مقایسه اثربخشی نوروفیدبک و طرحواره درمانی بر رفتارهای پرخطر، اجتناب شناختی و امواج مغزی در دختران بزهکار
مینا عباسی
1
(
کارشناس ارشد روانشناسی بالینی گروه روانشناسی، واحد اهر، دانشگاه آزاد اسلامی ، اهر، ایران
)
مهدی اقاپور
2
(
استادیارگروه روانشناسی ، واحد اهر ، دانشگاه آزاد اسلامی ، اهر، ایران (نویسنده مسئول) m.aghapour59@gmail.com
)
کلید واژه: نوروفیدبک , طرحواره درمانی, رفتار پرخطر, اجتناب شناختی و امواج مغزی,
چکیده مقاله :
پژوهش حاضر با هدف مقایسه اثربخشی نوروفیدبک و طرحواره درمانی بر رفتارهای پرخطر، اجتناب شناختی و امواج مغزی در بین دختران بزهکار مرکز اصلاح و تربیت تبریز در سال 1401 انجام شد. این پژوهش از نوع طرح های نیمه آزمایشی بود. جامعه آماري پژوهش، دختران بزهکار مرکز اصلاح و تربیت تبریز در سال 1401 بودند . حجم نمونه 45 نفر تعیین شد و در دو گروه آزمایش و یک گروه کنترل قرار گرفتند . جهت جمع آوری اطلاعات از پرسشنامه رفتارهای پرخطر، اجتناب شناختی، دستگاه الکتروآنسفالوگرافی کمی و پروتکل نوروفیدبک و طرحواره درمانی استفاده شد. افراد گروه آزمایش 20 جلسه نوروفیدبک، گروه دیگر 8 جلسه طرحواره درمانی دریافت کردند اما افراد گروه کنترل در طی این مدت مداخله ای دریافت نکردند. اطلاعات جمع¬آوری شده به کمک روش های آماری توصیفی میانگین و انحراف معیار و روش های آماری استنباطی تحلیل کوواریانس چند متغیره مورد تجزیه و تحلیل قرار گرفتند. نتایج نشان داد که نوروفیدبک و طرحواره درمانی باعث کاهش رفتارهای پرخطر و اجتناب شناختی می شود و امواج مغزی را نیز تغییر می دهند P<./.1 . اما بین این دو روش تفاوت معناداری مشاهده نشد.
چکیده انگلیسی :
The present study was conducted with the aim of comparing the effectiveness of neurofeedback and schema therapy on high-risk behaviors, cognitive avoidance, and brain waves among delinquent girls in Tabriz Correctional and Training Center in 2022. This research was a semi-experimental design. The statistical population of the research included the delinquent girls of Tabriz Correctional Center in 2022, and the sample was selected from 45 people and was divided into two experimental groups and a control group. A high-risk behaviors questionnaire, cognitive avoidance, quantitative electroencephalography, neurofeedback protocol and schema therapy were used to collect data. The the first experimental group group received 20 sessions of neurofeedback, the second experimental group group received 8 sessions of schema therapy, but the control group did not receive any intervention during this period. The collected data were analyzed using descriptive statistical methods of mean and standard deviation and inferential statistical methods of multivariate analysis of covariance. The results showed that neurofeedback and schema therapy reduce risky behaviors and cognitive avoidance and also change brain waves P <./. 1. But no significant difference was observed between the two methods.
Abbasi S, Alimohammadi N, Pahlavanzadeh S. (2016). Effectiveness of Cognitive Behavioral Therapy on the Quality of Sleep in Women with Multiple Sclerosis: A Randomized Controlled Trial Study. Int J Community Based Nurs Midwifery; 4(4): 320–328.
Abramson L, Seligman M, Teasdale J. (1978). Learned helplessness in human: Critique and reformulation. Journal of Abnormal psychology 87,49-74.
