مقایسه اثر بخشی طرحواره درمانی و درمان مبتنی بر پذیرش و تعهد به شیوه گروهی بر وسوسه و تکانشگری بیماران سوء مصرف‌کننده مواد

نوع مقاله : پژوهشی

نویسندگان

1 دانشجو/دانشگاه آزاد اسلامی تربت جام

2 استادیار گروه روان شناسی دانشگاه آزاد اسلامی تربت جام

3 استادیار/ گروه روانشناسی/ دانشگاه آزاد اسلامی قوچان

چکیده

هدف: هدف از پژوهش حاضر بررسی  و مقایسه اثربخشی دو روش گروهی طرحواره درمانی و درمان مبتنی بر پذیرش و تعهد در درمان وسوسه و تکانشگری بیماران سوء مصرف کننده مواد بود.
روش: این تحقیق یک طرح نیمه آزمایشی با سنجش های پیش ­آزمون پس ­آزمون و پیگیری سه ماهه بود. نمونه پژوهش شامل 60 نفر از مردان سوء مصرف کننده مواد بودند که به صورت هدفمند انتخاب شدند و در سه گروه طرحواره­ درمانی، درمان مبتنی بر پذیرش و تعهد وکنترل  قرار گرفتند. همه آزمودنی ­ها پرسشنامه­  وسوسه انگیز و تکانشگری را در پیش­ آزمون، پس ­آزمون و پیگیری تکمیل کردند.
یافته ها: نتایج نشان داد که هر دو گروه طرحواره­ درمانی و درمان مبتنی بر پذیرش و تعهد در مقایسه با گروه کنترل کاهش معناداری را در وسوسه و تکانشگری نشان دادند. همچنین نتایج نشان داد که در زمینه کاهش وسوسه مصرف مواد، طرحواره­ درمانی مؤثرتر از درمان مبتنی بر پذیرش و تعهد بوده است. هرچند در زمینه تکانشگری، بین دو گروه درمانی تفاوت معناداری مشاهده نشد. این نتایج در مرحله پیگیری بدون تغییر باقی ماند.

تازه های تحقیق

 

 
 
 

کلیدواژه‌ها


 

 
 
