اثربخشی طرحواره درمانی بر اضطراب و افسردگی زنان مراجعه‌کننده به متخصص توانبخشی در سال 1394

نویسندگان

1 دانشجوی دکتری تخصصی روانشناسی سلامت، باشگاه پژوهشگران جوان و نخبگان، دانشگاه آزاد اسلامی، واحد همدان، همدان، ایران.

2 دکتری روانشناسی، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد نیشابور، نیشابور، ایران.

3 کارشناسی روانشناسی عمومی، گروه روانشناسی ، دانشگاه آزاد اسلامی، واحد همدان، همدان، ایران.

4 دکتری روانشناسی، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد بروجن، بروجن، ایران

5 کارشناسی ارشد مدیریت آموزشی، باشگاه پژوهشگران جوان و نخبگان، دانشگاه آزاد اسلامی ، واحد لاهیجان، لاهیجان، ایران

چکیده

مقدمه: اختلالات‌‌ افسردگی و اضطرابی از شایع‌ترین اختلالات روانپزشکی در جمعیت عمومی هستند که به صورت بحرانی افزایش یافته­اند. لذا هدف پژوهش حاضر، بررسی اثربخشی طرحواره درمانی بر اضطراب و افسردگی زنان مراجعه­کننده به متخصص توانبخشی بود.

مواد ‌و‌‌ روش‌ها: پژوهش حاضر، یک مطالعه نیمه تجربی از نوع پیش‌آزمون و پس‌آزمون با گروه کنترل و جامعه آماری شامل  بیماران زن مراجعه­کننده به متخصص توانبخشی همدان بود. نمونه­ها شامل 36 نفر بودند که از این تعداد 18 بیمار در گروه آزمایش و 18 بیمار در گروه کنترل قرار گرفتند. نمونه­ها به روش نمونه‌گیری تصادفی مبتنی بر ملاک ورود انتخاب شدند. ارزیابی روانی شامل مصاحبه بالینی بر طبق DSM-5،‌ پرسشنامه  اضطراب و افسردگی بک بود. طرحواره درمانی طی 8 جلسه (هفته‌ای 2 جلسه) 2 ساعته در مورد گروه آزمایش انجام شد. پیش­آزمون، پس­آزمون و پیگیری 1ماهه بعد از دوره آموزش در مورد هر دو گروه انجام شد و داده­ها به کمک آماره­های توصیفی و آزمون تحلیل واریانس آمیخته تحلیل شدند.

یافته ­ها: نتایج به دست آمده حاکی از تأثیر طرحواره درمانی بر کاهش اضطراب و افسردگی در گروه آزمایش نسبت به گروه کنترل بود (01/0p<). یافته‌ها نشان دادند که شاخص‌های اضطراب و افسردگی پس از مداخله درمانی به شیوه‌ طرحواره درمانی در دوره پیگیری به طور معنی­داری کاهش یافتند (01/0p<).

نتیجهگیری: برنامه طرحواره درمانی می­تواند جزء برنامه­های مداخلاتی در سطوح گروه­های بیماران اختلالات خلقی در مراکز مشاوره و بیمارستان‌های عمومی قرار گیرد و سلامت روان بیماران مبتلا به اختلالات جسمی را ارتقاء دهد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Schema Therapy on Depression and Anxiety among Women Referring to Rehabilitation Specialist 2015

نویسندگان [English]

  • N Zamani 1
  • MR Khodabakhsh 2
  • S Zamani 3
  • F Kiani 4
  • H Khastwo Hashjin 5
1 PhD Student in Health Psychology, Young Researchers and Elite Club, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
2 PhD in Psychology, Dept. of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
3 BSc. In Psychology. Dept of psychology, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
4 PhD in Psychology, Dept. of Psychology, Boroujen Branch, Islamic Azad University, Boroujen, Iran.
5 MA in educational management, Young Researchers and Elite Club, Lahijan Branch, Islamic Azad University, Lahijan, Iran.
چکیده [English]

Introduction: Anxiety-and depression-related disorders are among the most prevalent psychological disorders and increasingly concern in the general population. Hence the aim of this study was to investigate the impact of remedial schema on anxiety and depression among clients referring to rehabilitation specialist.

