مقایسه اثربخشی درمان مبتنی بر شفقت متمرکز بر خود و درمان شناختی رفتاری بر کاهش اضطراب، افسردگی و خود انتقادی در زنان مبتلا به اختلال اضطراب فراگیر
کلمات کلیدی:
درمان مبتنی بر شفقت متمرکز بر خود , درمان شناختی رفتاری , اضطراب, افسردگی , خود انتقادیچکیده
هدف: هدف از پژوهش حاضر، مقایسه اثربخشی درمان مبتنی بر شفقت متمرکز بر خود و درمان شناختی رفتاری بر کاهش اضطراب، افسردگی و خودانتقادی در زنان مبتلا به اختلال اضطراب فراگیر بود.
مواد و روش: این پژوهش نیمهآزمایشی با طرح پیشآزمون-پسآزمون با گروه کنترل انجام شد. نمونهای متشکل از 30 زن مبتلا به اختلال اضطراب فراگیر به طور تصادفی در دو گروه آزمایش و یک گروه کنترل قرار گرفتند. شرکتکنندگان در گروههای آزمایشی به مدت ده جلسه 90 دقیقهای به ترتیب تحت مداخله شناختی رفتاری (بر اساس مدل بورکوک) و درمان مبتنی بر شفقت (بر اساس مدل گیلبرت) قرار گرفتند. ابزارهای پژوهش شامل پرسشنامههای استاندارد اضطراب بک، افسردگی بک و خودانتقادی تامپسون و همکاران بود. دادهها با استفاده از تحلیل کوواریانس چندمتغیره و اندازهگیری مکرر تحلیل شدند.
یافتهها: نتایج نشان داد هر دو مداخله بهطور معناداری منجر به کاهش اضطراب، افسردگی و خودانتقادی در شرکتکنندگان شدند. با این حال، مداخله شناختی رفتاری اثربخشی بیشتری نسبت به درمان مبتنی بر شفقت در کاهش متغیرهای مذکور نشان داد. مقایسه میانگینها در پیشآزمون و پسآزمون و تحلیلهای کوواریانس تفاوت معنادار بین گروهها را تأیید کرد (p<0.05)، و مقدار اتای جزئی برای هر متغیر نشاندهنده اندازه اثر متوسط تا قوی بود.
نتیجهگیری: یافتهها نشان میدهد که هر دو درمان CFT و CBT در بهبود علائم اختلال اضطراب فراگیر مؤثر هستند، اما CBT در کاهش اضطراب، افسردگی و خودانتقادی کارآمدتر عمل میکند. از این رو، میتوان بهرهگیری ترکیبی از این رویکردها را در مراکز مشاوره برای ارتقای بهداشت روان زنان توصیه کرد.
دانلودها
مراجع
Aghalar, S., & Akrami, L. (2021). The Effectiveness of Compassion-Based Therapy on Symptoms of Depression, Rumination, and Self-Compassion in Mothers of Children with Mild Intellectual Disabilities. Scientific Journal of Clinical Psychology and Personality, 2(1), 45-57. https://civilica.com/doc/1842737/
Ajay, R., Shreeja, S., Mishra, S., Kunwar, D., Karki, E., & Shrestha, B. (2021). Anxiety and depression during covid-19 pandemic among medical students in Nepal. Kathmandu Univ Med J, 18(4), 3-9. https://doi.org/10.3126/kumj.v18i4.49241
Amjadiyan, F., Jafari, A., & Qoomari, M. (2022). Comparing the Effectiveness of Self-Compassion Training and Emotion-Focused Therapy in Reducing Psychological Vulnerability in Mothers of Children with Learning Disabilities. Journal of Exceptional Individuals, 12(47), 115-149. https://jpe.atu.ac.ir/article_15236.html
Aristou, F., & Omidian, M. (2024). Predicting Symptoms of Generalized Anxiety Disorder Based on Catastrophizing Pain and Sensitivity to Rejection Mediated by Quality of Life. Quarterly Journal of New Psychological Research, 19(75), 194-180. https://journals.tabrizu.ac.ir/article_18582.html
Bakhtiari, M. (2024). The Effectiveness of Cognitive Behavioral Therapy on Psychological Flexibility in Women Experiencing Marital Distress. Positive Psychology Quarterly, First Series(First Issue), 50-58. https://rpp.araku.ac.ir/article_713641.html
Basharpour, S., Mohammadzadeh, A., & Abadi, M. (2024). Examining the Relationship Between Breast Cancer Screenings, Cancer Literacy, and Health Anxiety; The Mediating Role of Psychological Resilience. Journal of Psychiatry and Clinical Psychology, 30(1). https://doi.org/10.32598/ijpcp.30.1.4929.1
Borkovec, T. D., Newman, M. G., Pincus, A. L., & Lytles, R. (2002). A component analysis of cognitive behavioral therapy for general lized anxiety disorder and the role of interpersonal problems. Journal of consulting and clinical psychology, 70(2), 288-298. https://doi.org/10.1037/0022-006X.70.2.288
Bricker, J. J., & Tollison, s. (2021). Comparison of motional intervievieving with acceptance and commitment therapy: A Conceptual and clinical review. Behavioural and Cognitive Psychotherapy, 39(05), 541-559. https://doi.org/10.1017/S1352465810000901
