سلامت جامعه

سلامت جامعه

مقایسه اثربخشی شناخت‏درمانی مبتنی بر ذهن‏آگاهی و درمان فراشناختی بر خودتنظیمی هیجانی در بیماران مبتلا به آلوپسی آره‏اتا

نوع مقاله : مقاله پژوهشی

نویسندگان
رومینا تجلی 1
مریم بهرامی ‏هیدجی 2
بیوک تاجری 2
مرجان حسین ‏زاده تقوایی 2
آزاده گودرزی 3
1 دانشجوی دکترای روانشناسی سلامت، گروه روانشناسی، واحد کرج، دانشگاه آزاداسلامی، کرج، ایران.
2 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاداسلامی، کرج، ایران.
3 دانشیار، گروه پوست و مو، دانشکده پزشکی، دانشگاه علوم‏ پزشکی ایران، تهران، ایران.
10.22123/chj.2024.450907.2084
چکیده
مقدمه: بیماری آلوپسی آره‏اتا علت مراجعه 2 الی 3 درصد از بیماران پوستی به مراکز پوست‏و‏مو است. هم‏چنین، یافته‏ها حاکی از نقش خودتنظیمی هیجانی در سبب‏شناسی و تداوم آسیب‏های روانی به‏ویژه بیماران پوستی است. لذا این پژوهش با هدف مقایسه اثربخشی شناخت‏درمانی مبتنی بر ذهن‏آگاهی و درمان فراشناختی بر خودتنظیمی هیجانی در مبتلایان به آلوپسی آره‏اتا انجام شد.
مواد و روش‌ها: پژوهش نیمه‏آزمایشی با طرح پیش‏آزمون، پس‏آزمون و گروه کنترل با پی‏گیری سه ‏ماهه بود. جامعه آماری شامل تمامی مبتلایان به آلوپسی آره‏آتا مراجعه‏کننده به مراکز تخصصی پوست‏ومو شهر تهران سال 1401 بود که با نمونه‏گیری هدفمند تعداد 45 نفر انتخاب و به‏شیوه انتصاب تصادفی در سه گروه مساوی 15 نفری گمارش شدند. برای گردآوری اطلاعات علاوه بر چک‏لیست اطلاعات جمعیت‏شناختی، از پرسش‏نامه خودتنظیمی هیجانی Mars استفاده شد. مداخلات درمانی طی 9 جلسه (یک جلسه 90 دقیقه‏ای) برای گروه‏های آزمایش اعمال شد. داده‏ها توسط آنالیز واریانس دوطرفه با اندازه‏گیری‏های مکرر تحلیل شد.
یافته‌ها: شناخت‏درمانی مبتنی بر ذهن‏آگاهی و درمان فراشناختی در مقایسه با گروه کنترل باعث بهبود مؤلفه‏های شناختی(77/7=F و 256/0=η)، رفتاری(99/8=F و 295/0=η)، تغییر موقعیت(50/4=F و 173/0=η)، تغییر عاطفی(33/9=F و 303/0=η)، خلق منفی(57/6=F و 234/0=η) و خلق مثبت(75/8=F و 289/0=η) خودتنظیمی هیجانی در مبتلایان به آلوپسی آره‏اتا شدند (05/0>P). هم‏چنین، بین اثربخشی دو درمان تفاوت معنی‏داری مشاهده نشد (05/0<P).
نتیجه‌گیری: با توجه به نتایج، متخصصین فعال در حوزه آلوپسی آره‏اتا می‏توانند در بهبود خودتنظیمی هیجانی این افراد استفاده از روش‏های شناخت درمانی مبتنی بر ذهن‏آگاهی و درمان شناختی را در کنار سایر درمان‏ها مدنظر قرار دهند.
کلیدواژه‌ها
شناخت‏درمانی مبتنی بر ذهن‏آگاهی
درمان فراشناختی
خودتنظیمی هیجانی
آلوپسی آره‏اتا

عنوان مقاله English

Comparing the Effects of Mindfulness-Based Cognitive Therapy and Metacognitive Therapy on Emotional Self-Regulation in Patients with Alopecia Areata

نویسندگان English

R Tajally 1
M Bahrami Hidaji 2
B Tajeri 2
M Hossein-Zadeh Taghvaie 2
A Goodarzi 3
1 PhD Student, Dept. of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
2 Assisant Prof., Dept. of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
3 Associate Prof., Dept. of Dermatology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
چکیده English

Introduction: Alopecia areata is the reason why 2-3% of skin patients refer to skin and hair centers. Also, the findings indicate the role of emotional self-regulation in the etiology and persistence of psychological injuries, especially in skin patients. Therefore, this study was conducted with the aim of comparing the effectiveness of mindfulness-based cognitive therapy and metacognitive therapy on emotional self-regulation in patients with alopecia areata.
Materials and Methods: This was a quasi-experimental study with a pre-test, post-test, and control group design with a 3-month follow-up. The statistical population included all patients with alopecia areata who referred to specialized skin and hair centers in Tehran in 2023 (178 people); out of which 45 people were selected by purposive sampling and randomly assigned into three equal groups of 15 people. In addition to the demographic information checklist, the Mars’ Emotional Self-Regulation Questionnaire was used to collect information. Therapeutic interventions were applied during 9 90- minute sessions for the experimental groups. Data were analyzed by two-way repeated measures ANOVA.
Results: Mindfulness-based cognitive therapy and metacognitive therapy improved the scores of cognitive (η=0.256 & F=7.77), behavioral (η=0.295 & F=8.99), change of position (η=0.173 & F-4.50), emotional change (η=0.303 & F=9.33), negative (η=0.234 & F=6.57), and positive mood (η=0.289 & F=8.75) in patients with alopecia areata compared to the control group (p<0.05). Also, no statistically significant difference was observed between the effectiveness of the two intervention methods (p>0.05).
Conclusion: According to the results, active specialists in the field of alopecia areata can consider the use of mindfulness-based cognitive therapy and metacognitive therapy in the emotional self-regulation recovery of these people, along with other treatments.

کلیدواژه‌ها English

Mindfulness-based cognitive therapy
Metacognitive therapy
Emotional self-regulation
Alopecia areata
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سلامت جامعه
دوره 18، شماره 2
پاییز 1403
صفحه 1-12