اثربخشی طرحواره درمانی هیجانی بر راهبردهای تنظیم هیجان در نوجوانان با اختلال نافرمانی مقابله‌جویانه

پژوهش های روان شناسی بالینی و مشاوره

مقاله 1، دوره 14، شماره 2 - شماره پیاپی 28، اسفند 1403، صفحه 5-28   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2024.77697.1316

نویسندگان

جعفر قیطاسی¹؛ احمد امانی^{* 2}

¹دانشجوی دکتری مشاوره، دانشکده علوم انسانی و اجتماعی، دانشگاه کردستان، سنندج، ایران

²دانشیار گروه مشاوره، دانشکده علوم انسانی و اجتماعی، دانشگاه کردستان، سنندج، ایران

چکیده

هدف: پژوهش حاضر باهدف بررسی اثربخشی طرحواره درمانی هیجانی بر راهبردهای تنظیم هیجان در نوجوانان با اختلال نافرمانی مقابله‌جویانه صورت گرفته است.
روش: طرح پژوهش، یک طرح تک آزمودنی از نوع AB بود که از سه خط پایه، سه دوره درمان و سه دوره پیگیری تشکیل شد. جامعه آماری پژوهش نیز شامل تمام دانش‌­آموزان مدارس متوسطه اول شهرستان دالاهو در سال تحصیلی 1399-1400 بود که پس از بررسی ملاک­‌های ورود و خروج (مانند؛ رضایت آگاهانه، داشتن اختلال نافرمانی مقابله‌­ای و عدم مصرف دارو)، 6 دانش‌­آموز با روش نمونه­‌گیری هدفمند و با در نظر گرفتن کامل ملاحظات اخلاقی انتخاب شدند. در این پژوهش از؛ مصاحبه بالینی نیمه ساختاریافته بر مبنای DSM-5، پرسشنامه تنظیم هیجان برای کودکان و نوجوانان  و مقیاس درجه‌­بندی اختلال نافرمانی مقابله‌­ای هومرسن به‌عنوان ابزار پژوهش استفاده شد. در ادامه آزمودنی‌­ها 10 جلسه مداخله طرحواره درمانی هیجانی مبتنی بر پروتکل لیهی را دریافت کردند و در جلسات چهارم، هفتم و دهم مورد ارزیابی قرار گرفتند.
یافته‌ها: نتایج حاصل از این پژوهش نشان داد که نوجوانان مبتلا به اختلال نافرمانی مقابله‌جویانه درزمینه‌ی مهارت‌های تنظیم هیجان دارای مشکل هستند و رویکرد طرحواره درمانی هیجانی به‌عنوان یک روش درمانی می‌تواند در توانمندسازی و کاهش مشکلات آن‌ها اثربخش باشد.
نتیجه‌گیری: در بررسی نتایج مشاهده شد که مداخله انجام‌گرفته در همه مؤلفه‌­های پژوهش و در تمام 6 مشارکت‌کننده، دارای اثرگذاری بالا و باثبات می­باشد. می‌توان نتیجه گرفت طرحواره درمانی هیجانی بر راهبردهای تنظیم هیجان در نوجوانان با اختلال نافرمانی مقابله­ جویانه اثربخش است.

کلیدواژه‌ها

اختلال نافرمانی مقابله‌جویانه؛ راهبردهای تنظیم هیجان؛ طرحواره درمانی هیجانی

مراجع

Abdollahi Boughrabadi, G. (2018). Effectiveness of Sandplay Therapy on Reducing the Symptoms of Oppositional Defiant Disorder [Applicable]. Rooyesh-e-Ravanshenasi Journal(RRJ), 7(8), 1-16. http://frooyesh.ir/article-1-323-fa.html http://frooyesh.ir/article-1-323-fa.pdf (In Persian)

American Psychiatric Association, F. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). (American Psychiatric Pub)

Asgari, A., & Goodarzi, K. (2019). Effectiveness of Emotional Schema Therapy on Marital Intimacy among Couples on the Brink of Divorce. Journal of Salamat Ijtimai (Community Health), 6(2), 174-185. (In Persian)

Booker, J. A., Ollendick, T. H., Dunsmore, J. C., & Greene, R. W. (2016). Perceived parent–Child relations, conduct problems, and clinical improvement following the treatment of oppositional defiant disorder. Journal of Child and Family Studies, 25(5), 1623-1633.

