مقایسه اثربخشی ماتریکس درمان ‌پذیرش و تعهد با درمان ‌پذیرش و تعهد متمرکز بر‌شفقت بر اختلال اضطراب اجتماعی

محورهای موضوعی : تکتونواستراتیگرافی

حمید اسدی ¹ , مسعود محمدی ² , قاسم نظیری ³ , اعظم داودی ⁴

1 - دانشجوی دکتری روان‌شناسی بالینی، گروه روان‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
2 - دکتری روان‌شناسی بالینی، استادیار گروه روان‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
3 - دکتری روان‌شناسی بالینی، استادیار گروه روان‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
4 - دکتری روان‌شناسی، استادیار گروه روا‌‌ن‌شناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران

تاریخ دریافت : 1399/12/16 تاریخ پذیرش : 1400/07/20 تاریخ انتشار : 1400/08/01

کلید واژه: اضطراب اجتماعی, خود شفقت ورزی, زندگی ارزشمند, ماتریکس درمان پذیرش و تعهد, درمان پذیرش و تعهد متمرکز بر شققت,

چکیده مقاله :

مقدمه: اختلال اضطراب اجتماعی بسیار ناتوان کننده است که به مختل شدن بسیاری از جنبه­های زندگی، و در موارد شدید به کاهش کیفیت زندگی فرد منجر می­شود. بنابراین بکارگیری درمان­ تجربی فراتشخیصی یکپارچه­نگر ضروری می­باشد. این پژوهش با هدف ارزیابی و مقایسه اثربخشی ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت بر اضطراب اجتماعی، انعطاف­پذیری پذیرش و عمل، زندگی ارزشمند و شفقت به­خود انجام شد. مواد و روش­ها: پژوهش حاضر از نوع کارآزمایی بالینی با طرح آزمایشی تک آزمودنی با خط پایه چندگانه ناهمزمان بود که به­روش نمونه­گیری هدفمند در طی 12 جلسه 60 دقیقه­ای، با پیگیری2 ماهه بر روی 6 دانشجوی مبتلا به­اختلال اضطراب اجتماعی اجرا شد. برای مقایسه نتایج این دو الگوی درمانی یکپارچه­نگر، از مقیاس اضطراب اجتماعی لیبویتز، هیمبرگ و همکاران، (1999)، پرسشنامۀ انعطاف­پذیری پذیرش و عمل- نسخۀ دوم بوند، و­ همکاران (2011)، پرسشنامۀ زندگی ارزشمند ویلسون و همکاران (2010) و مقیاس خود شفقت­ورزی- فرم کوتاه ریس و همکاران (2011)، استفاده شد. داده­ها با روش ترسیم دیداری، درصد بهبودی، شاخص تغییر پایا و شاخص­های شش­گانه کارایی بالینی تحلیل شدند. یافته­ها: نتایج نشان داد که هر دو روش ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت در کاهش اضطراب اجتماعی (1.96->Z) و افزایش انعطاف­پذیری پذیرش و عمل، خود شفقت­ورزی و زندگی ارشمند در مرحلۀ آخر درمان و مرحلۀ پیگیری موثر و معنادار است (1.96Z>). همچنین نتایج این پژوهش در مرحله پیگیری نیز نشان دهندۀ تداوم اثربخشی و کارایی این دو مداخله یکپارچه­نگر بر اختلال اضطراب اجتماعی بود.  بحث و نتیجه­گیری: این پژوهش از اثربخشی و کارایی بالینی ماتریکس درمان پذیرش و تعهد و درمان پذیرش و تعهد متمرکز بر شفقت در دانشجویان با اختلال اضطراب اجتماعی حمایت می­کند.

چکیده انگلیسی:

Introduction and aim:Social anxiety disorder is one of the most difficult anxiety disorders in resistance to therapy.Therefore, the use of unified transdiagnostic experimental therapy is essential.The present study aimed to evaluate the effectiveness of the ACT Matrix and ACT Focused on Compassion on social anxiety disorder.
Methods: This study was a clinical trial with a single-case experimental study non-concurrent multiple baseline design, who performed on 6 students with social anxiety disorder who were selected based on purposive random sampling. The treatment lasted for 12 sessions (60 minutes) with two-month follow-up. To compare the results of these two treatment models, the Social Anxiety Scale (Liebowitz),Self-Compassion Scale-Short Form (Raes & et ‌‌al) Acceptance and Action Questionnaire (Second Version, Bond & et‌ al) and the Valued Living Questionnaire (Wilson & et ‌al) were used. Data were analyzed by visual drawing, recovery percentage,stable change index and six indicators of clinical efficiency.
Findings:The results indicated that both methods of ACT Matrix and ACT Focused on Compassion reduced social anxiety (Z< -1.96) and increased acceptance and action flexibility, self-compassion, and a valuable life in the last stage of therapy and follow-up is effective and significant (Z>1.96). Furthermore, the results of this study in the follow-up phase indicated the continuity of the effectiveness and efficiency of these two integrated interventions on social anxiety disorder.
Conclusion:This study supports the effectiveness of the Matrix of Acceptance and Commitment Therapy and the treatment of compassion-focused acceptance and commitment in students with social anxiety disorder.

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