پژوهش های روان شناسی بالینی و مشاوره

پژوهش های روان شناسی بالینی و مشاوره

اثر بخشی مداخله شناخت درمانی مبتنی بر ذهن آگاهی بر عدم تحمل تردید، احساس مسئولیت افراطی و درهم آمیختگی فکر، در زنان دارای وسواس فکری و عملی شهر اراک

نوع مقاله : مقاله پژوهشی

نویسندگان
1 دانش آموخته کارشناسی ارشد روانشناسی بالینی ، دانشگاه آزاد اسلامی واحد نایین ، نایین ، ایران.
2 استادیار گروه روانشناسی ، دانشگاه آزاد اسلامی واحد نایین ، نایین ، ایران.
چکیده
هدف: هدف پژوهش بررسی اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر عدم تحمل تردید، احساس مسئولیت افراطی و درهم آمیختگی فکر و عمل در زنان مبتلا به اختلال وسواس شهر اراک بود.

روش: روش پژوهش نیمه تجربی با طرح پیش آزمون- پس آزمون و گروه آزمایش و کنترل بود. جامعه آماری حاضر عبارت از کلیه زنان مبتلا به اختلال وسواس شهر اراک مراجعه کننده به کلینیک های مشاوره در سال 1400 بود. با استفاده از روش نمونه‌گیری هدفمند 30 نفر از زنان دارای اختلال وسواس فکری عملی از مراکز مشاوره شهر اراک بر اساس پرونده روانپزشکی آنان و انجام مصاحبه بالینی انتخاب شدند و به صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 15 نفر) گمارده شدند. ابزار پژوهش پرسشنامه بازنگری شده وسواسی - اجباری فوآ و همکاران (Foa et al., 2000) ، مقیاس عدم تحمل تردید فریستون و همکاران (Freeston et al., 1994) پرسش نامۀ نگرش مسئولیت پذیری سالکوسکیس و همکاران (Salkovskis et al., 2000) و مقیاس آمیختگی فکر – عمل شفران و همکاران (Shafran et al., 1996) بود که در دو مرحله پیش آزمون و پس آزمون بر روی گروه آزمایش اجرا گردید. درمان شناخت درمانی مبتنی بر ذهن آگاهی سگال و همکاران (Segal et al., 2013) در 8 جلسه 90 دقیقه ای و به‌صورت یک‌بار در هفته برگزار شد. گروه کنترل پس از اجرای پیش‌آزمون در انتظار درمان بعد از پایان دوره مداخله قرار گرفتند داده ها با استفاده از نرم‌افزار SPSS و روش آماری
کلیدواژه‌ها
موضوعات

