اثربخشی درمان شناختی-رفتاری ( اجرای حضوری و اینترنتی) بر راهبردهای تنظیم هیجانی افراد با همبودی بی‌خوابی و افسردگی

نویسندگان
مریم عظیمی
علیرضا مرادی
جعفر حسنی
10.29252/rph.11.1.49
چکیده
هدف از پژوهش حاضر بررسی اثربخشی درمان شناختی-رفتاری بی­خوابی حضوری و مبتنی بر اینترنت بر راهبردهای تنظیم شناختی هیجان افراد مبتلا به همبودی بی­خوابی با افسردگی بود. طرح پژوهش شبه تجربی از نوع پیش‌آزمون-پس‌آزمون و پیگیری برای دو گروه آزمایشی و کنترل بود. با استفاده از روش نمونه­گیری دردسترس، چهل و پنج نفر از کارکنان و اساتید دانشگاه که در پرسشنامه کیفیت خواب پترزبورگ و پرسشنامه افسردگی بک نمره بالاتر از برش کسب کردند و از طریق مصاحبه تشخیصی بر اساس ملاکهای تشخیصیDSM-5، افسردگی و بی­خوابی داشتند، انتخاب شدند. با استفاده از گمارش تصادفی، در هر سه گروه، 15 نفر جایگزین شدند. گروههای آزمایش 6 جلسه درمان شناختی-رفتاری برای بی‌خوابی دریافت کردند. نتایج نشان داد اجرای حضوری پروتکل درمان درکاهش نمرات فاجعه­سازی، افزایش قدرت درک دیدگاه دیگران و تمرکز مجدد بر برنامه­ریزی موثرتر از روش اجراء با استفاده از اینترنت بود. دو گروه آزمایشی در راهبردهای نشخوار فکری، تمرکز مجدد مثبت، ملامت دیگران و ملامت خویش با گروه کنترل تفاوت معنی­ داری داشتند، اما در ارزیابی مجدد مثبت و پذیرش بین سه گروه تفاوتی دیده نشد. بر اساس یافته­های پژوهش هر دو شیوه اجرای درمان در بهبود راهبردهای تنظیم شناختی هیجان موثر است
کلیدواژه‌ها
بی خوابی
درمان شناختی-رفتاری
تنظیم شناختی هیجان
افسردگی

عنوان مقاله English

Effectiveness of cognitive behavioral therapy (Face to face and Internet-based) on Emotional Regulation Strategies of individuals with Comorbidity of insomnia and depression

نویسندگان English

Maryam Azimi
Alireza Moradi
Jafar Hasani
چکیده English

The objective of this study was to investigate the effectiveness of face to face and internet-based Cognitive Behavioral Therapy for Insomnia on Cognitive Emotion Regulation Strategies of individuals with Comorbidity of insomnia and depression. This study employed pretest-posttest and follow-up quasi-experimental designs with two experimental groups and one control group. A convenience sample of 45 university staff and professors who theire score were higher than the cut-off score in PSQT and BDI-II questionnaire was selected by using diagnostic interview based on the DSM-5 criteria for depression and insomnia. We randomly assigned 15 people in to three group. The experimental groups received 6 sessions of cognitive behavioral therapy for insomnia. The results showed that the face to face procedure was more effective in reducing putting into catastrophizing and increasing perspective- taking, refocus on planning, than internet-based one. The two experimental groups had a significant difference in rumination, “positive refocusing”, “blaming others” and “blaming self compared with the control group. Moreover, the three groups were similar in terms of “positive reappraisal” and “acceptance”. According to the findings, both procedure of treatment was effectively improved the cognitive emotion regulation strategies

کلیدواژه‌ها English

insomnia
cognitive behavioral therapy
cognitive emotion regulation
depression
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