اثربخشی طرح‌واره درمانی بر ترس از ارزیابی منفی دختران مبتلا به اضطراب اجتماعی

پژوهش های روان شناسی بالینی و مشاوره

مقاله 6، دوره 11، شماره 2 - شماره پیاپی 22، تیر 1401، صفحه 95-112  

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2022.72888.1182

نویسندگان

کیان سبکباری ¹؛ روح الله عباسی²؛ نیکتا غلامی باکر³

¹دانش آموخته کارشناسی ارشد، روانشناسی بالینی، دانشگاه علامه طباطبایی

²دانش آموخته دکتری، سنجش و اندازه گیری، دانشگاه علامه طباطبایی

³دانشجوی دکترای روانشناسی، دانشکده روان شناسی، دانشگاه آزاد اسلامی، واحد گرگان، گرگان، ایران

چکیده

هدف: هدف از پژوهش حاضر تعیین اثربخشی طرح‌واره درمانی گروهی بر ترس از ارزیابی منفی دختران دارای اضطراب اجتماعی است.
روش: طرح پژوهش حاضر نیمه آزمایشی با گروه کنترل و آزمایش همراه با پیش‌آزمون و پس‌آزمون با دوره‌ی پیگیری بود جامعه آماری شامل تمامی دانشجویان دختر مبتلا به اضطراب اجتماعی مراجعه‌کننده به مرکز مشاوره دانشگاه علامه طباطبائی بود که با استفاده از روش نمونه‌گیری در دسترس 30 نفر انتخاب و در دو گروه آزمایش و کنترل گمارش شدند. سپس گروه آزمایش تحت درمان 10 جلسه‌ای طرح‌واره درمانی گروهی قرار گرفتند و دوره پیگیری تا دو ماه پس از اتمام درمان ادامه یافت. به‌منظور جمع‌آوری داده‌ها در مراحل پیش‌آزمون و پس‌آزمون برای دو گروه از مقیاس طرح‌واره، پرسشنامه اضطراب اجتماعی و پرسش‌نامه ترس از ارزیابی منفی استفاده شد و یافته‌های به‌دست‌آمده با استفاده آزمون تحلیل واریانس آمیخته همراه با اندازه‌گیری مکرر مورد تجزیه‌وتحلیل قرار گرفت.
یافته‌ها: نتایج ارزیابی‌ها در پایان درمان نشان داد طرح‌واره درمانی به‌طور معنادار باعث کاهش ترس از ارزیابی منفی و تداوم تأثیر آن در مرحله پیگیری دو ماهه در گروه آزمایش شده است؛ در مجموع، می‌توان چنین گفت که گروه‌درمانی مبتنی بر طرح‌واره در کاهش آماج اصلی درمان یعنی ترس از ارزیابی منفی در نمونه‌ی دختران دانشجوی ایرانی مبتلا به اضطراب اجتماعی از کارایی و اثربخشی لازم برخوردار است.

کلیدواژه‌ها

کلید واژه ها: طرح واره درمانی؛ ترس از ارزیابی منفی؛ اضطراب اجتماعی

مراجع

Ahadi, H. M. F., Imani, F., & Rahgozar, M. (2011). Comparison of the clinical pattern of personality based on Millon Clinical Multiaxial Inventory in women. Journal Social Women, 2(4), 49-72. (in Persian)

Ahi, G., Mohammadifar, M., & Besharat, M. (2007). Reliability and validity of the short form of the Young Schema Questionnaire. Journal Psychology Education Science, 3(3), 5-20. (in Persian).

Asher, M., Asnaani, A., & Aderka, I. M. (2017). Gender differences in social anxiety disorder: A review. Clinical psychology review, 56, 1-12.

American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders: American Psychiatric Publishing.

Baljé, A., Greeven, A., van Giezen, A., Korrelboom, K., Arntz, A., & Spinhoven, P. (2016a). Group schema therapy versus group cognitive behavioral therapy for social anxiety disorder with comorbid avoidant personality disorder: study protocol for a randomized controlled trial. Trials, 17(1), e487.

Baljé, A., Greeven, A., van Giezen, A., Korrelboom, K., Arntz, A., & Spinhoven, P. (2016b). Group schema therapy versus group cognitive behavioral therapy for social anxiety disorder with comorbid avoidant personality disorder: study protocol for a randomized controlled trial. Trials, 17(1), 1-13.