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American Psychiatric Association, D., & Association, A. P. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5). American psychiatric association Washington, DC.
Amir, N., Freshman, M., Ramsey, B., Neary, E., & Brigidi, B. (2001). Thought–action fusion in individuals with OCD symptoms. Behaviour research and therapy, 39(7), 765-776.
Arntz, A., Voncken, M., & Goosen, A. C. (2017). Responsibility and obsessive–compulsive disorder: An experimental test. Behaviour research and therapy, 45(3), 425-435.
Asadi, S., Abedini, M., Poursharifi, H., & Nikokar, M. (2012). The Relationship between Intolerance of Uncertainty and Rumination with Worry on Student Population. Journal of Clinical Psychology, 4(4), 83-92. https://doi.org/10.22075/jcp.2017.2110 (In Persian)
Asli Azad, M., Aanshaee, G. R., & Ghamarani, A. (2020). Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation and Intolerance of uncertainty of The Students with Obsessive-Compulsive Disorder. Psychology of Exceptional Individuals, 9(36), 33-53. https://doi.org/10.22054/jpe.2019.44480.2027 (In Persian)
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45.
Barghi Irani, Z., & Dehghan Saber, L. (2021). The Comparison of the Effectiveness of Mindfulness Based Therapy and Spiritual Therapy on Irrational Beliefs and Anxiety in the Older Women. Aging Psychology, 6(4), 339-321. https://doi.org/10.22126/jap.2021.5945.1492 (In Persian)
Bassak Nejad, S., Zargar, Y., & Hatami Sarbarzeh, M. (2013). The effectiveness of cognitive behavior group therapy on thought- action fusion, thought suppression and guilty feeling of university students. Research in Cognitive and Behavioral Sciences, 3(1), 23-32.https://cbs.ui.ac.ir/article_17302_5141962934d3038b14eaebf0bc2dcb58.pdf (In Persian)
Buhr, K., & Dugas, M. J. (2004). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour research and therapy, 40(8), 931-945.
Cheie, L., & Miu, A. C. (2016). Functional and dysfunctional beliefs in relation to adolescent health-related quality of life. Personality and Individual Differences, 97, 173-177.
Cohen, J. (1988). Statistical power analysis Jbr the behavioral. Sciences. Hillsdale (NJ): Lawrence Erlbaum Associates, 18-74.
Conley, S. L., & Wu, K. D. (2017). Experimental modification of dysfunctional interpretations in individuals with contamination concerns. Journal of behavior therapy and experimental psychiatry, 59, 56-64.
Counsell, A., Furtado, M., Iorio, C., Anand, L., Canzonieri, A., Fine, A., Fotinos, K., Epstein, I., & Katzman, M. A. (2017). Intolerance of uncertainty, social anxiety, and generalized anxiety: Differences by diagnosis and symptoms. Psychiatry research, 252, 63-69.
Eslami, A., Barimani, P., & Doost-Mohammad, S. (2017). Determining the effectiveness of mindfulness-based cognitive therapy on anxiety and lack of tolerance of uncertainty in patients with hypertension. Journal of Fundamentals of Mental Health, 19(special issue), 314-319. https://doi.org/10.22038/jfmh.2017.10085 (In Persian)
Faleer, H. E., Fergus, T. A., Bailey, B. E., & Wu, K. D. (2017). Examination of an experimental manipulation of intolerance of uncertainty on obsessive-compulsive outcomes. Journal of Obsessive-Compulsive and Related Disorders, 15, 64-73.
Farhadi, T., Asli Azad, M., & Shokrkhodaei, N. S. (2018). Effectiveness of mindfulness therapy on executive functions and cognitive fusion of adolescents with Obsessive-Compulsive Disorder. Empowering Exceptional Children, 9(4), 81-92. https://doi.org/10.22034/ceciranj.2018.91194 (In Persian)
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2000). The Obsessive-Compulsive Inventory: development and validation of a short version. Psychological assessment, 14(4), 485.
Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17(6), 791-802.
Gillett, C. B., Bilek, E. L., Hanna, G. L., & Fitzgerald, K. D. (2018). Intolerance of uncertainty in youth with obsessive-compulsive disorder and generalized anxiety disorder: A transdiagnostic construct with implications for phenomenology and treatment. Clinical psychology review, 60, 100-108.
Hansmeier, J., Exner, C., Rief, W., & Glombiewski, J. (2016). A test of the metacognitive model of obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 10, 42-48.
Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatric clinics, 40(4), 739-749.
Kim, S.-K., McKay, D., Taylor, S., Tolin, D., Olatunji, B., Timpano, K., & Abramowitz, J. (2016). The structure of obsessive compulsive symptoms and beliefs: A correspondence and biplot analysis. Journal of anxiety disorders, 38, 79-87.
Kobori, O., & Salkovskis, P. M. (2013). Patterns of reassurance seeking and reassurance-related behaviours in OCD and anxiety disorders. Behavioural and Cognitive Psychotherapy, 41(1), 1-23.
Lam, D. C., Salkovskis, P. M., & Warwick, H. M. (2005). An experimental investigation of the impact of biological versus psychological explanations of the cause of “mental illness”. Journal of Mental Health, 14(5), 453-464.
Linehan, M. (2014). DBT? Skills training manual. Guilford Publications
Luppino, O. I., Tenore, K., Mancini, F., & Basile, B. (2018). A theoretical integration of schema therapy and cognitive therapy in OCD treatment: goals and beliefs of the obsessive mind (part I). Psychology, 9(09), 2261.
