مقایسه اثربخشی طرحواره‌درمانی و درمان مبتنی بر پذیرش و تعهد بر ناگویی هیجانی زنان مبتلا به اختلال اضطراب فراگیر

نویسندگان
آسیه ملک دار
جوانشیر اسدی
ارسطو میرانی
گروه روانشناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران.
چکیده
پژوهش حاضر با هدف مقایسه اثربخشی طرحواره‌درمانی و درمان مبتنی بر پذیرش و تعهد بر کاهش ناگویی هیجانی زنان مبتلا به این اختلال انجام شد. روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون–پس‌آزمون و گروه کنترل بود. نمونه‌ای ۴۵ نفره از زنان مبتلا به اختلال اضطراب فراگیر که به کلینیک روان‌شناسی آرامیس شهرری مراجعه کرده بودند، به صورت هدفمند انتخاب و به طور تصادفی در سه گروه طرحواره‌درمانی، درمان مبتنی بر پذیرش و تعهد و کنترل تقسیم شدند. گروه‌های آزمایشی طی ۸ جلسه ۹۰ دقیقه‌ای تحت مداخله قرار گرفتند. برای سنجش ناگویی هیجانی از پرسشنامه تورنتو استفاده شد و داده‌ها با تحلیل کوواریانس بررسی گردید. نتایج نشان داد هر دو رویکرد درمانی به طور معناداری ناگویی هیجانی را کاهش داده‌اند (p<0.05)، اما طرحواره‌درمانی اثربخشی بیشتری در بهبود مؤلفه‌های تشخیص و توصیف احساسات و کاهش تفکر عینی نشان داد. این یافته‌ها مؤید نقش مؤثر هر دو رویکرد در بهبود تنظیم هیجانی در مبتلایان به اضطراب فراگیر است و بر ضرورت توجه به ابعاد هیجانی در درمان‌های روان‌شناختی تأکید دارد. توصیه می‌شود انتخاب رویکرد درمانی با در نظر گرفتن ویژگی‌های فردی مراجع صورت گیرد.
کلیدواژه‌ها
اضطراب فراگیر
ناگویی هیجانی
طرحواره‌درمانی
درمان مبتنی بر پذیرش و تعهد

عنوان مقاله English

Comparing the effectiveness of schema therapy and acceptance and commitment therapy on alexithymia in women with generalized anxiety disorder

نویسندگان English

asiyeh malakdar
javanshir asadi
arastoo mirani
چکیده English

The present study aimed to compare the effectiveness of schema therapy and acceptance and commitment therapy on reducing alexithymia in women with generalized anxiety disorder. The research employed a quasi-experimental design with pretest-posttest and control groups. A purposive sample of 45 women diagnosed with generalized anxiety disorder who referred to the Aramis Psychology Clinic in Shahr-e Rey was selected and randomly assigned into three groups: schema therapy, acceptance and commitment therapy, and control. The experimental groups underwent eight 90-minute intervention sessions. The Toronto Alexithymia Scale was used to measure alexithymia, and data were analyzed using analysis of covariance. Results indicated that both therapeutic approaches significantly reduced alexithymia (p < 0.05); however, schema therapy demonstrated greater effectiveness in improving the components of emotion identification and description, as well as reducing externally oriented thinking. These findings support the beneficial role of both approaches in enhancing emotional regulation among individuals with generalized anxiety disorder and highlight the necessity of addressing emotional dimensions in psychological treatments. It is recommended that the choice of therapeutic approach be made considering the individual characteristics of the client.

کلیدواژه‌ها English

Generalized Anxiety Disorder
alexithymia
Schema therapy
Acceptance and commitment therapy
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