مقایسه اثربخشی درمان پذیرش و تعهد و درمان فراشناختی بر راهبردهای سازگار و ناسازگار تنظیم شناختی هیجان در بیماران مبتلا به اختلال مصرف مواد تحت درمان نگهدارنده متادون

پژوهش های روان شناسی بالینی و مشاوره

مقاله 4، دوره 12، شماره 1 - شماره پیاپی 23، شهریور 1401، صفحه 60-78   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2022.70654.1118

نویسندگان

علی احمدی رق آبادی¹؛ زهرا باقرزاده گلمکانی^{* 2}؛ مهدی اکبرزاده²؛ احمد منصوری²؛ محمدرضا خدابخش²

¹دانشجوی دکتری تخصصی روانشناسی عمومی، گروه روان شناسی، واحد نیشابور،دانشگاه آزاد اسلامی، نیشابور، ایران

²استادیار، گروه روان شناسی، واحد نیشابور،دانشگاه آزاد اسلامی، نیشابور، ایران

چکیده

هدف: اختلال ﻣﺼﺮﻑ ﻣﻮﺍﺩ، ﺑﻪ ﻋﻨﻮﺍﻥ ﻳﮑﻲ ﺍﺯ بیماری‌های ﻣﺰﻣﻦ روان‌پزشکی، ﺍﻣﺮﻭﺯﻩ ﺑﻪ ﻳﮑﻲ ﺍﺯ ﻣﺸﮑﻼﺕ ﻋﻤﺪﻩ ﺩﺭ ﺟﻮﺍﻣﻊ ﺗﺒﺪﻳﻞ ﺷﺪﻩ ﺍﺳﺖ. ﻫﺪﻑ ﭘﮋﻭﻫﺶ ﺣﺎﺿﺮ بررسی مقایسه اثربخشی درمان پذیرش و تعهد و درمان فراشناختی بر راهبردهای سازگار و ناسازگار تنظیم شناختی هیجان در بیماران مبتلا به اختلال مصرف مواد تحت درمان نگهدارنده متادون بود.
روش: پژوهش حاضر، یک طرح نیمه آزمایشی از نوع پیش‌‌آزمون و پس‌آزمون همراه با آزمون پیگیری سه‌ماهه با گروه کنترل بود. نمونه شامل 60 نفر از بین بیماران دریافت­کننده درمان نگهدارنده متادون بودکه طی 6 ماهه دوم سال 1398 به مراکز ترک اعتیاد مشهد مراجعه کرده بودند. آزمودنی ها به روش نمونه گیری در دسترس انتخاب شدند و به‌صورت گمارش تصادفی در دو گروه آزمایش (گروه‌درمانی مبتنی بر پذیرش و تعهد و گروه‌درمانی فراشناخت) و یک گروه کنترل جایگزین شدند. از پرسشنامه تنظیم شناختی هیجانی گارنفسکی و همکاران (2007) برای گردآوری داده­ها استفاده شد و داده‌های جمع‌آوری‌شده ﺑﻪ ﮐﻤﮏ نرم‌افزار Spss-24 ﺗﺤﻠﯿﻞ ﺷﺪ.
یافته‌ها: نتایج نشان داد که هم درمان پذیرش و تعهد و هم درمان فراشناختی بر افزایش راهبردهای تنظیم شناختی هیجان سازگار و کاهش راهبردهای تنظیم شناختی هیجان ناسازگار مؤثر هستند. همچنین یافته های پژوهش نشان داد که درمان پذیرش و تعهد در تغییر نمرات راهبردهای تنظیم هیجان نسبت به درمان فراشناختی مؤثرتر عمل کرده است. به‌صورت کلی می­توان نتیجه گرفت که ﺩﺭﻣﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ ﭘﺬﻳﺮﺵ ﻭ ﺗﻌﻬﺪ ﺩﺭ تنظیم شناختی هیجان در بیماران مبتلا به اختلال مصرف مواد تحت درمان نگهدارنده متادون رویکرد درمانی بهتری است.

کلیدواژه‌ها

درمان مبتنی بر تعهد و پذیرش؛ درمان فراشناخت؛ تنظیم شناختی هیجانی؛ راهبردهای سازگارانه و ناسازگارانه

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