Aentrait S, Alimohammadi N, Pahlavanzadeh S. (1997). Effectiveness of Cognitive Behavioral Therapy on the Quality of Sleep in Women with Multiple Sclerosis: A Randomized Controlled Trial Study. Int J Community Based Nurs Midwifery; 4(4): 320–328.
Antonucci DO, Thomas M, Danton WG. (1997). A cost – effectiveness of cognitive behavior therapy and Fluoxetine (Prozac) in the treatment of depression. Behaviour Therapy; 28, 187-210.
Asadi Majra, Samarra; Abedini, Maryam; Poursharifi, Hamid and Nikokar, Mahnaz. (2012). The relationship between intolerance of uncertainty and rumination with worry in a student population. Clinical Psychology, 4, 4, 83-91. (In Persian)
Azimi, Maryam; Moradi Alireza and Hosni, Jafar. (2016). The effectiveness of cognitive-behavioral therapy (face-to-face and online implementation) on emotional regulation strategies of people with comorbid insomnia and depression. Research in psychological health, 11, 1, 49-61. (In Persian)
Balen D. (1999). Treatment of Acute Relapses. In C. P. Hawkins and J. S. Wolinsky (2000) Principles of Treatments in Multiple Sclerosis, Oxford, Butterworth Heinemann.
Balzarotti, S., John, O.P, & Gross, J.J.(2010).An Italian Adaptation of the Emotion Regulation Questionnaire. Eur J Psychol Assess. 26(1): 61-7.
Bahrami, Fatima; Kaderpour, Rozgar and Marzban, Abbas. (1388). The relationship between depression and rumination with positive and negative metacognitive beliefs. Educational and Psychological Research Journal, 4, 2, 31-38. (In Persian)
Beck AT. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77-100.
Berking, M., Ebert, D., Cuijpers, P. & Hofmann, S.(2013). Emotion Regulation Skills Training Enhances the Efficacy of Inpatient Cognitive Behavioral Therapy for Major Depressive Disorder: A Randomized Controlled Trial. Psychother Psychosom, 2013; 82:234-245.
Blenkiron A. (2016). Who is suitable for cognitive behavioural therapy? Journal of the Royal Society of Medicine; 92.
Bowlby J. (1973). Attachment and loss,Vol. 2. Separation, anxiety and anger.New York:Basic Books.
Campos, J. J., Carl, B. F., & Camras, L. (2004). On the nature of emotion regulation. Child Development, 75, 377-394.
Catarino F, Gilbert P. Body image and weight-related shame prospectively predict binge eating symptomology and weight outcomes: The value of deshaming approaches to weight management. Obesity Facts. 2016;9(1):941-64.
Chambless DL. (1998). Updated on empirically validated therapies 11. The Clinical Psychologist; 51, 3-16.
Cool De B, Filip De F. (2004). Quality of life in children surviving cancer: A personality and multiinformant perspective. J PediatrPsychol. 90-579: (8) 29.
Cosio D, Jin L, Siddique J, Mohr DC. (2011). The Effect of Telephone-Administered Cognitive-Behavioral Therapy on Quality of Life among Patients with Multiple Sclerosis. Ann Behav Med; 41(2): 227–234.
Davidson, R. J. (1998). In T. Dalgleish & M. Power (Eds.), Handbook of cognition and emotion (pp. 103-123). New York: NY: John Wiley & Sons Ltd.
Davidson, R. J., Abercrombie, H., Nitschke, J. B., & Putnam, K. (2000). Regional brain function, emotion and disorders of emotion. Current Opinion in Neurobiology, 9, 228-234.
