اثر بخشی درمان هیپوونتلاسیون بر علائم و ادراک کنترل اضطراب زنان مبتلا به اختلال اضطراب فراگیر

محورهای موضوعی : تربیتی

بهزاد تقی پور ¹ , رقیه برزگران ²

1 - دکترای روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.
2 - کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اردبیل، اردبیل، ایران.

تاریخ دریافت : 1398/12/11 تاریخ پذیرش : 1399/05/12 تاریخ انتشار : 1402/06/01

کلید واژه: اختلال اضطراب فراگیر, درمان هیپوونتلاسیون, ادراک کنترل اضطراب, علائم اضطراب,

چکیده مقاله :

هدف از این پژوهش بررسی اثربخشی درمان هیپوونتلاسیون بر علائم و ادراک کنترل اضطراب زنان مبتلا به اختلال اضطراب فراگیر بود. این مطالعه نیمه آزمایشی با استفاده از طرح پیش آزمون و پس آزمون با گروه گواه انجام شد. جامعه آماری پژوهش شامل کلیه زنان مبتلا به اختلال اضطراب فراگیر بود که به مراکز جامع سلامت شهر اردبیل در پاییز سال 1398 مراجعه کرده بودند. 30 نفر با استفاده از روش نمونه گیری در دسترس انتخاب، و به طور تصادفی در دو گروه برابر آزمایش و گواه قرار گرفتند. گروه آزمایشی طی 4 هفته (12 جلسه و هر جلسه 17 دقیقه) تحت درمان هیپوونتلاسیون قرار گرفت، و در این مدت بر گروه گواه مداخله ی انجام نگرفت. پرسشنامه های علائم اضطراب Beack (1986) و ادراک کنترل Rapee, Craske, Brown & Barlow (1996) به عنوان ابزار سنجش مورد استفاده قرار گرفت. داده ها با استفاده از تحلیل کوواریانس و نرم افزار spss نسخه 20 مورد تجزیه و تحلیل قرار گرفت. نتایج نشان داد که تفاوت معنی داری در نمرات علائم و ادراک کنترل اضطراب گروه مداخله و کنترل وجود دارد (01/0=P). به این ترتیب می‌توان نتیجه گرفت که درمان هیپوونتلاسیون موجب کاهش علائم و افزایش ادراک کنترل اضطراب زنان مبتلا به اختلال اضطراب فراگیر خواهد شد.

چکیده انگلیسی:

The purpose of this study was to examine the effect of Hypoventilation Therapy on symptoms and perception of anxiety control in women with General Anxiety Disorder (GAD). This semi-experimental study was conducted using pre-test and post-test with control group. from all General Anxiety Disorder (GAD) patients referred in Ardabil Health Comprehensive Centers in Fal2019, 30 patients were selected through available sampling method and were randomly placed into two equal received and the control groups. The Experimental group experienced 4 weeks (12 session and 17 minutes each session) of Hypoventilation Therapy, while control group were just waited. Anxiety Beack (1986) and Perception of Anxiety Control Rapee, Craske, Brown & Barlow (1996) Questionnaires were used in pre-test, post-test and up as the study instrument. Data were analyzed by using analysis of covariance and spss-20. The result of analysis of covariance showed that there were significant differences in symptoms and perception of anxiety control scores intervention and the control group (p<0.01). Thus, it can be said that of Hypoventilation Therapy. Reduced symptoms and high perception of anxiety control in women with General Anxiety Disorder (GAD).

منابع و مأخذ:

American psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM_V). Fifth Edition. Arlington, VA, American Psychiatric Association, 1(2): 189-235.

Barlow, D.H. (2002). The nature and treatment of anxiety and panic (2^nd ed). New York: Guilford press.

Beack, A.T., Epstein, N., Brown, G & Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal Consult Clinical Psychology, 56(6): 893-897.

Brown, T.A., White, K.S., Forsyth, J.P., & Barlow, D.H. (2004). The structure of perceived emotional control: Psychometric properties of  a revised. Anxiety control questionnaire. Journal of Behavior Therapy, 35: 75-99.

Chorpita B. F., & Barlow., D. H. (1998). The development of anxiety: The role of control in the early environment. Psychology Bull, 24(1): 3-21.

Durham, R.C. (2007). Treatment of Generalized Anxiety Disorder, PSY, 6(5): 183-87.

Ferreira, B., Abreu, J., Dos Reis, J., & Figueiredo, A. (2016). Psoriasis psychiatric disorders, Journal Clinical Aesthet Dermathology, 9(6): 36-43.

