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حیدری, زهرا, ترکان, هاجر. (1402). اثربخشی درمان شناختی - رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی. هنرهای کاربردی, 15(1), 79-91. doi: 10.22075/jcp.2023.29792.2588
زهرا حیدری; هاجر ترکان. "اثربخشی درمان شناختی - رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی". هنرهای کاربردی, 15, 1, 1402, 79-91. doi: 10.22075/jcp.2023.29792.2588
حیدری, زهرا, ترکان, هاجر. (1402). 'اثربخشی درمان شناختی - رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی', هنرهای کاربردی, 15(1), pp. 79-91. doi: 10.22075/jcp.2023.29792.2588
حیدری, زهرا, ترکان, هاجر. اثربخشی درمان شناختی - رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی. هنرهای کاربردی, 1402; 15(1): 79-91. doi: 10.22075/jcp.2023.29792.2588

اثربخشی درمان شناختی - رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی

روان‌شناسی بالینی: نوآوری‌ها در پژوهش و عمل
مقاله 7، دوره 15، شماره 1 - شماره پیاپی 57، فروردین 1402، صفحه 79-91    اصل مقاله (501.2 K)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2023.29792.2588
نویسندگان
زهرا حیدری1؛ هاجر ترکان* 2
1دانشجوی کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی، اصفهان، ایران
2استادیار، گروه روانشناسی بالینی، دانشگاه آزاد اسلامی، اصفهان، ایران
تاریخ دریافت: 12 بهمن 1401،  تاریخ بازنگری: 07 خرداد 1402،  تاریخ پذیرش: 17 خرداد 1402 
چکیده
مقدمه: هدف از پژوهش حاضر تعیین اثربخشی درمان شناختی- رفتاری بر خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه مثبت، عاطفه منفی و علائم شیدایی در بیماران دوقطبی بود.
روش: پژوهش حاضر با استفاده از طرح نیمه‌آزمایشی از نوع پیش‌آزمون- پس‌آزمون و پیگیری با گروه آزمایش و کنترل انجام شد. جامعه آماری این پژوهش، شامل کلیه بیماران دوقطبی بود که در سال 1400 به مراکز مشاوره شهر اصفهان مراجعه کرده و با داروهای تثبیت کننده خلق تحت درمان بودند. نمونه شامل 24 نفر بود که با استفاده از روش نمونه‌گیری در دسترس انتخاب و به شکل تصادفی در دو گروه آزمایش و کنترل گمارده شدند. گروه آزمایش، درمان شناختی- رفتاری را به مدت 12 جلسه 60 دقیقه‌ای به‌ صورت فردی و هفته‌ای یک جلسه دریافت کردند، درحالی‌که گروه کنترل در لیست انتظار بودند. داده‌های پژوهش با استفاده از مقیاس‌های خودجرحی سانسون، انگ درونی‌شده کینگ، عاطفه مثبت و منفی واتسون و شیدایی یانگ گردآوری و به کمک آمار توصیفی (میانگین و انحراف استاندارد) و آمار استنباطی (تحلیل واریانس با اندازه‌های تکراری) مورد تحلیل قرار گرفت.
یافته‌ها: نتایج پژوهش نشان داد که درمان شناختی- رفتاری باعث کاهش معنادار میانگین نمرات پس‌آزمون و پیگیری خودجرحی بدون خودکشی (p<0.01, F=46.639, η2=0.679)، انگ درونی‌شده (p<0.01, F=6.460, η2=0.227)، عاطفه منفی (p<0.01, F=8.849, η2=0.287) و علائم شیدایی (p<0.01, F=27.519, η2=0.556) بیماران دوقطبی شد. نتایج نشان داد بین گروه‌های آزمایش و کنترل در مراحل پس‌آزمون و پیگیری در خودجرحی بدون خودکشی، انگ درونی‌شده، عاطفه منفی و علائم شیدایی تفاوت معنادار وجود دارد.
کلیدواژه‌ها
اختلال دوقطبی؛ درمان شناختی- رفتاری خودجرحی بدون خودکشی انگ درونی‌شده؛ عاطفه مثبت؛ عاطفه منفی؛ علائم شیدایی
عنوان مقاله [English]
Effectiveness of Cognitive-Behavioral Therapy on Non-Suicidal Self-Injury, Internalized Stigma, Positive Affect, Negative Affect and Mania Symptoms in Bipolar Patients
نویسندگان [English]
Zahra Heidary1؛ Hagar Torkan2
1Master's student in clinical psychology, Islamic Azad University, Isfahan, Iran
2Assistant Professor, Department of Clinical Psychology, Islamic Azad University, Isfahan, Iran
چکیده [English]
Objective: The objective of the current investigation was to evaluate the efficacy of cognitive-behavioral therapy (CBT) on non-suicidal self-injury, internalized stigma, positive affect, negative affect, and mania symptoms in bipolar patients.
Method: This research was conducted using a semi-experimental design of pre-test, post-test, and follow-up with experimental and control groups. The statistical population of this research included all patients with bipolar disorders who had been referred to Isfahan counseling centers in 2021 and were treated with mood stabilizers. The sample included 24 people (18 females, 6 males) who were selected using available sampling method and were randomly assigned to two experimental and control groups. The control group was placed on a waiting list, while the experimental group received cognitive-behavioral treatment for 12 sessions of 60 minutes each, one session per week. The research data were collected using Sanson's self-injury scale, King's internalized stigma scale, Watson's positive and negative affect scale, and Young's mania scale. Descriptive statistics (mean and standard deviation) and inferential statistics (variance analysis with repeated measures) were used to analyze the data.
Findings: The findings of the research showed that the cognitive-behavioral therapy caused a significant decrease in the mean scores of the post-test and follow-up stages for non-suicidal self-injury (p<0.01, F=46.639, η2=0.679), internalized stigma (p<0.01, F=6.460, η2=0.227), negative affect (p<0.01, F=8.849, η2=0.287), and mania symptoms (p<0.01, F=27.519, η2=0.556) in bipolar patients. Results indicated significant differences between experimental and control groups for non-suicidal self-injury, internalized stigma, negative affect and mania symptoms in the post-test and follow-up stages.
کلیدواژه‌ها [English]
Bipolar disorder, Cognitive-behavioral therapy Non-suicidal self-injury Internalized stigma, Positive affect, Negative affect, Mania symptoms
مراجع
. Novick DM. Swartz HA. Psychosocial interventions for bipolar II disorder. Am J Psychother. 2019; 72(2):47 57.

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