مقایسه اثربخشی رفتاردرمانی شناختی و رفتاردرمانی دیالکتیک بر رفتارهای تکانشی، تنظیم هیجان و باورهای غیرمنطقی دانش‌آموزان دختر مقطع متوسطه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روانشناسی، دانشگاه آزاد اسلامی واحد تنکابن، مازندران، ایران.

2 دانشیار، گروه روانشناسی، دانشگاه آزاد اسلامی واحد تنکابن، مازندران، ایران.

3 دانشجوی دکتری، گروه مشاوره، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران.

10.22123/chj.2021.214797.1415

چکیده

مقدمه: رفتارهای تکانشی، تنظیم ­هیجان و باورهای غیرمنطقی از متغیرهای مؤثر بر سلامت روان دانش­آموزان هستند. رفتاردرمانی شناختی و دیالکتیک، رویکردهایی کارآمد جهت کاهش اختلالات رفتاری نوجوانان می­باشند. پژوهش حاضر، با هدف مقایسه اثربخشی رفتاردرمانی شناختی و رفتاردرمانی دیالکتیک بر رفتارهای­ تکانشی، تنظیم هیجان و باورهای غیرمنطقی دانش­آموزان دختر مقطع متوسطه انجام شد.
مواد و روش ­ها: جامعه آماری این پژوهش نیمه­آزمایشی، کلیه دانش­آموزان دختر مقطع متوسطه شهرستان رامسر در سال تحصیلی 96-1395 بودند. تعداد 45 نفر به روش نمونه­گیری تصادفی خوشه­ای انتخاب شدند و به صورت تصادفی در گروه­های مداخله و کنترل قرار گرفتند (15 نفر در هر گروه). گروه­ها، پرسشنامه­های تکانشوری، باورهای­ غیرمنطقی و تنظیم هیجان را در مراحل پیش­آزمون، پس­آزمون و پیگیری تکمیل کردند. گروه­های آزمایشی 8 جلسه 90 دقیقه­ای رفتاردرمانی شناختی و دیالکتیک دریافت کردند و گروه کنترل، مداخله­ای دریافت نکرد. داده­ها با استفاده از تحلیل واریانس با اندازه­گیری مکرر و آزمون تعقیبی بنفرونی تحلیل شدند.
یافته ­ها: نمرات پس­آزمون رفتارهای تکانشی و باورهای غیرمنطقی در گروه­های­ رفتاردرمانی شناختی و رفتاردرمانی ­دیالکتیکی نسبت به پیش­آزمون به طور معنی­دار کاهش یافت (001/0p<). نمرات پس­آزمون تنظیم هیجان گروه­ رفتاردرمانی شناختی و رفتاردرمانی دیالکتیکی نسبت به پیش­آزمون افزایش معنی­دار نشان داد (001/0p<) که این تأثیرات در مرحله پیگیری نیز تداوم داشت.
نتیجه ­گیری: رفتاردرمانی شناختی و رفتاردرمانی دیالکتیکی می­توانند به عنوان درمان­های مؤثری برای کاهش رفتارهای تکانشی، باورهای غیرمنطقی و بهبود تنظیم هیجان در دانش­آموزان دختر مورد استفاده قرار گیرند و تفاوتی بین آن‌ها از این جهت وجود ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effectiveness of Dialectical-Behavioral and Cognitive-Behavioral Therapy on Irrational Beliefs, Emotion Regulation, and Impulsive Behaviors of High School Female Students

نویسندگان [English]

  • P Parvaneh 1
  • J Khalatbari 2
  • F Saeedpoor 3
1 MSc, Dept of Psychology, Islamic Azad University, Tonekabon Branch, Mazandaran, Iran.
2 Associate Prof, Dept of Psychology, Islamic Azad University, Tonekabon Branch, Mazandaran, Iran.
3 Ph.D student, Dept of Counseling, Faculty of Educational Sciences and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
چکیده [English]

