مقایسه اثربخشی درمان شناختی رفتاری و درمان متمرکز بر شفقت بر تکانشگری زنان در شرف طلاق

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشکده علوم انسانی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

2 دانشیار، گروه روانشناسی، دانشکده علوم انسانی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

چکیده

مقدمه : تکا نشگری با اثرات و عواقب بالقوه آسیب‌رسان، طولانی‌مدت و مخاطره‌آمیز همراه است. این پژوهش با هدف مقایسه اثربخشی درمان شناختی رفتاری و درمان متمرکز بر شفقت برتکانشگری زنان در شرف طلاق انجام شد.
مواد و روش‌ها : پژوهش حاضر از نوع مداخله‌ای پیش‌آزمون_ پس‌آزمون با گروه کنترل وپیگیری سه ماهه در سال 1397 انجام گرفت. نمونه‌گیری به صورت تصادفی در دسترس وجامعه آماری کلیه زنان در شرف طلاق مراجعه کننده به اورژانس اجتماعی شهرستان تنکابن بودند که 45 زن در دو گروه مداخله و یک گروه کنترل قرار گرفتند. گروه‌های مداخله طی 8 جلسه 90 دقیقه‌ای تحت درمان شناختی رفتاری و درمان متمرکز بر شفقت قرار گرفتند. گروه کنترل درمانی نداشت. ابزار پژوهش مقیاس تکا نشگری Barratt (BIS-11 ) بود. داده‌ها توسط آنالیز واریانس یک‌طرفه با اندازه‌گیری مکرر تجزیه و تحلیل شدند.
 یافته‌ها : میانگین و انحرا ف معیار  نمره تکانشگری در پیش آزمون گروه آزمایشی درمان شناختی رفتاری از 03/5 ± 13/87 به 39/2 ± 00/64 در پس آزمون و 52/2 ±27/53 در پیگیری رسید (001/0p<). نمره تکانشگری در پیش آزمون درمان متمرکز بر شفقت از 71/4 ± 60/ 91 به 15/3± 27/56 در پس آزمون و 21/3 ± 73/40 در پیگیری رسید (001/0p<) و نمره گروه کنترل از 43/5 ± 20/89 به 60/3 ± 60/84 در پس آزمون و 72/3±  87/81 در پیگیری رسید (001/0p<).
 نتیجه‌گیری : درمان شناختی رفتاری و درمان متمرکز بر شفقت احتمالاً می‌توانند موجب کاهش تکانشگری ناشی از طلاق شوند. از این رو به نظر می‌رسد نتیجه پژوهش، حمایتی تجربی برای هر دو درمان در جهت کاهش تکانشگری فراهم می‌آورد

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effect of cognitive-behavioral therapy with Compassion-Focused Therapy on Impulsivity of Women on the Verge of Divorce

نویسندگان [English]

  • M Saeidi 1
  • J Khalatbari 2
  • Sh Ghorbanshiroudi 2
  • Sh Abolghasemi 2
1 Ph.D. Student, Dept of Psychology, Islamic Azad UniversityTonekabon, Tonekabon, Iran.
2 Associate Prof, Dept of Psychology, Tonekabon Islamic Azad University, Tonekabon, Iran
چکیده [English]

Introduction: Impulsivity, coupled with potentially damaging long-term effects, necessitates the need to provide psychological interventions for women on the verge of divorce. Therefore, the present study is conducted to compare the effectiveness of cognitive-behavioral and compassion-focused therapies on women's impulsivity.
Materials and Methods: The research was interventional pre-test post-test control group design, which was done through a random assignment and a three-month follow-up. The sample was selected by convenient sampling. Forty-five women on the verge of divorce were assigned to two experimental and one control groups. The research tool included Barrett Impulsivity Scale (BIS-11). Data were analyzed through the mutual variance analysis method by the repeated measurements.
Results: The mean of impulsivity variable in different stages showed a significant difference before, after, and three months after intervention (p<0.001). In the post-intervention stages, although the mean score of impulsivity decreased in all three groups, the rate of reduction in two intervention groups was significantly higher than the control group.
Conclusion: The results showed that cognitive-behavioral therapy and compassion-focused therapy could probably reduce impulsivity caused by divorce, the latter being more efficient. It seems that the results of the research provide empirical evidence in reducing impulsivity for both therapie

