اثربخشی درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی و آلکسی‌تایمیا در زنان دارای اختلالات کندن پوست و مو

نویسندگان
نورا دهقانپور
توکل موسی زاده
رضا کاظم زاده
وکیل نظری
گروه روانشناسی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران.
چکیده
پژوهش حاضر با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر حساسیت اضطرابی و آلکسی‌تایمیا در زنان دارای اختلالات کندن پوست و مو در شهر تهران انجام شد. این مطالعه از نوع نیمه‌تجربی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل بود. از میان دانشجویان دختر دانشگاه آزاد اسلامی واحد علوم پزشکی تهران، 30 نفر که بر اساس ملاک‌های پژوهش به اختلال کندن پوست و مو مبتلا بودند، به روش نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) گمارده شدند. گروه آزمایش در طی 8 جلسه تحت درمان مبتنی بر پذیرش و تعهد قرار گرفت، در حالی که گروه کنترل مداخله‌ای دریافت نکرد. ابزار گردآوری داده‌ها شامل پرسشنامه‌های مشخصات دموگرافیک، حساسیت اضطرابی و آلکسی‌تایمیا بود که در سه مرحله‌ خط پایه، پس از مداخله و پیگیری سه‌ماهه تکمیل شد. نتایج تحلیل آماری نشان داد که میانگین نمرات حساسیت اضطرابی و آلکسی‌تایمیا در گروه آزمایش نسبت به گروه کنترل در مراحل پس‌آزمون و پیگیری به‌طور معناداری کاهش یافته است (p<0.05). این یافته‌ها حاکی از اثربخشی درمان مبتنی بر پذیرش و تعهد در کاهش مؤلفه‌های هیجانی و شناختی در زنان مبتلا به اختلالات کندن پوست و مو است و بر کارآمدی این رویکرد در بهبود مشکلات همراه با این اختلالات تأکید دارد.
کلیدواژه‌ها
اختلال پوست کنی و موکنی
الکسی تایمیا
رفتار درمانی مبتنی بر پذیرش و تعهد
حساسیت اضطرابی

عنوان مقاله English

The Effectiveness of Acceptance and Commitment Therapy on Anxiety Sensitivity and Alexithymia in Women with Skin Picking and Hair Pulling Disorders

نویسندگان English

Noura Dehghanpour
Tavakol Mosazadeh
Reza Kazemzadeh
Vakil Nazari
چکیده English



The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on anxiety sensitivity and alexithymia in women with skin picking and hair pulling disorders in Tehran. This quasi-experimental study employed a pretest-posttest control group design. A total of 30 female students from the Islamic Azad University, Tehran Medical Sciences Branch, who met the research criteria for skin picking and hair pulling disorders, were selected using purposive sampling and randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of ACT, while the control group received no intervention. Data were collected using demographic information, the Anxiety Sensitivity Index, and the Toronto Alexithymia Scale at baseline, post-intervention, and a three-month follow-up. The results indicated no significant difference between the two groups in the pretest stage, confirming group homogeneity. However, posttest and follow-up results showed significant reductions in anxiety sensitivity and alexithymia scores in the experimental group compared to the control group (p < 0.05). These findings suggest that ACT is effective in reducing emotional and cognitive symptoms associated with skin picking and hair pulling disorders and may be considered a beneficial therapeutic approach for women affected by these conditions.

کلیدواژه‌ها English

Hair picking disorder
alexithymia
Acceptance and commitment therapy
anxiety sensitivity. 
Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020). Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: Integrating traditional with digital treatment approaches. Anxiety Disorders: Rethinking and Understanding Recent Discoveries, 291–329.

Arch, J. J., Fishbein, J. N., Finkelstein, L. B., & Luoma, J. B. (2023). Acceptance and commitment therapy processes and mediation: Challenges and how to address them. Behavior Therapy, 54(6), 971–988.

Asnaani, A., Tyler, J., McCann, J., Brown, L., & Zang, Y. (2020). Anxiety sensitivity and emotion regulation as mechanisms of successful CBT outcome for anxiety-related disorders in a naturalistic treatment setting. Journal of Affective Disorders, 267, 86–95.

Ditzer, J., Wong, E. Y., Modi, R. N., Behnke, M., Gross, J. J., & Talmon, A. (2023). Child maltreatment and alexithymia: A meta-analytic review. Psychological Bulletin, 149(5–6), 311.

