اثربخشی درمان پذیرش و تعهد بر دشواری در تنظیم هیجان و نشخوار فکری در زنان مبتلا به اختلال اضطراب اجتماعی
محورهای موضوعی : روانشناسیزینب موحدی 1 , رضا پاشا 2 , سعید بختیارپور 3 , پرویز عسکری 4
1 - دانشجوی دکتری روانشناسی عمومی، گروه روانشناسی، واحداهواز،دانشگاه آزاداسلامی،اهواز،ایران.
2 - دانشیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
3 - استادیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
4 - دانشیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
کلید واژه: دشواری در تنظیم هیجان, اضطراب اجتماعی, نشخوار فکری و درمان پذیرش و تعهد,
چکیده مقاله :
اضطراب اجتماعی از شایع‌ترین بیماری‌های مزمن است و عوامل روان‌شناختی بسیاری در بروز و وخامت آن دخیل هستند. هدف از این پژوهش بررسی اثربخشی درمان پذیرش و تعهد بر دشواری در تنظیم هیجان و نشخوار فکری در زنان مبتلا به اختلال اضطراب اجتماعی بود. روش پژوهش از نوع آزمایشی با طرح پیش آزمون و پس‌آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل کلیه زنان مبتلا به اختلال اضطراب اجتماعی مراجعه کننده به مراکز مشاوره شهر بجنورد در سال 1398 بود که با استفاده از روش نمونه‌گیری هدفمند تعداد 30 نفر از آنان انتخاب و به صورت تصادفی در گروه آزمایشی و کنترل قرار گرفتند. به منظور گردآوری اطلاعات از پرسشنامه‌های اضطراب اجتماعی (Connor, Davidson, et al, 2000)، دشواری در تنظیم هیجان (Garnefski & Kraaij, 2006) و نشخوار فکری (Nolen Hoeksema & Morrow, 1991) استفاده شد. گروه آزمایشی تحت درمان پذیرش و تعهد قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخله ای دریافت نکردند. داده‌ها با استفاده از آزمون آماری تحلیل کوواریانس مورد تجزیه و تحلیل قرار گرفتند. یافته‌ها نشان داد درمان پذیرش و تعهد بر کاهش دشواری در تنظیم هیجان و نشخوار فکری زنان مبتلا به اختلال اضطراب اجتماعی اثربخش بود(0.001p<). باتوجه به نتایج به دست آمده، می‌توان از این درمان در جهت کاهش دشواری در تنظیم هیجان و نشخوار فکری زنان مبتلا به اختلال اضطراب اجتماعی بهره برد و از این راه به کاهش تنش برای بیماران مبتلا به اضطراب اجتماعی کمک نمود.
Social anxiety is one of the most common chronic diseases and many psychological factors are involved in the onset and severity of the disease. The purpose of this study was to the effectiveness of based on acceptance and commitment treatment on difficulty in cognitive regulation and rumination in women with social anxiety. This quasi-experimental study was conducted with a pre-test, post-test and follow-up design with control group. The statistical population of this study included all asthmatic individuals who referred to Bojnourd city consultation centers in year 2019, using a purposive sampling method, 30 of them were selected and randomly assigned to experimental group and control group. To collect data Social Anxiety (Connor, Davidson et al, 2000), Difficulty in Cognitive Regulation (Garnefski & Kraaij, 2006) and Rumination (Nolen Hoeksema & Morrow et al, 1991) Questionnaires were used. The experimental group underwent based on acceptance and commitment treatment but the control group received no treatments. Data were analysed using covariance analysis. The results showed that based on acceptance and commitment treatment was effective to decrease difficulty in cognitive regulation and rumination in women with social anxiety (p>0/001). According to the results, this treatment can be used to decrease difficulty in cognitive regulation and rumination in women with social anxiety .
Alvi, T., Kouros, C. D., Lee, J., Fulford, D., & Tabak, B. A. (2020). Social anxiety is negatively associated with theory of mind and empathic accuracy. Journal of abnormal psychology, 129(1), 108.
Amirian, K., Mami, S., Ahmadi, V., Mohamadzadeh, J. (2018). Effectiveness of Group Psychotherapy Based on Acceptance and Commitment Therapy on Difficultes Emotion Regulation and Distress Tolerance in Substance Abusers. J Educ Community Health, 5(2), 53-61. [Persian].
