people with obsessive-compulsive disorder.
Materials and Methods: The present study is an applied research and quasi-experimental method is a pre-test-post-test with a control group. The statistical population included patients with obsessive-compulsive disorder in Karaj in 1398. A total of 45 people were selected and randomly assigned to three groups of behavioral activation therapy, mindfulness-based cognitive-behavioral therapy and control group. Cognitive emotion regulation and cognitive-behavioral avoidance questionnaires were used to measure the effectiveness of treatments. For data analysis, descriptive statistics, multivariate analysis of covariance and post hoc test using SPSS-18 software were used.
Results: The results of analysis of covariance showed that there is a statistically significant difference between the effectiveness of behavioral activation therapy and mindfulness-based cognitive-behavioral therapy in adaptive cognitive emotion regulation strategies (P=0.0001, F=57.71). But there was no statistical difference in the effectiveness of these two treatments in cognitive-behavioral avoidance. Both treatments have been equally effective in cognitive-behavioral avoidance.
Conclusion: Behavioral activation-based therapy and mindfulness-based cognitive-behavioral therapy have an effect on improving cognitive emotion regulation strategies and reducing cognitive-behavioral avoidance in patients with obsessive-compulsive disorder. Therefore, these two therapies can be used to regulate emotions and avoidance in obsessive-compulsive patients.
کلیدواژه‌ها [English]
- Effectiveness of behavioral activation therapy
- Cognitive emotion regulation
- Mindfulness
- Practical obsession
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