کلیدواژه‌ها [English]

  • Therapy
  • Cognitive-behavioral
  • Compassion-focused
  • Impulsivity
  • Women
  • Divorce
  1. Kim HS. Consequences of parental divorce for child development. American Sociological Review 2011; 76(3): 487-511.
  2. Diemen LV, Szobot CM, Kessler F, Pechansky F. Adaptation and construct validation of the Barratt Impulsiveness Scale (BIS- 11) to Brazilian Portuguese for use in adolescents. Rev Bras Psiquiat 2007; 29(2): 153-6. [Spanish]
  3. Dawe S, Gullo M J, Loxton NJ. Impulsivity and adolescent substance use: Rashly dismissed as ‘all-bad’’? Neuroscience and Biobehavioral Reviews 2008; 32(8): 1507-1518
  4. Zuckerman M. P- Impulsive sensation seeking and it’s behavioral, psychophysiological and biochemical correlates. Neuropsychobiology 1993; 28(1-2): 30-36
  5. Chamorro J, Silvia Bernardi J, Marc N, Potenza Jon , Rachel M, Shuai W,et al .  Impulsivity in the general population: A national study. Journal of Psychiatric Research 2012; 46 (8): 994-1001.
  6.  Derrick J, RebeccaJ, Houston B, Quigley M Testa  M, Kubiak A, et al. (Dis) similarity in Impulsivity and Marital Satisfaction: A Comparison of Volatility, Compatibility, and Incompatibility Hypotheses. Journal of Research in personality 2016; 1(61): 35–49.
  7. Stroud CB, Durbin CE, Saigal SD, Knobloch-Fedders LM. Normal and abnormal personality traits are associated with marital satisfaction for both men and women: An Actor–Partner Interdependence Model analysis. Journal of Research in Personality 2010; 44(7):466–477.
  8. Von Hippel W, Gonsalkorale K. That is bloody revolting. Inhibitory control of thoughts better left unsaid. Psychological Science 2005;16 (7): 497–500.
  9. Meichenbaum DH. Cognitive-behavior modification: An integrative approach. 1nd Ed. New York: Plenum Press 1977: 23-31.
  10. Moeller F, Barratt E, Dougherty D, Schmitz J, Swann, A. Psychiatric Aspects of Impulsivity.  American Journal of Psychiatry 2001; 158(11):  1783-1793.
  11. Hodgins D C, Peden N. Tratamento cognitivo-comportamental para transtornos do controle do impulse. Cognitive-behavioral treatment for impulse control disorders. Brazilian Journal of Psychiatry 2008;30(1):31-40 .[ Brazilian]
  12. Hatami-Nasri F, Azadfallah P, Tork M , EydiBaygiI M, GHaraeeArdakani SH. Examinin  the effectiveness of group cognitive behavioral therapy based on schema on impulsivity of substance abusers. Annals of military and health sciences research 2015; 13(4):146- 150 [ Persian]
  13. Nateghi M, Sohrabi F. The Effectiveness of Cognitive-Behavioral Therapy in Suicidal Thoughts and Impulsivity among Adolescents with Addiction. Quarterly Journal of Research on Addiction 2017; 11(42):213- 228. [ Persian]
  14. Weinberg I, Gunderson JG, Hennen J, Cutter Jr CJ. Manual assisted cognitive   treatment for deliberate self-harm in borderline personality disorder patients. Journal of personality disorders 2006; 20(5):482-92.
  15. Khalatbari J, Tamadoni M, BarghandanS.  CFT made simple: a clinician's guide to practicing compassion-focused therapy. (Translation). Kolts RL,ed.1nd ed.Tehran:Danjeh Publication; 2016 : 51-65.[Persion]
  16. Braehler C, Gumley A, Harper J, Wallace S, Norrie J, & Gilbert P. Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology 2013; 52(2): 199–214.
  17. Neff K, Beretvas S N. The roleof self-compassion in romantic relationships. Journal Self and Identity 2013; 12(1): 78-98.