Arad, G., Abend, R., Pine, D. S., & Bar‐Haim, Y. (2019). A neuromarker of clinical outcome in attention bias modification therapy for social anxiety disorder. Depression and anxiety, 36(3), 269-277.
Asher, M., Asnaani, A., & Aderka, I. M. (2017). Gender differences in social anxiety disorder: A review. Clinical psychology review, 56, 1-12.
Cunningham ML, Griffiths S, Baillie A, Murray SB. (2018). Emotion dysregulation moderates the link between perfectionism and dysmorphic appearance concern. Psychology of Men & Masculinity, Jan, 19(1): 59.
Demehri, F., Saeedmanesh, M., Jala, N. (2018). The effectiveness of acceptance and commitment therapy (ACT) on rumination and well-being in adolescents with general anxiety disorder. Mejds, 8, 25-25. [Persian].
DeJong, H., Fox, E., & Stein, A. (2019). Does rumination mediate the relationship between attentional control and symptoms of depression?. Journal of behavior therapy and experimental psychiatry, 63, 28-35.
Detore, Nicole R., et al. (2019). Cognitive functioning as a predictor of response to comprehensive cognitive remediation. Journal of psychiatric research, 113, 117-124.
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.
Glassman, L. H., Forman, E. M., Herbert, J. D., Bradley, L. E., Foster, E. E., Izzetoglu, M., & Ruocco, A. C. (2016). The effects of a brief acceptance-based behavioral treatment versus traditional cognitive-behavioral treatment for public speaking anxiety: an exploratory trial examining differential effects on performance and neurophysiology. Behavior modification, 40(5), 748-776.
Golmahammadian, M., Rashidi, A., Parvaneh, A. (2018). Effectiveness of Training based on Acceptance and Commitment on cognitive emotion regulation and beliefs efficacy in the Female students. Educational Psychology, 14(47), 1-23. [Persian].
Hacker, T., Stone, P., & MacBeth, A. (2016). Acceptance and commitment therapy–do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of affective disorders, 190, 551-565.
Haji eghrari, L., asadi, F., javazi, S., atef vahid, T. (2019). Effectiveness of acceptance and commitment (ACT) therapy on behavioral inhibition and cognitive-behavioral avoidance of women with generalized anxiety disorder. IJNR, 13(6), 31-38. [Persian].
Halland, M., Pandolfino, J., & Barba, E. (2018). Diagnosis and treatment of rumination syndrome. Clinical Gastroenterology and Hepatology, 16(10), 1549-1555.
Hamilton, J. P., Farmer, M., Fogelman, P., & Gotlib, I. H. (2015). Depressive rumination, the default-mode network, and the dark matter of clinical neuroscience. Biological psychiatry, 78(4), 224-230.
Hasannezhad Reskati, M., Mirzaian, B., & Hosseini, S. H. (2020). Effect of acceptance and commitment-based training on difficulty in emotion regulation and health in women with breast cancer: A clinical trial study. Journal of Gorgan University of Medical Sciences, 21(4), 22-28.
Hassanvand Amouzadeh, M. (2016). Validity and reliability of social phobia inventory in students with social anxiety. Journal of Mazandaran University of Medical Sciences, 26(139), 166–177. [Persian].
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third waveof behavior therapy. Behavior Therapy, 35(4), 639-665.
Heeren, A., & McNally, R. J. (2016). An integrative network approach to social anxiety disorder: The complex dynamic interplay among attentional bias for threat, attentional control, and symptoms. Journal of Anxiety Disorders, 42, 95-104.
Mansouri A, Farnam A, Bakhshipour RA, Mahmood AM. (2010). The comparison of rumination in patients with major depression disorder, obsessive-compulsive disorder, generalized anxiety disorder and normal individuals. Sabzevar University of Medical Sciences, 17(3), 189-95.
Morrison, A. S., & Heimberg, R. G. (2013). Social anxiety and social anxiety disorder. Annual review of clinical psychology, 9, 249-274.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115.
