مقایسه اثربخشی ماتریکس درمان پذیرش و تعهد با درمان پذیرش و تعهد متمرکز برشفقت بر اختلال اضطراب اجتماعی
محورهای موضوعی :
تکتونواستراتیگرافی
حمید اسدی
1
,
مسعود محمدی
2
,
قاسم نظیری
3
,
اعظم داودی
4
1 - دانشجوی دکتری روانشناسی بالینی، گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
2 - دکتری روانشناسی بالینی، استادیار گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
3 - دکتری روانشناسی بالینی، استادیار گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
4 - دکتری روانشناسی، استادیار گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
تاریخ دریافت : 1399/12/16
تاریخ پذیرش : 1400/07/20
تاریخ انتشار : 1400/08/01
کلید واژه:
اضطراب اجتماعی,
خود شفقت ورزی,
زندگی ارزشمند,
ماتریکس درمان پذیرش و تعهد,
درمان پذیرش و تعهد متمرکز بر شققت,
چکیده مقاله :
مقدمه: اختلال اضطراب اجتماعی بسیار ناتوان کننده است که به مختل شدن بسیاری از جنبههای زندگی، و در موارد شدید به کاهش کیفیت زندگی فرد منجر میشود. بنابراین بکارگیری درمان تجربی فراتشخیصی یکپارچهنگر ضروری میباشد. این پژوهش با هدف ارزیابی و مقایسه اثربخشی ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت بر اضطراب اجتماعی، انعطافپذیری پذیرش و عمل، زندگی ارزشمند و شفقت بهخود انجام شد.
مواد و روشها: پژوهش حاضر از نوع کارآزمایی بالینی با طرح آزمایشی تک آزمودنی با خط پایه چندگانه ناهمزمان بود که بهروش نمونهگیری هدفمند در طی 12 جلسه 60 دقیقهای، با پیگیری2 ماهه بر روی 6 دانشجوی مبتلا بهاختلال اضطراب اجتماعی اجرا شد. برای مقایسه نتایج این دو الگوی درمانی یکپارچهنگر، از مقیاس اضطراب اجتماعی لیبویتز، هیمبرگ و همکاران، (1999)، پرسشنامۀ انعطافپذیری پذیرش و عمل- نسخۀ دوم بوند، و همکاران (2011)، پرسشنامۀ زندگی ارزشمند ویلسون و همکاران (2010) و مقیاس خود شفقتورزی- فرم کوتاه ریس و همکاران (2011)، استفاده شد. دادهها با روش ترسیم دیداری، درصد بهبودی، شاخص تغییر پایا و شاخصهای ششگانه کارایی بالینی تحلیل شدند.
یافتهها: نتایج نشان داد که هر دو روش ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت در کاهش اضطراب اجتماعی (1.96->Z) و افزایش انعطافپذیری پذیرش و عمل، خود شفقتورزی و زندگی ارشمند در مرحلۀ آخر درمان و مرحلۀ پیگیری موثر و معنادار است (1.96Z>). همچنین نتایج این پژوهش در مرحله پیگیری نیز نشان دهندۀ تداوم اثربخشی و کارایی این دو مداخله یکپارچهنگر بر اختلال اضطراب اجتماعی بود.
بحث و نتیجهگیری: این پژوهش از اثربخشی و کارایی بالینی ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت در دانشجویان با اختلال اضطراب اجتماعی حمایت میکند.
چکیده انگلیسی:
Introduction and aim:Social anxiety disorder is one of the most difficult anxiety disorders in resistance to therapy.Therefore, the use of unified transdiagnostic experimental therapy is essential.The present study aimed to evaluate the effectiveness of the ACT Matrix and ACT Focused on Compassion on social anxiety disorder.
Methods: This study was a clinical trial with a single-case experimental study non-concurrent multiple baseline design, who performed on 6 students with social anxiety disorder who were selected based on purposive random sampling. The treatment lasted for 12 sessions (60 minutes) with two-month follow-up. To compare the results of these two treatment models, the Social Anxiety Scale (Liebowitz),Self-Compassion Scale-Short Form (Raes & et al) Acceptance and Action Questionnaire (Second Version, Bond & et al) and the Valued Living Questionnaire (Wilson & et al) were used. Data were analyzed by visual drawing, recovery percentage,stable change index and six indicators of clinical efficiency.
Findings:The results indicated that both methods of ACT Matrix and ACT Focused on Compassion reduced social anxiety (Z< -1.96) and increased acceptance and action flexibility, self-compassion, and a valuable life in the last stage of therapy and follow-up is effective and significant (Z>1.96). Furthermore, the results of this study in the follow-up phase indicated the continuity of the effectiveness and efficiency of these two integrated interventions on social anxiety disorder.
Conclusion:This study supports the effectiveness of the Matrix of Acceptance and Commitment Therapy and the treatment of compassion-focused acceptance and commitment in students with social anxiety disorder.
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