Mancini, F., D'Olimpio, F., & D'Ercole, S. (2001). Responsibility attitude, obsession and compulsion: further support in a non‐clinical sample. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 8(4), 274-281.
Mantz, S. C., & Abbott, M. J. (2017). The relationship between responsibility beliefs and symptoms and processes in obsessive compulsive disorder: A systematic review. Journal of Obsessive-Compulsive and Related Disorders, 14, 13-26.
Mohammadi, A., Zamani, R., & Fati, L. (2008). Validation of the Persian version of the obsessive-compulsory revised questionnaire in the student population. Psychological Research, 11(2), 66-78. (In Persian)
Nayebaghayee, A., Aleyasin, S. A., Heidari, H., & Davoodi, H. (2019). Exposure and Response Prevention therapy on Inflated Sense of Responsibility, and Intolerance of Uncertainty, in Patients with Obsessive Compulsive Disorder [Original Research Article]. Middle Eastern Journal of Disability Studies, 9(0), 1-1. http://jdisabilstud.org/article-1-1396-fa.html (In Persian)
Nyklíček, I., van Son, J., Pop, V. J., Denollet, J., & Pouwer, F. (2016). Does Mindfulness-Based Cognitive Therapy benefit all people with diabetes and comorbid emotional complaints equally? Moderators in the DiaMind trial. Journal of Psychosomatic Research, 91, 40-47.
Pourfaraj Omran, M., Hashemi, T., & Khanjani, Z. (2013). A Comparison Between the Sense of Responsibility and Thought-Action Fusion in Obsessive Compulsiveand Generalized Anxiety Disorders [Research]. Advances in Cognitive Sciences, 14(4), 49-56. http://icssjournal.ir/article-1-513-fa.html (In Persian)
Pugh, K., Luzon, O., & Ellett, L. (2018). Responsibility beliefs and persecutory delusions. Psychiatry research, 259, 340-344.
Rachman, S. (1997). A cognitive theory of obsessions: Elaborations. Behaviour research and therapy, 36(4), 385-401.
Rachman, S., & Shafran, R. (1999). Cognitive distortions: Thought–action fusion. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 6(2), 80-85.
Rahmani Fard, T., Kalantarkousheh, M., & Faramarzi, M. (2018). Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility. Middle East Fertility Society Journal, 23(4), 476-481. (In Persian)
Rajabi, F., Hasani, F., Keshavarzi Arshadi, F., & Emamipour, S. (2019). Effectiveness of Acceptance and Commitment Therapy on Symptoms of Obsessive-Compulsive Disorder and Guilt Feeling in Patients with Obsessive-Compulsive Disorder [Research]. Iranian Journal of Rehabilitation Research in Nursing, 6(2), 140-147. http://ijrn.ir/article-1-521-fa.html (In Persian)
Rhéaume, J., Freeston, M. H., Dugas, M. J., Letarte, H., & Ladouceur, R. (2020). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour research and therapy, 33(7), 785-794.
Salehpour, P., Ahghar, G., & Navabi Nejad, S. (2019). The Effectiveness of Mindfulness-Based Cognitive Therapy on Reducing Irrational Beliefs and Emotional Divorce in Married Women Referred to Tehran Counseling Centers. medical journal of mashhad university of medical sciences, 62(December), 169-178. https://doi.org/10.22038/mjms.2020.14314 (In Persian)
Salkovskis, P. M., Shafran, R., Rachman, S., & Freeston, M. H. (2017). Multiple pathways to inflated responsibility beliefs in obsessional problems: Possible origins and implications for therapy and research. Behaviour research and therapy, 37(11), 1055-1072.
Salkovskis, P. M., Wroe, A., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M., & Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour research and therapy, 38(4), 347-372.
Samuels, J., Bienvenu, O. J., Krasnow, J., Wang, Y., Grados, M. A., Cullen, B., ... & Nestadt, G. (2017). An investigation of doubt in obsessive–compulsive disorder. Comprehensive psychiatry, 75, 117-124.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. The Guildford Press.
Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of anxiety disorders, 10(5), 379-391.
Taimory, S., Ramezani, F., & Mahjob, N. (2015). The Effectiveness of Mindfulness-Based Group Cognitive Therapy in Reducing Depression and Obsessive Rumination among Women under Methadone Treatment [Research]. Research on Addiction, 9(34), 145-159. http://etiadpajohi.ir/article-1-313-fa.html (In Persian)
Trombka, M., Demarzo, M., Campos, D., Antonio, S. B., Cicuto, K., Walcher, A. L., García-Campayo, J., Schuman-Olivier, Z., & Rocha, N. S. (2021). Mindfulness training improves quality of life and reduces depression and anxiety symptoms among police officers: results From the POLICE study—a multicenter randomized controlled trial. Frontiers in Psychiatry, 112.
Van Son, J., Nyklíček, I., Pop, V. J., Blonk, M. C., Erdtsieck, R. J., Spooren, P. F., Toorians, A. W., & Pouwer, F. (2019). The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA1c in outpatients with diabetes (DiaMind) a randomized controlled trial. Diabetes care, 36(4), 823-830.
Wolters, L., Prins, P. J., Garst, G., Hogendoorn, S. M., Boer, F., Vervoort, L., & de Haan, E. (2018). Mediating mechanisms in cognitive behavioral therapy for childhood OCD: The role of dysfunctional beliefs. Child Psychiatry & Human Development, 50(2), 173-185.
Yorulmaz, O., Yılmaz, A. E., & Gençöz, T. (2004). Psychometric properties of the Thought–Action Fusion Scale in a Turkish sample. Behaviour research and therapy, 42(10), 1203-1214.
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