Introduction: Irrational beliefs, emotion regulation, and impulsive behaviors are variables that affect students' mental health. In this context, dialectical-behavioral and cognitive-behavioral therapy are effective approaches to reducing adolescent behavioral disorders. Thus, the present study aimed to compare the effectiveness of dialectical-behavioral and cognitive-behavioral therapy on irrational beliefs, emotion regulation, and impulsive behaviors of high school female students.
Materials and Methods: The statistical population of this quasi-experimental study included all high school female students in Ramsar city in the academic year of 2015-2016. Forty-five subjects were selected through random cluster sampling from female high schools and were randomly grouped into control and interventions (15 persons in each group). The groups completed emotion regulation, irrational beliefs, and impulsiveness questionnaires in the pre-test, post-test, and follow-up stages. The experimental groups received 8-sessions of 90-minutes dialectical-behavioral and cognitive-behavioral therapy, and the control group did not receive any intervention. Data were analyzed using Bonferroni post-hoc test and repeated measures analysis of variance.
Results: Compared to pre-test, post-test scores of impulsive behaviors (Md=4.33, p<0.001) and irrational beliefs (Md=3.66, p<0.001) in the cognitive-behavioral therapy group and post-test scores of impulsive behaviors (Md=8.40, p<0.001) and irrational beliefs (Md=13.93, p=0.001) in dialectical-behavioral therapy group significantly reduced. Also, post-test of emotion regulation of cognitive-behavioral therapy group (Md=-0.20, p<0.001) and dialectical-behavioral therapy (Md=-7.46, p<0.001) significantly increased compared to pre-test; these effects continued in the follow-up phase.
Conclusion: Dialectical-behavioral and cognitive-behavioral therapies can be used as effective treatments to improve emotion regulation and reduce irrational beliefs and impulsive behaviors in female students; there is no difference between them in this respect.

کلیدواژه‌ها [English]

