اثربخشی درمان مبتنی بر پذیرش و تعهد بر افکار اضطرابی و ترس از ارزیابی منفی زنان افسرده

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 استادیار، گروه روان‌شناسی، دانشگاه پیام نور، تهران، ایران.

3 استادیار، گروه روان‌شناسی، دانشگاه حکیم سبزواری، سبزوار، ایران.

چکیده

مقدمه: زنان مبتلا به افسردگی مشکلات عمده‌ای در زمینه سلامت روان‌شناختی دارند و یکی از روش‌های مداخله برای کاهش مشکلات روان‌شناختی، روش درمان پذیرش و تعهد است. پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر افکار اضطرابی و ترس از ارزیابی منفی زنان افسرده انجام شد.
مواد و روش ­ها: پژوهش حاضر از طرح­های کاربردی و شبه­آزمایشی و نوع پیش‌آزمون-پس‌آزمون همراه با گروه کنترل بود. جامعه آماری را زنان افسرده مراجعه‌کننده به کلینیک­های درمانی روان‌پزشکی شهر ساری در سال 1398 تشکیل دادند. نمونه­های پژوهش، 30 نفر بودند که با استفاده از روش نمونه­گیری در دسترس انتخاب گردیدند و به شیوه­ تصادفی ساده در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) گماشته شدند و به پرسش­نامه­های افکار اضطرابی Wells (1994)، ترس از ارزیابی منفیWatson  وFreund (1969) و افسردگی Beck (1961) پاسخ دادند. گروه آزمایش به مدت 10 جلسه به صورت هفتگی و زمان 60 دقیقه ­ای تحت آموزش قرار گرفت. گروه کنترل هیچ مداخله ­ای دریافت نکردند. داده ­ها با استفاده از تحلیل کوواریانس چندمتغیره تجزیه­وتحلیل شدند.
یافته ­ها: درمان مبتنی بر تعهد و پذیرش بر کاهش افکار اضطرابی منفی و کاهش ترس از ارزیابی اثر داشت (001/0>p). مجذور اتا، نشان می‌دهد که اثر این درمان بر کاهش اضطراب 38/0 و کاهش ترس از ارزیابی منفی 47/0 است.
نتیجه ­گیری: بر اساس یافته­ها، استفاده از درمان مبتنی بر پذیرش و تعهد به عنوان یک مداخله­ روان‌شناختی مؤثر و مکمل در زنان افسرده به منظور کاهش افکار اضطرابی و ترس از ارزیابی منفی آن­ها توصیه می­شود.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy on AnxiousThoughts and Fear of Negative Evaluation of Depressed Women

نویسندگان [English]

  • N Khaleghi Kiadahi 1
  • A Mafakheri 2
  • M Yamini 3
1 PhD Student, Dept of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 Assistant Prof, Dept of Psychology, University of Payam Noor, Tehran, Iran.
3 Assistant Prof, Dept of Psychology, Hakim Sabzevari University, Sabzevar, Iran.
چکیده [English]

Introduction: Women with depression have major problems with psychological health. One of the intervention methods for reducing psychological issues is acceptance and commitment therapy. This study aimed to evaluate the effectiveness of acceptance and commitment-based therapy on anxious thoughts and fear of negative evaluation of depressed women.
Materials and Methods: The present study was applied and quasi-experimental with a pre-test-post-test design with a control group. Its statistical population consisted of depressed women referred to psychiatric clinics in Sari in 1398. The samples were 30 people from the mentioned community selected using the available sampling method. They were assigned to acceptance and commitment treatment (15 people) and control (15 people) groups by a simple random method to answer the Anxious Thought Questionnaire (Wells, 1994), Fear of Negative Evaluation Questionnaire (Watson & Friend, (1969), and Depression Inventory (Beck, 1961). The experimental group was trained for 10 sessions once a week for 60 minutes, and the control group did not receive any intervention. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of covariance) in SPSS-24 software.
Results: The results showed that commitment and acceptance therapy reduced negative, anxious thoughts and fear of evaluation (p<0.001). Eta squared showed the effect of this treatment on anxiety to be 0.38 and fear of negative to be 0.47.
Conclusion: Based on the findings, acceptance and commitment therapy is recommended as an effective and complementary psychological intervention in depressed women to reduce anxious thoughts and fear of negative evaluation.

کلیدواژه‌ها [English]

  • Anxiety Thoughts
  • fear of negative evaluation
  • Acceptance and Commitment Therapy
  • Depressed women
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