اثربخشی درمان فراشناختی بر عدم تحمل ابهام دانش آموزان با علایم وسواس فکری-عملی
محورهای موضوعی : زن و خانوادهاحد آهنگر 1 , فاطمه اسدی 2 , سکینه سلامت 3
1 - استادیار، گروه روانشناسی ، واحدشبستر، دانشگاه آزاد اسلامی، شبستر، ایران ( نویسنده مسئول ) ahangar.iaushab.ac.ir
2 - کارشناس ارشد، گروه مشاوره، واحد شبستر ، دانشگاه آزاد اسلامی، شبستر، ایران
3 - کارشناس ارشد، گروه روانشناسی تربیتی، دانشگاه پیام نور، تبریز، ایران
کلید واژه: دانش آموزان, درمان فراشناختی, عدم تحمل ابهام, علایم وسواس فکری-عملی,
چکیده مقاله :
هدف از پژوهش حاضر تعیین اثربخشی درمان فراشناختی بر عدم تحمل ابهام دانش آموزان با علایم وسواس فکری-عملی بود. روش پژوهش نیمه آزمایشی از نوع پیش آزمون - پس آزمون با گروه کنترل بود. جامعه آماری پژوهش حاضر شامل کلیه دانش‌آموزان دختر مشغول تحصیل در مدارس دوره دوم متوسطه شهر خوی به تعداد 4558 نفر بود. از این جامعه، نمونه ای به حجم 30 نفر با تشخیص اختلال وسواس-جبری با استفاده از اجرای پرسشنامه وسواس فکری عملی ییل براون (Y-BOCS) به روش نمونه گیری در دسترس انتخاب و به صورت تصادف در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) جایگزین شدند. شرکت کنندگان دو گروه در مراحل پیش آزمون و پس آزمون پرسشنامه عدم تحمل ابهام (IUS) را تکمیل و در این اثناء آزمودنی های گروه آزمایش طی 10 جلسه 90 دقیقه ای تحت آموزش های مربوط به درمان فراشناختی قرار گرفتند. داده ها با استفاده از تحلیل کوواریانس چندمتغیره مورد تجزیه و تحلیل قرار گرفتند. نتایج نشان داد که درمان فراشناختی منجر به تفاوت معنی‌دار بین گروه‌ها در نمره کل عدم تحمل ابهام و مولفه های آن شامل ناتوانی برای انجام عمل، استرس آمیز بودن بلاتکلیفی، منفی بودن رویدادها و ابهام در مورد آینده شده است (05/0p < /p>
The purpose of this study was to investigate the effectiveness of metacognitive therapy on intolerance of ambiguity in students with obsessive compulsive symptoms. The present study is a semi-experimental study with pretest-posttest and control group design. The statistical population of the present study consisted of all female students ( 4558) studying at high secondary schools in Khoy city From this population, a sample of 30 people with OCD diagnosis using yale-brown obsessive compulsive scale (Y-BOCS) was selected by available sampling method and were placed randomly in two groups of experimental (15 people) and control (15 people). Participants of the two groups completed the pre-test and post-test stages of intolerance of uncertainty (questionnaire), and in the meantime, the subjects of the experimental group were placed under the training of metacognitive therapy during 10 sessions of 90 minutes. Data analysis was performed using Multivariate covariance. The findings of this study showed that metacognitive therapy resulted in a significant difference between the groups in the total intolerance of ambiguity score and its components including inability to act, stressful and upsetting results of uncertainty, negative results of unexpected events and ambiguity about future Regarding the results, it can be argued that metacognitive therapy is effective on the intolerance of ambiguity and its components.
Arfai, A., Besharat Qaramaleki, R., Gholizadeh, H & Hekmati, Isa. (1390).
Intolerance intolerance: Comparison of primary depressed patients with obsessive-
compulsive patients. Journal of Tabriz University of Medical Sciences, 33 (5): 22-17.
Ali Mehdi, M., Ehteshamzadeh, P., Naderi, F., Iftikhar S,Z & Pasha, R. (1394). The
effectiveness of cognitive-behavioral therapy on the intolerance of uncertainty and
anxiety sensitivity in people with generalized anxiety disorder. Journal of Thought
and Behavior, 10 (38): 88-77.
Bakhshipour Rudsari, A., Hashemi Nusratabad, T & Nekounam, Mohammad Siddiq.
(1394). Comparison of ambiguity and perfectionism among patients with obsessive-
compulsive disorder and normal individuals. Journal of Clinical Psychology, 7 (1):
50-41.
Chinese sellers, M., Sohrabi, F., Golzari, M & Farrokhi, Noor Ali. (1396).
Comparison of the effectiveness of group and individual metacognitive therapy on
the treatment of obsessive-compulsive disorder. Contemporary Psychology, 11 (2):
35-23.
Ghobadzadeh, S., Davoodi & Kazem Fakhri, M. (1393). The effectiveness of group
metacognitive therapy on anxiety and fusion of women with generalized anxiety
disorder. Journal of Mazandaran University of Medical Sciences, 24 (122): 338-333.