  • cognitive-behavioral therapy
  • Dialectical-behavioral therapy
  • Impulsive behavior
  • emotion regulation
  • Irrational belief
  1. Auerbach RP, Stewart JG, Johnson SL. Impulsivity and suicidality in adolescent inpatients. ISRCAP 2017; 45(1):91-103.
  2. Sarkisian KL, Van Hulle CA, Goldsmith HH. Brooding, inattention, and impulsivity as predictors of adolescent suicidal ideation. ISRCAP 2019; 47(2):333-44.
  3. Berg JM, Latzman RD, Bliwise NG, Lilienfeld SO. Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological assessment 2015; 27(4):1-18.
  4. Paydary K, Mahin Torabi S, SeyedAlinaghi S, Noori M, Noroozi A, Ameri S, et al. Impulsivity, sensation seeking, and risk-taking behaviors among HIV-positive and HIV-negative heroin dependent persons. AIDS Research and Treatment 2016; 1(1):1-8.
  5. Estévez E, Jiménez TI, Cava MJ. A cross-cultural study in Spain and Mexico on school aggression in adolescence: Examining the role of individual, family, and school variables. CCR 2016; 50(2):123-53.
  6. Peters JR, Smart LM, Eisenlohr‐Moul TA, Geiger PJ, Smith GT, Baer RA. Anger rumination as a mediator of the relationship between mindfulness and aggression: The utility of a multidimensional mindfulness model. JCP 2015; 71(9):871-84.
  7. Morley RH, Terranova VA, Cunningham SN, Vaughn T. The role that self-compassion and self-control play in hostility provoked from a negative life event. IJIP 2016; 3(2):125-41.
  8. Farb NA, Anderson AK, Irving JA, Segal ZV. Mindfulness interventions and emotion regulation. Handbook of emotion regulation. 2nd ed. New York: Guilford; 2014:587-67.
  9. Oppenheimer S, Krispin O, Levy S, Ozeri M, Apter A. The impact of coping patterns and chronic health conditions on health-related quality of life among children and adolescents. EJPEDT 2018; 177(6):935-43.
  10. McMahon TP, Naragon-Gainey K. The Multilevel Structure of Daily Emotion-Regulation-Strategy Use: An Examination of Within-and Between-Person Associations in Naturalistic Settings. Clinical Psychological Science 2019; 7(2):321-39.
  11. Turner MJ. Proposing a rational resilience credo for use with athletes. JSPA 2016; 7(3):170-81.
  12. Balkıs M, Duru E. The protective role of rational beliefs on the relationship between irrational beliefs, emotional states of stress, depression and anxiety. REBT 2019; 37(1):96-112.
  13. Vîslă A, Flückiger C, Grosse Holtforth M, David D. Irrational beliefs and psychological distress: A meta-analysis. Psychother Psychosom 2016; 85(1):8-15.
  14. Zamani N, Farhadi M, Jenaabadi H. Comparison effectiveness of Dialectic Behavioral Therapy and Behavior Cognitive Therapy on Depression in the Multiple sclerosis. QUMSJ 2017; 10(12):77-86. [Persian]
  15. DeCou CR, Comtois KA, Landes SJ. Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior Therapy 2019; 50(1):60-72.
  16. Alavi Kh, Modarres Gharavi M, AminYazdi SA, Salehi Fadardi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. JFMH 2011; 13(2):124-35. [Persian]
  17. Shooshtari A, Rezaee A, Taheri E. The effectiveness of cognitive-behavioral group therapy on divorced women’s emotional regulation, meta-cognitive beliefs, and rumination. JFMH 2016; 18(6):321-8. [Persian]
  18. Zamani N, Ahmadi V, Ataaei Moghanloo V, Mirshekar S. Comparing the Effectiveness of two Therapeutic Methods of Dialectical Behavior Therapy and Cognitive Behavior Therapy on the Improvement of Impulsive Behavior in the Patients Suffering from Major Depressive Disorder (MDD) Showing a Tendency to Suicide. SJIMU 2014; 22(5):45-54. [Persian]
  19. Linehan MM. Cognitive-Behavioral Treatment of Borderline Personality Disorder.1nd ed. New York, NY: Guilford Press; 1993:182-5.
  20. Nadimi M. (Dissertation). Effectiveness of dialectical behavior therapy in increasing disturbance tolerance and improving emotional adjustment abuse drug users. Birjand: Islamic Azad University; 2013:11-2. [Persian]
  21. Akhavan S, Sajjadian I. Effectiveness of Dialectical Behavior Therapy on Emotional Instability and Impulsivity in Bipolar Patients. JCP 2016; 8(3):11-24. [Persian]
  22. Neacsiu A.D, Eberle J.W, Kramer R, Wiesmann T, Linehan M. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. BRT 2014; 1(59):40-51.
  23. Fassbinder E, Schweiger U, Martius D, Brand-de Wilde O, Arntz A. Emotion regulation in schema therapy and dialectical behavior therapy. Frontier in Psychology 2016; 14(7):1-19.
  24. Asmand P, Mami S, Valizadeh R. Effectiveness of Dialectical Behavior Therapy in Irrational Beliefs Treatment, Anxiety, Depression among Young Male Prisoners Who Have Antisocial Personality Disorder. SJIMU 2015; 23(1):35-44. [Persian]
  25. Asadi Khalili M, Emadian S, Fakhri M. Comparison of the Effectiveness of Reality Therapy and Acceptance & Commitment Therapy on Social Anxiety and Parenting Self-Agency in Female Household Heads in Sari City. CHJ 2020; 14(2):52-65. [Persian]
  26. Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. Clinical Psychology 1995; 51(6):768-74.
  27. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. JPSP 2003; 85(2):348-62.
  28. Jones RG. (dissertation). A factored measure of Ellis’s irrational beliefs with personality and maladjustment correlates. Texas: Technological College; 1968:59-61.
  29. Geier DA, Kern JK, Davis G, King PG, Adams JB, Young JL, et al. A prospective double-blind, randomized clinical trial of levocarnitine to treat autism spectrum disorders. MSM 2011; 17(6):15-23.
  30. Javid M, Mohammadi N, Rahimi Ch. Psychometric properties of an Iranian version of the Barratt Impulsiveness Scale-11. Methods and psychological models. JPMM 2012; 2(8):23-34. [Persian]
  31. Mahmood alilou M, Ghasempour A, Azimi Z, Akbari E, Fahimi S. Role of emotion regulation strategies in prediction of borderline personality disorder symptoms. JTBCP 2012; 6(24):9-18. [Persian]
  32. Barzegar Befrooei K, Ganji Z. Predicting Mental Health Based on Irrational Beliefs of Regular and Special Primary School Teachers of Yazd, Iran. JSRP 2015; 17(64):88-97. [Persian]
  33. Greenberger D, Padesky C. Mind over Mood: Psychology foundation. In: Lovibond PF, Lovibond SH eds. Manual for the depression anxiety stress scale. 2nd ed. Sydney: Psychology Foundation. 1995:11-23.
  34. McKay M, Wood JC, Brantley J. The dialectical behavior therapy skills workbook: Practical DBT Exercises for learning mindfulness, interpersonal. 1nd ed. Oakland: New Harbinger Pub; 2007:9-11.
  35. Rahmani S, Mohamadpour S, Tajikzadeh F. The Effectiveness of Mind-Fullness Based Cognitive therapy on Depression, Anxiety, Perceived Stress and Quality of Life in Women with HIV. CPAP 2019; 16(2):169-79. [Persian]