مقایسه اثربخشی درمان سیستمی بوئن و درمان ترکیبی سیستمی بوئن و نوروفیدبک برکاهش سطح اضطراب دانشجویان
محورهای موضوعی : مشاوره
زهرا رعنایی
1
,
علی اکبر سلیمانیان
2
,
علی محمدزاده ابراهیمی
3
,
مهدی قاسمی مطلق
4
1 - دانشجوی دکتری مشاوره، گروه مشاوره، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران
2 - دانشیار گروه مشاوره، دانشگاه بجنورد، بجنورد، ایران
3 - دانشیار گروه روان‌شناسی، دانشگاه بجنورد، بجنورد، ایران
4 - استادیار گروه مشاوره، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران
کلید واژه: اضطراب دانشجویان, درمان سیستمی بوئن, درمان ترکیبی سیستمی بوئن و نوروفیدبک,
چکیده مقاله :
هدف این پژوهش مقایسه اثربخشی درمان سیستمی بوئن و درمان ترکیبی سیستمی بوئن و نوروفیدبک بر کاهش سطح اضطراب دانشجویان بود. این مطالعه از نوع نیمه آزمایشی طرح پیش آزمون-پس آزمون و پیگیری همراه با گروه کنترل بود. جامعه آماری پژوهش شامل کلیه دانشجویان مراکز آموزش عالی شهرستان بجنورد که در سال 99-98 مشغول به تحصیل بودند. از بین کل جامعه هدف ابتدا 5 مرکز به‌صورت تصادفی انتخاب شدند، دانشجویان این مراکز که در آزمون غربالگری اولیه اضطراب (Zung, 1971) اضطراب شدید و خیلی شدید داشتند، انتخاب شدند و 30 نفر از اعضای گروه منتخب از طریق انتخاب تصادفی و جایگزینی تصادفی در دو گروه آزمایشی و یک گروه کنترل قرار گرفتند، تعداد افراد تشکیل‌دهنده هر گروه 10 نفر بودند. گروه اول تحت 9جلسه درمان بوئن، گروه دوم به‌طور هم‌زمان تحت 9 جلسه درمان سیستمی بوئن و 15 جلسه درمان نوروفیدبک و گروه کنترل هیچ مداخله‌ای دریافت نکردند. داده ها از طریق پرسش نامه اضطراب (Zung, 1971) جمع آوری گردید. برای تجزیه‌وتحلیل داده‌ها از تحلیل کوواریانس چند متغیره در نرم‌افزار SPSS استفاده شد. تحلیل کوواریانس چند متغیره نشان داد روش درمان ترکیبی سیستمی بوئن و نوروفیدبک باعث کاهش سطح اضطراب و نشانگانش گردید ((p<0/001 و روش درمان سیستمی بوئن باعث کاهش نشانگان عاطفی اضطراب شد (p<0/05)، همچنین نتایج به‌دست‌آمده از مقایسه زوجی بر اساس آزمون ال اس دی نشان داد که درمان ترکیبی سیستمی بوئن و نوروفیدبک به دلیل استفاده هم‌زمان از بازخورد زیستی و روان‌شناختی اثربخشی معنادار و بیشتری در کاهش سطح اضطراب و نشانگانش داشت(p<0/001).
The aim of this study was to compare the effectiveness of Bowen's system therapy and the combination therapy of Bowen's system and neurofeedback on reducing students' anxiety. This study was a semi-experimental pretest-posttest design and follow-up with a control group. The statistical society of the study included students of higher education centers in Bojnourd city who were studying in 1398-99. From the target population, 5 centers were randomly selected. The students of these centers, who had severely and very severely anxious in the initialAnxiety(Zung, 1971) screening test, were selected and 30 members of the selected group were selected through random selection and random substitution in the two experimental group and one control group, the number of persons in each group was ten. The first group received 9 sessions of Bowen's system therapy, the second group simultaneously received 9 sessions of Bowen's system therapy and 15sessions neurofeedback therapy. Date were collected through Zung Anxiety Questionnaire(1971).for Analyzing the data, multivariate analysis of covariance in SPSS software was used. multivariate analysis of covariance indicated that the combination therapy of Bowen's system and neurofeedback reduced the level of anxiety and its symptoms(p<0/001) and Bowen system therapy reduced emotional anxiety symptoms(p<0/05). also, The results of pairwise comparison based on LSD test showed that combination therapy of Bowen's system and neurofeedback due to the simultaneous use of biological and psychological feedback had a significant and greater effectiveness in reducing the level of anxiety and its symptoms(p<0/001).
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