اثربخشی درمان مبتنی بر کارآمدی هیجانی بر علائم اضطراب، تحمل پریشانی و دشواری در تنظیم هیجان زنان دارای اضطراب فراگیر
الموضوعات :افسانه امیری 1 , ایلناز سجادیان 2
1 - دانشجوی کارشناسی ارشد روانشناسی بالینی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
2 - . دانشیار گروه روانشناسی بالینی، مرکز تحقیقات سلامت جامعه، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
الکلمات المفتاحية: درمان مبتنی بر کارآمدی هیجانی, علائم اضطراب, تحمل پریشانی, دشواری در تنظیم هیجان, اضطراب فراگیر,
ملخص المقالة :
اضطراب فراگیر از شایع‌ترین اختلالات روانی است که مشخصه اصلی آن اضطراب و نگرانی مفرط می باشد که با واقعه یا شرایطی که کانون نگرانی است تناسبی ندارد. پژوهش حاضر با هدف اثربخشی درمان مبتنی بر کارآمدی هیجانی بر علائم اضطراب، تحمل پریشانی و دشواری در تنظیم هیجان زنان دارای اضطراب فراگیر انجام شد. روش پژوهش نیمه آزمایشی و از نوع پیش آزمون-پس آزمون با گروه کنترل و دوره پیگیری یک ماهه بود . بدین منظور از بین زنان مراجعه کننده به فرهنگسراهای شهر اصفهان در سال 1399به روش نمونه گیری هدفمند 30 نفر از افرادی که دارای نمره بالاتر از نقطه برش در پرسشنامه اضطراب فراگیر اسپیتزر و همکاران (2006) و دارای معیارهای ورود به مطالعه بودند انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند (هر گروه 15 نفر). ابزار‌های پژوهش شامل پرسشنامه‌های اضطراب و افسردگی ( زیگموند و اسنیث،1983)، اخـتلال اضـطراب فراگیـر (اسپیتزر و همکاران،2006)، تحمل پریشانی(سیمونز و گاهر، 2005) و دشواری در تنظیم هیجان(گرتز و رومر،2004) بود. برای آزمودنی‌های گروه آزمایش به مدت 8 جلسه 90 دقیقه‌ای درمان مبتنی بر کارآمدی هیجانی بر اساس بسته مک کی و وست (2016) اجرا شد. نتایج تحلیل واریانس اندازه های تکراری حاکی از کاهش معنادار علائم اضطراب، تحمل پریشانی و دشواری در تنظیم هیجان در گروه آزمایش نسبت به گروه کنترل بود(05/0>p). باتوجه به یافته‌های پژوهش، می‌توان از درمان کارآمدی هیجانی به عنوان یک روش مداخله‌ای سودمند برای کاهش علائم اضطراب، تحمل پریشانی و دشواری در تنظیم هیجان زنان دارای اضطراب فراگیر بهره برد.
Abdi, A., Mirzaian, B., Abbasi, GH. (2021).The Effectiveness of Emotion Efficacy Therapy on the Level of Depression he Comparison of the Effectiveness of Metacognitive Therapy and Emotion Efficacy Therapy on Depression and Self-Care in Non-Clinical Depressed Elderly, Aging psycholigy, 6(3), 269-283. [Persian].
Akbari, M, Mohammadkhani, Sh. (2018). Cognitive, behavioral, and emotional meta-diagnostic processes in depression and anxiety disorders. Culture of counseling and psychotherapy, 9 (35), 117-46. [Persian].
Aldao A, Nolen-Hoeksema S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour research and therapy, 48(10):947-983.
Aldao A, Sheppes G, Gross JJ. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3), 263-78.
American Psychiatric Association.)2013).Diagnostic and Statistical Manual of Mental Disorders, 5rd ed. Washington, DC: American Psychiatric Association.
Besharat, M and Bazazian, S. (2014).Evaluation of psychometric properties of emotion regulation questionnaire in a sample of Iranian society. Journal of the School of Nursing and Midwifery, 24 (84), 70-61. [Persian].
Besharat, M. A.(2006). Reliability and Validity of the Mental Health Inventory. Journal of psychology and Psychiatry, 4(6),11-16. [Persian].
Bigdeli, I., Najafy, M., Rostami, M. (2013). The Relation of Attachment Styles, Emotion Regulation, and Resilience to Well-being among Students of Medical Sciences. Iranian journal of medical education,13(9),721-9. [Persian].