Dashiri, Gholamreza. (2011). The effectiveness of cognitive-behavioral therapy on anxiety and worry in people with generalized anxiety disorder. Clinical Psychology, 4, 2, 19-27. (In Persian)
Dashiri, Gholamreza; Golzari, Mahmoud; Barjali, Ahmad and Sohrabi, Faramarz. (2008). Psychometric characteristics of the Persian version of the Pennsylvania State Anxiety Questionnaire in students. Clinical Psychology, 1, 4, 67-75. (In Persian)
Defendant, Behrouz; Mohammadi, Mohammad Ali; Mozafari, Naser; Mohammadnejad, Sajjad and Dadkhah, Delawar. (2008). Prevalence of depression in students of Ardabil University of Medical Sciences. Journal of Ardabil School of Nursing and Midwifery, 11, 28-32. (In Persian)
Diagnostic and Statisical Manual of Mental Disorder. (2013). (Fifth Edition) DSM-5.
Dickson, K.S., Ciesla, J.A., Reilly, L.C.(2012).Rumination, worry, cognitive avoidance, and behavioral avoidance: examination of temporal effects.Behav Ther. 2012;43(3):629-40.
Donaldson, C. Lam, D. & Mathews, A. (2007). Rumination and attention in major depression. Behavior Research and Therapy, 45, 2664-2678.
Eisenberg, N, & Spinard, T. L. (2004). Emotion-related regulation: Sharpening the definition. Child Development, 75, 334-339.
Fredrickson BL. (2001). The Role of positive Emotion in Positive Psychology: The Broaden and Build Theory of Positive Emotion. American Psychologist; 56, 218-226.
Freeman A. (1987). Cognitive herapy: An overview. In a. Freeman & V.B. Greenwood (Ed), cognitive Therapy: applications in Psychiatric and Medical Settings. Human Scinces.
Freeman A. (2012). Cognitive herapy: An overview. In a. Freeman & V.B. Greenwood (Ed), cognitive Therapy: applications in Psychiatric and Medical Settings. Human Scinces.
Ganji, Mehdi. (2016). Psychopathology based on DSM-5. Tehran: Savalan. (In Persian)
Gelder M. (1997). The scientific foundations of cognitive behaviour herapy. In D. M. Clark and C. G. Fairburn (Eds), Science and Practice of ognitive Behaviour Therapy. Oxford : Oxford University Pres.
Genty M, Devy R, Edan G, Lehert P. (2016). Effect of cognitive behavioral therapy on MS patients' quality of life. A multi-centre controlled trial. Ann Phys Rehabil Med; 59S:e41-e42.
Gross, J. J. (2002). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 27 1-299.
Gross, J. J. (2003). Emotion regulation: Affective,cognitive, and social consequences. Psychophysiology,39, 281–291.
Gross, J. J., John L (2006). Individual differences in two Emotion and emotion regulation processes:Implications for affect,relationships, and well-being , journal of Persnality and Social Psychology,85,348-362.
Hart, J., Shaver, R. P., & Goldenberg, J. L. (2005). Attachment, self-esteem worldviews,and terror management: Evidence for tripartite security system. Journal of Personality and Social Psychology, 88, 999-1013.
Hayes S, Strosahl K, Wilson K. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. 2nd ed. New York: Guilford Press.
Heydarian Fard, Zeinab; Bakhshipour, Babolah and Faramarzi, Mahbobeh. (2014). The effectiveness of group cognitive-behavioral therapy on social anxiety, social self-efficacy and rumination in students with social anxiety disorder. Clinical Psychology Studies, 6, 21, 151-175. (In Persian)
Hoffmann, S. G., Wu, J. Q., Boettcher, H.(2014). Effect of Cognitive Behavioral Therapy for Anxiety Disorders on Quality of Life: A Meta-Analysis. J Consult Clin Psychol. 2014 Jun; 82(3): 375–391.
Joormann J. (2006). Differential effects of rumination and dysphoria on the inhibition of irrelevant emotional material: Evidence from a negative priming task. Cogn Ther Res. 30(2):149–160.
Kaplan BJ, Sadock VA. (2015). Synopsis of psychiatry behavioral science/clinical psychiatry, 11th ed. New York:Lippincott Williams & Wilkins.
