مقایسه اثربخشی طرحواره درمانی و درمان مبتنی بر تعهد و پذیرش بر تنظیم شناختی هیجان وطرح واره‌های ناسازگار اولیه در زنان دارای افکار خودکشی (باتأکید بر فرهنگ)
محورهای موضوعی : روان شناسی
سارا فیض اللهی
1
,
محمد نریمانی
2
,
توکل موسی زاده
3
1 - دانشجوی دکتری روان شناسی، گروه روان‌شناسی، دانشکده علوم انسانی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران.
2 - استاد، گروه روان شناسی، دانشکده علوم انسانی، واحداردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران.
3 - استادیار، گروه روان شناسی، دانشکده علوم انسانی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران.
کلید واژه: طرحوارههای ناسازگار اولیه, افکارخودکشی, درمان مبتنی بر تعهد و پذیرش, طرحواره درمانی, تنظیم شناختی هیجان,
چکیده مقاله :
هدف پژوهش حاضر، مقایسه اثربخشي طرحواره درماني و درمان مبتني بر پذیرش و تعهد بر تنظيم شناختي هيجان و طرحوارههاي ناسازگار اوليه در زنان داراي افكار خودكشي با تأکید بر فرهنگ می باشد. جامعهی آماری شامل زنان دارای افکار خودکشی شناسايي شده توسط مراكز بهداشتي شهر اردبیل بود. نمونه پژوهش 60 نفر بود که به روش نمونه گيري هدفمند انتخاب و به صورت تصادفی در دو گروه آزمایش و گروه کنترل (هرگروه20 نفر) جایگزین شدند. روش پژوهش نيمه آزمایشی از نوع پیش‌آزمون -پس‌آزمون با گروه کنترل و پیگیری دو ماهه بود. برای گرد آوری داده ها از پرسشنامه طرحوارههای ناسازگار اوليه یانگ (2003) و پرسشنامه تنظیم شناختی هیجانی گارنفسكي و گراچ (2004) استفاده شد. گروه های آزمایش روش های مداخله ای طرحواره درماني و درمان مبتني بر پذیرش و تعهد هرکدام 8 جلسه 90 دقیقه ای را دریافت کردند و بعد از دو ماه مرحله پیگیری اجرا شد وگروه کنترل هیچ مداخله ای را دریافت نکرد. براي تحليل داده¬ها ازآزمون تحلیل کووارانس چند متغیره ، تک متغیره و آزمون بونفرني استفاده شد. تحلیل داده ها نشان داد که طرحواره درمانی و درمان مبتني بر تعهد و پذيرش بر تنظيم شناختي هيجان و بهبود طرحواره هاي ناسازگار زنان داراي افكار خودكشي موثر هستند. هم چنين نتايج آزمون تعقيبي بنفروني نشان داد كه بین اثربخشي طرحواره درماني و درمان مبتني بر پذیرش و تعهد بين دو گروه درماني تفاوت معني داري وجود ندارد. هم چنین نتایج در مرحله پیگیری پایدار بود.
The purpose of this study was to compare the effectiveness of schema therapy and acceptance and commitment therapy on emotion cognitive regulation and early maladaptive schemas in women with suicidal ideation in Ardabil (with emphasis on culture). The statistical population included all women with suicidal ideation who referred to Ardabil Sanitary General Centers. The research sample embraced 60 subjects whom were selected via purposive sampling procedure and were assigned randomly in two experimental and one control groups, twenty participants each. The research was semi-experimental study using pre-test, post-test with control group and two months’ follow-up period. To collect data Early Maladaptive Schemas Questionnaires (Yong, 2003); Short form of the Cognitive Emotion Regulation Questionnaire of Garnefski and Kraaij, (2004) were implemented. experimental groups were exposed to schema therapy and acceptance and commitment therapy respectively for 8 sessions 90 minutes each and control group received none. The Data were analyzed by applying Multivariate Analysis of Covariance (MANCOVA), Univariate Analysis of Covariance(ANCOVA) and Bonferoni post hoc test. The results showed that schema therapy and acceptance and commitment therapy were effective on emotion cognitive regulation and early maladaptive schemas promotion in women with suicidal ideation (p< 0/001). The Bonferoni post hoc test results also indicated that there was no significant difference between the schema therapy and acceptance and commitment therapy in both groups. The results were persistent after the follow-up period.