Boylan, K., Vaillancourt, T., Boyle, M., & Szatmari, P. (2007). Comorbidity of internalizing disorders in children with oppositional defiant disorder. European child & adolescent psychiatry, 16(8), 484-494.

Brammer, W. A., & Lee, S. S. (2012). Impairment in children with and without ADHD: contributions from oppositional defiant disorder and callous-unemotional traits. Journal of attention disorders, 16(7), 535-543.

Cavanagh, M., Quinn, D., Duncan, D., Graham, T., & Balbuena, L. (2017). Oppositional defiant disorder is better conceptualized as a disorder of emotional regulation. Journal of attention disorders, 21(5), 381-389.

Charles, C. M. (2013). Building classroom discipline. Pearson Higher Ed.

Davudi, H., Kalhor, A., & Alibabaei Noqane Sofla, E. (2018). Effectiveness of Parenting Therapy on Behavioral Problems of Girl Students with Oppositional Defiant Disorder. Journal of Clinical Psychology, 10(39), 91-100. (In Persian)

Delavar, A. (2005). Educational and psychological research. Tehran: virayesh, 97.

Doyle, L. R., Glass, L., Wozniak, J. R., Kable, J. A., Riley, E. P., Coles, C. D., Sowell, E. R., Jones, K. L., Mattson, S. N., & CIFASD. (2019). Relation between oppositional/conduct behaviors and executive function among youth with histories of heavy prenatal alcohol exposure. Alcoholism: Clinical and Experimental Research, 43(6), 1135-1144.

Emam Zamani, Z., Mashhadi, A., & Sepehri Shamloo, Z. (2019). The Effectiveness of Group Therapy Based on Emotional Schema Therapy on Anxiety and emotional schemas on Women with Generalized Anxiety Disorder. Research in Clinical Psychology and Counseling, 9(1), 5-24. https://doi.org/10.22067/ijap.v9i1.69238 (In Persian)

Esmaeli, S. M., Shalchi, B., & Ahmadi, E. (2017). On the Role of Emotion Regulation Difficulties as a Mediator in the Relationship of Family Function and Satisfaction of Basic Psychological Needs with Addictibility. Quarterly Journal of Research on Addiction, 11(42), 229-248. (In Persian)

Faramarzi, S., Abedi, A., & GhanbariI, A. (2012). Mother Communication Patterns And Oppositional Defiant Disorder Of Children. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, 34(2), 90-96. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=284379 (In Persian)

Farokhzadian, A. A., Rezaei, F., & Sadeghi, M. (2018). The Effectiveness of Combined Metacognitive Therapy with Childhood traumas-Based Emotional Schema Therapy on Generalized Anxiety Disorder. Quarterly journal of psychological studies, 14(3), 81-96. (In Persian)

Garofalo, C., Gillespie, S. M., & Velotti, P. (2020). Emotion regulation mediates relationships between mindfulness facets and aggression dimensions. Aggressive behavior, 46(1), 60-71.

Ghodrati Shahtoori, K., Rahnejat, A. M., Dabaghi, P., Taghva, A., Donyavi, V., Ebrahimi, M. R., & Ghahvehchi Hosseini, F. (2020). Effectiveness of Emotional Schema Therapy on Improvement in Cognitive -Emotion Regulation in Attempting to Self-Mutilation Soldiers [Orginal Research]. Journal of Military Medicine, 22(9), 956-968. https://doi.org/10.30491/jmm.22.9.4 (In Persian)

Gianini, L. M., White, M. A., & Masheb, R. M. (2013). Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eating behaviors, 14(3), 309-313.

