نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی بالینی/ واحد بیرجند، دانشگاه آزاد اسلامی. بیرجند، ایران.

2 دانشیار گروه روانشناسی/ واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران.

3 دانشیار روانپزشکی،گروه روانشناسی/ واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران. دانشگاه علوم پزشکی مشهد، مرکز تحقیقات روانپزشکی

4 استاد روانشناسی بالینی، گروه روانشناسی/ واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران

چکیده

هدف: افسردگی در بین نوجوانان در حال افزایش است و می‌تواند به صورت چشمگیری عملکردها را مختل کند؛ لذا، هدف از این پژوهش بررسی اثر بخشی درمان شناختی رفتاری مبتنی بر اندیشناکی در مقابل درمان شناختی مبتنی بر ذهن آگاهی بر علائم خلقی/ اضطرابی و اندیشناکی نوجوانان افسرده اقدام کننده به خودکشی است.
روش: سی نوجوان دختر نوجوان افسرده که با مشکل اقدام به خودکشی به واحد اورژانس از اول آبان تا 15 اسفند 1398 مراجعه کرده بودند به روش هدفمند و پس از داشتن ملاک‌های شمول وارد پژوهش شدند و پرسشنامه‌ها تکمیل شدند. شرکت‌کنندگان پس از انتخاب به صورت تصادفی در دو گروه آزمایش و گروه کنترل (10 نفری) تقسیم شدند. یک گروه درمان شناختی رفتاری مبتنی بر اندیشناکی و گروه دیگر درمان شناختی مبتنی بر ذهن آگاهی در ده جلسه انفرادی دریافت کردند. ابزارهای پژوهش مقیاس افسردگی بک-2، مقیاس پاسخ نشخواری، مقیاس تشخیصی علائم خلقی و اضطرابی  و پرسشنامه اضطراب بک  بودند. جهت تحلیل داده‌ها از تحلیل واریانس تک و چند متغیره با اندازه‌گیری مکرر و نسخه 25 نرم افزار SPSS استفاده شد.
یافته‌ها: هر دو مداخله اثر معنی دار ی بر کاهش نشانه های خلقی/ اضطراب و اندیشناکی داشته است و در طول دوره پیگیری دو ماهه نیز پایدار بوده است.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Rumination-Focused Cognitive Behavioral Therapy and Mindfulness-Based Cognitive Therapy on Mood and Anxiety Symptoms and Rumination of Depressed Adolescent Girls Attempting Suicide

نویسندگان [English]

  • Hadi Izanloo 1
  • fatemeh shahabizadeh 2
  • Seyed Kaveh Hojjat 3
  • Seyed Abdolmajid Bahrainian 4

1 Department of Psychology, Birjand Branch, Islamic Azad university, Birjand, Iran

2 Associate Professor Department of Psychology, Birjand branch, Islamioc Azad University, Birjand. Iran.

3 Associate Prof., Birjand Branch, Islamic Azad university, Birjand, Iran. Psychiatry, Behavioral Sciences Research Center, Sleep Medicine Division, Mashhad University of Medical Sciences, Mashhad, Iran

4 ProfessorDepartment of Psychology, Birjand branch, Islamioc Azad University, Birjand. Iran

چکیده [English]

Purpose: The aim of this study was to investigate and compare the effectiveness of Rumination_Focused Cognitive Behavioral Therapy and Mindfulness_Based Cognitive Therapy on mood and anxiety symptoms and rumination of adolescent girls attempting suicide.
Methods: The study was a quasi-experimental project with pre-test, post-test, and follow-up assessments. Thirty depressed adolescent girls who had referred to the emergency department with suicide attempting from October 23, 2019, to March 5, 2020, after having the inclusion criteria, were purposefully selected and randomly assigned in three groups including two intervention groups and a control group (each group with 10 people). One group received Rumination_focused Cognitive Behavioral Therapy and the other group received Mindfulness_Based Cognitive Therapy in ten individual sessions. All subjects completed the questionnaires including Beck Depression Inventory, Rumination Response Scale, Mood and Anxiety Symptoms Questionnaire and Beck Anxiety Inventory in three phases: pre-test, post-test, and follow-up. Data were analyzed by the univariate and multivariate analysis of variance with repeated measures.
Findings: The results showed that both interventions had a significant effect on reducing mood and anxiety symptoms and rumination. These results remained unchanged in the follow-up phase.

کلیدواژه‌ها [English]

  • Rumination-Focused Cognitive Behavioral Therapy
  • Mindfulness-based cognitive therapy
  • depression
  • Mood and Anxiety Symptoms
  • rumination
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