Bandelow, B., Torrente, A. C., Wedekind, D., Broocks, A., Hajak, G., & Rüther, E. (2004). Early traumatic life events, parental rearing styles, family history of mental disorders, and birth risk factors in patients with social anxiety disorder. European archives of psychiatry and clinical neuroscience, 254(6), 397-405.

Barlow, D., & Durand, V. (2011). Abnormal psychology: An integrative approach: Nelson Education.

Bautista, C. L., & Hope, D. A. (2015). Fear of negative evaluation, social anxiety and response to positive and negative online social cues. Cognitive Therapy and Research, 39(5), 658-668.

Beck, A. T., Davis, D. D., & Freeman, A. (2015). Cognitive therapy of personality disorders: Guilford Publications.

Calvete, E., Orue, I., & Hankin, B. L. (2013). Early maladaptive schemas and social anxiety in adolescents: The mediating role of anxious automatic thoughts. Journal of anxiety disorders, 27(3), 278-288.

Chiu, K., Clark, D. M., & Leigh, E. (2021). Cognitive predictors of adolescent social anxiety. Behaviour Research and Therapy, 137, 103801.

Craven, M. (2015). Effects of self-focused attention and fear of evaluation on anxiety and perception of speech performance. Ohio University,

Dadashzadeh, H., Yazdandoost, R., & Gharraee, B. (2012). Effectiveness of Cognitive-Behavioral Group Therapy and Exposure Therapy on Interpretation Bias and Fear of Negative Evaluation in Social Anxiety Disorder. Iranian Journal of Psychiatry & Clinical Psychology, 18(1). (in Persian)

Darcy, K., Davila, J., & Beck, J. G. (2005). Is social anxiety associated with both interpersonal avoidance and interpersonal dependence? Cognitive Therapy and Research, 29(2), 171-186.

de Lijster, J. M., Dieleman, G. C., Utens, E. M., Dierckx, B., Wierenga, M., Verhulst, F. C., & Legerstee, J. S. (2018). Social and academic functioning in adolescents with anxiety disorders: A systematic review. Journal of Affective Disorders, 230, 108-117.

Delaware, A. (2020). Research Methods in Psychology and Educational Sciences Fourth Edition ed.(in Persian).

Farrell, J. M., Shaw, I. A., & Webber, M. A. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: a randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317-328.

Gal, M., Borg, V., & Gal, J. (2012). Qualitative and quantitative research methods in education and psychology. Tehran: samt.

Ghaderi, F., Kalantari, M., & Mehrabi, H. A. (2016). The Effectiveness of Group Schema Therapy on Modulating Early Maladaptive Behaviors and Reducing Symptoms of Social Anxiety Disorder. Journal of Clinical Psychology Studies, 6(24), 1-28. (in Persian).

Ghahari, Sh. (2017). Changing Schemes. Tehran: Roshd Publications(in Persian).

Gibb, B. E., Chelminski, I., & Zimmerman, M. (2007). Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Depression and anxiety, 24(4), 256-263.

Gray, E., Beierl, E. T., & Clark, D. M. (2019). Sub-types of safety behaviours and their effects on social anxiety disorder. Plos one, 14(10), e0223165.

Gros, D. F., Simms, L. J., Antony, M. M., & McCabe, R. E. (2012). Development and psychometric evaluation of the Multidimensional Assessment of Social Anxiety (MASA). Journal of Clinical Psychology, 68(4), 432-447.

Heimberg, R. G. (1995). Social phobia: Diagnosis, assessment, and treatment: Guilford Press.

Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive behaviour therapy, 36(4), 193-209.

Hofmann, S. G., & Bögels, S. M. (2006). Recent advances in the treatment of social phobia: Introduction to the special issue. Journal of Cognitive Psychotherapy, 20(1), 3- 5.

Khorshidzadeh, M., Borjali, A., Sohrabi, F., & Delaware, A. (2011). Effectiveness of Schema Therapy in the Treatment of Women with Social Anxiety Disorder. Journal of clinical psychology and counseling. 1 (2), 5-24. (in Persian)

Lampe, L. A. (2009). Social anxiety disorder: Recent developments in psychological approaches to conceptualization and treatment. Australian & New Zealand Journal of Psychiatry, 43(10), 887-898.

