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 ¹ , نرگس رزاقی ² , حکیمه آقایی ^{3 *} , سید موسی طباطبایی ⁴

1 - دانشجوی دکترای تخصصی، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران، [e-mail]
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 [e-mail] Tell: 09125317943
4 - استادیار، گروه علوم روانشناختی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

تاریخ دریافت : 1403/07/03 تاریخ پذیرش : 1403/09/06 تاریخ انتشار : 1404/04/20

کلید واژه: اختلال اضطراب فراگیر, درمان هیجان مدار, شناخت درمانگری مبتنی بر ذهن‏آگاهی, کیفیت خواب,

چکیده مقاله :

چکیده  

مقدمه: اختلال اضطراب فراگیر یکی از اختلالات شایع روانپزشکی می­باشد که وجه مشخصه آن نگرانی مزمن و غیرقابل کنترل است. 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 نیمه­ آزمایشی 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 و پرسشنامه کیفیت خواب پیتزبورگ(PSQI) بویس و همکاران به منظور گردآوری اطلاعات استفاده شد. تحلیل داده‏ها از طریق نرم‏افزار SPSS نسخه 28 با استفاده از تحلیل واریانس با اندازه­گیری مکرر انجام شد.

یافته ها: 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).

نتیجه­ گیری: 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.

چکیده انگلیسی:

© 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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