Abyar, Z., Bakhtiarpour, S., Naderi, N., & Hafez, F. (2018). Comparison of the efficacy of acceptance and commitment therapy and mindfulness on the suicidal ideation of depressed women. Womens Students, 23(8), 1-23. [Persian] URL: https://womenstudy.ihcs.ac.ir/article_3149.html?lang=en
Arjmand Ghujur, K., & Eghbali, A. (2018). A comparing of two schema therapy and acceptance and commitment therapy (ACT) attitudes effectiveness on early maladaptive schema in met amphetamine addicts. Rooyesh-e-Ravanshenasi, 7(1), 151-178. [Persian] URL: https://frooyesh.ir/article-1-232-en.html
Amiri, S. (2020). Prevalence of suicide in immigrants/refugees: A systematic review and meta-analyses. Archives of Suicide Research, 14, 364-374. DOI: 10.1080/13811118.2020.1802379
Ahi, Q., Mohammadfar, M. A., & Besharat, M. A. (2007). Reliability and validity of the young schema questionnaire-short form. Psychology & Educational Science, 37, 5-20. [Persian] URL: https://www.sid.ir/paper/55767/fa
Baranoff, J., Oei, T. P., Cho, S. H., & Kwon, S. M. (2006). Factor structure and internal consistency of the Young Schema Questionnaire (Short Form) in Korean and Australian samples. Journal of Affective Disorders, 93, 133-40. DOI: 10.1016/j.jad.2006.03.003
Cirenia, Q., Merida-Lopez, S. Rey, S., & Neto, F. (2020). Untangling the Emotional Intelligence-Suicidal Ideation Connection: The Role of Cognitive Emotion Regulation Strategies in Adolescents. Journal of Clinical Medicine, 9(10), 16-31. URL: 10.3390/jcm9103116
Daliri, S., Bazyar, J., Sayehmiri, K., Delpisheh, A., & Sayehmiri, F. (2017). The incidence rates of suicide attempts and successful suicides in seven climatic conditions in Iran from 2001 to 2014: a systematic review and meta-analysis. Scientific Journal of Kurdistan University of Medical Sciences, 21(6), 1-15. [Persian]. URL: https://sjku.muk.ac.ir/article-1-2818-en.html
Ducasse, D., Jaussent, I., Arpon-Brand V., Vienot, M., Laglaoui, C., Béziat, S., Calati, R., Carrière, I., Guillaume, S., Courtet, P.و & Olié, E. (2018). Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial. Psychotherapy and Psychosomatics, 78 (4), 43-52. URL: https://pubmed.ncbi.nlm.nih.gov/29874680/
Edwards, T. M., Patterson, J. E., & Griffith, J. L. (2021). Suicide prevention: The role of families and carers. Asia‐Pacific Psychiatry, 13(3), e12453. URL: 10.1111/appy.12453
Fahlekar, A., Faal, M., Zahedzadeh, F., Amani, O., & Askari, M. (2020). The Effect of Acceptance and Commitment Therapy on Emotional Regulation and Coping Strategies in Patients with Generalized Anxiety Disorder. Jornal Child Mental Health, 6(4), 253-265. [Persian] URL: http://childmentalhealth.ir/browse.php?a_id=475&sid=1&slc_lang=en&ftxt=0
Falcone, T., & Timmons-Mitchell, J. (2019). Mood Disorders and Suicide. Suicide Prevention: A Practical Guide for the Practitioner. URL: 10.1007/978-3-319-74391-2
Garnefski, N., & Kraaij, V. (2006) Cognitive emotion regulation questionnaire—development of a short 18-Item version (CERQ-Short). Personality and Individual Differences, 41, 1045-1053. URL: https://doi.org/10.1016/j.paid.2006.04.010
Ghaderi, M., Ahi, Q., Vaziri, S., Mansouri, A., & Shahabizadeh, F. (2020). The mediating role of emotion regulation and intolerance of uncertainty in the relationship between childhood maltreatment and nonsuicidal self-injury in adolescents. Int Arch Health Sci, 7, 96-103. [Persian] DOI: 10.4103/iahs.iahs_21_20
Ghorbani, A., Moradi, O., Arefi, M., & Ahmadian, H. (2019). The Effectiveness of Acceptance and Commitment Therapy on Cognitive-Emotional Regulation, Resilience, and Self-control Strategies in Divorced Women. Avicenna Journal of Neuropsychophysiology, 6(4), 195-202. URL: https://ajnpp.umsha.ac.ir/article-1-196-en.html
Hulbert-Williams, N. J., Storey, L., & Wilson, K. G. (2015). Psychological interventions for patients with cancer. Eurpean Journal of Care, 24(1), 15-27. URL: https://pubmed.ncbi.nlm.nih.gov/25100576/
Hayes, S. C., Strosahl, K., & Wilson, K. G.(1999). Acceptance and commitment therapy: Anexperimental approach to behavior change. NewYork: Guilford Press. URL: https://contextualscience.org/publications/hayes_strosahl_wilson_1999
