مقایسه تأثیر درمان شناختی-رفتاری با درمان روانی-اجتماعی بر پاسخ های نشخواری و نگرشهای ناکارآمد مبتلایان به افسردگی مزمن

پژوهش های روان شناسی بالینی و مشاوره

مقاله 6، دوره 9، شماره 1 - شماره پیاپی 17، شهریور 1398، صفحه 86-106   

نوع مقاله: پژوهشی

شناسه دیجیتال (DOI): 10.22067/ijap.v9i1.62361

نویسندگان

سیدمحمدرضا صمصام شریعت^* ؛ حمید طاهر نشاط دوست؛ مهرداد کلانتری؛ سیدحمیدرضا عریضی سامانی

دانشگاه اصفهان

چکیده

هدف: هدف از این پژوهش مقایسه تأثیر درمان شناختی -رفتاری با درمان روانی-اجتماعی بر پاسخ های نشخواری و نگرشهای ناکارآمد مبتلایان به افسردگی مزمن بود.
روش: روش پژوهش از نوع نیمه آزمایشی و طرح پیش آزمون- پس آزمون همراه با دوگروه آزمایش، بود. جامعه آماری پژوهش تمامی بیماران مبتلاء به افسردگی مزمن بودند که به شیوه نمونه گیری هدفمند از میان مراجع کنندگان به مراکز مشاوره و یا مطب روانپزشکان شهر اصفهان تعداد 30 نفر انتخاب شد و سپس براساس تخصیص تصادفی افراد به دو گروه­ آزمایش با درمان روانی-اجتماعی و شناختی-رفتاری، (هرگرو15نفر) گمارده شدند. آزمودنی­ها به پرسشنامه­های نگرشهای ناکارآمد (DAS) و پاسخ های نشخواری(RRS) پاسخ دادند. داده­ها با استفاده از روش تحلیل آزمون واریانس با اندازه گیری های مکرر مورد تحلیل قرار گرفتند.
یافته ها: نتایج نشان میدهند؛ میزان نشخوار فکری و نگرش های ناکارآمد با هر دو درمان کاهش یافته است. اما بین دو درمان در میزان نشخوار فکری تفاوت معنی داری وجود داشته و  اثربخشی  درمان روانی-اجتماعی به نسبت درمان شناختی-رفتاری بیشتر بوده است. اما بین دو درمان در نگرش های ناکارآمد تفاوت معنی داری وجود نداشته است. همچنین اثربخشی درمان روانی-اجتماعی در مردان در مقایسه با زنان بیشتر بوده است.

کلیدواژه‌ها

آسیب پذیری روانی-اجتماعی؛ افسردگی مزمن؛ پاسخهای نشخوار؛ نگرشهای ناکارآمد

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