Gallagher, M.W., Bentley, K.H., & Barlow, D.H. (2014). Perceived control and vulnerability to anxiety disorder: A meta-analytic review. Cognitive Therapy Research, 38: 571-584.

Gorman, J.M., Kent, J., Sullivan, G.M., & Coplan, J.D. (2000). Neuroanatomical hypothesis of panic disorder, revised. American Journal Psychiatry, 157: 493-505.

Gregor, K.L., & Zvolensky, M.J. (2008). Anxiety sensivity and perceived control over anxiety related events: a valuating the singular and downloaded interactive effects in the prediction of anxious and fearful responding to bodily sensations. Behavior Research Therapy, 46(9): 1017-1025.

Higa-Mcmillan, C.K., Francis, S.E., Rith-Najarian, L., & Chorpita, B.F. (2016). Evidence base update: 50 years of research on treatment for child and adolescent anxiety. Journal of clinical child and Adolescent Psychology. 45(2): 91-113.

Kaviani, H & Mousavi, A.S. (2008). Psychometric properties of the Persian version of beck anxiety inventory (BAI). Tehran University Medical Journal, 65(2): 136-140. [Persian].

Kim, S., Wollburg, E., & Roth, W.T. (2012).Opposing breathing therapies for panic disorder: a randomized controlled trial of lowering vs raising end-tidal Pco2.Journal clinical psychiatry, 73: 931-939.

Mclaughlin, L. (2009). Breathing evaluation and retraining in manual therapy. Journal BodywMov Therapy, 13(3): 276-282.

Meuret, A.E., Ritz, T., Wilhelm, F.H., Roth, W.T., & Rosenfield, D. (2018). Hypoventilation Therapy alleviates panic by repeated induction of dyspnea. Journal Biological psychiatry: cognitive neuroscience and neuroimaging, 3(6): 539-546.

Meuret, A.E., Kroll, J., & Ritz, T. (2017). Panic disorder comorbidity with medical and treatment implications.Annual Reviews clinical Psychology, 13: 209-240.

Meuret, A.E., & Ritz, T. (2010). Hyperventilation in panic disorder and asthma: Empirical evidence and clinical strategies. International Journal of Psychophsiology, 78(1): 68-79.

Muller-Pinzler, L., Gazzola, V., Keysers, C., Sommer, J., Jansen, A., Frassle, S., & Krach, S. (2015). Neural path wav of embarrassment and their modulation by social anxiety. Neuroimage. 119(1): 252-261. 

Najimi, A., Asgari, K., & Agahheris, M. (2017). Effectiveness of medication, healthy nutrition, proper physical activity prescription combined with emotional regulation intervention on perception of anxiety control and cardiovascular responses in female patients with coronary heart disease. Journal of Daneshvar Medicine, 24(2): 21-30. [Persian].

Newman, M.G., Castonguay, L.G., Nordberg, S.S., Borkovee, T.D., & Fisher, A.J. (2008). An open trial of integrative therapy for generalized anxiety disorder. Psychotherapy, 45, 135-147.

Rygh, J. I., Sanderson., & W. C. (2004). Treting generalized anxity disorder: Evidenced-based strategies. Tools, and techniques. New York, Guliford press.

Rapee, R.M., Craske, M.G., Brown., T.A & Barlow, D.H. (1996). Measurement of perceived control over anxiety-related events. Journal of Behavior Therapy, 27: 279-293.

Sadock, B.J., Sadock, P.R. (2015). Kaplan and sadocks pocket handbook of clinical psychiatry. 11^th ed.

Somers, J.M., Goldner, E,M., Waraich, P., & Hus, L. (2006). Prevalence and incidence studies of anxiety disorders: a systematic review of the literature. Canada Journal of Psychiatry. 51: 100-13.

Weems, C. F., Zakem, A., Costa, N. M., Cannon, M. F., & Watts, S.E. (2010). Physiological response and childhood anxiety: association with symptoms of anxiety disorders and cognitive biases. Journal of clinical child and adolescent psychology. 34; 712-723.

Wilson, J. E., Macleod, C., Mathews, A., & Rutherford, E. (2006). The causal role of interpretive bias in anxiety reactivity. Journal of Abnormal Psychology. 115: 103-111.

Zvolensky, M.J., Schmidt, N.B., Bernatein, A., & Keough, M.E. (2006). Risk-factor research and prevention programs for anxiety disorder: A translation research framework. Journal of Behavior Research and Therapy, 44: 1219-1239.