مقایسه اثربخشی ذهن آگاهی مبتنی بر کاهش استرس و حساسیت‌زدایی با حرکات چشم بر خودتنظیمی و اختلال استرس پس از ضربه در دانش‌آموزان متوسطه
محورهای موضوعی : روانشناسیسیران حشامی 1 , شکوه السادات بنی جمالی 2 , شیرین کوشکی 3 , جواد خلعتبری 4 , بیتا نصرالهی 5
1 - دانشجوی دکتری تخصصی روانشناسی، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
2 - دانشیار دانشگاه الزهرا، گروه روانشناسی، تهران، ایران
3 - دانشیار دانشگاه آزاد واحد تهران مرکز، گروه روانشناسی، تهران، ایران
4 - دانشیار دانشگاه آزاد اسلامی، گروه وانشناسی، واحد تنکابن، رشت، ایران
5 - استادیار، دانشگاه آزاد اسلامي، واحد علوم و تحقيقات تهران، گروه روانشناسی، تهران، ايران
کلید واژه: ذهن آگاهی, حساسیت‌زدایی با حرکات چشم, خودتنظیمی, اختلال استرسِ پس از ضربه, دانش‌آموزان متوسطه,
چکیده مقاله :
این پژوهش به مقایسه اثربخشی ذهن آگاهی مبتنی بر کاهش استرس و حساسیت‌زدایی با حرکات چشم و پردازش مجدد بر خودتنظیمی و اختلال استرس پس از ضربه در دانش‌آموزان پرداخته است. این مطالعه از نوع نیمه آزمایشی با طرح پیش‌آزمون ــ پس‌آزمون و پیگیری و نمونه گیری دردسترس بود. جامعه آماریِ این پژوهش دانش‌آموزان دورۀ اول و دوم متوسطۀ شهرستان سرپل‌ذهاب بود. پس از اجرای مقیاس شهروندی اختلال استرس پس از سانحه می سی سی پی(Mississippi scale for PTSD, keane, Cadell& Taylor,1998) و پرسشنامه خودتنظیمی بوفارد (Bouffard, Boisvert, Vezeau & Larouche ,1995) تعداد 45 نفر دانش‌آموز، به‌صورت در دسترس انتخاب و به طور تصادفی به سه گروه 15 تایی، شامل 2 گروه آزمایش و یک گروه کنترل تقسیم شدند. گروه آزمایش اول به مدت 6 جلسه 90 دقیقه‌ای تحت درمان حساسیت زدایی با حرکات چشم و گروه آزمایشی دوم به مدت 8 جلسه 2ساعته تحت مداخله ذهن آگاهی مبتنی بر کاهش استرس، قرار گرفتند. هر سه گروه 60 روز بعد مجددا پیگیری شدند. داده¬ها با استفاده از تحلیل کوواریانس و آزمون تعقیبی ال-اس-دی تجزیه و تحلیل شد. یافته ¬ها نشان داد که هر دو روش درمانی فوق می‌توانند خودتنظیمی و اختلال استرس پس از سانحه را در پس آزمون و پیگیری بهبود بخشند (05/0 P<).
The aim of this study was to compare the effectiveness of mindfulness based on stress reduction and desensitization with eye movements and reprocessing on self-regulation and post-traumatic stress disorder in students. This research was a quasi-experimental study with pre-test-post-test design and sampling available. The statistical population of this study was the students of the first and second year of high school in Sarpol-e-Zahab city. After completing the Mississippi Citizenship Scale(Mississippi scale for PTSD, keane, Cadell& Taylor,1998) and the Beaufort Self-Regulatory Questionnaire( Bouffard, Boisvert, Vezeau & Larouche ,1995), 45 adolescents were randomly selected and randomly divided into three groups of 15, including two experimental groups and a control group. The first experimental group underwent desensitization with eye movements for 6 sessions of 90 minutes and the second experimental group underwent stress reduction intervention mindfulness intervention for 8 sessions of 2 hours. All three groups were followed up again 60 days later. Data were analyzed using repeated measures analysis of variance and covariance and Scheffe post hoc test. The results showed that both of the above therapies can improve self-regulation and post-traumatic stress disorder in post-test and follow-up(P<0.05).
