مجله دانشگاه علوم پزشکی سبزوار

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بررسی مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد به شیوه اینترنتی و درمان فعال‌سازی رفتاری بر کمال‌گرایی در بیماران وسواس

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 استادیار، گروه روانشناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران

3 استادیار، گروه روانشناسی، دانشگاه پیام نور تهران، ایران

چکیده

زمینه و هدف: : هدف از پژوهش حاضر، بررسی مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد به شیوه اینترنتی و درمان فعال‌سازی رفتاری بر کمالگرایی در بیماران وسواس بود.
مواد و روش­ها: پژوهش­ کاربردی از نوع نیمه‌آزمایشی به‌صورت پیش‌آزمون و پس‌آزمون با 2 گروه آزمایش و یک گروه کنترل و مرحله پیگیری بود. جامعه آماری، کلیه افراد مبتلا به وسواس بود که در سال 1399 به کلینیک‌های روان‌درمانی سطح شهر مشهد مراجعه کرده‌اند. طبق فرمول کوهن 45 نفر بر اساس معیارهای ورد و خروج، انتخاب و در 3 گروه 15 نفری (2 گروه آزمایش و یک گروه کنترل) به‌صورت تصادفی قرار گرفتند و در سه مرحله پیش‌آزمون و پس‌آزمون و پیگیری به پرسش‌نامه کمالگرایی هیل (2004) پاسخ دادند. گروه آزمایش اول تحت 8 جلسه درمان پذیرش و تعهد هیز (2006) به‌صورت اینترنتی و گروه دوم آزمایش تحت 8 جلسه درمان فعال­سازی رفتاری گروهی BA گالن، اتلیس و مارلواوکانر (2003) قرار گرفت و گروه کنترل هیچ درمانی دریافت نکرد. نتایج به‌وسیله نرم‌افزارSPSS  تجزیه‌وتحلیل شد.
یافته­ها: تحلیل واریانس با اندازه‌های مکرر نشان داد که مداخله اکت به‌صورت اینترنتی بر بهبود کمال‌گرایی به‌طور معنی‌داری مؤثرتر از درمان فعال‌سازی رفتاری بوده است. این نتیجه در مرحله پیگیری نیز دوام داشت (0/05>p).
نتیجه‌گیری: می‌توان از درمان اکت به‌صورت اینترنتی به‌عنوان روشی در زمینه کاهش کمالگرایی در افراد وسواسی به‌صورت گسترده‌تر استفاده کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Effectiveness of Online Acceptance and Commitment Therapy and Behavioral Activation Therapy on Perfectionism in Obsessive-Compulsive Patients

نویسندگان [English]

  • Azadeh Mojaradi 1
  • mohammad yamini 2
  • abdollah mafakheri 3

1 PhD Student, Department of General Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran

2 Assistant Professor, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran and Assistant Professor of Kheradgarayan Motahar Institute of Higher Education

3 Assistant Professor of Psychology, Payame Noor University of Tehran, Iran

چکیده [English]

Introduction: The purpose of this study was to compare the effectiveness of Internet-based acceptance and commitment therapy and behavioral activation therapy on perfectionism in obsessive-compulsive patients.
Materials and Methods: It was a semi-experimental applied research in the form of pre-test and post-test with 2 experimental groups and a control group and a follow-up phase. The statistical population was all people suffering from obsessions who visited the psychotherapy clinics in Mashhad in 2019. According to Cohen's formula, 45 people were randomly selected based on the entry and exit criteria and placed in 3 groups of 15 people (2 experimental groups and one control group) and in three stages of pre-test and post-test and follow-up with Hill's Perfectionism Questionnaire (2004).) replied. The first experimental group underwent 8 sessions of acceptance and commitment therapy by Hayes (2006) on the Internet, and the second experimental group underwent 8 sessions of group behavioral activation therapy by BA Gallen, Etlis and Marlevauconer (2003), and the control group did not receive any treatment. Results It was analyzed by SPSS software.
Results: Analysis of variance with repeated measures showed that online ACT intervention was significantly more effective than behavioral activation therapy on improving perfectionism. This result was sustained in the follow-up phase as well (p<0.05).
Conclusion: Internet Act therapy can be used as a method to reduce perfectionism in obsessive people more widely.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy؛ Internet
  • Effectiveness of behavioral activation therapy؛Perfectionism؛Practical obsession
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مجله دانشگاه علوم پزشکی سبزوار
دوره 30، شماره 2
خرداد و تیر 1402
صفحه 270-283
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سابقه مقاله
  • تاریخ دریافت: 26 اردیبهشت 1401
  • تاریخ بازنگری: 20 آبان 1401
  • تاریخ پذیرش: 22 آبان 1402
  • تاریخ اولین انتشار: 22 آبان 1402
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