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مقایسه اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان فعال‌سازی رفتاری بر اجتناب شناختی و تنظیم هیجان در افراد مبتلا به اختلال اضطراب فراگیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی عمومی، گروه روان‌شناسی، واحد بجنورد، دانشگاه آزاد اسلامی، خراسان شمالی، ایران

2 استادیار گروه روان‌شناسی، علوم انسانی، واحد بجنورد، دانشگاه آزاد اسلامی، خراسان شمالی، ایران

3 استادیار گروه مشاوره، واحد قوچان، دانشگاه آزاد اسلامی، خراسان رضوی، ایران

چکیده

زمینه و هدف: هدف از پژوهش حاضر، مقایسه اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان فعال‌سازی رفتاری بر اجتناب شناختی و تنظیم هیجان در افراد مبتلا به اختلال اضطراب فراگیر بود.
مواد و روش­ها: پژوهش از نوع کاربردی، با روش نیمه‌آزمایشی با طرح پیش­آزمون- پس­آزمون بود با گروه کنترل بود. جامعه آماری شامل کلیه افراد مبتلا به اختلال اضطراب فراگیر شهر مشهد در سال 1399بود که از بین آنها 45 نفر نمونه به شیوه در دسترس از کلینیک روان‌درمانی نبض زندگی انتخاب و در 3 گروه 15 نفره (2 گروه آزمایش و 1 گروه کنترل) به‌صورت تصادفی جایگزین می‌شود و در سه مرحله پیش‌آزمون و پس‌آزمون و پیگیری به مقیاس اختلال اضطراب فراگیر اسپیتزر و همکاران (2006)، اجتناب شناختی سکستون و داگاس (2008) و دشواری تنظیم هیجانی گرتز و رومز (2004) پاسخ دادند. گروه اول 8 جلسه شناخت‌درمانی مبتنی بر ذهن‌آگاهی کابات زین و همکاران (1992) و گروه دوم 8 جلسه درمان فعال‌سازی رفتاری دیمیجیان و همکاران (2008) را دریافت کردند و گروه کنترل هیچ درمانی دریافت نکرد. داده‌ها با استفاده از نرم‌افزار آماری Spss تجزیه‌وتحلیل شد.
یافته ­ها: نتایج تحلیل واریانس با اندازه‌گیری مکرر نشان داد هر دو درمان بر اجتناب شناختی و تنظیم هیجان افراد نمونه اثربخش بودند . p<0/05
اما در میزان تأثیر دو روش، اختلاف معناداری وجود ندارد .p<0/227
نتیجه‌گیری: می‌توان از هر دو درمان در کاهش مشکلات روان‌شناختی افراد مبتلا به اختلال اضطراب فراگیر استفاده کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and Behavioral Activation Therapy on Cognitive Avoidance and Emotion Regulation in People with Generalized Anxiety Disorder

نویسندگان [English]

  • Jafar Asvadi Ghoshe gonbadi 1
  • Abolfazl Bakhshipour 2
  • Hossein akbari amarghan 3

1 Phd student of general psychology, Department of Psychology, Bojnord branch, Islamic Azad University, North Khorasan, Iran

2 Assistant Professor, Department of Psychology, Humanities, Bojnord Branch, Islamic Azad University, North Khorasan, Iran

3 Assistant Professor of Counseling Department, Qouchan Branch, Islamic Azad University, Razavi Khorasan, Iran

چکیده [English]

Background: The purpose of this study was to compare the effectiveness of cognitive therapy based on mindfulness and behavioral activation therapy on cognitive avoidance and emotion regulation in people with generalized anxiety disorder.
Materials and Methods: The research was of an applied type, with a semi-experimental method with a pre-test-post-test design with a control group. The statistical population included all the people suffering from generalized anxiety disorder in Mashhad in 2019, out of which 45 samples were selected from the Pulse of Life Psychotherapy Clinic and divided into 3 groups of 15 people (2 experimental groups and 1 control group). Randomly replaced and in three stages of pre-test, post-test and follow-up, they responded to the general anxiety disorder scale of Spitzer et al. (2006), cognitive avoidance by Sexton and Dagas (2008) and emotional regulation difficulty by Gertz and Romes (2004). The first group received 8 sessions of mindfulness-based cognitive therapy by Kabat-Zinn et al. (1992) and the second group received 8 sessions of behavioral activation therapy by Dimigian et al. (2008) and the control group did not receive any treatment. The data was analyzed using Spss statistical software.
Results: The results of analysis of variance with repeated measurement showed that both treatments were effective on cognitive avoidance and emotion regulation of the sample (p<0.05), but there is no significant difference in the effect of the two methods (p<0.227).
Conclusion: Both treatments can be used to reduce the psychological problems of people with generalized anxiety disorder

کلیدواژه‌ها [English]

  • Mindfulness-Based Cognitive Therapy
  • Behavioral Activation
  • Cognitive Avoidance
  • Emotion Regulation
  • Generalized Anxiety Disorder
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مجله دانشگاه علوم پزشکی سبزوار
دوره 30، شماره 4
مهر و آبان 1402
صفحه 428-441
فایل ها
سابقه مقاله
  • تاریخ دریافت: 21 خرداد 1401
  • تاریخ بازنگری: 13 دی 1401
  • تاریخ پذیرش: 17 خرداد 1402
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