اثربخشی پروتکل یکپارچۀ درمان فراتشخیصی بر مشکلات رفتاری کودکان دارای اختلال اضطراب فراگیر و تحریک‌پذیری عاطفی کودکان دارای اختلال بی‌نظمی خلق اخلال‌گر در سنین 8 تا 10 سال
محورهای موضوعی : بالینیشیرین پولادی 1 , محمدمهدی حسن شاهی 2 * , محمد ربیعی 3 , ناصر باقری 4
1 - دانشجوی دکتری روان شناسی، واحد ارسنجان، دانشگاه آزاد اسلامی، ارسنجان، ایران.
2 - استادیارگروه روان‌شناسی، واحد ارسنجان، دانشگاه آزاد اسلامی، ارسنجان، ایران.
3 - استادیارگروه روان‌شناسی، واحد ارسنجان، دانشگاه آزاد اسلامی، ارسنجان، ایران.
4 - استادیارگروه روان‌شناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.
کلید واژه: مشکلات رفتاری, تحریک‌پذیری عاطفی, اختلال اضطراب فراگیر, اختلال بی‌نظمی خلق اخلال‌گر, درمان یکپارچۀ فراتشخیصی, کودکان 8 تا 10 سال.,
چکیده مقاله :
یکی از رایج‌ترین اختلالات روانی در دوران کودکی، اختلالات هیجانی است. این پژوهش با هدف بررسی تأثیر پروتکل یکپارچة درمان فراتشخیصی بر بهبود مشکلات رفتاری کودکان دارای اختلال اضطراب فراگیر و تحریک‌پذیری عاطفی کودکان دارای اختلال بی‌نظمی خلق اخلال‌گر انجام شد. این پژوهش یک طرح آزمایشی تک موردی از نوع طرح خط پایه چندگانه با 6 آزمودنی متفاوت (3 کودک دارای اختلال اضطراب فراگیر و 3 کودک دارای اختلال بی‌نظمی خلق اخلال‌گر در محدودۀ سنی 8 تا10 سال) بود که طی 15 جلسه درمانی و دو دوره پیگیری 2ماهه اجرا شد. ابزارهای مورداستفاده شامل سیاهۀ رفتاری کودک فرم والدین (CBCL) Achenbach & Rescorla, 2001)) و مقیاس تحریک‌پذیری عاطفی (2012 Stringaris et al, ( بود. داده‌ها با استفاده از روش‌های ترسیم دیداری در نرم‌افزار اکسل نسخۀ 2010، شاخص تغییر پایا و درصد بهبودی مورد تجزیه‌وتحلیل قرار گرفتند. نتایج نشان داد که تأثیر درمان یکپارچه فراتشخیصی در کاهش شدت آماج‌های درمان (نمرات سیاهۀ رفتاری کودک و مقیاس تحریک‌پذیری عاطفی) در کودکان مبتلا به اختلال اضطراب فراگیر و اختلال بی‌نظمی خلق اخلال‌گر در طی دوره درمان و پس از درمان، از نظر بالینی معنادار بود و دستاوردهای درمانی در دو دورۀ 2ماهه پیگیری حفظ شدند.
One of the most common mental disorders in childhood is emotional disorders. This study aimed to investigate the effect of Unified Protocol Transdiagnostic treatment on improving the behavioral problems of children with generalized anxiety disorder and emotional irritability of children with disruptive mood disorder. The present study was a single-case experimental design of the multiple baseline design with 6 different subjects (3 children with generalized anxiety disorder and 3 children with disruptive mood dysregulation disorder), which was carried out during 15 treatment sessions and two 2-month follow-up periods. The tools used included the Child's Behavior List parent form (CBCL) (Achenbach & Rescorla, 2001) and the Emotional Irritability Scale (Stringaris et al ,2012). The data were analyzed using the methods of visual drawing in Excel software version 2010, index of stable change, and percentage of improvement. The results showed that the effect of integrated transdiagnostic treatment in reducing the severity of the treatment goals (child behavior list scores and emotional irritability scale) in children with generalized anxiety disorder and disruptive mood dysregulation disorder during the treatment period and after treatment is clinically significant and therapeutic gains were maintained in two 2-month follow-up periods. According to the findings of this research, it can be concluded that transdiagnostic integrated treatment is effective in improving children's emotional disorders (internalization), and therefore, the use of this method is recommended to specialists in this field of treatment.
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