اثربخشی درمان فراتشخیص یکپارچه بر نشخوار فکری، تحریف‌های شناختی و اجتناب شناختی در زنان مبتلا به اختلال افسردگی

نویسندگان
مهدیه رحمانیان
شراره سلطانی
مژگان آگاه هریس
دانشگاه پیام نور
چکیده
این تحقیق با هدف بررسی اثربخشی درمان فراتشخیص یکپارچه بر نشخوار فکری، تحریف‌های شناختی و اجتناب شناختی در زنان مبتلا به اختلال افسردگی انجام شد. طرح پژوهش حاضر پیش آزمون، پس آزمون با گروه کنترل و پیگیری بود. جامعه آماری شامل زنانی بود که در سال 1403 به مراکز درمان افسردگی در شهر آبدانان مراجعه کردند. در این مطالعه، به دلیل حجم پایین جامعه و محدودیت جامعه آماری، از روش نمونه‌گیری هدفمند استفاده شد و 30 زن واجد شرایط به عنوان نمونه انتخاب و به‌طور تصادفی به دو گروه 15 نفره تقسیم شدند. داده‌ها با استفاده از ابزارهای استاندارد شامل پرسشنامه اجتناب شناختی سکستون و داگاس (CAQ)، پرسشنامه نشخوار فکری نالن هوکسما و مارو (1991)، پرسشنامه تحریف‌های شناختی عبداله‌زاده و سالار (1389) و مقیاس افسردگی، اضطراب و تنیدگی (DASS) لایبوند و لاویبوند (1995) جمع‌آوری شد. تحلیل داده‌ها با استفاده از نرم‌افزار SPSS21 انجام شد و در بخش آمار توصیفی از میانگین و انحراف معیار برای نشان دادن وضعیت داده‌ها و در بررسی فرضیه‌ها از تحلیل واریانس آمیخته استفاده گردید. یافته‌ها نشان داد که درمان فراتشخیص یکپارچه تأثیر معناداری بر کاهش نشخوار فکری، تحریف‌های شناختی و اجتناب شناختی در زنان مبتلا به اختلال افسردگی داشته و این تأثیر در مرحله پیگیری نیز تداوم یافته است. در نتیجه، می‌توان نتیجه‌گیری کرد که این نوع درمان می‌تواند به عنوان یک راهکار مؤثر در بهبود وضعیت روان‌شناختی این گروه از بیماران مورد استفاده قرار گیرد.
کلیدواژه‌ها
اجتناب شناختی
افسردگی
تحریف‌های شناختی
درمان فراتشخیص یکپارچه
نشخوار فکری

عنوان مقاله English

The Effectiveness of Integrated Meta-Diagnostic Treatment on Rumination, Cognitive Distortions and Cognitive Avoidance in Women with Depression Disorder

نویسندگان English

Mahdieh Rahmanian
Sharareh Soltani
Mojgan Agahheris
Payame noor University
چکیده English

This paper examined the effectiveness of integrated meta-diagnostic treatment on rumination, cognitive distortions and cognitive avoidance among women with depression. Women visited depression treatment centers in Abadan city in 1403 for depression treatment constituted the statistical population of the research. Due to the small size of the population and the limitation of the statistical population, the sampling method was purposeful. The total number of people eligible to enter this research was 30 which were randomly assigned into two groups of 15. The following standard questionnaires were used for collecting the necessary data: Cognitive Avoidance Questionnaire by Sexton and Dagas (CAQ), Rumination Questionnaire by Nalan Hoeksma and Maro 1991, Cognitive Distortions Questionnaire by Abdullah Zadeh and Salar (1389), Depression, Anxiety and Stress Scale (DASS) by Laibond and Laibond (1995) and integrated meta-diagnostic treatment protocol. SPSS 21 software was used to analyze the data. Indicators such as mean and standard deviation were determined. Univariate and multivariate covariance analysis were also used to check the hypothesizes. The findings showed that integrated trans-diagnostic treatment has an effect on rumination, cognitive distortions and cognitive avoidance among women with depression disorder. This effect has continued in the follow-up phase.

کلیدواژه‌ها English

cognitive avoidance
depression
Cognitive distortions
Integrated schema therapy
Rumination
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