ملخص المقالة :
هدف از پژوهش حاضر مقایسه اثربخشی درمان‌های شناختی مبتنی بر ذهن‌آگاهی و پذیرش‌وتعهد بر انعطاف‌پذیری کنشی در زنان مبتلا به اختلال اضطراب اجتماعی شهر بجنورد در سال 1398بودند که بااستفاده از روش نمونه‌گیری هدفمند تعداد 45 زن انتخاب و به‌صورت تصادفی در دوگروه آزمایشی و یک گروه کنترل(هرگروه 15زن) قرار گرفتند. به منظور گردآوری اطلاعات از پرسشنامه‌‌های اضطراب اجتماعی ترنر وهمکاران (1989) و انعطاف‌پذیری کنشی کانر و دیویدسون(2003) استفاده شد. روش پژوهش آزمایشی باطرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل بود. گروه‌های آزمایشی درمان شناختی مبتنی بر ذهن‌آگاهی(8 جلسه 90دقیقه‌ای) و پذیرش‌وتعهد(8 جلسه 90دقیقه‌ای) قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخله‌ای دریافت نکردند. داده‌ها با استفاده از آزمون آماری تحلیل کوواریانس مورد تجزیه و تحلیل قرار گرفتند. نتایج نشان داد، هر دو درمان شناختی مبتنی بر ذهن‌آگاهی و پذیرش‌وتعهد بر افزایش انعطاف‌پذیری کنشی در زنان مبتلا به اختلال اضطراب اجتماعی اثربخش بودند(0.01p <) و بین اثربخشی درمان‌های شناختی مبتنی بر ذهن‌آگاهی و پذیرش‌وتعهد بر افزایش انعطاف‌پذیری کنشی در زنان مبتلا به اختلال اضطراب اجتماعی، تفاوت معناداری وجود نداشت(0.05p>). بنابراین می‌توان از این درمان درجهت افزایش انعطاف‌پذیری کنشی در افراد مبتلا به اختلال اضطراب اجتماعی بهره برد.
المصادر:
Sandstrom, A., Uher, R., & Pavlova, B. (2020). Prospective association between childhood behavioral inhibition and anxiety: a meta-analysis. Journal of abnormal child psychology, 48(1), 57-66.
https://doi.org/10.1007/s10802-019-00588-5
Telman, L. G., van Steensel, F. J., Maric, M., & Bögels, S. M. (2017). Are anxiety disorders in children and adolescents less impairing than ADHD and autism spectrum disorders? Associations with child quality of life and parental stress and psychopathology. Child Psychiatry & Human Development, 48(6), 891-902.
https://doi.org/10.1007/s10578-017-0712-5
Anker, J. J., Kummerfeld, E., Rix, A., Burwell, S. J., & Kushner, M. G. (2019). Causal network modeling of the determinants of drinking behavior in comorbid alcohol use and anxiety disorder. Alcoholism: clinical and experimental research, 43(1), 91-97.
https://doi.org/10.1111/acer.13914
Heeren, A., & McNally, R. J. (2016). An integrative network approach to social anxiety disorder: The complex dynamic interplay among attentional bias for threat, attentional control, and symptoms. Journal of Anxiety Disorders, 42, 95-104.
https://doi.org/10.1016/j.janxdis.2016.06.009
Alvi, T., Kouros, C. D., Lee, J., Fulford, D., & Tabak, B. A. (2020). Social anxiety is negatively associated with theory of mind and empathic accuracy. Journal of abnormal psychology, 129(1), 108.
https://doi.org/10.1037/abn0000493
Maddox, B. B., & White, S. W. (2015). Comorbid social anxiety disorder in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(12), 3949-3960.
https://doi.org/10.1007/s10803-015-2531-5
Buckley, L., & Chapman, R. L. (2020). Resiliency in Adolescence: Cumulative Risk and Promotive Factors Explain Violence and Transportation Risk Behaviors. Youth & Society, 52(3), 311-331.
https://doi.org/10.1177/0044118X17753814
Di Fabio, A., & Saklofske, D. H. (2018). The contributions of personality and emotional intelligence to resiliency. Personality and Individual Differences, 123, 140-144.
https://doi.org/10.1016/j.paid.2017.11.012
Jones-Bitton, A., Best, C., MacTavish, J., Fleming, S., & Hoy, S. (2020). Stress, anxiety, depression, and resilience in Canadian farmers. Social psychiatry and psychiatric epidemiology, 55(2), 229-236
.https://doi.org/10.1007/s00127-019-01738-2
Vu, T. L., & Turitsyn, K. (2016). A framework for robust assessment of power grid stability and resiliency. IEEE Transactions on Automatic Control, 62(3), 1165-1177.