Norton, A. R., Abbott, M. J., Norberg, M. M., & Hunt, C. (2015). A systematic review of mindfulness and acceptance‐based treatments for social anxiety disorder. Journal of clinical psychology, 71(4), 283-301.
Ollendick, T. H., White, S. W., Richey, J., Kim-Spoon, J., Ryan, S. M., Wieckowski, A. T., ... & Smith, M. (2019). Attention bias modification treatment for adolescents with social anxiety disorder. Behavior therapy, 50(1), 126-139.
Rikkers, W., Lawrence, D., Hafekost, J., & Zubrick, S. R. (2016). Internet use and electronic gaming by children and adolescents with emotional and behavioural problems in Australia–results from the second Child and Adolescent Survey of Mental Health and Wellbeing. BMC public health, 16(1), 399.
Roohi, R., Soltani, A. A., Zinedine Meimand, Z., Razavi Nematollahi, V. (2019)The Effect of Acceptance and Commitment Therapy (ACT) on Increasing the Self-Compassion, Distress Tolerance, and Emotion Regulation in Students with Social Anxiety Disorder. Jcmh, 6(3), 173-187. [Persian].
Ruiz, F. J., & Odriozola-González, P. (2017). A longitudinal comparison of metacognitive therapy and acceptance and commitment therapy models of anxiety disorders. Anales De Psicología/Annals of Psychology, 33(1), 7-17.
Salazar, D. M., Ruiz, F. J., Ramírez, E. S., & Cardona-Betancourt, V. (2020). Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Child Depression: A Randomized Multiple-Baseline Evaluation. The Psychological Record, 45(2), 1-14.
Sewart, A. R., Niles, A. N., Burklund, L. J., Saxbe, D. E., Lieberman, M. D., & Craske, M. G. (2019). Examining Positive and Negative Affect as Outcomes and Moderators of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy for Social Anxiety Disorder. Behavior therapy, 50(6), 1112-1124.
Simon, E., Driessen, S., Lambert, A., & Muris, P. (2020). Challenging anxious cognitions or accepting them? Exploring the efficacy of the cognitive elements of cognitive behaviour therapy and acceptance and commitment therapy in the reduction of children's fear of the dark. International Journal of Psychology, 55(1), 90-97.
Sheppes, G., Suri, G., & Gross, J. J. (2015). Emotion regulation and psychopathology. Annual review of clinical psychology, 11, 379-405.
Spence, S. H., & Rapee, R. M. (2016). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 50-67.
Tabrizi, F., Ghamari, M., Farahbakhsh, K., Bazzazian, S. (2019). The Effectiveness of Integrating Acceptance and Commitment Therapy (ACT) with Compassion on Worry and Rumination of Divorced Women. Journal of Psychological Studies, 15(2), 41-60. [Persian].
Tarkhan, M. (2017). The Effectiveness of Acceptance and Commitment Therapy (ACT) on Emotion Regulation and Life Meaning of Depressed Women. Journal of Psychological Studies, 13(3), 147-164. [Persian].
Topper, M., Emmelkamp, P. M., Watkins, E., & Ehring, T. (2017). Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: a randomized controlled trial. Behaviour research and therapy, 90, 123-136.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive therapy and research, 27(3), 247-259.
Villatte, J. L., Vilardaga, R., Villatte, M., Vilardaga, J. C. P., Atkins, D. C., & Hayes, S. C. (2016). Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy, 77, 52-61.
Vowles, K. E., Sowden, G., Hickman, J., & Ashworth, J. (2019). An analysis of within-treatment change trajectories in valued activity in relation to treatment outcomes following interdisciplinary Acceptance and Commitment Therapy for adults with chronic pain. Behaviour research and therapy, 115, 46-54.
Woodward, E., Sachschal, J., Beierl, E. T., & Ehlers, A. (2019). Night-time rumination in PTSD: development and validation of a brief measure. European journal of psychotraumatology, 10(1), 1651476.
Yaraghchi, A., Jomehri, F., Seyrafi, M., Kraskian Mujembari, A., & Mohammadi Farsani, G. (2019). The Effectiveness of Acceptance and Commitment Therapy on Weight Loss and Cognitive Emotion Regulation in Obese Individuals. Iranian Journal of Health Education and Health Promotion, 7(2), 192-201. [Persian].
_||_