اثربخشی درمان مبتنی بر پذیرش و تعهد بر اختلال بدشکلی بدن و وزن زنان دارای اضافه وزن
محورهای موضوعی : زن و خانوادهسحر اشرفی 1 , عبدالمجید بحرینیان 2 , کبری حاجی علیزاده 3 , علی دلاور 4
1 - دکتری روانشناسی عمومی، گروه روانشناسی، واحد بندرعباس ، دانشگاه آزاد اسلامی، بندرعباس، ایران
2 - استاد گروه روانشناسی بالینی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران (نویسنده مسئول) majid.bahrainian@gmail.com
3 - دانشیار گروه روانشناسی، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران
4 - استاد گروه روانشناسی، دانشگاه علامه طباطبائی، تهران، ایران
کلید واژه: وزن بدن, اضافه وزن, درمان مبتنی بر پذیرش و تعهد, اختلال بدشکلی بدن,
چکیده مقاله :
هدف پژوهش حاضر، بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر اختلال بدشکلی بدن و وزن زنان دارای اضافه وزن بود. روش این پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه است. نمونه مورد پژوهش شامل 40 نفر از زنان دارای اضافه وزن با شاخص توده بدنی بزرگتر از 30 در شهر تهران که به روش نمونه گیری در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و گواه قرار گرفتند. ابزار اندازه گیری پژوهش پرسشنامه مقیاس بدشکلی بدن یل و براون بود. جلسات درمان مبتنی بر پذیرش و تعهد به صورت گروهی و در 8 جلسه 60 دقیقه ای و یک جلسه در هفته برگزار شد. در این مدت گروه گواه هیچگونه مداخله درمانی را دریافت نکردند. برای تجزیه و تحلیل داده ها از روش تحلیل کوواریانس و از نرم افزار 25.SPSS در سطح معناداری 05/0 استفاده شد. نتایج نشان داد درمان مبتنی بر پذیرش و تعهد بر اختلال بدشکلی بدن (001/0>P) و وزن (001/0>P) در زنان دارای اضافه وزن اثرگذار بوده است. به طور کلی نتایج حاکی از تأثیر معنادار یک دوره درمان مبتنی بر پذیرش و تعهد بر متغیرهای اختلال بدشکلی بدن و کاهش وزن در زنان دارای اضافه وزن بود و می توان از این روش برای درمان عصبی افراد دارای اضافه وزن استفاده کرد.
The purpose of the present study was to evaluate the effectiveness of acceptance and commitment therapy on Body Dysmorphic Disorder and Weight of overweight women. The method of this study was quasi-experimental with pre-test and post-test with control group. The statistical population of the study consisted of all overweight women with BMI greater than 30 in Tehran who referred to psychiatric centers in order to receive psychological treatment. The sample consisted of 40 statistical Population who were selected by convenience sampling method and were randomly divided into experimental and control groups. The research instrument was Yale and add date body deformity scale questionnaire. Acceptance and commitment therapy sessions were conducted in a group in 8 sessions of 60 minutes and one session per week. The control group received no treatment during this period. Covariance analysis was used for data analysis and SPSS.25 software was used at the significant level of 0.05. Findings showed that acceptance and commitment therapy was effective on Body Dysmorphic Disorder (P<0.001) and Weight (P<0.001) in overweight women. In general, the results indicated a significant effect of a course of acceptance and commitment therapy on the variables of body deformity disorder and weight loss in overweight women, and this method can be used for the neurological treatment of overweight people.
Abbasi, M., Porzoor, P., Moazedi, K., Aslani, T. (2015). The Effectiveness of Acceptance and Commitment Therapy on Improving Body Image of Female Students with Bulimia Nervosa. J Ardabil Univ Med Sci, 15(1), 15-24. (In Persian)
Fanaee, S., Habibollahi, A., Ghazanfari, A. (2015). Flexibility in individuals with overweight. Shenakht Journal of Psychology and Psychiatry, 2(2), 28-38. (In Persian)
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral practice, 16(2), 223-235.
Ghadampour, E., Heidaryani, L., & Radmehr, F. (2018). The Effectiveness on Acceptance and Commitment Group Therapy Based on Cognitive Flexibility and Life Satisfaction Women with Multiple Sclerosis. Health Psychology, 8(29), 153-167. (In Persian)
Gillen, M. M., Markey, C. N. (2015). Body image and mental health. Encyclopedia of Mental Health, Second Edition, ElsevierInc, 187-92.
