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پورمحمدقوچانی, کامران. (1400). اثربخشی درمان شناختی- تحلیلی بر بهبود تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی. نشریه هنرهای کاربردی, 13(4), 65-76. doi: 10.22075/jcp.2021.20257.1868
کامران پورمحمدقوچانی. "اثربخشی درمان شناختی- تحلیلی بر بهبود تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی". نشریه هنرهای کاربردی, 13, 4, 1400, 65-76. doi: 10.22075/jcp.2021.20257.1868
پورمحمدقوچانی, کامران. (1400). 'اثربخشی درمان شناختی- تحلیلی بر بهبود تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی', نشریه هنرهای کاربردی, 13(4), pp. 65-76. doi: 10.22075/jcp.2021.20257.1868
پورمحمدقوچانی, کامران. اثربخشی درمان شناختی- تحلیلی بر بهبود تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی. نشریه هنرهای کاربردی, 1400; 13(4): 65-76. doi: 10.22075/jcp.2021.20257.1868

اثربخشی درمان شناختی- تحلیلی بر بهبود تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی

روان شناسی بالینی
مقاله 6، دوره 13، شماره 4 - شماره پیاپی 52، اسفند 1400، صفحه 65-76    اصل مقاله (662.75 K)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2021.20257.1868
نویسنده
کامران پورمحمدقوچانی*
کارشناس ارشد روانشناسی عمومی، مؤسسه غیرانتفاغی غیردولتی شاندیز، مشهد، ایران.
تاریخ دریافت: 11 اردیبهشت 1399،  تاریخ بازنگری: 05 خرداد 1400،  تاریخ پذیرش: 02 تیر 1400 
چکیده
مقدمه: اختلال وسواس فکری- عملی بیماری جدی و ناتوان کننده است که با عوامل روان‌شناختی متعددی همبودی دارد. هدف از پژوهش حاضر، بررسی اثربخشی درمان شناختی- تحلیلی بر عدم تحمل بلاتکلیفی، نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری – عملی بود.
روش: این پژوهش، نیمه آزمایشی با طرح پیش آزمون- پس آزمون همراه با گروه کنترل بود. جامعه آماری پژوهش شامل همه بیماران مبتلا به اختلال وسواس مراجعه کننده به مراکز مشاوره و مددکاری شهر مشهد در سال 1397 بودند که از بین آنها 30 نفر به‌صورت نمونه‌گیری هدفمند، انتخاب و به‌صورت تصادفی در دو گروه آزمایش 15نفر و کنترل 15نفر گمارده شدند. گروه آزمایش، تحت گروه درمانی شناختی - تحلیلی به مدت 8 جلسه 90 دقیقه‌ای در هرهفته دو جلسه قرار گرفتند. جهت جمع‌آوری داده‌ها از پرسشنامه‌های عدم تحمل بلاتکلیفی، نگرانی و اجتناب تجربه‌ای استفاده شد. داده‌ها با استفاده از آزمون تحلیل کوواریانس چندمتغیره تحلیل شدند.
یافته‌ها: نتایج نشان داد که با کنترل اثر پیش آزمون، بین میانگین نمرات پس‌آزمون گروه‌های آزمایش و گروه کنترل در متغیرهای عدم تحمل بلاتکلیفی، نگرانی و اجتناب تجربه‌ای، تفاوت معناداری وجود داشت.
نتیجه‌گیری: درمان شناختی – تحلیلی بر بهبود عدم تحمل بلاتکلیفی و کاهش نگرانی و اجتناب تجربه‌ای بیماران مبتلا به اختلال وسواس فکری- عملی مؤثر بود. با توجه به نتایج این پژوهش، پیشنهاد می‌شود تا روان‌شناسان و روان‌درمانگران از این درمان به عنوان مداخله‌ای اثربخش در جهت کاهش مشکلات روان‌شناختی بیماران مبتلا به سواس فکری- عملی بهره ببرند.
کلیدواژه‌ها
درمان شناختی – تحلیلی؛ عدم تحمل بلاتکلیفی؛ نگرانی؛ اجتناب تجربه‌ای؛ اختلال وسواس
عنوان مقاله [English]
The effectiveness of cognitive-analytical therapy on improving uncertainty tolerance and reducing anxiety and avoiding experiences of patients with obsessive-compulsive disorder
نویسندگان [English]
Kamran PourMohammad Ghouchani
MA. General Psychology, Shandiz nongovermental-nonprofit institute of higher education. Mashhad. Iran.
چکیده [English]
Abstract
Introduction: Obsessive compulsive disorder (OCD) is a serious and debilitating illness with a variety of comorbidities of other diseases. The  aim  of  the  present  research  was  to examining the effectiveness of cognitive-analytic therapy on improving intolerance of uncertainty & decreasing worry and experimental avoidance in patients with obsessive compulsive disorder.
Method: A semi-experimental randomized control trial design were choosen. The research population included all OCD patients referred to counseling and social worker centers in Mashhad in 2018. A total sample of 30 subjects were selected by purposive sampling and randomly divided to experimental and control groups(n=15). The experimental group received cognitive-analytic therapy for 8 sessions (two sessions a week). Data was collection by Intolerance of Uncertainty Scale (IUS), Worry and Experiential Avoidance Questionnaires. Data was analysis by Multivariate Analysis of Covariance.
Results: Significantly differences observed in posttest stage between experimental and control groups for intolerance of uncertainty, worry and experiential avoidance .
Conclusion: Cognitive-analytic therapy could effectively improve the intolerance of uncertainty, the worry and experiential avoidance in OCD patients. Application of this treatment to reduce the psychological problems of OCD patients is recommended to therapists and counsellors.
کلیدواژه‌ها [English]
Cognitive analytic therapy, intolerance of uncertainty, worry, experiential uncertainty, obsession disorder
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