اثربخشی گروه درمانی فراشناختی ولز بر کیفیت زندگی دانشجویان دختر مبتلا به اختلال اضطراب اجتماعی
محورهای موضوعی : تکتونواستراتیگرافیسیما صفی خانی قلی زاده 1 , آرمین محمودی 2 , علیرضا ماردپور 3
1 - دانشجوی دکتری روانشناسی، گروه علوم تربیتی و روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران
2 - گروه علوم تربیتی و روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران.
3 - گروه علوم تربیتی و روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران.
کلید واژه: کیفیت زندگی, دانشجویان دختر, اختلال اضطراب اجتماعی, درمان فراشناختی ولز,
چکیده مقاله :
این پژوهش، با هدف ارزیابی اثر بخشی درمان فراشناختی ولز بر کیفیت زندگی دانشجویان دختر مبتلا به اختلال اضطراب اجتماعی انجام شد. طرح این پژوهش، شبه‌آزمایشی با طرح پیش‌آزمون ـ پس‌آزمون به همراه پیگیری با دو گروه آزمایش و شاهد بود. جامعه آماری شامل تمامی دانشجویان دختر دانشگاههای شهر گچساران بود که به روش نمونه‌گیری هدفمند 300 نفر از آنان به کمک پرسشنامه اضطراب اجتماعی کانور بررسی شده و از بین کسانی که نمره اضطراب‌شان دو انحراف معیار بیشتر از میانگین بود،60 نفر بصورت تصادفی انتخاب و در دو گروه آزمایش و شاهد به شکل تصادفی توزیع شدند و پرسشنامه کیفیت زندگی سازمان بهداشت جهانی را تکمیل کردند. سپس گروه آزمایش مورد درمان فراشناختی در طی 10 جلسه قرار گرفت. نتایج تحلیل کواریانس نشان دادند، بین دو گروه در تمامی مولفه‌ها در پس آزمون تفاوتی معنادار وجود دارد (P<.05) و نمرات گروه آزمایش در پس‌آزمون نسبت به گروه کنترل کاهشی معنادار داشته است. این امر در مورد مولفه‌های پژوهش در مرحله پیگیری هم صدق می‌کرد. لذا، درمان فراشناختی به گونه‌ای معنادار باعث بهبود کیفیت زندگی دانشجویان مبتلا به اضطراب اجتماعی در پس‌آزمون و پایداری نتایج درمان در مرحله پیگیری شده‌است.
Present study was carried out to determine the effectiveness of Wells metacognitive therapy on the quality of life of female students with social anxiety disorder. The design of this research was Pseudo-experimental with pre-test and post-test design and follow up with two groups of control and experiment. The statistical population consisted of all students of Gachsaran universities that was conducted on 300 students with a questionnaire of social anxiety. Then, those whose anxiety scores were two standard deviations greater than the average, among them by considering the likelihood of the loss of the participants, were collected and 60 of them were randomly selected and randomly assigned to 30 experimental and control groups. World Health Organization Quality of Life Questionnaire was conducted in three stages: pre-test, post-test and follow-up for the groups. Following the implementation of ethical considerations (informed consent, willingness, secrecy), The experimental group received metacognitive therapy during 10 sessions of 2 hours and The control group received no treatment. The results of covariance analysis showed that there is a significant difference between the two groups in all of the components in the post-test (P<0.5) and the results of the experimental group in the post test were significantly lower than the control group. This also applies to research components in the follow-up phase. Therefore, meta-cognitive therapy significantly improved the quality of life of students with social anxiety in the post-test and the sustainability of the treatment results in follow-up.
- Acarturk, C., de Graaf, R., van Straten, A., Have, M., & Cuijpers, P. (2008). Social phobia and number of social fears, and their association with comorbidity, health-related quality of life and help seeking. Social Psychiatry and Psychiatric Epidemiology,43(4), 273-279.
- Antony, M.M. Coons, M.J. Mccabe, R.E. Ashbaugh, A. & Swinson, R.P. (2006). Psychometric properties of the social phobia inventory: Further evaluation. Behav Res Ther; 44, 1177-85..
- Barrera, T. L., & Norton, P. J. (2009). Quality of life impairment in generalized anxiety disorder, social phobia, and panic disorder. Journal of Anxiety Disorders, 23(8), 1086-1090.
- Behzadipour, S. Sepah M. Mozhgan Keshavarzi Arshad, F. Vali, F. Naziri, Gh. & Zamani, S. (2013). The effect of cognitive behavioral stress management on quality of life and coping strategies in cancer women breast, Journal of Psychological Methods and Models, 3, 12, 29-46.
- Bruch, M. A., Fallon, M, & Heimberg, R. G. (2003). Social phobia and difficulties in occupational adjustment. Journal of Counseling Psychology, 50,10.
- Calvete, E., Orue, I., Cámara, M., & Hankin, B. L. (2013). A longitudinal test
of the vulnerability-stress model with early maladaptive schemas for depressive and social anxiety symptoms in adolescents, Submitted for publication.