Boyd, E. L. (2022). Exploration of distress tolerance and its association with self-injurious behaviour and as a trans-diagnostic target for intervention. Disertation in clonical psychology, University of Edinburgh.
Cai, J., Sun, M., & MA, W. (2017). Effect of Emotion Regulation on Anxiety in Patients Undergoing Functional Endoscopic Sinus Surgery under Acupuncture-drug Compound Anesthesia. Shanghai Journal of Acupuncture and Moxibustion, 295-299.
Crocq, M. A. (2017). The history of generalized anxiety disorder as a diagnostic category. Dialogues in clinical neuroscience. 19(2):107-116.
Dargahi SH, Zeraati M, Ghamari Givi H, Ayadi N, Haghanni M. (2015). The Effectiveness of Emotion Regulation Training on Emotional Well-Being and Marital Satisfaction of Infertile Women, Iran Journal of Nursing, 28(93-94), 151-162. [Persian].
Dewhurst, E., Novakova, B., & Reuber, M. (2015). A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy. Epilepsy & Behavior, 46, 234-241.
Ebrahimi, M., Shahhabizadeh, F., Esmaeili, A. A., Ahi, G.(2021). The Effectiveness of Trans diagnostic based Emotion Efficiency Therapy on Emotional Distress, Nursing Stress, and Health Anxiety of Anxious Nurses; Simultaneous Follow-Up with COVID-19 Pandemic, 16 (5) :19-31. [Persian].
Hayati, M., shehniyailagh , M., keykhosrovani, M.(2023). The Effects of Emotion Efficacy Therapy on Coping Self-Efficacy and Focus of Attention in 15-16 Years-Old Girl Students with Social Anxiety, Journal of Knowledge and Research in Applied Psychology. https://doi.org/10.30486/jsrp.2023.1972535.3620 [Persian].
Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior therapy, 44(2), 180-198.
Hooman, F., Mehrabizadeh Honarmand, M., Zargari, Y., Davodi, I. (2015). The Effectiveness of Transdiagnostic Therapy on Anxiety, Depression, Cognitive Strategies of Emotional Regulation, and General Performance in Women with Comorbid Anxiety and Depression;5 (4). 551-563. [Persian].
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation:Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.
Kaviani, H., Seyfourian, H., Sharifi, V., Ebrahimkhani, N. (2009). Reliability and validity of Anxiety and Depression Hospital Scales (HADS): Iranian patients with anxiety and depression disorders. Rouzbeh Hospital, Tehran University of Medical Journal;, 67(5), 379-85.
Khalili, N., Khoshakhlagh, H. (2022). The Effectiveness of Dialectical Behavioral Therapy on Emotional Regulation and Marital Conflicts of Women with Borderline Personality Disorder in Isfahan City, International Journal of Health Studies, 8(4), 27-32. [Persian].
Khodayarifard, M., Mansouri, A., Besharat, M., Lavasani, M. (2017). Religiously and Spiritually Integrated Treatments and Generalized Anxiety Disorder. Journal of Research in Behavioural Sciences,15(1), 126-34. [Persian].
Klemanski, D. H., Curtiss, J., McLaughlin, K. A., & Nolen-Hoeksema, S. (2017). Emotion regulation and the transdiagnostic role of repetitive negative thinking in adolescents with social anxiety and depression. Cognitive therapy and research, 41(2), 206-219.
Leeuw, M., Goossens, M. E., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. Journal of behavioral medicine, 30(1), 77-94.
MacKillop, J., & De Wit, H. (Eds.). (2013). The Wiley-Blackwell handbook of addiction psychopharmacology. John Wiley & Sons.
Maron, E., & Nutt, D. (2022). Biological markers of generalized anxiety disorder. Dialogues in clinical neuroscience.
McKay, M., West, A. (2016). emotion efficacy Therapy: A brief Exposure Treatment for Emotion regulation Intergrating DBT and ACT: New Harbinger Publication, P. 27-36.
Megreyaa, A., Al-Attiyaha, A., Moustafab, A, Hassaneina, E. (2020). Cognitive emotion regulation strategies, anxiety, and depression in mothers of children with or without neurodevelopmental disorders, Research in Autism Spectrum Disorders, (76): 1-9.