DOI:10.1109/TAC.2016.2579743
Teasdale, J. D., Segal, Z., Williams, J. M. (1995). How does cognitive therapy prevent depressive relapseand why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33(4), 25–39.
https://doi.org/10.1016/0005-7967(94)E0011-7
Anheyer, D., Leach, M. J., Klose, P., Dobos, G., & Cramer, H. (2019). Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis. Cephalalgia, 39(4), 544-555.
https://doi.org/10.1177/0333102418781795
Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of your Body and Mindto Face Stress, Pain and Illness. New York: Delacort.
https://Kabat-Zinn%2C+J.+(1990).com/scholar?hl=fa& as_sdt
James, K., & Rimes, K. A. (2018). Mindfulness-based cognitive therapy versus pure cognitive behavioural self-help for perfectionism: a pilot randomised study. Mindfulness, 9(3), 801-814.
https://doi.org/10.1007/s12671-017-0817-8
Paterson, L. Q., Handy, A. B., & Brotto, L. A. (2017). A pilot study of eight-session mindfulness-based cognitive therapy adapted for women’s sexual interest/arousal disorder. The Journal of Sex Research, 54(7), 850-861.
https://doi.org/10.1080/00224499.2016.1208800
Giannandrea, A., Simione, L., Pescatori, B., Ferrell, K., Belardinelli, M. O., Hickman, S. D., & Raffone, A. (2019). Effects of the Mindfulness-Based Stress Reduction Program on Mind Wandering and Dispositional Mindfulness Facets. Mindfulness, 10(1), 185-195.
https://doi.org/10.1007/s12671-018-1070-5
Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., ... & Turner, J. A. (2016). Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial. Jama, 315(12), 1240-1249.
doi:10.1001/jama.2016.2323
Raki, S., Naderi, F. (2019). Effectiveness Of Mind-Fullness Based Cognitive Therapy On Emotional Cognitive Regulation, Resiliency And Competitive Anxiety In Female Athletes. IJPN, 6 (6) :18-26.
http://ijpn.ir/article-1-1162-fa.html
Kukihara, H., Yamawaki, N., Ando, M., Nishio, M., Koga, K., Kimura, H., & Matsuda, T. (2020). Effects of Exercise and Mindfulness-Based Yoga Programs on Promotion of Resilience and Mental Health of Older Adults in Japan: A Randomized Controlled Trial. Psychology, 11(2), 285-298.
DOI: 10.4236/psych.2020.112018
Nissen, E. R., O'Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2020). Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psycho‐Oncology, 29(1), 68-75.
https://doi.org/10.1002/pon.5237
Cotton, S., Kraemer, K. M., Sears, R. W., Strawn, J. R., Wasson, R. S., McCune, N., ... & Delbello, M. P. (2020). Mindfulness‐based cognitive therapy for children andadolescents with anxiety disorders at‐risk for bipolar disorder: A psychoeducation waitlist controlled pilot trial. Early Intervention in Psychiatry, 14(2), 211-219
.https://doi.org/10.1111/eip.12848
Vidic, Z., & Cherup, N. (2019). Mindfulness in Classroom: Effect of a Mindfulness-based Relaxation Class on College Students' Stress, Resilience, Self-Efficacy and Perfectionism. College Student Journal, 53(1), 130-144.
https://www.ingentaconnect.com/content/prin/csj
Saberinia, A., Aflatoniyan, E., Jannat, F., & Aminizadeh, M. (2019). The Effect of Mindfulness-Based Cognitive Therapy on Anxiety of Pre-Hospital Emergency Staff. Archives of Rehabilitation, 20(4), 340-349.
http://dx.doi.org/10.32598/rj.20.4.340
Golshani, G., & Pirnia, B. (2019). Comparison of Mindfulness-Based Cognitive Therapy (MBCT) with Acceptance and Commitment Therapy (ACT) On the Severity of Fatigue, Improvement of Sleep Quality and Resilience in a Patient with Prostate Cancer: A Single-Case Experimental Study. International Journal of Cancer Management, 12(2).
doi: 10.5812/ijcm.88416.
Azad, E., & Ahmadi, T. (2019). Effect of mindfulness-based training on quality of life and resilience of chemical warfare disabled veterans in Sardasht, Iran. Neuropsychiatria i Neuropsychologia, 14(3-4), 49.