Katterman SN, Goldstein SP, Butryn ML, Forman EM, Lowe MR. (2014). Efficacy of an acceptance-based behavioral intervention for weight gain prevention in young adult women. J Context Behav Sci. 3(1):45-50.
Kadampour, Ezzatola; Sabzian, Saida and Biranvand, Sanaz. (2012). The effectiveness of cognitive-behavioral training on exam anxiety of female high school students in Isfahan city. Cognitive strategies in learning, 1, 1, 49-60. (In Persian)
Kazdin AE. (1993). Adolescent mental health, prevention and treatment programs. American psychology 48 (2), 127 – 141.
Keunyoung, Y., Keun, H.K., Shin, Y.S. & Kang, S.L.(2010).Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder .journal of Anxiety Disorders. 6, 623–628.
Kim, H.Y. & Page, T.(2013). Emotional Bonds with Parents, Emotion Regulation, and School-Related Behavior Problems among Elementary School Truants.J Child FamStud. 2013; 2(6): 869-78.
Jamshidzehi Shah Bakhsh, Abdul Rahim; Asghari Ibrahim Abad, Mohammad Javad; Mashhadi, Ali and Danesh Thani, Seyedhashem. (2015). The effectiveness of cognitive-behavioral therapy in reducing worry, anxiety and panic attacks in patients with mitral valve prolapse. Journal of Medical Sciences of Shahid Sadouqi University of Yazd, 24, 4, 340-351. (In Persian)
Lewinsohn, P. M. (1974). A behavioral approach to depression. In J. C. Coyne (Ed),Essential papers on depression (pp. 150-172). New York: New York University Press.
Lo, C. S. L. (2008). The effects of rumination and negative cognitive styles on depression: A mediation analysis Behavior Research and Therapy, 46,487-495.
Masters, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27, 77-102.
Mayer, J. D., & Gaschke, Y. N. (1988). The experience and meta-experience of mood. Social Psychology, 55, 102-111.
McDaniel M, Schlager M. (1990). Discovery learning and transfer of problem solving skills. Cognition and Instruction; 7, 129-159.
Mckim, R. D. (2008). Rumination as a mediator of the effects of mindfulness: Mindfulness-based stress reduction (MBSR) with a heterogeneous community sample experiencing anxiety, depression, and/or chronic pain. Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(11-B), 7673.
Mikulncer, M (1998). Adult attachment style and affect regulation: Strategic variations in self-appraisals. Journal of Personality and Social Psychology, 75, 420-435.
Mohammad Khani, Parvaneh; Hosni, Fariba; Sepah-Mansour, Mozhgan; Mahmoudi, Gholamreza and Larijani, Zarin-Sadat. (2014). Comparing the effectiveness of cognitive therapy based on presence of mind and metacognitive therapy on rumination and depression symptoms. Psychological Research, 6, 21, 101-118. (In Persian)
Mortazavi Tabatabayi, Abdul Reza; Ramzankhani, Ali; Qarlipour, Zabihallah; Babai Hyderabadi, Akbar; Tusli, the goddess; Mebli Qain, Massoud; Gilasi, Hamidreza; Kermani Ranjbar, Tahereh and Fakharzadeh, Mohammad. (2012). Investigating factors affecting depression, perceived stress and perceived social support and the relationship between them in students living in the dormitories of Shahid Beheshti University of Medical Sciences. Scientific-Research Journal of Gilan University of Medical Sciences, 21, 4, 99-106. (In Persian)
Mashhadhi, Ali; Mirdurghi, Fatemeh and Hosni, Jafar. (2010). The role of cognitive emotion regulation strategies in children's internalizing disorders. Clinical Psychology, 3, 11, 29-40. (In Persian)
Naderi, Yazdan; Parhun, conductor; Hosni, Jafar and Insei, Hale. (2014). Effectiveness of mindfulness on cognitive regulation strategies of emotion, anxiety and depression in patients with major depression. Thought and Behavior, 9, 35, 17-26. (In Persian)
Najarian, Bahman (1375). Psychology of worry. Journal of Educational Sciences and Psychology of Shahid Chamran University of Ahvaz, (2), 52-60. (In Persian)
Najarian, Bahman; Taqvai, Mahmoud; Shukarkan Hossein (2017). Construction and validation of AWI scale to measure students' anxiety. Al-Zahra University Scientific-Research Quarterly of Humanities, (25), 97-83. (In Persian)
Moss-Morris R, Dennison L, Landau S, Yardley L, Silber E, Chalder T. (2013). A randomized controlled trial of cognitive behavioral therapy (CBT) for adjusting to multiple sclerosis. J Cons clin psychol; 81(2): 251-62.
