اثربخشی دارودرمانی و ترکیب دارودرمانی و درمان مبتنی بر پذیرش و تعهد بر اضطراب، نگرانی، اجتناب تجربه‌ای و سرسختی روانشناختی زنان مبتلا به اختلال اضطراب فراگیر
محورهای موضوعی : بالینی
1 - کارشناس ارشد روان‌شناسی بالینی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران
2 - استادیار، گروه روان‌شناسی بالینی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران
کلید واژه: مداخله‌ی ترکیبی, اختلال اضطراب فراگیر, درمان مبتنی بر پذیرش و تعهد, دارو درمانی, زنان,
چکیده مقاله :
این پژوهش با هدف مقایسه اثربخشی دارودرمانی و ترکیب دارودرمانی و درمان ACT بر اضطراب، نگرانی، اجتناب تجربه ای و سرسختی روان شناختی زنان مبتلا به GAD انجام شد. این پژوهش نیمه تجربی با طرح پیش‌آزمون و پس آزمون با گروه های آزمایش و کنترل بود. جامعه پژوهش را کلیه زنان مبتلا به GAD شهرستان فریدون شهر در تابستان 1396 تشکیل می دادند که از میان زنان مراجعه کننده به بیمارستان حضرت رسول اکرم(ص) این شهرستان، با نظر روانپزشک بخش و روانشناس بالینی تشخیص GAD گرفته بودند، تعداد 30 نفر با روش نمونه گیری هدفمند به عنوان نمونه انتخاب و با روش تصادفی در سه گروه مساوی (هر گروه 10 نفر) جایگزین شدند. درمان دارویی برای هر دو گروه مداخله در یک دوره ی حداقل 8 هفته ای بود و درمان مبتنی بر پذیرش و تعهد برای یک گروه (ترکیبی) در 8 جلسه یک ساعته به صورت فردی صورت گرفت. پیش و پس از درمان، پرسشنامه اضطراب اشپیل‌برگر (Spielberger et al., 1983)، پرسشنامه نگرانی پنسیلوانیا (Meyer et al., 1990)، پرسشنامه اجتناب تجربی چندبعدی (Gámez et al., 2011) و پرسشنامه سرسختی روانشناختی (Kobasa et al., 1982) تکمیل شد. داده ها با استفاده از تحلیل کوواریانس و نرم افزار SPSS-25 مورد تجزیه و تحلیل قرار گرفت. نتایج نشان داد که درمان داوریی و درمان ترکیبی در گروه های آزمایشی باعث کاهش نمرات نگرانی، اضطراب، اجتناب تجربه ای و افزایش نمرات سخت رویی روانی شده است. همچنین، در متغیرهای اجتناب تجربه ای و سخت رویی روانی بین گروه های آزمایش و کنترل تفاوت معنی داری وجود داشت (05/0>P) و ترکیب دارودرمانی و درمان ACT اثربخشی بیشتری در این متغیرها داشت. با توجه به نتایج پژوهش حاضر، ترکیب دارودرمانی و درمان ACT اثربخشی بیشتری نسبت به دارودرمانی در کاهش علائم و ویژگی های مرتبط با GAD در زنان دارد.
The aim of this study was to compare the effect of medication and combined medication and ACT on anxiety, worry, experiential avoidance and psychological hardiness of women with GAD. This was a quasi-experimental study with pre-test and post-test design with experimental and control groups. The present study population consisted of all women with GAD in Fereydunshahr city in the summer of 2017. Thirty women were purposefully selected as a sample and randomly assigned to three equal groups (10 people in each group). Medication was prescribed for all affected women, for at least a five-week period, and in combined intervention group, 8 one-hour sessions of ACT was performed individually. The Spielberger State-Trait Anxiety Inventory (Spielberger et al., 1983), Penn State Worry Questionnaire (Meyer et al., 1990), Multidimensional Experiential Avoidance Questionnaire (Gámez et al., 2011) and Psychological Hardiness Questionnaire (Kobasa et al., 1982) were administered before and after treatment. Covariance analysis was used for data analysis. The results showed that both medication and combined interventions in the experimental groups decreased the mean scores of anxiety, worry, and experiential avoidance, and increased the mean scores of psychological hardiness. Also, there was a significant difference between the experimental and control groups in the variables of experimental avoidance and psychological hardiness (P <0.05), and combined medication and ACT were more effective in these variables. According to the findings of this study, combined medication and ACT are more effective than medication in reducing GAD-related symptoms and features in women.
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