Liebowitz, M. R. (1987). Social phobia. Modern problems of pharmacopsychiatry. 22, 141-173.

Lobbestael, J., van Vreeswijk, M., Spinhoven, P., Schouten, E., & Arntz, A. (2010). Reliability and validity of the short Schema Mode Inventory (SMI). Behavioural and Cognitive Psychotherapy, 38(4), 437-458.

Mairet, K., Boag, S., & Warburton, W. (2014). How important is temperament? The relationship between coping styles, early maladaptive schemas and social anxiety. International Journal of Psychology and Psychological Therapy, 14(2), 171-190.

McCabe, R. E., Antony, M. M., Summerfeldt, L. J., Liss, A., & Swinson, R. P. (2003). Preliminary examination of the relationship between anxiety disorders in adults and self-reported history of teasing or bullying experiences. Cognitive Behaviour Therapy, 32(4), 187-193.

O’Connor, C. E., & Fitzgerald, A. (2020). A Psychometric Evaluation of the Social Anxiety Scale for Adolescents in an Educational Setting. Journal of Psychoeducational Assessment, 38(4), 519-528.

Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30(5), 571-584.

Piray, P., Ly, V., Roelofs, K., Cools, R., & Toni, I. (2019). Emotionally aversive cues suppress neural systems underlying optimal learning in socially anxious individuals. Journal of neuroscience, 39(8), 1445-1456.

Razmzan, Z. (2013). The effectiveness of the cognitive bias adjustment program - the component of interpretation and attention to the symptoms of social anxiety and fear of negative evaluation and the effect of the chain of these components in people with social anxiety disorder. Shiraz University, Faculty of Educational Sciences and Psychology,. (in Persian)

Reghuram, R., & Mathias, J. (2014). A study on occurrence of social anxiety among nursing students and its correlation with professional adjustment in selected nursing institutions at Mangalore. Nitte University Journal of Health Science, 4(2), 64-69.

Riso, L. P., Froman, S. E., Raouf, M., Gable, P., Maddux, R. E., Turini-Santorelli, N.,... Cherry, M. (2006). The long-term stability of early maladaptive schemas. Cognitive Therapy and Research, 30(4), 515-529.

Rivas, M. E. R. (2021). Attitudes towards people with mental illness among medical students: A qualitative research. Psychology, Society & Education, 13(2), 21-33.

Salavati, M., & Yekeh Yazdan Doost, R. (2012). Schema Therapy: A Special Guide for Clinical Psychologists. Tehran: Danjeh Publishing. (in Persian)

Simpson, S. G., Morrow, E., & Reid, C. (2010). Group schema therapy for eating disorders: a pilot study. Frontiers in psychology, 1, 1-10.

Spence, S. H., & Rapee, R. M. (2016). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 50-67.

Stein, D. J., Lim, C. C., Roest, A. M., De Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A.,... Bruffaerts, R. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC medicine, 15(1), 1-21.

Stein, M. B., & Stein, D. J.  (2008). Social anxiety disorder. The lancet, 371(9618), 1115-1125.

Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behaviour research and therapy, 38(3), 273-283.

Väänänen, J.-M., Fröjd, S., Ranta, K., Marttunen, M., Helminen, M., & Kaltiala-Heino, R. (2011). Relationship between social phobia and depression differs between boys and girls in mid-adolescence. Journal of affective disorders, 133(1-2), 97-104.

Videler, A. A., van Royen, R. R., & van Alphen, S. B. (2012). Schema therapy with older adults: call for evidence. International Psychogeriatrics, 24(7), 1186-1187.

Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of consulting and clinical psychology, 33(4), 448-457.

Weeks, J. W., Heimberg, R. G., Fresco, D. M., Hart, T. A., Turk, C. L., Schneier, F. R., & Liebowitz, M. R. (2005). Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder. Psychological assessment, 17(2), 179-190.

Young, J. E., & Brown, G. (1994). Young schema questionnaire. Cognitive therapy for personality disorders: A schema-focused approach, 2, 63-76.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide: Guilford Press. Translated by Hamidpour H, Andouz A. Tehran : Arjmand. (in Persian)