Hasani, J. (2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire. Journal of Military caring Sciences, 9(20), 229-240. [Persian] URL: https://rbs.mui.ac.ir/browse.php?a_id=207&sid=1&slc_lang=en
Jacob, K. S. (2014). DSM-5 and culture: The need to move towards a shared model of care within a more equal patient– physician partnership. Asian Journal of Psychiatry, 7, 89-91. URL: https://pubmed.ncbi.nlm.nih.gov/24524720/
Kanwal, S., Perveen, Z., & Sumbla, Y. (2019). Causes and severity of suicide in developed nations of East Asia. Journal of the Pakistan Medical Association, 67(10), 1588-1592. URL: https://pubmed.ncbi.nlm.nih.gov
Kumar, U. (2019). Suicidal Ideation in Adolescents–A Transcultural Analysis. Handbook of Suicidal Behaviour, New York. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472054/
McIntyre, P. & Yena, L. (2020). Projected Increases in Suicide in Canada as a Consequence of COVID-19. Psychiatry Research, 290, 104-113. URL: https://pubmed.ncbi.nlm.nih.gov/32460184/
McLaerty, M., Bunting, B., Armour, C., Lapsley, C., Ennis, E., Murray, E., & O’Neill, S. (2020). The mediating role of emotion regulation strategies on psychopathology and suicidal behaviour following negative childhood experiences. Child. Youth Serv Rev, 116, 105212. URL: https://pure.qub.ac.uk/en/publications/the-mediating-role-of-emotion-regulation-strategies-on-psychopath
Mohammadi, Y., Sorbi, M. H., Faregh, M., & Giahi Yazdi, M. (2020). Effectiveness of Acceptance and Commitment Therapy on Perfectionism and Sense of Shame in Students. International Journal of Psychology, 14(1), 9-30. [Persian]. URL: https://ijpb.ir/article-1-306-fa.html
Nicol, A., Kavanagh, P. S., Murray, K., & Mak, A. S. (2022). Emotion regulation as a mediator between early maladaptive schemas and non-suicidal self-injury in youth. Journaal of Behavioral and Cognitive Therapy, 32(3), 161-170. URL: https://researchprofiles.canberra.edu.au/en/publications/emotion-regulation-as-a-mediator-between-early-maladaptive-schema
Peterson, C., Sussell, A., Li, M., Pamela K., Yeoman, K., Deborah, M. (2020). Suicide Rates by Industry and Occupation-National Violent Death Reporting System. Weekly, 69(3), 57–62. URL: https://pubmed.ncbi.nlm.nih.gov/31971929/
Pikington, P.D., Bishop, A., & Younan, R. (2021). Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 28(3), 569-584. URL: https://pubmed.ncbi.nlm.nih.gov/33270299/
Potthoff, S., Garnefski, N., Miklósi, M., Ubbiali, A., Domínguez-Sánchez, F. J., Martins, E. C., Witthöft, M., & Kraai, V. (2016). Cognitive emotion regulation and psychopathology across cultures: A comparison between six European countries. Personality and Individual Differences, 25(2), 218-224. URL: 10.1016/j.paid.2016.04.022
Sun, R., Ren, Y., Li, X., Jiang, Y., & Liu, Y. J. (2020). Self-compassion and family cohesion moderate the association between suicide ideation and suicide attempts in Chinese adolescents. Journal of Adolescence, 79, 103-111. URL: https://onlinelibrary.wiley.com/doi/10.1016/j.adolescence.2019.12.010
Taghipuor, B., Tousi, M., & Abdi, F. (2022). The Effectiveness of Reality Therapy on Worry and Rumination in the Mothers of Children with Intellectual Disability. Journal Woman and Culture, 13(52), 71-84. [Persian]. URL: https://sanad.iau.ir/en/Article/653760
Tighe, J., Nicholas, J., Shand, F., & Christensen, H. (2018). The efficacy of Acceptance and Commitment Therapy in reducing suicide ideation and deliberate self-harm; A Systematic Review.. JMIR Mental Health, 5(2), 54-62. URL: https://pubmed.ncbi.nlm.nih.gov/29941419/
Young., J. S., Klosko, J. S, & Weishaar, M. E. (2003). Schema Therapy: A Practioner's Guide. New York, NY: Guilford Press. URL: https://www.scirp.org/(S(i43dyn45teexjx455qlt3d2q))/reference/ReferencesPapers.aspx?ReferenceID=80017
Zhang, C. Q., Leeming, E., Smith, P., Chung, P. K., Hagger, M., & Hayes, S. (2018). Acceptance and commitment therapy for health behavior change: A contextually-driven approach. Psychotherapy Integration, 25(3), 175-182. URL: https://pubmed.ncbi.nlm.nih.gov/29375451/
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