مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد آنلاین و درمان فعال‌سازی رفتاری بر تفکر منفی تکراری بیماران وسواسی

نوع مقاله : مقاله پژوهشی

نویسندگان
Azade Mojaradi 1
Mohammad Yamini 2
Abdollah Mafakheri 3
1 Ph.D. student, Department of General Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 Visiting assistant professor, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran. Assistant professor of Kheradgarayan Motahar Institute of Higher Education, Iran.
3 Assistant professor of psychology, Payame Noor University, Iran.
10.22038/jfmh.2022.20583
چکیده
مقدمه: این مطالعه با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد آنلاین و درمان فعال‌سازی رفتاری بر تفکر منفی تکراری بیماران وسواسی انجام شد.
روش کار: در این مطالعه 45 بیمار متلا به اختلال وسواسی - اجباری که در سال 1399 به کلینیک‌های روان‌درمانی شهر مشهد مراجعه کرده بودند، انتخاب و به‌طور تصادفی در 3 گروه مساوی (2 گروه آزمایش و یک گروه کنترل) قرار گرفتند. آنها بهپرسشنامه های McEvoy و همکاران (2010) و پرسشنامه اختلال وسواسی-اجباری مادزلی (1997) پاسخ دادند. گروه آزمایش اول هشت جلسه تحت درمان مبتنی بر پذیرش و تعهد آنلاین (ACT) و گروه آزمایش دوم تحت هشت جلسه نود دقیقه‌ای فعال‌سازی رفتاری گروهی قرار گرفتند. گروه کنترل هیچ مداخله ای دریافت نکرد. داده ها با استفاده از آمار توصیفی، آنالیز واریانس،  مجذور خی، آزمون شاپیرو-ویلک، تحلیل واریانس اندازه گیری های مکرر و نرم­افزار SPSS نسخه 22 مورد تحلیل قرار گرفت.
یافته‌ها: نتایج نشان داد که میانگین تفکر منفی در گروه ACT و فعال‌سازی رفتاری در پس‌آزمون به‌طور معنی‌داری کاهش یافت (P< 0.05). در گروه ACT، اثر مداخله در پیگیری پایدار بود.
نتیجه گیری: نتایج نشان داد که هر دو روش درمانی بر تفکر منفی تکراری در افراد مبتلا به اختلال وسواسی- اجباری مؤثر بودند، اما مداخله آنلاین ACT به طور معنی داری مؤثرتر از درمان فعال سازی رفتاری بود.
کلیدواژه‌ها
تفکر منفی تکراری
درمان مبتنی بر پذیرش و تعهد
درمان فعال‌سازی رفتاری
وسواس
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مجله اصول بهداشت روانی
دوره 24، شماره 3
خرداد و تیر 1401
صفحه 161-168