Azad Marzabadi, E., & Hashemi Zadeh, S. M. (2014). The Effectiveness of Mindfulness Training in Improving the Quality of Life of the War Victims with Post Traumatic stress disorder (PTSD). Iranian Journal of Psychiatry, 9(4), 228-236.
Basharpoor, S. (2012). The effectiveness of cognitive processing therapy on the improvement of posttraumatic symptoms, quality of life, self esteem and marital satisfaction in the women exposed to infidelity. Family Counseling and Psychotherapy, 2(2), 193-208.
Boccia, M., Piccardi, L., Cordellieri, P., Guariglia, C., & Giannini, A. M. (2015). EMDR therapy for PTSD after motor vehicle accidents: meta-analytic evidence for specific treatment. Frontiers in Human Neuroscience, 9, 213.
Bouffard, T., Boisvert, J., Vezeau, C., & Larouche, C. (1995). The impact of goal orientation on self‐regulation and performance among college students. British Journal of Educational Psychology, 65(3), 317-329.
Cole, J., Logan, T. K., & Walker, R. (2011). Social exclusion, personal control, self-regulation, and stress among substance abuse treatment clients. Drug and Alcohol Dependence, 113(1), 13-20.
Coubard, O. A. (2014). Eye Movement Desensitization and Reprocessing (EMDR) re-examined as cognitive and emotional neuroentrainment. Frontiers in Human Neuroscience, 8, 1035.
Ebadi, A., Fallahi Khoshknab, M., & Tavallaie, A. (2012). Consequences of living with posttraumatic stress disorder: A qualitative study. Journal of Qualitative Research in Health Sciences, 1(2), 92-101.
Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry, 164(10), 1476-1488.
Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: Implications for treatment. Journal of Rational-Emotive & Cognitive-Behavior Therapy 24(1), 45-61.
Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology. international journal of environmental research and public health. 2020;17(11):4151.
Frewen, P., Rogers, N., Flodrowski, L., & Lanius, R. (2015). Mindfulness and Metta-based Trauma Therapy (MMTT): Initial Development and Proof-of-Concept of an Internet Resource. Mindfulness (N Y), 6(6), 1322-1334.
Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83-91.
González, A., Del Río-Casanova, L., & Justo-Alonso, A. (2017). Integrating neurobiology of emotion regulation and trauma therapy: reflections on EMDR therapy. Reviews in the Neurosciences, 28(4), 431-440.
Gravetter, F. J., & Forzano, L.-A. B. (2018). Research methods for the behavioral sciences: Cengage Learning.
Haji, S. R., & ABDI, R. (2019). The role of experiential avoidance, mindfulness and anxiety sensitivity as transdiagnostic factors in prediction of emotional disorder.
Harding, K., Simpson, T., & Kearney, D. J. (2018). Reduced Symptoms of Post-Traumatic Stress Disorder and Irritable Bowel Syndrome Following Mindfulness-Based Stress Reduction Among Veterans. Journal of Alternative and Complementary Medicine 24(12), 1159-1165.
Haider T, Dai CL, Sharma M. Efficacy of Meditation-Based Interventions on Post-Traumatic Stress Disorder (PTSD) Among Veterans: A Narrative Review. Advanced Mind-Body Medicine. 2021 Winter;35(1):16-24.
Huberty, J., Green, J., Cacciatore, J., Buman, M. P., & Leiferman, J. (2018). Relationship Between Mindfulness and Posttraumatic Stress in Women Who Experienced Stillbirth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(6), 760-770.
Keane, T. M.; Caddell, J . M.& Tayelor, K. L(1988). Missippi Scale for Combat-Related Stress Disorder: Three Studies in Reliability and Validity. Journal of Consulting and Clinical Psychology, 56 ,1 ,185-190.
Koenen, K. C. (2006). Developmental epidemiology of PTSD: self-regulation as a central mechanism. Annals of the New York Academy of Sciences, 1071, 255-266.
