مقدمه: هدف از پژوهش حاضر بررسی اثربخشی طرحواره درمانی بر بهبود نشانهها، طرحوارههای ناسازگار اولیه، تائید خواهی و تصور از خود در مبتلایان به اختلال شخصیت نمایشی میباشد. روش کار: این پژوهش از نوع طرح تک آزمودنی A-B میباشد که نمونه آن 5 نفر مبتلا به اختلال شخصیت نمایشی در شهر مشهد در سال 95-1394 بودند و از مصاحبه نیمه ساختار یافته SCID، پرسشنامه میلون، خرده مقیاس تائید خواهی مقیاس باور های ناکارآمد بک، پرسشنامه تصور از خود و YSQ در پژوهش استفاده گردید. در این پژوهش پس از موقعیت خط پایه، مداخله آغاز گردید و 16 جلسه طرحواره درمانی انفرادی برگزار شد و جلسه پیگیری پس از یک ماه بعد از جلسه آخر درمان، اجرا گردید. در تحلیل دادههای پژوهش از آمار توصیفی و تحلیل دیداری نمودار و درصد بهبودی استفاده شد. یافتهها: نتایج نشان داد که شدت علائم اختلال شخصیت نمایشی، طرحوارههای ناسازگار و تائید خواهی آزمودنیها پس از مداخله، کاهش و تصور از خود، افزایش یافته است. نتیجهگیری: این پژوهش نشان داد که طرحواره درمانی در بهبود نشانهها، شدت طرحوارههای ناسازگار، تائید خواهی و تصور از خود مبتلایان به اختلال شخصیت نمایشی اثر بخش میباشد.
America Psychiatric Association. [Diagnostic and Statistical Manual of Mental Disorders]. Seyed Mohammadi Y (translator). 5th ed. Tehran: Psychic publication; 2013. )Persian)
Beck A, Davis D, Freeman A. Cognitive therapy of personality disorder. 3rd ed. New York: Guilford; 2015.
Rosenhan DL, Seligman M, Walker EF. Abnormal psychology. 4th ed. New York: W.W. Norton and company; 2000.
Donahue B, Thevenin DM, Runyon MK. Behavioral treatment of conversion disorder in adolescence: a case example of globus hystericus. Behav Modif 1997;21: 231-2.
Davidson K. [Application of cognitive therapy in personality disorders]. Shams G. (translator). 1sd ed. Tehran: Roshd; 2000. (Persian)
Holmes J, Neighbor R, Tarrier N, Hmshelwood RD, Bolsover N. All you need is cognitive behavior therapy? BMJ 2002; 3249: 288-95.
Livesley WJ, Jang KL. Toward and empirically based classification of personality disorder. J Pers Disord 2001; 14(2): 137-51.
Leichsenring F, Leibing E. The effectiveness of psychodynamic therapy and cognitive-behavior therapy in the treatment of personality disorders: A meta-analysis. Am J Psychiatry 2003; 160(7): 1223-32.
9. Honardoost N. ]A report of several books on scheme therapy]. Quarterly journal of psychology studies 2015; 5: 167-80. )Persian)
Nordahl HM, Nysæter TE. Schema therapy for patients with borderline personality disorder: a single case series. J Behav Ther Exp Psychiatry 2005; 36(3): 254-64.
Sempértegui GA, Karreman A, Arntz A, Bekker MH. Schema therapy for borderline personality disorder: A comprehensive review of its empirical foundations, effectiveness and implementation possibilities. Clin Psychol Rev 2013; 33(3): 426-47.
Zeigler-Hill V, Green BA, Arnau RC, Sisemore TB, Myers EM. Trouble ahead, trouble behind: Narcissism and early maladaptive schemas.J Behav Ther Exp Psychiatry 2011; 42(1): 96-103.
Thimm JC. Personality and early maladaptive schemas: A five-factor model perspective. JBehav Ther Exp Psychiatry 2010; 41(4): 373-80.
Maltby J, Day L. Forgiveness and defense style. J Genet Psychol 2004; 165(1): 99-112.
Davidson KM. Cognitive therapy for personality disorders: a guide for therapists. United Kingdom: Routledge; 2000.
Riso LP, du Toit PL, Stein DJ, Young JE. Cognitive Schemas and core beliefs in psychological problems: A scientist-practitioner guide. Washington. D.C.: American Psychological Association; 2007.
Sharf R. Theories of psychotherapy and counseling: Concepts and cases. San Fransisco: Cengage Learning; 2015.
Lobbestael J, Arntz A, Löbbes A, Cima M. A Comparative study of patients and therapists' reports of schema modes. J Behav Ther Exp Psychiatry 2009; 40(4): 571-9.
Spinhoven P, Giesen-Bloo J, van Dyck R, Kooiman K, Arntz A. The therapeutic alliance in schema-focused therapy and transference-focused psychotherapy for borderline personality disorder. J Consult Clin Psychol 2007; 75(1): 104.
Nadort M, Arntz A, Smit JH, Giesen-Bloo J, Eikelenboom M, Spinhoven P, et al. Implementation of outpatient schema therapy for borderline personality disorder with versus without crisis support by the therapist outside office hours: A randomized trial. Behav Res Ther 2009; 47(11): 961-73.
Bamelis L, Evers S, Arntz A. Design of a multicentered randomized controlled trial on the clinical and cost effectiveness of schema therapy for personality disorders. BMC Public Health 2012; 12: 75.
Sharifi A, Maulavi H, Namdari K. [Millon III standardized tests]. Journal of research in applied psychology 2007; 34: 27-38. (Persian)
First MB, Spitzer RL, Giben M, Williams JBW. [Semistructred clinical interview for disorders of DSM-IV-TR]. Khani M. (translator). Tehran: Danzhe; 2010. (Persian)
Young J, Klosko J, Weishaar M. [Schema therapy: Practical guide for clinicians]. Hamidpour H. (translator). Tehran: Arjmand; 2005. (Persian)
Sadooghi Z, Aguilar-Vafaie M, Rasoulzadeh Tabatabaie K, Esfehanian N. [Factor analysis of the Young Schema Questionnaire Short Form in a nonclinical Iranian sample]. Iranian journal of psychiatry and clinical psychology 2008; 14: 214-19. (Persian)
Imber SD, Pilkonis PA, Sotsky SM, Elkin I, Watkins GT, Collins JF, et al. Mood-specific effects among tree treatment for depression. J Consult Clin Psychol 1990; 58: 352-9.
Safarzade S, Marashian F. [The relationship between body image, self-concept and self-esteem and eating disorders among female students of Islamic Azad University of Ahvaz]. Journal of women and culture 2014; 5: 59-47. (Persian)
Ogles BM, Lunnen KM, Bonesteel K. Clinical significance: History, application, and current practice. Clin Psychol Rev 2001; 21(3): 421-46.
Jacob GA, Arntz A. Schema therapy for personality disorders-A review. Int J CognTher 2013; 6(2): 171-85.
Camara M, Calvete E. Early maladaptive schema as moderators of the impact of stressful events on anxiety and depression in university students. J Exp Anal Behav 2012; 34(1): 58-68.
Renner F, Lobbestael J, Peeters F, Arntz A, Huibers M. Early maladaptive schemas in depressed patients: stability and relation with depressive symptoms over the course of treatment. J Affect Disord 2012; 136(3): 581-90.
Young JE. Cognitive therapy for personality disorders: A Schema-focused approach. Revised edition. Professional Resource Press/Professional Resource Exchange; 1994.