مقایسه اثربخشی طرحواره درمانی با درمان پذیرش وتعهد(ACT) بر آشفتگی روان شناختی زنان با پراشتهایی عصبی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانش آموخته دکترای روانشناسی، گروه روانشناسی، دانشگاه آزاد بجنورد، بجنورد، ایران.

2 استادیارگروه روانشناسی، دانشگاه پیام نور تهران، تهران، ایران.

3 دانشیارگروه روانشناسی، دانشگاه آزاد قوچان، قوچان، ایران.

10.22067/tpccp.2024.84361.1560

چکیده

هدف: هدف این پژوهش تعیین اثربخشی آموزش طرحواره درمانی در مقایسه با آموزش رویکرد پذیرش وتعهد(ACT) با آشفتگی روانشناختی زنان با پر اشتهایی روانی صورت گرفت.

روش: پژوهش حاضر یک مطالعه نیمه تجربی با طرح پیش آزمون- پس آزمون و گروه گواه با پی گیری دو ماهه بود. جامعه آماری همه زنان دارای اختلال پر اشتهای روانی شهر مشهد در نیمه اول سال 1402بود که به درمانگاههای پزشکی، مراجعه کرده بودند که تعداد 45 نفر به صورت در دسترس انتخاب و به صورت تصادفی درسه گروه طرحواره درمانی ( 15نفر)، درمان پذیرش وتعهد ( 15نفر) و گروه گواه ( 15نفر) تقسیم شدند. گروه آزمایش طرحواره درمانی تحت مداخله بسته آموزشی یانگ و همکاران (2003) و گروه آزمایش پذیرش وتعهد تحت مداخله درمانی هیزوهمکاران(2012) به مدت ده جلسه یک ساعتی قرار گرفتند. داده ها با استفاده از تحلیل واریانس اندازه های مکررتجزیه و تحلیل شد

یافته ها: نتایج نشان داد مداخله طرحواره درمانی و پذیرش وتعهد بر آشفتگی روانشناختی (P=0/001)،( 83/49 F=) مؤثر است و این تأثیر در مرحله پی گیری پایدار است. نتایج آزمون تعقیبی شفه نشان داد بین دو گروه پذیرش وتعهد و طرحواره درمانی تفاوت معناداری در اثربخشی کاهش آشفتگی روانی وجود دارد(P=0/05)؛ بنابراین پذیرش وتعهد تأثیر بیشتری بر کاهش آشفتگی روانی زنان داشته است.

نتیجه گیری: تاثیر بیشتر درمان پذیرش وتعهد از طریق تکنیک هــای گسلش شناختی می باشدکه به زنان کمــک می کند بین افکار برخاستــه از الگوهای ناسازگارانه و هیجانات منفی فاصله ایجاد کند. آموزش رویکردهای درمانی روان شناختی مانند طرحواره و پذیرش وتعهد به زنان می توان در کاهش وزن و پیشگیری از پرخوری عصبی آنان کمک کرد. همچنین با کنترل پرخوری عصبی میتوان آنان را از عوارض جانبی آسیب های جسمانی، روانی و اجتماعی پرخوری عصبی حفظ کرد و بدین ترتیب مادران سالم تر و جامعه سالم تری داشت.

کلیدواژه‌ها

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