Maredpour , A., & Najafi M. (2016). The effectiveness of therapeutic method eye movement desensitization and reprocessing in women suffering from posttraumatic stress disorder arising from non-military events.
Manzoni M, Fernandez I, Bertella S, Tizzoni F, Gazzola E, Molteni M, Nobile M. Eye movement desensitization and reprocessing: The state of the art of efficacy in children and adolescent with post traumatic stress disorder.Journal of Affective Disorders. 2021 Mar 1;282:340-347.
Nila, K., Holt, D. V., Ditzen, B., & Aguilar-Raab, C. (2016). Mindfulness-based stress reduction (MBSR) enhances distress tolerance and resilience through changes in mindfulness. Mental Health & Prevention, 4(1), 36-41.
Novo, P., Landin-Romero, R., Radua, J., Vicens, V., Fernandez, I., Garcia, F., . . . Amann, B. L. (2014). Eye movement desensitization and reprocessing therapy in subsyndromal bipolar patients with a history of traumatic events: a randomized, controlled pilot-study. Journal of Psychiatric Research, 219(1), 122-128.
Novakovic-Agopian T, Posecion L, Kornblith E, Abrams G, McQuaid JR, Neylan TC, Burciaga J, Joseph J, Carlin G, Groberio J, Maruyama B, Chen AJW. Goal-Oriented Attention Self-Regulation Training Improves Executive Functioning in Veterans with Post-Traumatic Stress Disorder and Mild Traumatic Brain Injury.Journal of Neurotrauma. 2021 Mar;38(5):582-592
Pingitore, D., & Sansone, R. A. (1998). Using DSM-IV primary care version: a guide to psychiatric diagnosis in primary care. American Academy of Family Physicians, 58(6), 1347-1352.
Rahmani, N., & Mansouri, A. (2019). The effectiveness of mindfulness–based cognitive therapy on the rumination and posttraumatic growth in bereaved women.
Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM-5: Classification and criteria changes. World Psychiatry, 12(2), 92-98. doi:10.1002/wps.20050
Rousseau, P., El Khoury-Malhame, M., Reynaud, E., Zendjidjian, X., Samuelian, J., & Khalfa, S. (2019). Neurobiological correlates of EMDR therapy effect in PTSD. European Journal of Trauma & Dissociation, 3(2), 103-111.
Shapiro, F. (2007). EMDR, adaptive information processing, and case conceptualization. Journal of EMDR practice and Research, 1(2), 68-87.
Talebzadeh, N. M., Abolghasemi, M., Ashourinejad, F., & Mousavi, S. (2011). A causal model for self-Cconsept, self-regulatory learning and academic achievement.
Tang F, Tan J, Guo X, Huang J, Yi J, Wang L.( 2021) Risk factors for post-traumatic stress disorder in acute trauma patients: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021;100(17):e25616.
Teasdale JD, Williams JM, Segal ZV, Soulsby J. Mindfulness. (2000). based cognitive therapy reduces over general autobiographical memory in for merely depressed patients. Journal of Abnormal Psychology; 109: 150-5.
Tavakoli, Z. (2018). Effect of Mindfulness-Based Stress Reduction Intervention on Distress Problems and Self-Regulation in Patients with Type 2 Diabetes. Iranian Journal of Nursing Research, 13(2), 41-49.
Tural, U., Coşkun, B., Onder, E., Corapçioğlu, A., Yildiz, M., Kesepara, C. Aybar, G. (2004). Psychological consequences of the 1999 earthquake in Turkey. Journal of Traumatic Stress 17(6), 451-459.
Weiss, N. H., Tull, M. T., Viana, A. G., Anestis, M. D., & Gratz, K. L. (2012). Impulsive behaviors as an emotion regulation strategy: examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. Journal of Anxiety Disorders, 26(3), 453-458.
Yurtsever, A., Konuk, E., Akyüz, T., Zat, Z., Tükel, F., Çetinkaya, M., . . . Shapiro, E. (2018). An Eye Movement Desensitization and Reprocessing (EMDR) Group Intervention for Syrian Refugees With Post-traumatic Stress Symptoms: Results of a Randomized Controlled Trial. Frontiers in Psychology, 9, 493.