Grant, J. E., Menard, W., Pagano, M. E., Fay, C., & Phillips, K. A. (2005). Substance use disorders in individuals with body dysmorphic disorder. Journal of clinical psychiatry, 66(3), 309.
Habibollahi, A., Soltanizadeh, M. (2016). The effectiveness of acceptance and commitment therapy (ACT) on obsessions-compulsions in girl adolescents with body dysmorphic disorder. Shenakht journal of psychology & psychiatry, 2(4), 1-10. (In 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.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Izadi, R., Neshatdust, H, T., Asgari, K., Abedi, M. R. (2014). Comparison of the efficacy of Acceptance and Commitment Therapy and Cognitive-Behavior Therapy on symptoms of treatment of patients with obsessive- compulsive disorder. J Res Behave Sci, 12(1), 19-33. (In Persian)
Johns, L. C., Oliver, J. E., Khondoker, M., Byrne, M., Jolley, S., Wykes, T., & Morris, E. M. (2016). The feasibility and acceptability of a brief Acceptance and Commitment Therapy (ACT) group intervention for people with psychosis: the ‘ACT for life’study. Journal of behavior therapy and experimental psychiatry, 50, 257-263.
Khanbabaei, N., Zahedi, R., & Rafiepoor, A. (2019). The effectiveness of treatment based on acceptance and commitment on the psychological distress and fear of disease progression in patients with rheumatoid arthritis. Quarterly Journal of Health Psychology, 8(30), 117-132. (In Persian)
Kittler, J. E., Menard, W., & Phillips, K. A. (2007). Weight concerns in individuals with body dysmorphic disorder. Eating behaviors, 8(1), 115-120.
Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37(1), 58-69.
Luberto, C. M., Magidson, J. F., & Blashill, A. J. (2017). A case study of individually delivered mindfulness-based cognitive behavioral therapy for severe health anxiety. Cognitive and Behavioral Practice, 24(4), 484-495.
Niemeier, H. M., Leahey, T., Reed, K. P., Brown, R. A., & Wing, R. R. (2012). An acceptance-based behavioral intervention for weight loss: a pilot study. Behavior therapy, 43(2), 427-435.
Nourian, L., & Aghaei, A. (2015). Effectiveness of Acceptance and Commitment Therapy on the Body Mass Index in Women Afflicted with Obesity. Iranian Journal of Psychiatric Nursing, 3(2), 11-20. (In Persian)
Nourian, L., Aghaei, A., & Ghorbani, M. (2015). The efficacy of acceptance and commitment therapy on weight self-efficacy lifestyle in obese women. Journal of Mazandaran University of Medical Sciences, 25(123), 159-169. (In Persian)
Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319-326.
Rabiee, M., Khorramdel, K., Kalantari, M., & Molavi, H. (2010). Factor structure, validity and reliability of the modified yale-brown obsessive compulsive scale for body dysmorphic disorder in students. Iranian Journal of Psychiatry and Clinical Psychology, 15(4), 343-350. (In Persian)
Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396-404.
Twohig, M. P. (2012). Acceptance and commitment therapy: The Basics of Acceptance and Commitment Therapy. Cognitive and Behaviral Practice, 19, 499-507.
Zargar, Y., Sayad, S., & Bassak Nejad, S. (2012). The effectiveness of cognitivebehavioral group therapy on reducing body dysmorphic disorder and interpersonal sensitivity among female high school students. J Res Behav Sci, 9(5), 341-9. (In Persian)
Zoghipaidar, M. R., Karami, A., & Nabizadeh, S. (2018). Compare body image disorder, body dysmorphic disorder and fashion trends in cosmetic surgery applicants and non-applicants. Health Psychology, 7(26), 7-24. (In Persian)
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Abbasi, M., Porzoor, P., Moazedi, K., Aslani, T. (2015). The Effectiveness of Acceptance and Commitment Therapy on Improving Body Image of Female Students with Bulimia Nervosa. J Ardabil Univ Med Sci, 15(1), 15-24. (In Persian)
Fanaee, S., Habibollahi, A., Ghazanfari, A. (2015). Flexibility in individuals with overweight. Shenakht Journal of Psychology and Psychiatry, 2(2), 28-38. (In Persian)
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral practice, 16(2), 223-235.