DOI: https://doi.org/10.5114/nan.2019.89786
Vowles, K. E., Sowden, G., Hickman, J., & Ashworth, J. (2019). An analysis of within-treatment change trajectories in valued activity in relation to treatment outcomes following interdisciplinary Acceptance and Commitment Therapy for adults with chronic pain. Behaviour research and therapy, 115, 46-54.
https://doi.org/10.1016/j.brat.2018.10.012
Norton, A. R., Abbott, M. J., Norberg, M. M., & Hunt, C. (2015). A systematic review of mindfulness and acceptance‐based treatments for social anxiety disorder. Journal of clinical psychology, 71(4), 283-301.
https://doi.org/10.1002/jclp.22144
Hacker, T., Stone, P., & MacBeth, A. (2016). Acceptance and commitment therapy–do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of affective disorders, 190, 551-565.
https://doi.org/10.1016/j.jad.2015.10.053
Glassman, L. H., Forman, E. M., Herbert, J. D., Bradley, L. E., Foster, E. E., Izzetoglu, M., & Ruocco, A. C. (2016). The effects of a brief acceptance-based behavioral treatment versus traditional cognitive-behavioral treatment for public speaking anxiety: an exploratory trial examining differential effects on performance and neurophysiology. Behavior modification, 40(5), 748-776.
https://doi.org/10.1177/0145445516629939
Villatte, J. L., Vilardaga, R., Villatte, M., Vilardaga, J. C. P., Atkins, D. C., & Hayes, S. C. (2016). Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy, 77, 52-61.
https://doi.org/10.1016/j.brat.2015.12.001
Nikoogoftar, M., Sangani, A. (2019). Comparing the effectiveness of acceptance and commitment therapy (ACT) and Imago therapy on resilience in women with marital problems. Clinical Psychology Studies, 9(34), 227-246.https://doi.org/10.22054/jcps.2019.39031.2068
Jolodari, S., Sodagar, Sh., & Bahrami Hidji, M. (2019). The effectiveness of Acceptance and Commitment Therapy (ACT) on psychological flexibility and cognitive emotion regulation in women with breast cancer. Quarterly of Applied Psychology, 13(4), 527-548.
https://www.sid.ir/en/journal/ViewPaper.aspx? ID=709129
Yu, L., Scott, W., & McCracken, L. M. (2020). Change in fatigue in acceptance and commitment therapy‐based treatment for chronic pain and its association with enhanced psychological flexibility. European Journal of Pain, 24(1), 234-247.
https://doi.org/10.1016/j.brat.2015.12.001
Farahi, S., & Khalatbari, J. (2020). Effectiveness of Acceptance and Commitment Therapy on the Life Expectancy, Resilience and Death Anxiety in Women with Cancer. International Journal of Applied Behavioral Sciences, 6(3), 9-19.
https://doi.org/10.22037/ijabs.v6i3.21470
Rostami, R., & Dasht Bozorgi, Z. (2019). Effectiveness of Acceptance and Commitment Therapy on Resiliency and Alexithymia of Somatic Symptoms. Practice in Clinical Psychology, 7(2), 87-94.
https://www.sid.ir/en/journal/ViewPaper.aspx?ID=667132
Torabian, S., Sabet, V. H., & Meschi, F. (2019). The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries. International Clinical Neuroscience Journal, 6(2), 46-52.
https://journals.sbmu.ac.ir/Neuroscience/article/view/24533
Mohamadi, K. A., Mirzaian, B., & Dousti, Y. A. (2019). Effectiveness of acceptance and commitment therapy on the quality of life and resiliency in cardiac surgery patients. Tabari Biomedical Student Research Journal, 1(2), 9-15.
doi: 10.15403/jgld.2014.1121.253.ibs.
Zarinfar, E., Balooti, A., & Mirzavandi, J. (2019). Effect of Training based on Acceptance and Commitment on Flexibility, Perceived Stress and Resilience of Female Employees of Hospital. Iranian Journal of Rehabilitation Research, 5(4), 26-33.
http://ijrn.ir/article-1-429-en.html
Hassani, F., Emamipour, S., & Mirzaei, H. (2018). Effect of Acceptance and Commitment Group Therapy on Quality of Life and Resilience of Women With Breast Cancer. Archives of Breast Cancer, 111-117.
https://doi.org/10.19187/abc.201853111-117
Bolandnazar, K. (2001). Normalization SPAI test in students [Dissertation].Mashhad: Ferdowsi university College of psychology, 129-50. https://www.google.com/search?q=40.%09Bolandnazar%2C+K.+(2001).
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82.
https://doi.org/10.1002/da.10113
Mohammadi, M. (2005). Investigating the factors affecting resilience in people at risk of substance abuse. PhD Thesis. University of Rehabilitation Sciences and Social Welfare.
Khastari, S., & Asgari, P. (2019). Relationship between Emotional Regulation, Resiliency and Self-Efficacy with Emotional Creativity of Painting Artists in Ahwaz. Salamat Ijtimai (Community Health), 6(2), 156-149.
https://www.sid.ir/en/journal/ViewPaper.aspx?ID=803282
Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. (2013). Acceptanceand commitment therapy and contextual behavioral science:examining the progress of a
_||_