Materials and Methods: The current research method is semi-experimental of pre- and post-test type with the control group and statistical community including all female patients referred to rehabilitation specialist. Eighty patients in trial group and 18 patients in control group were selected using entrance criterion through random sampling. Psychiatric evaluation included the clinical interview in accordance with DSM-5, scale of Beck anxiety survey (1988), and second edition of Beck depression survey (2000). Remedial schema was prepared during eight sessions of two-hour (two sessions every week) and no training was applied to the control group. For each of the two groups, pre- and post-test scores, and one-month follow up after training were obtained. The data were analyzed using description statistics and a mixed-design analysis of variance model

Results: The obtained results indicated that the schema therapy had a significant anxiety- and depression-relief effects in the trial group compared to the control group (p<0.01). Similar effects were also observed   in the follow-up period (p<0.01).

Conclusion: According to the findings of the present study, , schema therapy can promote mental health status in patients suffering from physical disorders and may be a part of interventional programs for patients with mood disorders in consulting centers and general hospitals.

کلیدواژه‌ها [English]

  • Schema therapy
  • Psychiatric health
  • disorders
  • Anxiety
  • depression

مراجع

  1.  Scott J, Leboyer M, Hickie I, Berk M, Kapczinski F, Frank E, et al. Clinical staging in psychiatry: a cross-cutting model of diagnosis with heuristic and practical value. BJ Psych 2013; 202(4):243-5.
  2. Zamani N, Habibi M, Darvishi M. Compare the effectiveness dialectical behavior therapy and cognitive-behavioral group therapy in reducing depression in mothers of children with disabilities. AMUJ 2015; 18(94): 32-42.[Persian[
  3. Zamani N, Farhadi M, Jamilian HR, Habibi M. Effectiveness of group dialectical behavior therapy (based on Acceptance and Commitment) on Expulsive Anger and Impulsive Behaviors. AMUJ 2014; 17(92): 53-61. [Persian[
  4. 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[
  5. Zamani N, Farhadi M, Jamilian HR, Habibi M. Effectiveness of Dialectical Behavior group Therapy on Expulsive Anger. Accept in Journal of Arak University of Medical Sciences 2015; 18(101): 35-44. [Persian[
  6. Lanata A, Valenza G, Nardelli M, Gentili C, Scilingo EP. Complexity index from a personalized wearable monitoring system for assessing remission in mental health. IEEE journal of biomedical and health informatics. 2015;19(1):132-9.Lanata A, Valenza G, Nardelli M, Gentili C, Scilingo EP. Complexity index from a personalized wearable monitoring system for assessing remission in mental health. IEEE Journal of Biomedical and health Informatics 2015;19(1):132-9.
  7. Hudson JL, Bower P, Archer J, Coventry PA. Does collaborative care improve social functioning in adults with depression? The application of the WHO ICF framework and meta-analysis of outcomes. Journal of affective disorders 2016;189:379-91.
  8. Compton WM, Baler R. The epidemiology of DSM-5 cannabis use disorders among US Adults: Science to inform clinicians working in a shifting social landscape. Am Psychiatric Assoc 2016;173(6):551-3.
  9. .Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, Avery EA, Shipp-Johnson KJ, Powell LH, Kravitz HM. Body image satisfaction and depression in midlife women: the Study of Women’s Health Across the Nation (SWAN). Archives of women's mental health 2014;1;17(3):177-87.
