اثربخشی روان درمانی پویشی فشرده و کوتاه مدت بر کاهش علائم و مکانیسم های دفاعی اختلال شخصیت مرزی در بیماران مرکز سراج

چکیده مقاله :

هدف از پژوهش حاضر تعیین اثر بخشی روان درمانی پویشی فشرده و کوتاه- مدت (ISTDP) بر کاهش علایم و مکانیسم های دفاعی اختلال شخصیت مرزی انجام شد. این پژوهش در زمره پژوهش های شبه- آزمایشی با طرح تک آزمودنی A-B-A )) بود. جامعه آماری این پژوهش را کلیه افراد مبتلا به اختلال شخصیت مرزی که به مرکز سلامت روان جامعه نگر(سراج) میاندوآب در طی سه ماهه اول  1403  مراجعه  نمودند تشکیل میدادند . از میان جامعه آماری فوق، 3 نفر که تشخیص اختلال شخصیت مرزی بر اساس سیاهه چند محوری بالینی میلون3- (III-MCMI ) و مصاحبه روانپزشکی بر اساس ملاکهای 5-DSM  دریافت میکردند به روش نمونه گیری هدفمند انتخاب شدند. ابزار مورد استفاده در این پژوهش عبارت بودند: سیاهه چند محوری بالیني میلون3 (- (III-MCMI پرسشنامه سازوکارهای دفاعي-40 و مصاحبه بالیني ساختاریافته برای اختلالات  ( SCID) DSM همچنین، پروتكل رواندرماني پویشي فشرده و کوتاه مدت مطابق با رویكرد دوانلو (1995،  2000) روی نمونه ی پژوهش اجرا شد. سنجش آزمودني ها ابتدا به صورت ارزیابي خط پایه، هر 3 جلسه یكبار انجام شد و پس از اتمام جلسات درماني، 3 ارزیابي پیگیری با فواصل یک ماهه صورت گردید. داده ها با استفاده از نسخه 24 نرم افزار SPSS تحلیل شدند. یافته های حاصل نشان داد که درمان روانپویشي فشرده و کوتاه مدت سبب کاهش نشانه- های اختلالات شخصیت مرزی ميشود( 05/0 >p ) همچنین، این درمان بر کاهش مكانیسم های دفاعي پخته، ناپخته و نوروتیک در افراد با اختلالات شخصیت مرزی معنادار بود ( 05/0 >p ) .  

چکیده انگلیسی :

The purpose of this research was to evaluate the effectiveness of short-term intensive dynamic psychotherapy (ISTDP) on reducing the symptoms and defense mechanisms of borderline personality. This research was among quasi-experimental studies with a single-subject design (A-B-A). The statistical population of this study consisted of all people with borderline personality disorder who referred to the psychiatric center of Jamia Nagar (Seraj) Miandoab during the first quarter of 2013. From among the above statistical population, 3 people who received borderline personality diagnosis based on Milon's clinical multi-item inventory III- (III-MCMI) and psychiatric interview based on DSM-5 criteria were selected by purposive sampling method. The tools used in this research were: Milon's Clinical Multiaxial Inventory (III-MCMI), Defense Mechanisms Questionnaire-40 and Structured Clinical Interview for Disorders (SCID) DSM, as well as intensive and short-term psychotherapeutic protocol according to Dovanlo's approach (1995, 2000) was carried out on the research sample. First, the subjects were evaluated in the form of a baseline, once every 3 sessions, and after the completion of the treatment sessions, 3 follow-up evaluations were done with one-month intervals using version 24 The results showed that intensive and short-term psychodynamic therapy reduces the symptoms of borderline personality disorders (p < 0.05), and this treatment reduces mature, immature and neurotic defense mechanisms in people. It was significant with borderline personality disorders (p>0.05). 

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