Nolen-Hoeksema, S. & Davis, C. G. (1999). Ruminators and their social support networks. Journal of Psychology, 77, 801_814. Nolen-Hoeksema, S. Wisco, B. E. & Lyubomirsky, S. (2008). Rethinking Rumination. Perspectives on Psychological Science, 3(5), 400- 424.
Nolen-Hoeksema, S.(2000).The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol, 109(3):504-11.
Norte, C.E., Souza, G.G., Pedrozo, A.L., Mendonça-de-Souza, A.C., Figueira, I., Volchan, E.,.(2011).Impact of cognitive-behavior therapy on resilience-related neurobiological factors. Arch Clin Psychiatry São Paulo. 38(1):43–45.
Norhayati MN, Hazlina NH, Asrenee AR, Emilin WM. (2017). Magnitude and risk factors for postpartum symptoms: a literature review. J Affect Disord. 175:34-52.
Omrani S, Mirzaeian B, Aghabagheri H, Hassanzadeh R, Abedini M. (2014). Effectuality of Cognitive-Behavioral Therapy on the Life Expectancy of Patients with Multiple Sclerosis. J Mazandaran Univ Med Sci; 22 (93) :58-65.
Ozabaci N. (2011). Cognitive behavioural therapy for violent behaviour in children and adolescents: a meta-analysis. Children and Youth Services Review 33(10): 1989-1993.
O’Hara MW, Wisner KL. (2016). Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol. 28(1):3-12.
Rezaei, Fatemeh; Neshat Doost, Hamid Taher; Attorney Zarch, Najmeh; Amra, Babak and Molavi, Hossein. (2011). The effectiveness of cognitive-behavioral therapy on anxiety and depression in patients with asthma. Clinical psychology and personality, 2, 7, 23-32. (In Persian)
Revitalizing, special; Shafi Abadi, Abdullah and Soudani, Mansour. (2008). The relationship between emotional intelligence and mental health of female students of the counseling department of Islamic Azad University, Behbahan branch. Knowledge and research in applied psychology, Islamic Azad University, Khorasgan branch (Isfahan), 41, 2018, 1-16. (In Persian)
Rosenhan, D.; Seligman, M. (2014). Psychopathology based on DSM-5, first volume, translated by Yahya Seyed Mohammadi, Tehran: Savalan Publications. (In Persian)
Padesky CA. (1993). Schema as self-prejudice. International Cognitive therapy Newsletter; 5(6): 16-17.
Prosecutor, P. (2012). Developmental morbid psychology from childhood to adulthood, second volume, Tehran: Somit Publications. (In Persian)
Parrott, W.G. (2001). Emotions in social psychology: Volume Overview. In W.G. Parrott (Ed.), Emotions in social psychology (pp.1-19). PA: Psychology Press.
Plate, A. & Aldao, A.(2017). Emotion Regulation in Cognitive-Behavioral Therapy: Bridging the Gap between Treatment Studies and Laboratory Experiments. The Science of Cognitive Behavioral Therapy, 107-127.
Saarni, C. (2004). The development of emotional competence. New York: Guilford Press.
Safran L, Segal Z. (1989). Interpersonal Process in Cognitive Therapy. Jason aronson Inc.