Gross, J. J. (1998). Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. Journal of personality and social psychology, 74(1), 224.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology, 85(2), 348.

Gross, J. J., & Thompson, R. A. (2007). Emotion Regulation: Conceptual Foundations. InJ. J. Gross (Ed.), Handbook of Emotion Regulation. New York: The Guillford Press, 3, 25.

Gullone, E., & Taffe, J. (2012). The emotion regulation questionnaire for children and adolescents (ERQ–CA): a psychometric evaluation. Psychological assessment, 24(2), 409.

Henriksen, M., Skrove, M., Hoftun, G. B., Sund, E. R., Lydersen, S., Tseng, W.-L., & Sukhodolsky, D. G. (2021). Developmental course and risk factors of physical aggression in late adolescence. Child Psychiatry & Human Development, 52(4), 628-639.

Herpers, P., Bakker-Huvenaars, M. J., Greven, C. U., Wiegers, E. C., Nijhof, K. S., Baanders, A. N., Buitelaar, J. K., & Rommelse, N. N. (2019). Emotional valence detection in adolescents with oppositional defiant disorder/conduct disorder or autism spectrum disorder. European child & adolescent psychiatry, 28(7), 1011-1022.

Hommersen, P., Murray, C., Ohan, J. L., & Johnston, C. (2006). Oppositional Defiant Disorder Rating Scale: Preliminary Evidence of Reliability and Validity. Journal of Emotional and Behavioral Disorders, 14(2), 118-125. https://doi.org/10.1177/10634266060140020201

Ioannidis, C. A., & Siegling, A. (2015). Criterion and incremental validity of the emotion regulation questionnaire. Frontiers in psychology, 6, 247.

Izadi, F., Ashrafi, E., & Fathi Ashtiani, A. (2019). The Effectiveness of Emotional Schema Therapy on Reduction of the Negative Emotional Schemas, Alexithymia and Signs of Patients with somatic Symptoms [Research]. Journal of Research in Behavioural Sciences, 17(2), 232-243. https://doi.org/10.52547/rbs.17.2.232 (In Persian)

Jiang, W., Li, Y., Du, Y., & Fan, J. (2016). Emotional regulation and executive function deficits in unmedicated Chinese children with oppositional defiant disorder. Psychiatry investigation, 13(3), 277.

Katzmann, J., Goertz-Dorten, A., Hautmann, C., & Doepfner, M. (2019). Social skills training and play group intervention for children with oppositional-defiant disorders/conduct disorder: Mediating mechanisms in a head-to-head comparison. Psychotherapy Research, 29(6), 784-798.

Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010). Anxiety symptomatology: The association with distress tolerance and anxiety sensitivity. Behavior therapy, 41(4), 567-574.

Leahy, R. L. (2007). Emotional schemas and resistance to change in anxiety disorders. Cognitive and behavioral Practice, 14(1), 36-45.

Leahy, R. L. (2015). Emotional schema therapy. New York: The Guilford Press.

Leahy, R. L. (2016). Emotional schema therapy: A meta‐experiential model. Australian Psychologist, 51(2), 82-88.

Leahy, R. L. (2019). Introduction: Emotional schemas and emotional schema therapy. International Journal of Cognitive Therapy, 12(1), 1-4.

Leahy, R. L., Tirch, D., & Napolitano, L. A. (2011). Emotion regulation in psychotherapy: A practitioner's guide. Guilford press.

Leehr, E. J., Krohmer, K., Schag, K., Dresler, T., Zipfel, S., & Giel, K. E. (2015). Emotion regulation model in binge eating disorder and obesity-a systematic review. Neuroscience & Biobehavioral Reviews, 49, 125-134.

