نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی ، واحد سمنان ،دانشگاه آزاد اسلامی،سمنان، ایران

2 دانشیار، گروه روانشناسی بالینی، واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران

چکیده

هدف: مدل طرحواره‌ درمانی بر نقش طرحواره­های ناسازگار اولیه، راهبردهای تنظیم هیجان و دوز مصرف تأکید زیادی دارد. این مطالعه با هدف بررسی اثربخشی طرحواره درمانی بر طرحواره­های ناسازگار اولیه، تنظیم هیجانی و دوز مصرف در بیماران با درمان نگهدارنده با متادون بود.
روش: طرح پژوهش حاضر از نوع طرح‌های نیمه آزمایشی و با پیش‌آزمون- پس­آزمون بود. جامعه مورد مطالعه شامل 44 نفر از بیماران تحت درمان با متادون که در سال‌های 99-1398 به کلینک­های ترک اعتیاد منطقه 10 تهران مراجعه کرده بودند، شامل می­شود. تعیین نمونه به روش نمونه­گیری در دسترس انجام شد و در نهایت 22 نفر برای گروه آزمایش و 22 نفر برای گروه کنترل گمارش تصادفی شدند. جلسات درمانی شامل 12 جلسه 90 دقیقه‌ای به مدت دو هفته بود. از پرسشنامه‌های مقیاس طرحواره‌های ناسازگار اولیه  و مقیاس دشواری تنظیم هیجان برای جمع­آوری اطلاعات استفاده شد. تحلیل داده­های به‌دست‌آمده با تحلیل کوواریانس چند متغیری مورد تحلیل قرار گرفت.
یافته‌ها: نتایج نشان داد که تفاوت معنی­داری بین سه متغیر طرحواره‌های ناسازگار اولیه، تنظیم هیجانی و دوز مصرف متادون در گروه تحت درمان با پروتکل طرحواره درمانی با گروه کنترل وجود دارد.
نتیجه‌: طرحواره درمانی به دلیل تأکید بر باورها و راهبردهای فرد در ارتباط با هیجان­های شخصی خود می‌تواند به‌عنوان یک  روش مداخله‌ای تأثیرگذار برای طرحواره­های ناسازگار اولیه، تنظیم هیجان و دوز مصرفی متادون مورد استفاده قرار گیرد. پیشنهاد می­گردد که مشاوران و روان‌درمانگران، کارگاه­های طرحواره درمانی که منجر به بهبود مسائل روان‌شناختی مرتبط با آن می­شود، برگزار نمایند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Schema Therapy on Early Maladaptive Schemas, Emotional Regulation and Consumed Methadone Dose in Patients Undergoing Methadone Maintenance Threatment

نویسندگان [English]

  • Bita Salasi 1
  • Behzad Shoghi 2

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

2 Associate Professor, Department of Clinical Psychology, Ashtian Branch, Islamic Azad University, Ashtian, Iran

چکیده [English]

Purpose: The aim of this study was to investigate the effectiveness of Schema Therapy (ST) on the Early Maladaptive Schemas (EMS), Emotional Regulation (ER) and the cosumed methadone dose of patients undergoing the Methadone Maintenance Treatment (MMT).
Method: The research methodology was semi-experimental with a pretest-posttest and control group design. The sample consisted of 44 patients who were under the methadone treatment and visited addiction treatment clinics in District 10 of Tehran city in 2018-2019. Subjects were selected using the convenience sampling method. 22 people were then randomly assigned to the experimental group and 22 people to the control group. The treatment sessions consisted of twelve 90-minute sessions that were implemented during six weeks (two sessions for each week). The Early Maladaptive Schema scale (EMSs) and the Difficulty in Emotional Regulation Scale (DERS) were used to collect data. The data were then analyzed using ANCOVA statistical method.
Findings: The results showed significant differences between the experimental group and control group in the three variables of study indicating that the schema therapy is beneficial for reducing early maladaptive schemas, difficulty in emotional regulation and methadone dose.

کلیدواژه‌ها [English]

  • Early maladaptive schemas
  • emotional regulation
  • schema therapy
  • methadone
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