Bueno-Notivol, J., Gracia-García, P., Olaya, B., Lasheras, I., López-Antón, R., & Santabárbara, J. (2021). Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. Int J Clin Health Psychol, 21(1), 100196. https://doi.org/10.1016/j.ijchp.2020.07.007
Dortaj, F., Aghajani, F., Delavar, A., Navabinejad, S., & Mardani Rad, M. (2019). Developing a Group Therapy Program Based on Transactional Analysis and Acceptance and Commitment Therapy and Examining Its Effectiveness on Self-Criticism Components in Girls Experiencing Emotional Breakup. Psychological Sciences, 19(95), 1389-1399. https://psychologicalscience.ir/article-1-752-fa.html
Dugas, M. J., Savard, P., Gaudet, A., Turcotte, J., Laugesen, N., & Robichaud, M. (2007). Can the components of a cognitive model predict the severity of generalized anxiety disorder? Behavior therapy, 38, 169-178. https://doi.org/10.1016/j.beth.2006.07.002
Fernandes, J., Pedro, J., Costa, M. E., & Martins, M. V. (2023). Effect of depression and anxiety on sexual functioning in couples trying to conceive with and without an infertility diagnosis. Psychology & Health, 38(1), 58-75. https://doi.org/10.1080/08870446.2021.1955115
Geace, D. (2022). Longitudinal course of depressive syptomatologs after a cardiac event: effects of gender and cardiac rehabilitation, psychosomatic medicine. Psychosomatic Medicine, 67, 52-58. https://doi.org/10.1097/01.psy.0000151486.28349.70
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199-208. https://doi.org/10.1192/apt.bp.107.005264
Hamidi, R., Fekrizadeh, Z., Azadbakhsh, M., & Garmaroudi, G. (2015). Examining the Validity and Reliability of the Second Version of the Beck Depression Inventory (BDI-II) in Iranian Elderly. Journal of Sabzevar University of Medical Sciences, 22(1). https://jsums.medsab.ac.ir/article_550.html
Hayes-Skelton, S. A., & Lee, C. S. (2020). Decentering in mindfulness and cognitive restructuring for social anxiety: An experimental study of a potential common mechanism. Behavior Modification, 44(6), 817-840. https://doi.org/10.1177/0145445519850744
Hocken, K., & Taylor, J. (2021). Compassion-focused therapy as an intervention for sexualoffending. In (pp. 189-219). Routledge. https://doi.org/10.4324/9780429262074-9
Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Res, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954
Kavyani, H., & Ashraf Sadat, M. (2008). Psychometric Properties of the Beck Anxiety Inventory Across Age and Gender Groups in the Iranian Population. Journal of the Faculty of Medicine, Tehran University of Medical Sciences, 66(2), 136-140. https://tumj.tums.ac.ir/article-1-641-fa.html
Keel, C., & Pidgeon, A. M. (2017). Mediating role of self-compassion, emotional regulation on the relationship between, and Psychological Distress. Journal of Basic and Applied Research, 3(3), 107-113. https://research.bond.edu.au/en/publications/mediating-role-of-self-compassion-emotional-regulation-on-the-rel
Khalilnejad, M., Abbasi, Q., & Hadian Nejad, P. (2024). The Effectiveness of Metacognitive Therapy on the Believability of Thoughts and Anxiety Feelings in Patients with Generalized Anxiety Disorder: A Semi-Experimental Study. Journal of Rafsanjan University of Medical Sciences, 23(3), 250-263. https://doi.org/10.61186/jrums.23.3.150
Kian Rad, N. D., Hamid, T., Mehrabi, Mousavi, & Seyed, G. (2021). The Effectiveness of Brief Cognitive Behavioral Therapy on Depression, Suicidal Thoughts, and Cognitive Emotion Regulation in Women Attempting Suicide. Journal of Psychological Sciences, 20(106), 1767-1786. https://doi.org/10.52547/JPS.20.106.1767
Lander, A. (2019). developing self- compassion as a resource for coping with hardship: Exploring the potential of compassion focused therapy. Child and Adolescent Social Work Journal, 36(6), 655-668. https://doi.org/10.1007/s10560-019-00611-0
