مقایسه اثربخشی درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهن آگاهی بر کیفیت خواب در بیماران مبتلا به اختلال اضطراب فراگیر
محورهای موضوعی : روانشناسی زوجین
مسعود شریف زاده
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نرگس رازقی
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حکیمه آقایی
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سید موسی طباطبایی
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1 - دانشجوی دکترای تخصصی، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران
2 - استادیار گروه روان شناسی، دانشگاه آزاد اسلامی واحد پروفسور حسابی، تفرش، ایران
3 - نویسنده مسئول، استادیار، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران
4 - استادیار دانشگاه سمنان
کلید واژه: اختلال اضطراب فراگیر, کیفیت خواب, درمان هیجان مدار, شناخت درمانگری مبتنی بر ذهن آگاهی. ,
چکیده مقاله :
مقدمه: هدف از پژوهش حاضر مقایسه اثربخشی درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهنآگاهی بر کیفیت خواب در بیماران مبتلا به اختلال اضطراب فراگیر بود.
روش پژوهش: روش پژوهش نیمهآزمایشی با طرح پیشآزمون، پسآزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. جامعه آماری پژوهش حاضر کلیه بیماران مبتلا به اختلال اضطراب فراگیر شهر تهران در سال 1402 بود. در مرحله اول تعداد 45 نفر با نمره 10 و بالاتر در مقیاس اختلال اضطراب فراگیر انتخاب و سپس به شیوه تصادفی ساده در 2 گروه آزمایش (هر گروه 15 نفر) و یک گروه کنترل (15 نفر) جایگزین شدند. سپس بیماران گروه‌های آزمایش تحت درمان هیجانمدار و شناخت درمانگری مبتنی بر ذهنآگاهی قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخلهای دریافت نکرد و در لیست انتظار باقی ماند. از مقیاس اختلال اضطراب فراگیر (GAD-7) اسپیتزر و همکاران (2006) و پرسشنامه کیفیت خواب پیتزبورگ(PSQI) بویس و همکاران1989 به منظور گردآوری اطلاعات استفاده شد. تحلیل دادهها از طریق نرمافزار SPSS نسخه 28 با استفاده از تحلیل واریانس با اندازهگیری مکرر انجام شد.
نتایج: نتایج نشان داد هر دو مداخله مذکور تاثیر معناداری بر بهبود کیفیت خواب داشتهاند (05/0>P). نتایج آزمون تعقیبی بنفرونی نشان داد که درمان هیجان مدار تاثیر بیشتری دارد (05/0>P).
نتیجهگیری: میتوان نتیجهگیری کرد که علاوه بر اثربخش بودن هر دو درمان، تقدم استفاده در درمان مشکلات خواب بیماران مبتلا به اختلال اضطراب فراگیر با درمان هیجانمدار است.
© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
Introduction: The purpose of this study was to comparing effectiveness of emotion-focused therapy and mindfulness-based cognitive therapy on sleep quality in patients with generalized anxiety disorder.
Methods: This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up 2 month. The statistical population of the present study was all patients with generalized anxiety disorder in Tehran in 2023. In the first stage, the number of 45 patients with a score of 10 and above on the generalized anxiety disorder scale was selected and then randomly divided into 2 experimental groups (each group 15 patients) and one control group (15 patients) were replaced and experimental groups underwent emotion-focused therapy and mindfulness-based cognitive therapy, but the control group received no training and remained in the waiting list. To collect data generalized anxiety disorder scale (GAD-7) of Spitzer and et al (2006) and Pittsburgh sleep quality Index (PSQI) of Buysse and et al 1989. Data analysis was performed using SPSS-28 software with analysis of variance with repeated measures and Bonferroni.
Results: The results of the study showed that of both interventions had a significant effect on sleep quality (P<0.05). In addition, the results of Bonferroni post hoc test showed that emotion-focused therapy is more effective (P<0.05).
Conclusion: It can be concluded that, in addition effectiveness of both treatments, the priority of use in the treatment of sleep problems patients with generalized anxiety disorder is with the emotion-focused therapy.
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