اثربخشی درمان شناختی- رفتاری بر دشواری در تنظیم هیجان و انعطاف‌‌پذیری شناختی بیماران مبتلا به اختلال وسواسی- اجباری
محورهای موضوعی : روانشناسی
فرزین باقری شیخانگفشه
1
(دانشکده علوم انسانی، دانشگاه تربیت مدرس، تهران، ایران )
مریم سعیدی
2
(دانشگاه آزاد اسلامی واحد تنکابن، تنکابن، ایران)
وحید صوابی نیری
3
(دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران)
زهرا نخستین آصف
4
(دانشگاه آزاد اسلامی واحد بهشهر، مازندران، ایران)
زینب بوربور
5
(دانشگاه آزاد اسلامی واحد گرمسار، سمنان، ایران)
کلید واژه: درمان شناختی-رفتاری, دشواری در تنظیم هیجان, انعطاف پذیری شناختی, وسواس فکری-اجباری,
چکیده مقاله :
هدف از پژوهش حاضر تعیین اثربخشی درمان شناختی- رفتاری بر دشواری در تنظیم هیجان و انعطاف‌‌پذیری شناختی بیماران مبتلا به وسواسی- اجباری بود. روش پژوهش نیمه‌آزمایشی از نوع پیش‌‌آزمون- پس آزمون با گروه کنترل بود. در این مطالعه 30 نفر از بیماران دارای نشانگان وسواسی- اجباری کلینیک‌‌های روانشناسی شهر رشت در سال 1400 به‌عنوان نمونه پژوهش در دو گروه آزمایش و کنترل قرار گرفتند. گروه‌‌ها با پرسشنامه وسواسی- اجباری پادوا توسط ساناویو (1988)، مقیاس دشواری در تنظیم هیجان گراتز و روئمر (2004) و سیاهه انعطاف‌‌پذیری شناختی دنیس و وندروال (2010) مورد سنجش قرار گرفتند. پس از 10 جلسه 90 دقیفه‌‌ای درمان شناختی- رفتاری برای گروه آزمایش، مجدداً شرکت‌‌کنندگان به پرسشنامه پژوهش پاسخ دادند. یافته‌‌های به‌دست آمده نشان داد درمان شناختی- رفتاری به‌طور معنا‌‌داری باعث کاهش دشواری در تنظیم هیجان (عدم‌‌پذیرش پاسخ‌‌های هیجانی، دشواری در انجام رفتار هدفمند، دشواری در کنترل تکانه، نبود آگاهی هیجانی، راهبردهای محدود، نبود وضوع هیجانی) و افزایش انعطاف‌‌پذیری شناختی شده است (001/0>P). با توجه به مشکلاتی که بیماران مبتلا به وسواس در ابعاد هیجانی و شناختی دارند، لازم است در فرایند درمان بیماران به این موارد بیشتر توجه گردد.
The aim of this study was to evaluate the effectiveness of cognitive-behavioral therapy on difficulties in emotional regulation and cognitive flexibility in patients with obsessive-compulsive disorder. The research method was quasi-experimental pre-test-post-test with a control group. In this study, 30 patients with obsessive-compulsive disorder syndrome were assigned to psychology clinics in Rasht in 2021 as a research sample in two experimental and control groups. Groups were assessed with questionnaires Padua obsessive-compulsive disorder by Sanavio (1988), Gratz & Roemer (2004) difficulties in emotional regulation, and Dennis & Vander Wal (2010) cognitive flexibility. After 10 sessions of 90 minutes of cognitive-behavioral therapy for the experimental group, participants again answered the research questionnaire. Findings showed that cognitive-behavioral therapy significantly reduces the difficulties in emotion regulation (rejection of emotional responses, difficulty in performing purposeful behavior, difficulty in controlling impulse, lack of emotional awareness, limited strategies, lack of Emotional state) and increased cognitive flexibility (P<0.001). Due to the problems that patients with obsessive-compulsive disorder have in emotional and cognitive dimensions, it is necessary to pay more attention to these cases in the treatment process.
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