Li, L., Lin, X., Hinshaw, S. P., Du, H., Qin, S., & Fang, X. (2018). Longitudinal associations between oppositional defiant symptoms and interpersonal relationships among Chinese children. Journal of Abnormal Child Psychology, 46(6), 1267-1281.

Lin, Y.-T., Chen, Y.-C., Gau, S. S.-F., Yeh, T.-H., Fan, H.-Y., Hwang, Y.-Y., & Lee, Y. L. (2016). Associations between allergic diseases and attention deficit hyperactivity/oppositional defiant disorders in children. Pediatric research, 80(4), 480-485.

Lotfi, M., Bahrampouri, L., Amini, M., Fatemitabar, R., Birashk, B., Entezari, M., & Shiasy, Y. (2019). Persian adaptation of emotion regulation questionnaire for children and adolescents (ERQ-CA). Journal of Mazandaran University of Medical Sciences, 29(175), 117-128. (In Persian)

Matthys, W., & Lochman, J. E. (2017). Oppositional defiant disorder and conduct disorder in childhood. John Wiley & Sons.

Mohammadi, H., Sepehri Shamloo, Z., & Asghari Ebrahim Abad, M. J. (2019). The effectiveness of group emotional schema therapy on decreasing psychological distress and difficulty in emotional regulation in divorced women. Thoughts and Behavior in Clinical Psychology, 14(51), 27-36. (In Persian)

Morvaridi, M., Mashhadi, A., & Sepehri Shamloo, Z. (2019). The effectiveness of group therapy based on emotional schema therapy on decrease of anxiety sensitivity in woman with social anxiety disorder. Neyshabur University Medical Sciences, 22(7), 26-35. (In Persian)

Naderi, Y., Moradi, A. R., Hasani, J., & Noohi, S. (2015). Effectiveness of Emotional Schema Therapy on Cognitive Emotion Regulation Strategies of Combat-Related Post Traumatic Stress Disorder Veterans [Original Research]. Iranian Journal of War and Public Health, 7(3), 147-155. http://ijwph.ir/article-1-492-en.html http://ijwph.ir/article-1-492-en.pdf (In Persian)

Rice, T., Prout, T., & Hoffman, L. (2017). Implicit emotion regulation: linking childhood oppositional defiant disorder with adult depression and bipolar disorder? International Journal of Adolescent Medicine and Health, 29(2).

Sheikhi Gerakoui, S., abolghasemi, a., & khosrojavid, m. (2021). The Effectiveness of Emotional Regulation Training on Externalized-Internalized Problems in Female Students with Intermittent Explosive Disorder. Research in Clinical Psychology and Counseling, 11(1), 21-40. https://doi.org/10.22067/tpccp.2021.67942.1010 (In Persian)

Silberstein, L. R., Tirch, D., Leahy, R. L., & McGinn, L. (2012). Mindfulness, psychological flexibility and emotional schemas. International Journal of Cognitive Therapy, 5(4), 406-419.

Steiner, H., & Remsing, L. (2007). Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(1), 126-141.

Tashkeh, M., Davazdahemami, M. H., Bazani, M., Shahhoseini, M., & Mostafalo, T. (2018). An Investigation on the Effectiveness of Emotional Schema Therapy on Social Acceptance and Bullying Behavior in Teenagers with Post-Traumatic Stress Disorder. Health Research, 4(2), 88-95. (In Persian)

Wesselhoeft, R., Stringaris, A., Sibbersen, C., Kristensen, R. V., Bojesen, A. B., & Talati, A. (2019). Dimensions and subtypes of oppositionality and their relation to comorbidity and psychosocial characteristics. European child & adolescent psychiatry, 28(3), 351-365.

Wollenberg, G., Shriver, L. H., & Gates, G. E. (2015). Comparison of disordered eating symptoms and emotion regulation difficulties between female college athletes and non-athletes. Eating behaviors, 18, 1-6.