- Chiniforoushan, A. (2011). Construction and validation for test anxiety in third-level students of Ahvaz, Journal of Educational Sciences and Psychology, Shahid Chamran university of Ahvaz, 3, 3 & 4, 74-61.
- Hasheminia, F. (2016). The effectiveness of acceptance and commitment therapy on the symptoms of social anxiety and quality of life among students of Shahid Chamran university, Master's degree, psychology, Islamic Azad university, Ahvaz branch.
- Keller, M. B. (2003). The lifelong course of social anxiety disorder: a clinical perspective. Acta Psychiatrica Scandinavia Suppl, (417), 85-94.
- Kessler, R. C. (2003). The impairments cause by social phobia in the general population: Implications for intervention. Act Psychiatric Scandinavia, 108(417),19 –27.
- Makvandi, S. & Zamani, M. (2011). Jenta Shaper Journal of Research. 2, 4.
- Mohioddin, H. Cheraghi, S.& Zare, R. (2013). The effectiveness of cognitive-behavioral group therapy on family process improvement in addicted people families, Journal of Methods and Psychological Models, 3, 12, 29-46 .
- Olatunji, B. O., Cisler, L. M., & Tolin, D. F. (2007). Quality of life in anxiety disorders: A meta-analytic review. Clinical Psychology Review, 27, 572-581.
- Pournamdarian, S. (2012), Explaining the metacognitive beliefs in detection, anxiety, and stress symptoms in nurses, Knowledge and Research in Applied Psychology, 13, 3.
- Quilty, L.C., Van Ameringen, M., Mancini, C., Oakman, J., & Farvolden, P. (2003). Quality of life and the anxiety disorders. Anxiety Disorders, 17, 405- 426.
- Romm, K.L., Melle, I., Thorsen, C., Andreassen, O.A., & Rossberg, J. I.(2012). Severe social anxiety in early psychosis in associated with poor premorbid functioning, depression, and reduced quality of life. Comprehensive Psychiatry, 53, 434-440
- Sarvghad, Siroos; Daneshpour, Aida (2010), The relationship between metacognitive strategies and aggression and stress coping methods of pre-university students in Shiraz, Journal of Psychological Methods and Models, 1, 2, 1-9.
- Smith, L. & Elliott, Ch. (2015). Anxiety and Depression, translated by Maryam Hedayati, Awand Danesh publishing, Tehran, first edition.
- Solgi, Z. (2014). Comparison of the effectiveness and continuity of the effect of metacognitive therapy and schema therapy in group method on reducing symptoms, quality of life and social health in students with social anxiety disorder. Ph.D., Public Psychology, Payam Noor university.
- Stein, M. B., & Kean, Y. M. (2000). Disability and quality of life in social phobia: Epidemiologic findings. Am J Psychiatry, 157(10), 1606-1613.
- Sung, S. C., Portera, E., Robinaugh, D. J., Marks, E. H., Marques, L.M., & Otto, M. W., et al. (2012). Mood regulation and quality of life in social anxiety disorder: An examination of generalized expectancies for negative mood regulation. Journal of Anxiety Disorders, 26, 435– 441.
- Watanabe, N., Furukawa, T. A., Chen, J., Kinoshita, Y., Nakano, Y., & Ogawa, S., et al. (2010). Change in quality of life and their predictors in the long-term follow-up after group cognitive behavioral therapy for social anxiety disorder: A prospective cohort study. BMC Psychiatry, 10, 81–91. Doi:10.1186/1471-244X-10-81.
- Wells, A. (2011). A practical guide to metacognitive therapy for anxiety and depression, Translated by Shahram Mohammad Khani (2013), Second edition, Tehran, Varaye Danesh publishing.
- Wells, A. (2000). Emotional disorders and meta cognition: Innovative cognitive therapy, Chichester: Wiley and Sons, 13-85.
- Wells, A. (2007). Cognition about cognition: Metacognitive therapy and change in generalized anxiety disorder and social phobia. Cognitive and Behavioral Practice, 14(1), 18-25.
- Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York; London: Guilford.
- Wells, A. Matthews, G. (1996). Modeling cognition in emotional disorder: The S-REF model, Behav Res Ther, 34, 881-888.
- Wong, N., Sarver, D. E., & Beidel, D. C. (2012). Quality of life impairments among adults with social phobia: The impact of subtype. Journal of Anxiety Disorders, 26, 50-57.
- Wittchen, H. U., Fuetsch, M., Sonntag, H., Müller, N., & Liebowitz, M. (2000). Disability and quality of life in pure and comorbid social phobia. Findings from a controlled study. European Psychiatry, 15(1), 46-58.
- Zanjani, Z. Goudarzi, M.A. Taghavi, M.R.& Molazadeh, J. (2009). Comparing the body ensation and social skills of shyness, social phobia and normal individuals. Psychological Studies; 16: 27-44.
_||_