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

محورهای موضوعی : تربیتی

فرزانه محمدی ¹ , حسین بقولى ² , امیر هوشنگ مهریار ³ , سیامک سامانی ⁴

1 - دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.
2 - استادیار گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.
3 - استاد گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.
4 - دانشیار گروه روان‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، مرودشت، ایران.

تاریخ دریافت : 1398/05/12 تاریخ پذیرش : 1398/06/16 تاریخ انتشار : 1399/08/01

کلید واژه: درمان مبتنی بر پذیرش و تعهد, اختلال دوقطبی, پرخاشگری, مانیا, درمان شناختی-رفتاری,

چکیده مقاله :

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 & 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.

چکیده انگلیسی:

The purpose of this study was to compare the efficacy of cognitive-behavioral therapy and admission-and-acceptance therapy treatment on aggression and mania of bipolar disorder patients. In this quasi-experimental study, using convenience sampling method, pre-test and post-test with control group, 36 patients referred to psychiatric hospitals, who according to DSM5 criteria, diagnose bipolar disorder. They were randomly divided into three groups of 12 each. The first group received 10 sessions of CBT, the second group received 12 sessions of ACT and the control group received no intervention. Data were collected through Buss and Perry's (1992) and Mania Young's (1987) Aggression Questionnaires. Covariance analysis was used for data analysis. The results showed that CBT and ACT treatment in the experimental groups decreased the components of physical aggression and anger, but there was no significant difference between the verbal aggression and hostility components. There was a significant difference between the experimental and control groups (P <0.05), except for the anger component, there was no difference between of the two treatments.

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