Merino, H., Senra, C., & Ferreiro, F. (2016). Are worry and rumination specific pathways linking neuroticism and symptoms of anxiety and depression in patients with generalized anxiety disorder, major depressive disorder and mixed anxiety-depressive disorder?. PloS one, 11(5), e0156169.
Naeinian, M. R., Shaeiri, M.R. Sharif, M., Hadian, M. (2011). To Study Reliability and Validity for A Brief Measure for Assessing Generalized Anxiety Disorder (GAD-7). Clinical Psychology and Personality. 9(16): 41-50. [Persian]
Najafi, M., Sajjadian, I., Manshaee, Gh. (2022). Effectiveness of Emotion Efficacy Therapy on Emotion Regulation, Self-Compassion and Self-Efficacy in Women with Generalized Anxiety Disorder, Journal of Clinical Psychology, 2(58). [Persian].
Prevedini, A. B., Presti, G., Rabitti, E., Miselli, G., & Moderato, P. (2011). Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon, 33(1 Suppl A), A53-63.
Rahbar Karbasdehi, E., Abolghasemi, A., Hossein, Khanzadeh, A.A., Rahbar Karbasdehi, F.(2019). The effectiveness of acceptance and commitment-based therapy on cognitive regulation of emotion and existential anxiety in patients with multiple sclerosis, Journal of Clinical Psychology & Personality, 18(2), 1-9. [Persian].
Ranney, R. M., Berenz, E., Rappaport, L. M., Amstadter, A., & Dick, D. (2022). Anxiety sensitivity and distress tolerance predict changes in internalizing symptoms in individuals exposed to interpersonal trauma. Cognitive Therapy and Research, 46(1), 217-231.
Roohi, R., Soltani, A. A., Zinedine Meimand, Z., Razavi Nematollahi, V. (2019). The Effect of Acceptance and Commitment Therapy (ACT) on Increasing the Self-Compassion, Distress Tolerance, and Emotion Regulation in Students with Social Anxiety Disorder. Journal of Child Mental Health. 6 (3) ,173-187
Rose, M., & Devine, J. (2022). Assessment of patient-reported symptoms of anxiety. Dialogues in clinical neuroscience.
Rutherford, H. J., Goldberg, B., Luyten, P., Bridgett, D. J., & Mayes, L. C. (2013). Parental reflective functioning is associated with tolerance of infant distress but not general distress: Evidence for a specific relationship using a simulated baby paradigm. Infant Behavior and Development, 36(4), 635-641.
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock's
synopsis of psychiatry: Behavioral sciences/clinical psychiatry. New York: Wolters Kluwer.
Schneider RL, Arch JJ, Landy LN, Hankin BL. (2018).The longitudinal effect of emotion regulation strategies on anxiety levels in children and adolescents. Journal of Clinical Child & Adolescent Psychology. 47(6), 978-91.
Sheydayi Aghdam S, Shamseddini Lory S, Abassi S, Yosefi S, Abdollahi S, Moradi Joo M. (2015). The effectiveness of treatment based on acceptance and commitment in reducing distress and inefficient attitudes in patients with MS. Thoughts and Behavior in Clinical Psychology. 9(34):57-66. [Persian].
ShirMohammadi, S., Hosseini. S., Amiri, H. (2019). The mediating role of difficulties in excitement adjustment on the relationship between attachment styles and psychopathology in female applicants of cosmetic surgery in Kermanshah. Journal of Dermatology and Cosmetic. 10(2), 101-16. [Persian].
Simons, J.S., Gaher, R.M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion. 29(2), 83-102.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092-1097.
Zareie Faskhudi, B., Karbalaee, A., Meigouni, M., Rezabakhsh, H. Ghelichi, L.(1401). Comparison of the Effect of Unified Transdiagnostic Treatment from Emotional Disorders and Emotion Efficacy Therapy on Emotion Regulation among Adults with Stuttering. Journal of Aplied Psychological Research. 12(2):185-209. [Persian].
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.
Zimmermann, P., & Iwanski, A. (2018). Development and timing of developmental changes in emotional reactivity and emotion regulation during adolescence. In Emotion regulation (pp. 117-139). Routledge.
Zugman, A., Harrewijn, A., Cardinale, E. M., Zwiebel, H., Freitag, G. F., Werwath, K. E., ... & Winkler, A. M. (2022). Mega‐analysis methods in ENIGMA: The experience of the generalized anxiety disorder working group. Human Brain Mapping, 43(1), 255-277.
