اثربخشی گروه درمانی مبتنی بر تنظیم هیجان بر بهبود علایم، نگرانی و نقص در تنظیم هیجان افراد مبتلا به اختلال وحشت‌زدگی

نوع مقاله : پژوهشی اصیل

نویسندگان

1 دانشجوی دکتری روان‌شناسی بالینی، بخش روان‌شناسی بالینی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شیراز، شیراز، ایران.

2 استاد گروه روان‌شناسی بالینی بخش روان‌شناسی بالینی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

3 استادیار گروه روان‌شناسی ، بخش روان‌شناسی بالینی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شیراز، شیراز، ایران.

چکیده

افراد مبتلا به اختلال وحشت‌زدگی نگرانی بیش از حد و مشکلات تنظیم هیجان را تجربه می‌کنند و درمان مبتنی بر تنظیم هیجان یک درمان چندوجهی و یکپارچه است که اثربخشی آن بر مؤلفه‌های اضطرابی افراد مبتلا به اختلال اضطراب فراگیر و اختلال اضطراب اجتماعی تأیید شده است. این پژوهش با هدف بررسی اثربخشی درمان گروهی مبتنی بر تنظیم هیجان بر بهبود علایم، نگرانی و نقص در تنظیم هیجان افراد مبتلا به اختلال وحشت‌زدگی در قالب یک طرح آزمایشی پیش‌آزمون و پس‌آزمون با گروه کنترل انجام شده است. جامعه‌ی این پژوهش شامل کلیه افراد مبتلا به اختلال وحشت‌زدگی مراجعه‌کننده به مراکز اعصاب و روان دانشگاه علوم پزشکی شیراز در سال 1398 بود. 22 نفر مبتلا به اختلال وحشت‌زدگی به‌طور داوطلبانه انتخاب و به‌طور تصادفی در گروه‌های آزمایش و گروه کنترل گمارده شدند. شرکت‌کننده‌های گروه‌های آزمایش و کنترل در دو مرحله‌ی پیش‌آزمون و پس‌آزمون از طریق مصاحبه بالینی ساختاریافته بر اساس DSM-5 (SCID)، برنامه‌ی مصاحبه‌ی ساختاریافته برای اختلال‌های اضطرابی و اختلالات مرتبط بر اساس DSM-5 (ADIS-5)، پرسش‌نامه‌ی نگرانی ایالت پنسیلوانیا (PSWQ) و مقیاس دشواری در تنظیم هیجان (DERS) مورد ارزیابی قرار گرفتند. داده‌ها بار روش آماری تحلیل کوواریانس و از طریق نرمافزار 22-SPSS تحلیل شدند. نتایج نشان داد که درمان گروهی مبتنی بر تنظیم هیجان علایم اضطرابی، نگرانی و نقص در تنظیم هیجان افراد مبتلا به اختلال وحشت‌زدگی را به‌طور معنی‌داری بهبود می‌بخشد. درمان مبتنی بر تنظیم هیجان با تمرکز بر راهبردهای تمرین ذهن‌آگاهی اسکن بدنی، آگاهی از حس‌های جسمانی، تمرین تنفس و همچنین مداخله در سازه‌های نگرانی و نظام‌های هیجان، علایم افراد مبتلا به اختلال وحشت‌زدگی را بهبود می‌بخشد.
 

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of emotion regulation group therapy on symptom reduction, worry and emotion dysregulation in individuals with Panic disorder

نویسندگان [English]

  • Arash Aghighi 1
  • Nurallah Mohammadi 2
  • Changiz Rahimi Taghanaki 2
  • Mahdi Imani 3
1 1. Ph.D. Student of Clinical Psychology, Department of clinical psychology, Faculty of Educational science and psychology, Shiraz university, Shiraz, Iran.
2 professor, department of clinical psychology,of University of Shiraz
3 Associate of professor, departement of psychology, of Urmia Univercity
چکیده [English]

People with Panic disorder experience excessive worry and difficulties in emotion regulation, Emotion Regulation Therapy (ERT) is a multifaceted and integrated treatment and its effectiveness on anxiety factors of generalized anxiety disorder and social anxiety disorder has been confired in many studies. .This study to aim was conducted to investigate effectiveness of emotion regulation group therapy on symptom reduction, worry and difficulties in emotion regulation in peoples with Panic disorder in a quasi-experimental design to pre-test and post-test with control group aimed at. Population of this study includes people with panic disorder referring to the psychiatric clinics of Shiraz University of Medical Sciences in Shiraz city. Twenty-two people with Panic disorder were vouluntarly select and randomly were assigned to the experimental and the control groups.The subjects in the experimental and the control groups were assessed in both pre-test and post-test stages using Structured Clinical Interview for DSM-5 (SCID-5), Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5), and Penn State Worry Questionnaire (PSWQ) and Difficulties in Emotion Regulation Scale (DERS). Data were analyzed using covariance analysis statistical method and by software SPSS-22. Results showed that group therapy based on emotion regulation Improve significantly symptoms of anxiety, worry and difficulties in emotion regulation of subjects with panic disorder. Emotion regulation therapy throughout using body scan mindfulness technique, awareness of physical senses and breathe technique, and also intervention in worry and emotion regulation construct mprove symptoms worry and difficulties difficulties in emotion regulation of subjects with panic disorder.

کلیدواژه‌ها [English]

  • Emotion regulation therapy
  • worry
  • emotion regulation
  • panic disorder
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