Ghadampour, E., Heidaryani, L., & Radmehr, F. (2018). The Effectiveness on Acceptance and Commitment Group Therapy Based on Cognitive Flexibility and Life Satisfaction Women with Multiple Sclerosis. Health Psychology, 8(29), 153-167. (In Persian)
Gillen, M. M., Markey, C. N. (2015). Body image and mental health. Encyclopedia of Mental Health, Second Edition, ElsevierInc, 187-92.
Grant, J. E., Menard, W., Pagano, M. E., Fay, C., & Phillips, K. A. (2005). Substance use disorders in individuals with body dysmorphic disorder. Journal of clinical psychiatry, 66(3), 309.
Habibollahi, A., Soltanizadeh, M. (2016). The effectiveness of acceptance and commitment therapy (ACT) on obsessions-compulsions in girl adolescents with body dysmorphic disorder. Shenakht journal of psychology & psychiatry, 2(4), 1-10. (In 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.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Izadi, R., Neshatdust, H, T., Asgari, K., Abedi, M. R. (2014). Comparison of the efficacy of Acceptance and Commitment Therapy and Cognitive-Behavior Therapy on symptoms of treatment of patients with obsessive- compulsive disorder. J Res Behave Sci, 12(1), 19-33. (In Persian)
Johns, L. C., Oliver, J. E., Khondoker, M., Byrne, M., Jolley, S., Wykes, T., & Morris, E. M. (2016). The feasibility and acceptability of a brief Acceptance and Commitment Therapy (ACT) group intervention for people with psychosis: the ‘ACT for life’study. Journal of behavior therapy and experimental psychiatry, 50, 257-263.
Khanbabaei, N., Zahedi, R., & Rafiepoor, A. (2019). The effectiveness of treatment based on acceptance and commitment on the psychological distress and fear of disease progression in patients with rheumatoid arthritis. Quarterly Journal of Health Psychology, 8(30), 117-132. (In Persian)
Kittler, J. E., Menard, W., & Phillips, K. A. (2007). Weight concerns in individuals with body dysmorphic disorder. Eating behaviors, 8(1), 115-120.
Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37(1), 58-69.
Luberto, C. M., Magidson, J. F., & Blashill, A. J. (2017). A case study of individually delivered mindfulness-based cognitive behavioral therapy for severe health anxiety. Cognitive and Behavioral Practice, 24(4), 484-495.
Niemeier, H. M., Leahey, T., Reed, K. P., Brown, R. A., & Wing, R. R. (2012). An acceptance-based behavioral intervention for weight loss: a pilot study. Behavior therapy, 43(2), 427-435.
Nourian, L., & Aghaei, A. (2015). Effectiveness of Acceptance and Commitment Therapy on the Body Mass Index in Women Afflicted with Obesity. Iranian Journal of Psychiatric Nursing, 3(2), 11-20. (In Persian)
Nourian, L., Aghaei, A., & Ghorbani, M. (2015). The efficacy of acceptance and commitment therapy on weight self-efficacy lifestyle in obese women. Journal of Mazandaran University of Medical Sciences, 25(123), 159-169. (In Persian)
Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319-326.
Rabiee, M., Khorramdel, K., Kalantari, M., & Molavi, H. (2010). Factor structure, validity and reliability of the modified yale-brown obsessive compulsive scale for body dysmorphic disorder in students. Iranian Journal of Psychiatry and Clinical Psychology, 15(4), 343-350. (In Persian)
Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396-404.
Twohig, M. P. (2012). Acceptance and commitment therapy: The Basics of Acceptance and Commitment Therapy. Cognitive and Behaviral Practice, 19, 499-507.
Zargar, Y., Sayad, S., & Bassak Nejad, S. (2012). The effectiveness of cognitivebehavioral group therapy on reducing body dysmorphic disorder and interpersonal sensitivity among female high school students. J Res Behav Sci, 9(5), 341-9. (In Persian)
Zoghipaidar, M. R., Karami, A., & Nabizadeh, S. (2018). Compare body image disorder, body dysmorphic disorder and fashion trends in cosmetic surgery applicants and non-applicants. Health Psychology, 7(26), 7-24. (In Persian)
