اثر بخشی درمان مبتنی بر پذیرش و تعهد بر راهبردهای سازگارانه و ناسازگارانه تنظیم شناختی هیجان در افراد معتاد تحت درمان نگهدارنده با متادون
محورهای موضوعی : بالینی
ساره پیمان
1
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مهین عسکری
2
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سیدعبدالوهاب سماوی
3
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آزیتا امیرفخرایی
4
1 - دانشجوی دکتری گروه روان شناسی، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران
2 - دانشیار دانشکده پزشکی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران
3 - استاد گروه علوم تربیتی، دانشکده علوم انسانی، دانشگاه هرمزگان، بندرعباس، ایران
4 - استادیار گروه روانشناسی، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران
کلید واژه: درمان مبتني بر پذيرش و تعهد, تنظيم شناختي هيجان, معتاد, متادون,
چکیده مقاله :
اعتياد به مواد مخدر به عنوان يك اختلال روان پزشكي، با ابعاد زيست شناختي، روان شناختي، اجتماعي و معنوي يكي از مشكلات عصر حاضر است. هدف از این پژوهش تعیین اثر بخشی درمان مبتنی بر پذیرش و تعهد بر راهبردهای سازگارانه و ناسازگارنه تنظیم شناختی هیجان در افراد معتاد تحت درمان نگهدارنده با متادون در مراکز ترک اعتیاد شیراز در سال (1399) بود. این پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه کنترل و روش نمونه گیری هدفمند بود که با توجه به ملاک‌های وردد و خروج مورد نظر در روش پژوهش انجام شد. گروه آزمایشی، در 12 جلسه 90 دقیقه ای تحت مداخله درمان مبتنی بر پذیرش و تعهد قرار گرفتند اما گروه کنترل در زمان انجام پژوهش مداخله خاصی را دریافت نکردند. ابزار مورد استفاده در این پژوهش پرسشنامهي نظم‌جويي شناختي هيجان گارنفسكي(1999Garnefsky) بود که به منظور تعیین اثربخشی درمان، قبل از شروع مداخله و پس از آن توسط آزمودنیها تکمیل گردید. نتايج اجرای تحلیل كوواريانس حاکی از آن بودكه درمان مبتني بر پذيرش و تعهد باعث افزايش راهبردهای سازگارانه تنظیم شناختی هیجان و كاهش استفاده از راهبرد ناسازگارانه تنظیم شناختی هیجان در افراد معتاد گردید(01/0P<). نتايج نشان داد كه درمان مبتني بر پذيرش و تعهد تاثیر معناداری بر راهبردهای تنظیم شناختی هیجان در افراد معتاد در حال ترک دارد و درمان موثري براي بهبود بيماران مبتلا به اعتياد است و ميتوان از اين شيوه درماني در كنار ساير روشهاي دارويي استفاده کرد.
Drug addiction as a psychiatric disorder with biological, psychological, social and spiritual dimensions is one of the problems of the present age. The main purpose of this study was to determine the effectiveness of acceptance and commitment therapy on adaptive and maladaptive strategies of cognitive emotion regulation in methadone maintenance addicts in Shiraz addiction treatment centers in (1399). This research was a quasi-experimental study with a pre-test-post-test design with a control group and purposive sampling method, which was performed according to the desired entry and exit criteria in the research method.The group performed an experiment in 12 0-minute sessions of treatment on acceptance and testing, but the control group performed the intervention during the research..The instrument used in this study was Garnefsky Cognitive Emotion Regulation Questionnaire (1999) which was completed by the subjects before and after the intervention to determine the effectiveness of the treatment. The results of analysis of covariance indicated that the treatment was based on Acceptance and commitment increased adaptive cognitive emotion regulation strategies and decreased the use of maladaptive cognitive emotion regulation strategies in addicted individuals (P <0.01). The results showed that acceptance-based therapy has a significant effect on cognitive regulation of emotion in addicts leaving and is an effective treatment for the recovery of addicted patients and this treatment can be used along with other drugs.
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