مقایسه اثربخشی درمان هیجان‌مدار و شناخت درمانگری مبتنی بر ذهن ‏آگاهی بر عدم تحمل بلاتکلیفی در بیماران مبتلا به اختلال اضطراب فراگیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشکده علوم انسانی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران

2 گروه روانشناسی، دانشکده علوم انسانی و هنر، واحد پروفسور حسابی، دانشگاه آزاد اسلامی، تفرش، ایران

3 گروه روانشناسی، دانشکده علوم انسانی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران

4 گروه علوم روانشناختی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

10.22034/jmpr.2025.63727.6443

چکیده

هدف از پژوهش حاضر مقایسه اثربخشی درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهن‏‌آگاهی بر عدم تحمل بلاتکلیفی در بیماران مبتلا به اختلال اضطراب فراگیر بود. روش پژوهش نیمه‌­آزمایشی با طرح پیش‌­آزمون، پس­‌آزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. جامعه آماری پژوهش حاضر کلیه بیماران مبتلا به اختلال اضطراب فراگیر مراجعه کننده به مراکز مشاوره و خدمات روانشناختی شمال و شمال غرب شهر تهران در سال 1402 بود. در مرحله اول تعداد 45 نفر با نمره 10 و بالاتر در مقیاس اختلال اضطراب فراگیر انتخاب و سپس به شیوه تصادفی ساده در 2 گروه آزمایش (هر گروه 15 نفر) و یک گروه کنترل (15 نفر) جایگزین شدند. سپس بیماران گروه‌­های آزمایش تحت درمان هیجان­‌مدار و شناخت درمانگری مبتنی بر ذهن‌­آگاهی قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخله‌ای دریافت نکرد و در لیست انتظار باقی ماند. از مقیاس اختلال اضطراب فراگیر (GAD-7) اسپیتزر و همکاران (2006) و مقیاس عدم تحمل بلاتکلیفی (IUS-27) سکستون و داگاس (2009) به منظور گردآوری اطلاعات استفاده شد. تحلیل داده‏‌ها از طریق نرم‏افزار SPSS نسخه 28 با استفاده از تحلیل واریانس با اندازه‌­گیری مکرر انجام شد. نتایج نشان داد هر دو مداخله مذکور تاثیر معناداری بر کاهش عدم تحمل بلاتکلیفی داشته‌­اند (0/05>p). نتایج آزمون تعقیبی بن­فرونی نشان داد که درمان هیجان مدار تاثیر بیشتری دارد (0/05>p). می­‌توان نتیجه‌گیری کرد که علاوه بر اثربخش بودن هر دو درمان، تقدم استفاده در درمان مشکلات بیماران مبتلا به اختلال اضطراب فراگیر با درمان هیجان مدار است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparing The Effectiveness of Emotion-Focused Therapy and Mindfulness-Based Cognitive Therapy on Uncertainty Intolerance in Patients with Generalized Anxiety Disorder

نویسندگان [English]

  • Masoud Sharifzadeh 1
  • Narges Razeghi 2
  • Hakime Aghaei 3
  • Seyed Mosa Tabatabaee 4
1 PhD student, Department of Psychology, Faculty of Humanities, Shahroud Branch, Islamic Azad University, Shahrood, Iran
2 Department of Psychology, Faculty of Humanities and Arts, Professor of Accounting, Islamic Azad University, Tafresh, Iran
3 Department of Psychology, Faculty of Humanities, Shahroud Branch, Islamic Azad University, Shahrood, Iran
4 Department of Cognitive Sciences, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
چکیده [English]

The purpose of this study was to comparing effectiveness of emotion-focused therapy and mindfulness-based cognitive therapy on uncertainty intolerance in patients with generalized anxiety disorder. This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up 2 month. The statistical population of the present study was all patients with generalized anxiety disordereferred to psychological counseling and service centers in the north and northwest of Tehran city in year 2023. In the first stage, the number of 45 patients with a score of 10 and above on the generalized anxiety disorder scale was selected and then randomly divided into 2 experimental groups (each group 15 patients) and one control group (15 patients) were replaced and experimental groups underwent emotion-focused therapy and mindfulness-based cognitive therapy, but the control group received no training and remained in the waiting list. To collect data generalized anxiety disorder scale (GAD-7) of Spitzer and et al (2006) and intolerance of uncertainty scale (IUS-27) of Sexton and Dugas (2009). Data analysis was performed using SPSS-28 software with analysis of variance with repeated measures and Bonferroni. The results of the study showed that of both interventions had a significant effect on uncertainty intolerance (P<0.05). In addition, the results of Bonferroni post hoc test showed that emotion-focused therapy is more effective (P<0.05). It can be concluded that that, in addition effectiveness of both treatments, the priority of use in the treatment of problems patients with generalized anxiety disorder is with the emotion-focused therapy.

کلیدواژه‌ها [English]

  • emotion-focused therapy
  • mindfulness-based cognitive therapy
  • uncertainty intolerance
  • generalized anxiety disorder
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