  10. Lavretsky H, Kumar A. Clinically significant non-major depression: old concepts, new insights. The American journal of geriatric psychiatry 2002;10(3):239-55.
  11. Hodo DW. Kaplan and Sadock's synopsis of psychiatry: behavioral sciences clinical psychiatry. JAMA 1996;275(11):883-4.
  12. Spalding G, Stikes R, Sparks K, Myers J, Logsdon MC. Research Champions: An initiative to improve use of research evidence in nursing practice. JNP 2016;32(2):E1-E5.
  13. Fong G,  Garralda E . Anxiety Disorders in Children and Adolescents .Clinical Syndrome 2005; 4(8):64-77.
  14. Hoover SM, Luchner AF, Pickett RF. Nonpathologizing trauma interventions in abnormal psychology courses. Journal of Trauma & Dissociation 2016;17(2):151-64.
  15. .Shalev I, Moffitt TE, Braithwaite AW, Danese A, Fleming NI, Goldman-Mellor S, Harrington H, Houts RM, Israel S, Poulton R, Robertson SP. Internalizing disorders and leukocyte telomere erosion: a prospective study of depression, generalized anxiety disorder and post-traumatic stress disorder. Molecular psychiatry 2014;1;19(11):1163-70.
  16. Khani H, Belir S, Zamani S, Zamani N. Efficacy of Dialectical Behavior Therapy on Depression. J Mazanda. Lumley MN, Harkness ran Univ Med Sci  2015;25(127):113-8. [Persian]
  17. Kellogg, S. H., & Young, J. E. Schema therapy for borderline personality disorder. Journal of clinical psychology 2006;62(4), 445-458.
  18. Cecero JJ, Marmon TS, Beitel M, Hutz A, Jones C. Images of mother, self, and God as predictors of dysphoria in non-clinical samples. Personality and individual differences 2004;36(7):1669-80.
  19. Renner F, Lobbestael J, Peeters F, Arntz A, Huibers M. Early maladaptive schemas in depressed patients: Stability and relation with depressive symptoms over the course of treatment. Journal of affective disorders 2012;136(3):581-90.
  20. Lambert KG. Rising rates of depression in today's society: Consideration of the roles of effort-based rewards and enhanced resilience in day-to-day functioning. Neuroscience & Biobehavioral Reviews 2006;30(4):497-510.
  21. Ahmadi AM, Fata L, Asgharnezhad F, Malakooti K. comparison early maladaptive Schemas in depressed patients with suicidal action and non suicidal action. Tazehaye olume shenakhti 2009; 4(10): 49-59.[Persian[
  22. Thase ME, Nierenberg AA, Vrijland P, van Oers HJ, Schutte A-J, Simmons JH. Remission with mirtazapine and selective serotonin reuptake inhibitors: a meta-analysis of individual patient data from 15 controlled trials of acute phase treatment of major depression. International clinical psychopharmacology 2010;25(4):189-98.
  23. Titov N, Dear BF, Ali S, Zou JB, Lorian CN, Johnston L, et al. Clinical and cost-effectiveness of therapist-guided internet-delivered cognitive behavior therapy for older adults with symptoms of depression: a randomized controlled trial. Behavior Therapy 2015;46(2):193-205.
  24. Ruiz P. Cognitive Therapy of Personality Disorders. AJP 2007;164(7):1124-5.
  25. Beck AT, Steer RA, Brown GK. Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation 1996;1:82.
  26. Csukly G, Telek R, Filipovits D, Takács B, Unoka Z, Simon L. What is the relationship between the recognition of emotions and core beliefs: Associations between the recognition of emotions in facial expressions and the maladaptive schemas in depressed patients. JBTEP 2011;42(1):129-37.
  27. Rijkeboer MM, de Boo GM. Early maladaptive schemas in children: development and validation of the Schema Inventory for Children. JBTEP 2010;41(2):102-9.
  28. Lee SJ, Choi YH, Rim HD, Won SH, Lee DW. Reliability and validity of the Korean Young Schema Questionnaire-short form-3 in medical students. Psychiatry investigation 2015;12(3):295-304

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