Lee, J. M., Lowry, K. P., Cott Chubiz, J. E., Swan, J. S., Motazedi, T., & Halpern, E. F. (2020). Breast cancer risk, worry, and anxiety: Effect on patient perceptions of false-positive screening results. The Breast, 50, 104-112. https://doi.org/10.1016/j.breast.2020.02.004
Lloyd, J. (2017). Relationship between self-compassion, sense of coherence, coping strategies and perceived stress in clinical psychology trainees degree=Doctoral thesis https://core.ac.uk/download/pdf/157852703.pdf
Loew, C. A., Schauenburg, H., & Dinger, U. (2020). Self-criticism and psychotherapy outcome: A systematic review and meta-analysis. Clinical Psychology ReviewVL - 75. https://doi.org/10.1016/j.cpr.2019.101808
Loving, V. A., Aminololama-Shakeri, S., & Leung, J. W. T. (2021). Anxiety and its association with screening mammography. Journal of Breast Imaging, 3(3), 266-272. https://doi.org/10.1093/jbi/wbab024
Lucre, K., & Clapton, N. (2021). The Compassionate Kitbag: A creative and integrative approach to compassion‐focused therapy. Psychology and Psychotherapy: Theory. https://doi.org/10.1111/papt.12291
Makhdoumi, M., Abolghasemi, S., & Khane Kashi, A. (2024). The Effectiveness of Schema Therapy on Worry States and Intolerance of Uncertainty in Individuals with Generalized Anxiety Disorder. Journal of Psychological Sciences, 23(144), 95-79. https://doi.org/10.61186/jps.23.144.5
Mischa, S., Borkovec, T. D., Peasley, C., & Person, D. (2021). Coping and personality as predictors of post-traumatic intrusions, numbing, avoidance and general distress: A study of victims of the perth flood. Behavioural and Cognitive Psychotherapy, 23, 251-264. https://doi.org/10.1017/S1352465800015861
Mofrad, H. (2023). Comparing the Effectiveness of Cognitive-Behavioral Therapy and the Combination of Cognitive-Behavioral Therapy and Medication on Anxiety and Aggressive Behaviors in Betrayed Women. Journal of Disability Studies, 13(9), 174-174ER -. https://jdisabilstud.org/article-1-3281-fa.html
Mojtahedzadeh, S. P., Teimory, S., Nayyeri, M., & Isanazar, A. (2023). Presenting the model of sexual performance of postmenopausal women based on sexual self-expression with the mediating role of state-attribute anxiety and sexual self-esteem. Journal of Applied Family Therapy, 4(1), 356-379. https://doi.org/10.61838/kman.aftj.4.1.18
Naeimi Pour, F., Shahgholian, M., & Yariyari, F. (2024). Designing and Testing the Structural Model of Self-Silencing in Married Women Based on Attachment Style, Emotional Expression, and Feelings of Loneliness Mediated by Self-Compassion. Journal of Psychological Sciences, 23(143), 40-23. https://doi.org/10.52547/JPS.23.143.2593
Nainiyan, M. R., Shayeeri, M. R., Sharifi, M., & Hadian, M. (2011). Examining the Reliability and Validity of the Short Scale for Generalized Anxiety Disorder. Clinical Psychology and Personality (Daneshvar Behavior), 50-41. https://sid.ir/paper/208747/fa
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of Clinical Psychology, 69(1), 28-44. https://doi.org/10.1002/jclp.21923
Panahi, T., Shahabi Zadeh, F., & Mahmoudi Rad, A. (2019). Comparing the Effectiveness of Acceptance and Commitment Therapy with and without Self-Compassion on Worry, Anger Rumination, and Self-Criticism in Depressed Non-Clinical Diabetic Patients; A Clinical Trial. Nursing Education Journal, 9(4), 95-108. https://jne.ir/article-1-1250-fa.html
Ramadanpour, F., & Joozi, H. (2019). The Structural Model of Self-Critical Perfectionism and Symptoms of Depression, Anxiety, and Stress: The Mediating Role of Experiential Avoidance and Rumination. Contemporary psychology, 15(2), 33-48. https://bjcp.ir/article-1-1828-fa.html
Raparia, E., Coplan, J. D., Abdallah, C. G., Hof, P. R., Mao, X., & Mathew, S. J. (2021). Impact of childhood emotional abuse on neocortical neurometabolites and complex emotional processing in patients with generalized anxiety disorder. J Affect Disord., 190, 414-423. https://doi.org/10.1016/j.jad.2015.09.019
