مقایسۀ اثربخشی درمان شناختی- رفتاری و درمان مبتنی بر پذیرش و تعهد بر علائم پرخاشگری و مانیا در بیماران اختلال دوقطبی

الموضوعات :

فرزانه محمدی ¹ (دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.)
حسین بقولى ² (استادیار گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.)
امیر هوشنگ مهریار ³ (استاد گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.)
سیامک سامانی ⁴ (دانشیار گروه روان‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، مرودشت، ایران.)

تاريخ الإرسال : 02 السبت , ذو الحجة, 1440 تاريخ التأكيد : 08 السبت , محرم, 1441 تاريخ الإصدار : 05 الخميس , ربيع الأول, 1442

الکلمات المفتاحية: درمان مبتنی بر پذیرش و تعهد, اختلال دوقطبی, پرخاشگری, مانیا, درمان شناختی-رفتاری,

ملخص المقالة :

این پژوهش با هدف مقایسه اثربخشی درمان CBT و درمان ACT بر علائم پرخاشگری و مانیا در بیماران اختلال دو انجام پذیرفت. در این پژوهش شبه آزمایشی، از بین مراجعه‌کنندگان به بیمارستان‌های اعصاب و روان شیراز که بر اساس ملاک‌های DSM5، تشخیص اختلال دوقطبی دریافت می‌کردند،36 نفر به‌طور تصادفی انتخاب و به سه گروه 12 نفری تقسیم شدند. گروه اول تحت 10 جلسه درمان CBT، گروه دوم تحت 12 جلسه درمان ACT و گروه کنترل هیچ مداخله‌ای دریافت نکردند. پژوهش با استفاده از روش نمونه‌گیری در دسترس به‌صورت پیش‌آزمون- پس‌آزمون با گروه کنترل انجام گرفت و داده‌ها از طریق پرسشنامه‌های پرخاشگری (Buss &amp; Perry, 1992) و مانیای (Young,1987) جمع‌آوری گردید. برای تحلیل داده‌ها از تحلیل کوواریانس استفاده شد. یافته‌ها نشان دادند درمان CBT و درمان ACT در گروه‌های آزمایش باعث کاهش در مؤلفه‌های پرخاشگری بدنی و خشم شده، اما در مؤلفه‌های پرخاشگری کلامی و خصومت بین گروه‌ها تفاوت معنی‌دار مشاهده نشد. در متغیر شیدایی، بین گروه‌های آزمایش و کنترل تفاوت معنی‌داری وجود دارد (05/0 p < ). به‌جز در مؤلفه خشم، بین اثرگذاری دو درمان، تفاوتی وجود نداشت.

المصادر:

Arky, M., Abbasi Esfejir, A. A.; And Naderi, H.a. (1913). Evaluate the effectiveness of cognitive behavioral therapy-based role in reducing the symptoms of bipolar outpatients treated in the psychiatric ward of Imam Reza (AS) Bojnoord city. Journal of North Khorasan University of Medical Sciences. Volume 5, Issue 3, pp527-548.

Association for the Advancement of Behavior Therapy, Dialectical behavior therapy (DBT) is a comprehensive, evidence-based ... Koons psycnet.apa.org/record/2007-02479-006

Bourne, C., Aydemir, Ö., Balanzá‐Martínez, V., Bora, E., Brissos, S., Cavanagh, J. T. O., ... & Ferrier, I. N. (2013). Neuropsychological testing of cognitive impairment in euthymic bipolar disorder: an individual patient data meta‐analysis. Acta Psychiatrica Scandinavica, 128(3), 149-162.

Buss, A. H., & Perry, M. (1992). The Aggression Questionnaire. Journal of Personality and Social Psychology, 63, 452-459. his instrument can be found at:

Dadashzadeh, H; Arfa, or; Kia Mousavi, S and Alizadeh, a. (1392). Comparison of quality of life in patients with major depression and bipolar mood disorder in partial remission and healthy controls. Urmia Medical Journal, 34 (5), 359-363.

Dor J. (2015). Comparison of ACT with CBT: Cognitive Failure against Reconstruction. (Fayzi A translation). Psychology and Life Advice Center Web Site.

Doosty, c. Gholami, S., And Torabiyan, S.a. (2016). Efficacy was based on acceptance and commitment on reducing aggression in students suffering from Internet addiction. Journal of Health And Care. 18, No. 1, pp. 72-63.

Ganji, d. (2015). Psychopathology of DSM-5 Vol. Ganji, H. (ed.), President, R. (editor), Kmasy, S. (editor), published Savalan –

Ghadery, D.; maaroufi, d. Ebrahimi, A. (2015). The effectiveness of cognitive-behavioral therapy in reducing symptoms and modify dysfunctional attitudes in patients with bipolar disorder type I and II Volume 33, Number 358.

Goodwin, G. M., Haddad, P. M., Ferrier, I. N., Aronson, J. K., Barnes, T. R. H., Cipriani, A., ... & Holmes, E. A. (2016). Evidence-based guidelines for treating bipolar disorder: revised third edition recommendations from the British Association for Psychopharmacology. Journalof Psychopharmac-ology, 30(6), 495-553.

 

Hajjilu, Q, Shafi Abadi, et. (2016). The effectiveness of group counseling based on cognitive-behavioral interventions (CBT) on anger control in high school students. Journal of Educational Research. 37 (1): 1-20.