 
Amirian, K., Mami, SH., Ahmadi, V., & Mohammad Zade, J. (2018). Comparison of the efficacy of Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT) on Impulsivity in Addicted People. NPWJM, 5 (17), 36-45. (In Persian)
Arjmand GHajoor, K., & Eghbali, A. (2018). A Comparing of two Schema Therapy and Acceptance and Commitment Therapy (ACT) Attitudes Effectiveness on Early Maladaptive Schema in Metamphetamine Addicts. Frooyesh, 7(1), 151-178. (In Persian)
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70(5), 1129-1139.
Barratt, E., Stanford, M. S., Kent, T. A., & Felthous, A. (2004). Neuropsychological and cognitive psycho psychiatry, 41, 1045-1061.
Basharpoor, S., & Abbasi, A. (2014). Relations of distress tolerance, negative and positive urgency with severity of dependence and craving in people with substance dependency. J Res Behave Sci, 12(1):92-102. (In Persian)
Beck, A. T., & Clark, D. A. (1993). An information processingmodel of anxiety: Automatic and strategic processes. Behav Res Ther, 35, 49-58.
Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. J Applied Psychology, 88:1057-1067.
Boothby, C. A., Kim, H. S., Romanow, N. K., Hodgins, D. C., & McGrath, D. S. (2017). Assessing the role of impulsivity in smoking & non-smoking disordered gamblers. Addict Behav, 70 (5), 35-41.
Brummett, B. R . (2007). Attachment style, early maladaptive schemas, coping self efficacy, therapy alliance and their influence on addiction severity in methadone-maintenance treatment. New York: Forham University Press, 68-80.
D’andrea, J. T. (2004). An investigation of the relationship between early maladaptive schemas and psychological adjustment: The moderating effects of spiritual coping styles. Ph.D. Dissertation. New York: New York University, 15-32
Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term Disability Resulting from Stress and Pain Symptoms: A Preliminary Randomized Trial. Behav Ther, 35, 785-801.
Dickhaut, V., & Arntz, A. (2014). Combined group and individual schema therapy for borderline personality disorder: a pilot study. Journal of Behavior Therapy and Experimental psychiatry, 45 (2), 242- 51.
Ekhtiari, H., Safaei, H., Esmaeeli Djavid, G., Atefvahid, M. K., Edalati, H., Mokri, A. (2008). Reliability and Validity of Persian Versions of Eysenck, Barratt, Dickman and Zuckerman Questionnaires in Assessing Risky and Impulsive Behaviors. IJPCP, 14 (3), 326-336. (In Persian)
Farrell, J. M., Shaw, I. A., & Webber M. A. (2009). (A Schemafocused approach group Psychotherapy for Outpatients with Borderline Personality Disorder: A controlled trial). J Behav Psychotherapy and Exper Psychiatry, 40(2), 317- 328.
Fattahi, A., & dehghani, A. (2019). Effectiveness of Schema Therapy in Emotion Regulation, Self-efficacy, and Temptation in Male Members of Narcotics Anonymous (NA) Association. Etiadpajohi, 12(48), 185-202. (In Persian)      
Fossati, A., Di Ceglie, A., Acquarini, E. & Barratt, E.S. (2001). Psychometric properties of an Italian version of the Barratt Impulsiveness Scale-11 (BIS-11) in non-clinical subjects. Journal of Clinical Psychol. 57, 815–828.
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., & Rasmussen-Hall, M. L. (2004). Acceptance-Based Treatment for Smoking Cessation. Behavior Therapy, 35, 689-705.
Harrop, E., & Catalano, R. F. (2016). Evidence-Based Prevention for Adolescent Substance Use. Child Adolesc Psychiatr Clin N Am, 25 (3), 387-410.
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behaviour therapy. Behaviour Therapy, 35, 639–665.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. 3rd ed. New York, NY: Guilford, p. 165-171.
Hayes, S., Luoma, J. B., & Bond, f. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behavior Research and therapy, 44, 1-25.
Izadi, R., & Abedi, M. R. (2013). Alleviation of obsessive symptoms in treatment-resistant obsessive -compulsive disorder using acceptance and commitment-based therapy. J Kashan Univ Med Sci, 17(3), 275-86. (In Persian)
Kaiser, A., Bonsu, J. A., Charnigo, R. J., Milich, R., & Lynam, D. R. (2016). Impulsive Personality and Alcohol Use: Bidirectional Relations Over One Year. JSAD, 77(3), 473-82.
Kanter, J. W., Baruch, D. E., & Gaynor, S. T. (2006). Acceptance and Commitment Therapy and Behavioral Activation for the Treatment of Depression: Description and Comparison. The Behavior Analyst, 29, 161–185.
Kinman, G., & Grant, L. (2010). Exploring steers resilience in trainee social workers: The Role of Emotional and social competencies. Journal of Personality and Psychology, 82, 1007-1022.
Lee, E. B., An, W., Levin, M. E., & Twohig, M. P.(2015). An initial metaanalysis of acceptance and commitment therapy for treating substance use disorders. Drug Alcohol Depend, 155, 1-7.
Miller, W. R., Wilbourne, P. L., & Hettema, J. (2003). What works? A summary of alcohol treatment outcome research. In R. K. Hester,&W. R. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (3rd ed., pp. 13–63). Boston.
Mohamadizadeh, L., Makvandi, B., Pasha, R., BakhtiarPour, S., Hafezi, F. (2018). Comparison of the Efficacy of Dialectical Behavior Therapy (DBT) and Schema Therapy (ST) on Impulsive Behavior in Patients With Borderline Personality Disorder. jour guilan uni med sci, 27 (106), 44-53. (In Persian)
Ouzir, M., & Errami, M. (2016). Etiological theories of addiction: Pharmacol. Biochem. Behav, 148(2), 59-68.
Peiper, N. C., Ridenour, T.A., Hochwalt, B., Coyne-Beasley, T. (2016). Overview on Prevalence and Recent Trends in Adolescent Substance Use and Abuse. Child Adolesc Psychiatr Clin N Am, 25(3), 349-65.
Rahmanian, M., Mirjafari, A., & Hasani, J. (2006). The Relationship between Craving and Attentional Bias in Opioid Dependent, Relapsed and Abstinent Individuals. IJPCP, 12(3), 216-222. (In Persian)
Roditi, D., &  Robinson, M. E. (2011) The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag, 4, 41–49.
Roozbehi, M., Rezaie, A. M., Alipoor-Dolatabad, A. (2017). Comparing the Effectiveness of Group-Based Acceptance and Commitment and Schematic Therapies on Early Maladaptive Schemas in Addicted Patients of Shiraz Hospitals, Iran. J Res Behav Sci, 15(3), 339-46. (In Persian)
Sadock, B. J., & Sadock, V. A. (2007) Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. 10th Edition, Lippincott Williams & Wilkins, Philadelphia.
Sempertegui, G. A., Karreman, A., Arntz, A & Bekker, M. H. J. (2013). Schema therapy for borderline personality disorder: A comprehensive review of its empirical foundations, effectiveness and implementation possibilities. Clinical Psychology Review, 33, 426-447.
Stiles, O. E. (2004). Early maladaptive schemas and intimacy in young adults. Ph.D. Dissertation. San Francisco: Alliant International University, 5-67.
Tajeri, B. (2012). Addiction: Etiology and treatment. First Edition. Tehran: Andishe No Publishing. (In Persian)
Tremain, D., Freund, M., Wye, P., Wolfenden, L., Bowman, J., & Dunlop, A. (2016). Provision of chronic disease preventive care in community substance use services: client and clinician report. JSAT, 68(2), 24-30.
Weinstein, A. & Cox, W. M. (2006). Cognitive processing of drug-related stimuli: The role of memory and attention. Journal of Psychopharmacology, 20(6), 850-859.
Young, J. E. (2003). Schema therapy. New York: Guilford,123-218.
Young, J. E. (2005). Young Schema Questionnaire– Short Form. New York: Schema Therapy Institute.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practioner's Guide. New York, NY: Guilford Press. 17.
 
 
 
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