Saxena, P., Dubey, A, & Pandey, R.(2011).Role of Emotion Regulation Difficulties in Predicting Mental Health and Well-being.J Proj Psy & Ment Health. 18(2): 147- 54.
Seligman MEP. (1975). Helplessness: On depression, development and death. San Francisco: Freeman.
Shaw BF, Olmsted M, Dobson KS, Sotsky SM, Elkin I, Yamaguchi J, Vallis TM, Lowery A, Wathins JT. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology; 67(6): 837-846.
Smith, C. A., & Kirby, L. D., (2004). Appraisal as a pervasive determinant of anger.Emotion, 4, 133-138.
Sheekhan, Reyhana; Hasan Abadi, Hamidreza; Sephondi Mohammad Ali and Mirdarikund, Fazl-Allah. (2015). The effect of life skills training on the frequency of depressing ruminations in veterans' wives. Jundi Shapour Medical Scientific Journal, 15, 6, 697-706. (In Persian)
Sahibi, Ali (1378). Phenomenology of worry as a new concept in the field of clinical research. Journal of the Faculty of Psychology and Educational Sciences of Ferdowsi University of Mashhad, (24), 81-98. (In Persian)
Salih, Jabar; Mahmoudi, Osman and Baysdar, Massoud. (2014). The effectiveness of cognitive-behavioral therapy on reducing students' depression. Child Psychological Development, 2, 1, 83-88. (In Persian)
Sommer JM, Goldner W, Hsul L. (2006)..prevalence and incidence studies of review anxiety disorders; a systematic. literature. canadean,Journal of Psychiatry 5 (2): 100 – 113.
Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs ofthe Society for Research in Child Development, 59, 25-52.
Tice, D. M., & Bratslavsky, E. (2000). Giving in to feel good: The place of emotion regulation in the context of general self-control. Psychological Inquiry, 11, 149-159.
Tajri, Buick. (2015). The effectiveness of cognitive-behavioral therapy on depression and anxiety of glass addicts. Thought and behavior in clinical psychology, 3, 10, 39, 27-36. (In Persian)
Timuri, Saeed; Ramadani, Farzaneh and Mahjoub; Najmeh. (2014). The effectiveness of cognitive therapy based on mindfulness on reducing rumination and depression in women who are quitting methadone. Drug Abuse Research Addiction, 9, 34, 145-159. (In Persian)
Twomey, C., O'Reilly, G., & Byrne, M.(2015).Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis. Fam Pract. 2015 Feb;32(1):3-15.
Van Kessel k, Moss-Morris R, Willoughby E, Chalder T, Johnson MH, Robinson E. (2008). A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosom Med; 70(2): 205-13.
Watkins, E. Moulds, M. (2005). Distinct modes of ruminative self – focus: impact of Abstract Versus convent rumination of problem solving in depression. Journal of consulting and clinical psychology, 615-623.
Watson, D., clark, L. (1994). Testing a tripartite Model : II. Exploring th sympotom structure of anixiety and depression in student, adult, and patient samples. Gournal of Abnorrmal psychology, 104,15-25.
Wardrop AA, Popadiuk NE. (2017). Women’s experiences with postpartum anxiety: Expectations, relationships, and sociocultural influences. The Qualitative Report. 18(3):1-24.
White, K. Al. (1389). Cognitive-behavioral therapy for chronic medical diseases, translated by Reza Molodi, Ketayoun Fatahi and Laden Fathi, Tehran: Arjamand Publications, 2001. (In Persian)
Yousefi, Jafar. (2014). The relationship between emotional regulation strategies and emotions. (In Persian)
Zazhani, Mehdi; Davodi, Iran; Mehrabizade, artist, Mahnaz and goldsmith, Yadaleh (2012). The effectiveness of group behavioral activation therapy on symptoms of depression, anxiety and rumination in patients suffering from depression and anxiety. Clinical Psychology, 5, 4, 73-84. (In Persian)