تأثیر روان‌درمانی تحلیلی کارکردی بر روابط موضوعی و مقابله با شرایط پرفشار در بیماران مبتلا به اختلال شخصیت مرزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران.

2 استادیار، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران.

3 استاد، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران.

10.22123/chj.2021.270512.1664

چکیده

مقدمه: روان درمانی تحلیلی کارکردی یک روش نوین در درمان اختلال­های روان­شناختی است، بنابراین، هدف این پژوهش تعیین اثربخشی روان­درمانی تحلیلی کارکردی بر روابط موضوعی و مقابله با شرایط پرفشار در بیماران مبتلا به اختلال شخصیت مرزی بود.
مواد و روش­ ها: روش پژوهش حاضر شبه آزمایشی از نوع پیش‌آزمون-پس‌آزمون با گروه آزمایش و کنترل با یک مرحله پیگیری سه ماهه بود. جامعه آماری پژوهش شامل تمامی زنان مراجعه­کننده به مرکز درمان اختلالات روان­شناختی آسال شهر کرج در سال 1399 بود. تعداد 24 نفر با سطح بیماری متوسط به روش تصادفی ساده انتخاب و با توجه به قرعه در دو گروه 12 نفره جایگزین شدند. بسته روان­درمانی تحلیلی کارکردی Tsai و همکاران در 10 جلسه 45 دقیقه­ای بر روی گروه آزمایش ­اجرا شد. بر روی گروه کنترل مداخله­ای انجام نگردید. پیش­آزمون و پس­آزمون با استفاده از پرسش­نامه روابط موضوعی Bell و همکاران و پرسش­نامه مقابله با موقعیت فشار­زا Endler and Parker انجام شد. داده­ها با استفاده از آزمون کوواریانس آمیخته تحلیل شدند.
یافته­ ها: یافته‌ها نشان داد که روان­درمانی تحلیلی کارکردی تأثیر 92 درصدی بر بهبود روابط موضوعی (34/78F=، 001/0>p) و تأثیر 82 درصدی بر سبک اجتنابی (54/36F=، 001/0>p)، از متغیر مقابله با شرایط پرفشار در بیماران مبتلا به اختلال شخصیت مرزی دارند.
نتیجه ­گیری: این پژوهش بر تأثیر روان­درمانی تحلیلی کارکردی بر روابط موضوعی و مقابله با شرایط پرفشار در بیماران تأکید دارد. بنابراین می­تواند به درمان­گران تلویحات کاربردی برای درمان افراد مبتلا به اختلال شخصیت مرزی ارائه دهد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Functional Analytical Therapy on Object Relations and Coping with Stressful Situations in Patients with Borderline Personality Disorder

نویسندگان [English]

  • M Siroos 1
  • B Mirzaian 2
  • R Hasanzadeh 3
1 -Ph.D Student, Dept of Psychology, Sari Branch, Islamic Azad University, sari, Iran.
2 Assistant Prof, Dept of Psychology, Sari Branch, Islamic Azad University, sari, Iran.
3 Prof, Dept of Psychology, Sari Branch, Islamic Azad University, sari, Iran.
چکیده [English]

Introduction: Functional analytical therapy is a new method in the treatment of psychological disorders. Therefore, the aim of this study was to determine the effectiveness of functional analytical therapy on object relations and coping with stressful situations in patients with borderline personality disorder.
Materials and Methods: The method of the present study was quasi-experimental pre-test-post-test with experimental and control groups with a quarterly follow-up phase. The statistical population of the study included all women referred to Asal Psychiatric Disorders Treatment Center in Karaj in 2020. 24 patients with moderate disease level were selected by simple random sampling and were replaced in two groups of 12 according to the lottery. The functional analytical therapy package of Tsai et al. was performed on the experimental group in 10 sessions of 45 minutes, but no intervention was performed on the control group. Pre-test and post-test were obtained using the Bell et al.'s Object Relations Questionnaire and the Endler and Parker's coping with stressful situations Questionnaire. Data were analyzed using mixed covariance analysis.
Results: The results showed that functional analytical therapy had an effect of 92% on the improvement of object relations (F = 78.34, p<0.001) and an effect of 82% on avoidant style (F =36.54, p<0.001), of the variable coping with stressful situations in patients with borderline personality disorder.
Conclusion: This study emphasizes the effect of functional analytical therapy on object relations and coping with stressful situations in patients, so it can provide therapists with practical implications for the treatment of people with borderline personality disorder.

کلیدواژه‌ها [English]

  • object
  • coping
  • borderline personality disorder
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