Remmerswaal, K. C., Cnossen, T. E., van Balkom, A. J., & Batelaan, N. M. (2023). Schema therapy with cognitive behaviour day-treatment in patients with treatment-resistant anxiety disorders and obsessive-compulsive disorder: an uncontrolled pilot study. Behavioral and Cognitive Psychotherapy, 51(2), 174-179. https://doi.org/10.1017/S1352465822000625
Rostampour Baranjestanki, M., Abbasi, Q. A., & Mirzaeian, B. (2019). The Effectiveness of Compassion-Based Therapy on Improving Psychological Flexibility and Reducing Self-Criticism in Mothers of Children with Intellectual DisabilitiesJO - Biannual Journal of Applied Counseling, Shahid Chamran University. 10(2), 1-24. https://jac.scu.ac.ir/article_15940.html
Saadati Shamir, A., Mazbouhi, S., & Marzi, S. (2018). Factor Structure and Validity of the Self-Criticism/Self-Confidence Scale Among Teachers. Quarterly Journal of Educational Measurement, 9(34). https://www.sid.ir/paper/214620/fa
Sharif, Z., Marati, A., & Yousefvand, M. (2024). Comparing the Effectiveness of Acceptance and Commitment Therapy and Existential Therapy on Resilience in Female Students with Generalized Anxiety Disorder. Ruyesh Psychology, 13(6), 170-159. https://frooyesh.ir/article-1-5271-fa.html
Shoja Aldini Ardakani, T., Amiri, B., Amiri, B., & Marvasti Nia, G. (2024). Examining Depression in Women and Girls of Childbearing Age During the COVID-19 Expansion: A Narrative Review. Preventive Medicine, 11(1), 8-19. https://jpm.hums.ac.ir/browse.php?a_id=746&sid=1&slc_lang=fa&html=1
Straarup, N. S., Renneberg, H. B., & Farrell, J. A. U. Y. R. (2022). Group schema therapy for patients with severe anxiety disorders. Journal of Clinical Psychology, 78(8), 1590-1600. https://doi.org/10.1002/jclp.23351
Tajedin, A. A., Al Yasin, A., Heydari, H., & Davoodi, H. (2019). Comparing the Effectiveness of Compassion-Focused Therapy and Reality Therapy on Emotional Dysregulation in Male Prisoners. Scientific Research Quarterly of Psychological Sciences, 19(95), 1519-1532. https://ensani.ir/fa/article/442189/
Timouri, Z., Mojtabai, M., & Rezazadeh, S. M. R. (2021). Comparing the Effectiveness of Emotion-Focused Couples Therapy and Self-Compassion Therapy on Emotion Regulation in Women Affected by Spousal Infidelity. Gilan Medical Sciences Journal, 30(2), 130-143. https://doi.org/10.32598/JGUMS.30.2.1734.1
Vali Zadeh, H., Ahmadi, V., & Mirshakar, S. (2023). The Effectiveness of Compassion-Based Therapy on Resilience, Emotional Dysregulation, and Feelings of Loneliness in Female Heads of Households. New Psychological Research, 18(69). https://psychologyj.tabrizu.ac.ir/article_16248.html
Yaffe, I. (2022). The Mechanisms of Change in Third-Wave CBT Treatment of Self-Criticism degree=Master's thesis Reichman University (Israel)].
Zamani, & Abbasi. (2020). The Effectiveness of Cognitive Behavioral Therapy (CBT) on Students' Anxiety. First Article.
Zamani Foroshani, S., Sharifi, T., & Ghazanfari, A. (2019). Designing an Educational Package for Compassion-Based Interaction in Mother-Child Relationships and Examining Its Effectiveness on Mother-Child Relationships and Improving Parental Stress. Nursing Education Journal. http://jne.ir/browse.php?a_id=989&sid=1&slc_lang=fa&ftxt=0
Zangouei, M., Seyed Jafari, J., Jadi, M., Mousavi, R., & Hosseini, A. (2019). Examining the Effectiveness of Compassion-Focused Therapy on Life Expectancy in the Elderly. Journal of Aging Psychology, Fifth Volume(2). https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=508701
Zarei Hossein, J. D. S., & Zarei, S. (2022). The Effectiveness of Metacognitive Strategies Training on Emotional Processing in Patients with Generalized Anxiety Disorder. Journal of Disability Studies, 12, 17-17. https://www.sid.ir/paper/1120949/en
دانلود
چاپ شده
ارسال
بازنگری
پذیرش
شماره
نوع مقاله
مجوز
حق نشر 2025 الهه جعفرپور; آسیه بهادری, سپیده اسم زمانی آغمیونی, معصومه برزگری سلطان احمدی (نویسنده)

این پروژه تحت مجوز بین المللی Creative Commons Attribution-NonCommercial 4.0 می باشد.