El Rafihi-Ferreira, R., Morin, C. M., Toscanini, A. C., Lotufo, F., Brasil, I. S., Gallinaro, J. G., Borges, D. S., & Conway, S. G. (2020). Acceptance and commitment therapy-based behavioral intervention for insomnia: A pilot randomized controlled trial. Brazilian Journal of Psychiatry, 43(5), 504–509.

Evey, K. J., & Steinman, S. A. (2023). A systematic review of the use of acceptance and commitment therapy (ACT) to treat adult obsessive-compulsive disorder (OCD). Behavior Therapy.

Fitzgerald, H. E., Lubin, R. E., Duncan, T., Hiserodt, M., & Otto, M. W. (2023). Underscoring the F in FoMO: How does anxiety sensitivity contribute to fear of missing out? Cognitive Behaviour Therapy, 52(1), 38–46.

Houghton, D. C., Alexander, J. R., Bauer, C. C., & Woods, D. W. (2018). Body-focused repetitive behaviors: More prevalent than once thought? Psychiatry Research, 270, 389–393.

Lai, L., Liu, Y., McCracken, L. M., Li, Y., & Ren, Z. (2023). The efficacy of acceptance and commitment therapy for chronic pain: A three-level meta-analysis and a trial sequential analysis of randomized controlled trials. Behaviour Research and Therapy, 165, 104308.

Larionow, P., Preece, D. A., Khokhlova, O., & Iakovleva, M. V. (2024). Assessing alexithymia: Psychometric properties of the Russian version of the Perth Alexithymia Questionnaire.

Madan, S. K., Davidson, J., & Gong, H. (2023). Addressing body-focused repetitive behaviors in the dermatology practice. Clinics in Dermatology, 41(1), 49–55.

Martin, J. L., Carlson, G. C., Kelly, M. R., Song, Y., Mitchell, M. N., Josephson, K. R., McGowan, S. K., Culver, N. C., Kay, M. A., Erickson, A. J., & Saldana, K. S. (2023). Novel treatment based on acceptance and commitment therapy versus cognitive behavioral therapy for insomnia: A randomized comparative effectiveness trial in women veterans. Journal of Consulting and Clinical Psychology.

Moritz, S., Penney, D., Bruhns, A., Weidinger, S., & Schmotz, S. (2023). Habit reversal training and variants of decoupling for use in body-focused repetitive behaviors: A randomized controlled trial. Cognitive Therapy and Research, 47(1), 109–122.

Moritz, S., Penney, D., Missmann, F., Weidinger, S., & Schmotz, S. (2023). Self-help habit replacement in individuals with body-focused repetitive behaviors: A proof-of-concept randomized clinical trial. JAMA Dermatology, 159(9), 992–995.

O’Donohue, W. (2023). The scientific status of acceptance and commitment therapy: An analysis from the philosophy of science. Behavior Therapy, 54(6), 956–970.

Okumuş, H. G., & Akdemir, D. (2023).

Dr.Soheila Rahmani, [04/28/2025 08:10 ب.ظ]
Body focused repetitive behavior disorders: Behavioral models and neurobiological mechanisms. Turkish Journal of Psychiatry, 34(1), 50.

Preece, D. A., Petrova, K., Mehta, A., Sikka, P., & Gross, J. J. (2024). Alexithymia or general psychological distress? Discriminant validity of the Toronto Alexithymia Scale and the Perth Alexithymia Questionnaire. Journal of Affective Disorders.

Salles, B. M., Maturana de Souza, W., Dos Santos, V. A., & Mograbi, D. C. (2023). Effects of DBT-based interventions on alexithymia: A systematic review. Cognitive Behaviour Therapy, 52(2), 110–131.

Santiago-Torres, M., Mull, K. E., Sullivan, B. M., Rigotti, N. A., & Bricker, J. B. (2023). Acceptance and commitment therapy-based smartphone applications for cessation of tobacco use among adults with high nicotine dependence: Results from the iCanQuit randomized trial. Substance Use & Misuse, 58(3), 354–364.

Wang, J., & Fang, S. (2023). Effects of internet-based acceptance and commitment therapy (iACT) on adolescents: A systematic review and meta-analysis. International Journal of Mental Health Promotion, 25(4).