  18. Rezaei N, Sohraby A, Zoghipaidar MR. The effectiveness of compassion focused therapy on impulsiveness, interpersonal sensitivity and self mutilation in borderline personality disorder. Knowledge & Research in Applied Psychology 2019; 19(4):44-55. [ Persian]
  19. Esbaty M. (dissertation) Study of the pathologyand the effectiveness of treatment basedon compassion Trans diagnostic approachto anxiety and depression. Tehran : AlZahra ; 2013:9-10
  20. Wildermuth A S. (dissertation) Cognitive behaviour group therapy for adolescents with type 1 diabetes. USA: Regent University; 2008:225-229.
  21. Gilbert P. The origins and nature of compassion focused therapy. BJCP 2014; 53(1):6-41.
  22. Barratt E, Stanford MS, Kent TA, Felthous A. Neuropsychological and cognitive psychophysiology substrates of impulsive aggression. Biol Psychiatr1997; 41(10): 1045-1061.
  23. Patton J H, Stanford M S, Barratt ES. Factor Structure of the barratt impulsiveness scale. Journal of Clinical Psychology 1995; 51 (6): 768–74.
  24. Ekhtiari H, Safaei H, Javid Gh, Atefvahid M, Edalati H, Makri A. Reliability and Validity of Persion Versions of Eysenck, Barratt,Dickman and Zuckerman Questionnaires in Assessing Risky and Impulsive Behaviors. Iranian Journl of Psychiatry and Clinical Psychology2008; 14(3): 326- 336. [persion]
  25. MoreanME, Kong G, CamengaDR, Cavallo DA, Carroll KM,Pittman B, etal. Contingency management improves smoking cessation treatment outcomes among highly impulsive adolescent smokers relative to cognitive behavioral therapy. Addictive behaviors 2015; (42): 86-90.
  26. kim S,Kim J,Kim B. Effects of Cognitive Behavioral Therapy-Based Program for the Adolescent Perpetrators of School Violence. Psychology 2017; 56(3):118-126.
  27. Akbari J, Aghamohamadian H, Ghanbari Hashemabadi B. The Effectiveness of Cognitive-Behavioral Therapy and Drug Therapy on Anxiety and Impulsivity Symptoms in Men with Borderline Personality Disorder. Journal of Mental Health Principles 2008;4(40):317-323.[persion]
  28. Cha K H. Subjective well-being among college students.  Social Indicators Research 2014; 62(63): 455–477.
  29. Feliu-Soler A, Pascual J C, Elices M, Martín-Blanco A, Carmona C, Cebolla A, et a l. Fostering Self-Compassion and Loving-Kindness in Patients With Borderline Personality Disorder: A Randomized Pilot Study. Clinical Psychology & Psychotherapy 2016; 24(1): 278–286.
  30. Morley R M, Terranova V A, Cunningham  S N, Kraft  G. Self-Compassion and Predictors of Criminality. Aggression, Maltreatment & Trauma 2016; 25(5): 503- 517.
  31. Foroghi A, Hematian M, Mohammadpour M. The mindful self compassion workbook: aproven way to accept yourself, build inner strength, and thrive. (Translation) Neff K, Germer CH .1nded. Tehran  : Ebne Sina  Publication ; 2018.
  32. Nori h. Compassion and Consciousness. A New Look at the Challenges of Life. Tehran: Kian Afraz Publications.1396:74[ Persian]
  33. Weng H Y, Fox A S, Shackman A J, Stodola D E, Caldwell J z, Olson M C, et al. Compassion training alters altruism and neural responses to suffering. Psychological Science2013; 24(7):1-10.
  34. Baker L R, & McNulty J K. Self-compassion and relationship maintenance: The moderating roles of conscientiousness and gender. Journal of Personality and Social Psychology 2011; 100(5): 853-873.