مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد غنی‌شده با شفقت به شیوه‌ی حضوری و آنلاین، بر پریشانی روانشناختی، حساسیت انزجاری و علایم فکری- عملی افراد مبتلا به اختلال وسواسی- اجباری
محورهای موضوعی : بالینیسمیه سعیدی دهاقانی 1 * , ایران داوودی 2 , مهناز مهرابی زاده هنرمند 3 , اسماعیل هاشمی 4
1 - دانشجوی دکتری روانشناسی، گروه روانشناسی دانشگاه شهید چمران اهواز، اهواز، ایران.
2 - گروه روانشناسی دانشگاه شهید چمران اهواز، اهواز، ایران.
3 - گروه روانشناسی دانشگاه شهید چمران اهواز، اهواز، ایران.
4 - گروه روانشناسی دانشگاه شهید چمران اهواز، اهواز، ایران.
کلید واژه: درمان مبتنی بر پذیرش و تعهد, شفقت, پریشانی روانشناختی, حساسیت انزجاری, اختلال وسواسی- اجباری,
چکیده مقاله :
در این پژوهش ، تاثیر درمان مبتنی بر پذیرش و تعهد غنی شده با شفقت به دو شیوه حضوری و آنلاین بر پریشانی روانشناختی، حساسیت انزجاری و علایم فکری- عملی افراد دارای نشانه‌های اختلال وسواسی- اجباری مورد بررسی قرار گرفت. این پژوهش، در دسته تحقیقات آزمایشی و از نوع پیش‌آزمون، پس‌آزمون بود که به این منظور، تعداد 30 نفر زن، به روش نمونه‌گیری در دسترس از بین مراجعه کنندگان دارای نشانه‌های اختلال وسواسی – اجباری در سال 1402-1403 به مراکز خدمات مشاوره و روانشناختی یا روانپزشکی شهر تهران و نیز فراخوان‌های منتشر شده در فضای مجازی، انتخاب شدند. شرکت‌کنندگان مقیاس وسواسی- اجباری (Yale- Brown, 1986)، پریشانی روانشناختی (Kessler & et al, 2002) و حساسیت انزجاری (Haidt et al, 1994) را تکمیل کردند. تجزیه و تحلیل داده‌ها با روش تحلیل کواریانس چندمتغیره با استفاده از نرم افزار SPSS نسخه‌ی 26، صورت گرفت. یافته‌ها نشان داد که درمان مبتنی بر پذیرش و تعهد غنی شده با شفقت به روش حضوری در مقایسه با آنلاین، بر تمامی متغیرها به جز حساسیت انزجاری، تاثیر بیشتری دارد (0001/0 >P). بر اساس نتایج این پژوهش، باید گفت هرچند روش حضوری در این پژوهش اثربخشی بیشتری را نشان داد اما در شرایطی که درمان به این شکل امکان نداشته باشد، بهره‌مندی از شیوه آنلاین می‌تواند جایگزینی نسبی به جای عدم دسترسی به درمان قرار گیرد.
The perpouse of the present study was to compare the efficacy of acceptance and commitment therapy enriched with compassion in face-to-face and online manner on psychological distress, disgust sensitivity and OCD Symptoms of Individuals with Obsessive-Compulsive disorder. Using a randomized controlled trial design 30 women with OCD Symptoms, who had referred to counselling and psychological service centers in Tehran, participated in the study through convenient sampling. Participants filled Obsessive-Compulsive scale (Yale- Brown, 1986), Psychological Distress (Kessler & et al, 2002), and Disgust Sensitivity Scale (Haidt et al, 1994). MANCOVA and ANCOVAs using SPSS 26 software revealed that the ACT enriched with compassion face-to-face method had a greater effect on all variables except for disgust sensitivity (p>0/01) compared to the online. On the basis of results. although the face-to-face method showed more effectiveness in this research, but in situations where face-to-face treatment is not possible, using the online method can be a relative replacement instead of not having access to treatment
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