Hashimoto K. (2010). Brain-derived neurotrophic factor as a biomarker for mood disorders: An historical overview and future directions. Psychiatry and Clinical Neurosciences, 64, 341-57.

Hawton A, Green C, Dickens AP, Richards SH, Taylor RS, Edwards R, et al )2014). The impact of social isolation on the health status and health-related quality of life of older people. Quality of Life Research. 20(1): 57-67. 39.

Hayes, B. P. (1980). A metrical theory of stress rules (Doctoral dissertation, Massachusetts Institute of Technology).

Hayes S C, Strosahl K D, Wilson K G. (2011).Acceptance and Commitment Therapy: The process and practice of mindful change. 2th ed. New York: Guilford Press.

Izadi, R.; Neshat, c. I.; Asgari, K & Abedi, M.r. (2014). Compare the effectiveness of acceptance and commitment therapy and cognitive-behavioral therapy on patients with Akhtlalvsvas- force, 12; Number, 33-28.

Jones, B. F. (2010). Age and great invention. The Review of Economics and Statistics, 92(1), 1-14. méthodologie de l'ensemble organique: Au delà du dipôle des unilatéralismes- -Patelis (2010)«Sciences sociales et qualitatifs et quantitatifs»

Khodabandeh Samani, M. (2015).payan a: Effectiveness of psychotherapy based on acceptance and commitment on reducing symptoms and enriched with functional analysis of interpersonal relations in patients with bipolar disorder.

Mohammadi, N.A. (2006). A preliminary study on psychometric questionnaire Buss - Perry. Journal of Humanities and Social Sciences, Shiraz, No49. pp(135-151).

Moharami, J. (2016). Thesis was to investigate the effectiveness of cognitive-behavioral therapy is based on acceptance and commitment therapy on depressive symptoms.

Moradi, H.a., And Khalatbary, g. (2017). Compare the efficacy of cognitive-behavioral therapy and acceptance and commitment therapy based on anger in Tehran high school students, Volume 16, Number 2, pp66-59.

Nakigudde, J., Ehnvall, A., & Mirembe, F. (2013). An exploratory study on the feasibility and appropriateness of family psychoeducation for postpartum women with psychosis in Uganda.BMC Psychiatry, 13, 131-137.

Patelis-Siotis, I., Young, L. T., Robb, J. C., Marriott, M., Bieling, P. J., Cox, L. C., & Joffe, R. T. (2010). Group cognitive behavioral therapy for bipolar disorder: a feasibility and effectiveness study. Journal of Affective Disorders, 65(2), 145-153.

Sadock, Benjamin, and Pedro Ruiz. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences. Walters Kluwer, (2015).

Samadi Rooshan, SA. Gaafary, d. (2016). Based on acceptance and commitment therapy (ACT) to reduce the student's verbal aggression. The third World Conference on Psychology and Educational Sciences, Law and Social Sciences at the start of the third millennium. Iran.

Samany, S. (2007). Validity and reliability Buss and Perry Aggression Questionnaire. Journal of Psychiatry and Clinical Psychology, No4, pp.359 -365.

Sedaghat, SA., Moradi, or, the Ahmadi, E. (2014). The effectiveness of cognitive behavioral group training on anger and aggression aggressive female students in Baneh third grade in high school. Medical Journal of Islamic Azad University, Tehran Medical Sciences 24 (4): 215-220.

Sole, B., Bonnin, C. M., Torrent, C., Martinez‐Aran, A., Popovic, D., Tabarés‐Seisdedos, R., & Vieta, E. (2012).Neurocognitive impairment across the bipolar spectrum. CNS neuroscience & therapeutics, 18(3), 194-200.

Synopsis of Kaplan and Sadegh's Psychology of Behavioral Sciences / Clinical Psychiatry Volume 3 )2013( Benjamin James Saduk, Virginia Alcott Saduk, Pedro Roeis, Farzin Rezaie Publisher.

Syria's Song, (2011). The Melody That Ended Too Soon: Living With Bipolar Disorder, Manic Depression, and Surviving Suicide by Joscylan Adams.

Szentagotai, A., & David, D. (2010). The efficacy of cognitive-behavioral therapy in bipolar disorder: A quantitative meta-analysis. The Journal of clinical psychiatry.

Thase, M. E., Kingdon, D., & Turkington, D. (2014). The promise of cognitive behavior therapy for treatment of severe mental disorders: a review of recent developments. World Psychiatry, 13(3), 244-250.

Wright J, Basco M, Thase M. (2017). Learning Cognitive-Behavior Therapy. (Ghassemzadeh H, Hamidpour H translation). 3th ed. Tehran: Arjmand. (Persian)

Van Dijk, S., Jeffrey, J., & Katz, M. R. (2013). A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. Journal of affective disorders, 145(3), 386-393.

Ye, B. Y., Jiang, Z. Y., Li, X., Cao, B., Cao, L. P., Lin, Y., ... & Miao, G. D. (2016). Effectiveness of cognitive behavioral therapy in treating bipolar disorder: A n updated meta‐analysis with randomized controlled trials. Psychiatry and clinical neurosciences, 70(8), 351-361.

Young RC, Biggs JT, Ziegler VE, & Meyer DA. (1978). A rating scale for mania: Reliability, validity and sensitivity. British Journal of Psychiatry. 1978; 133: 429-3.