Ghobadi, Armaghan. (1396). The effect of group education based on rational-
emotional-behavioral theory (rebt) on reducing anxiety, intolerance of uncertainty
and negative orientation to the problem in students of Ferdowsi University. Master
Thesis, Ferdowsi University of Mashhad.
Gal, d. Mardit., B & Walter, G. (1391). Quantitative and qualitative research methods
in educational sciences and psychology (Vol. I), translated by Ahmad Reza Nasr et
al. Tehran: Samat Publications.
Hosseini G, Fatemeh., Mohammadkhani, P., Porschebaz, A., Dolatshahi, B & Mohammadi, F. (1392). The effectiveness of group metacognitive therapy on reducing anxiety and improving thinking control strategies in patients with generalized anxiety disorder. Journal of the School of Nursing and Midwifery, 23 (80): 76-66.
Islami, A., Barimani, P & Dost Mohammad, S. (1396). The effectiveness of cognitive
therapy based on mindfulness on anxiety and intolerance to the uncertainty of
patients with hypertension. Principles of Mental Health, 19 (3): 289-281.
Lashkari, Bavil & Aliaei, A. (1394). The effectiveness of metacognitive therapy
(mct) on reducing cognitive impairment in people with symptoms of pervasive anxiety disorder (GAD). Master Thesis, University of Tabriz.
Mami, S., Sharifi, M & Mahdavi, A. (1394). The effectiveness of metacognitive
therapy on reducing symptoms of transgression and fusion of thinking in patients with generalized anxiety disorder referring to a military hospital. Journal of Nursing and Physician in War, 7 (3): 25-18.
Madahi, M I. (1395). Determining the effect of metacognitive therapy and
mindfulness-based cognitive therapy on couples' communication patterns through perceived perceived stress, perceived social support, and emotional regulation in military personnel with coronary artery occlusion. Journal of Military Psychology, 7 (26): 101-91.
Momeni, M., Rezaei, F & Gorji, Yousef. (1392). The effectiveness of metacognitive
counseling on the level of test anxiety of female students. Knowledge and Research in Applied Psychology, 14 (4): 105-99.
Mikaeli Barzili, N., Ahadi, B & Hassanabadi, H. (1390). Comparison of the
effectiveness of Islamic therapy and cognitive-behavioral therapy in patients with
obsessive-compulsive disorder. Journal of Psychological Achievement, 4 (2): 86-61.
Narimani, M., Alamardani Soomeh, S., Mikaeli, N & Basharpour, S. (1393).
Comparison of uncertainty intolerance, emotion regulation and marital satisfaction in people with obsessive-compulsive disorder and normal. Journal of Clinical Psychology, 6 (4): 32-21.
Nowruz, S., Pourshahriari, M S & Lotfi, M. (1395). The effectiveness of combining
the two methods of cognitive-behavioral therapy and choice theory on practical
obsessive-compulsive disorder. Armaghan Danesh, 21 (7): 706-694.
Salmani, B & Hassani, Jafar. (1395). The role of ambiguity and positive
metacognitive beliefs in obsessive-compulsive disorder and major depression. Razi
Journal of Medical Sciences, 23 (142): 72-65.
Salimi, S H., Rah-e Nejat, A., Rabiee, A., Dabbaghi, P., Donyaei, V. (1393).
Analytical review on post-traumatic stress disorder cognitive therapy: A systematic
review review. Journal of Nursing and Physicians in War, 5 (25): 45-38.
Shara, H., Gharaei, B., Atef, H & Mohammad, K. (1389). Comparison of the
effectiveness of metacognitive therapy, fluoxamine therapy and combination therapy on improving metacognitive beliefs and mental distress of patients with obsessive-compulsive disorder. Cognitive Science News, 12 (1): 16-1.
Shakehnia, F., Kajbaf, M B & Golkari, Tahereh. (1396). Comparison of coping
strategies and the degree of attachment of infected and non-infected students to
obsessive-compulsive disorder. Journal of Child Mental Health, 4 (2): 145-135.
Shahri, K., Moradi Begloui, M., Sarichello, M & Alipour, Mahmoud. (1396).
Investigating the effect of group metacognitive therapy on the anxiety of caregivers
of patients with hospitalized schizophrenia disorder. Journal of Psychiatry, 5 (5): 41-
34.
Sharafati, H., Taheri, E., Asmaei Majd, S & Amiri, M. (1396). The effectiveness of
cognitive therapy based on Dougas model on intolerance of uncertainty, cognitive avoidance and positive beliefs of concern in patients with generalized anxiety disorder. Journal of Clinical Psychology, 9 (2): 27-15.
Wells, Adrian. (1395). Metacognitive Therapy for Anxiety and Depression,
translated by Shahram Mohammadkhani (fourth edition). Tehran, Beyond Knowledge Publications.
_||_