مجله علوم پزشکی پارس
اثربخشی طرحواره درمانی بر تنظیم شناختی هیجان، انعطافپذیری شناختی و راهبردهای ناسازگارانه نگرانی در بیماران دارای اختلال افسردگی
نوع مقاله : مقاله پژوهشی
نویسندگان
دانشگاه آزاد اسلامی واحد بیرجند
چکیده
مقدمه: هدف پژوهش حاضر اثربخشی طرحواره درمانی بر تنظیم شناختی هیجان، انعطافپذیری شناختی و راهبردهای ناسازگارانه نگرانی در بیماران دارای اختلال افسردگی بود.
روش کار: این پژوهش از لحاظ هدف کاربردی و از نظر طرح پژوهش نیمه آزمایشی از نوع پیشآزمون و پسآزمون با گروه کنترل است.جامعه آماری پژوهش، کلیه مراجعینی بودند که با شکایت افسردگی به مراکز روانشناسی و مشاوره شهرستان جهرم در سال 1401 مراجعه و تشخیص افسردگی دریافـت کرده بودند. از بین داوطلبان سه کلینیک حامی، رهگشا و فردای بهتر با روش نمونهگیری هدفمند تعداد 30 نفر که در پرسشـنامهی افسردگی بک نمره 20 تا 28 (یعنی سطح افسردگی متوسط) کسب کردند، انتخاب شدند و در دو گروه آزمایش ( 15 نفر) وکنترل(15 نفر) قرار گرفتند. برای گردآوری داده ها از پرسشنامه راهبردهای تنظیم شناختی هیجان گارنفسکی و همکاران، پرسشنامه انعطافپذیری شناختی دنیس و وندروال، پرسشنامه راهبردهای ناسازگارانه نگرانی مییر و همکاران و پرسشنامه افسردگی بک استفاده شد. تجزیه و تحلیل داده ها با روش آماری تحلیل کواریانس انجام گرفت.
یافته ها: یافته ها نشان داد که طرحواره درمانی بر تنظیم شناختی هیجان، انعطافپذیری شناختی و راهبردهای ناسازگارانه نگرانی تأثیر دارد و باعث افزایش راهبردهای سازگارانه تنظیم هیجان و انعطافپذیری شناختی و کاهش راهبردهای ناسازگارانه تنظیم هیجان و راهبردهای ناسازگارانه نگرانی شده است.
نتیجه گیری: بنابراین طرحواره درمانی به عنوان روش درمانی در کاهش نگرانی و بهبود انعطافپذیری شناختی و راهبردهای سازگارانه تنظیم هیجان در بیماران افسرده پیشنهاد میگردد.
کلیدواژه‌ها
عنوان مقاله [English]
The effectiveness of therapeutic schema and therapy on cognitive regulation of emotion, cognitive flexibility and maladaptive strategies of worry in patients with depressive disorder
نویسندگان [English]
- zohre jafarzade jahromi
- Abdolmajid Bahrainian Bahrainian
- fateme shahabizade
Azad
چکیده [English]
Introduction: The aim of study was the effectiveness of schema therapy on the cognitive regulation of emotion,cognitive flexibility and maladaptive strategies of worry in patients with depressive disorder.Methodology: This research is in terms of practical purpose and in terms of research design, it is a semi-experimental type of pre-test and post-test with a control group.The statistical population was all the clients who came to the psychology and counseling centers of Jahrom city in 2022 with complaints of depression and have received a diagnosis of depression. 30 people who scored 20 to 28 (mean depression level) in the Beck Depression Questionnaire were selected from among the volunteers of Hami, Rahgosha and Farda Behtar clinics, with using the purposeful sampling method, and were divided into two experimental groups (15 people) and control (15 people). In order To collect data, Garnevsky et al.'s Cognitive Regulation Strategies Questionnaire, Dennis and Vanderwaal's Cognitive Flexibility Questionnaire, Meir et al.'s Maladaptive Strategies Questionnaire, and Beck's Depression Questionnaire were used. Data analysis was done with the statistical method of analysis of covariance.Finding: The findings showed that the therapeutic schema has an effect on the cognitive regulation of emotion,cognitive flexibility and maladaptive strategies of worry and has caused an increase in adaptive strategies of emotion regulation and cognitive flexibility and a decrease in maladaptive strategies of emotion regulation and maladaptive strategies of worry.Conclusion: schema therapy is suggested as a therapeutic method to reduce anxiety and improve cognitive flexibility and adaptive strategies of emotion regulation in depressed patients.
کلیدواژه‌ها [English]
- Keywords: worry
- cognitive flexibility
- emotion regulation strategies
- therapeutic schema
- depression
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