چكيده فارسي :
زمينه و هدف: لكنت آشفتگي در رواني گفتار است و با تكرار، مكث يا كشيده‌گويي شناخته مي‌شود. اين نارواني‌ها مي‌تواند تأثيرات منفي بر سلامت رواني فرد داشته باشد. پژوهش حاضر باهدف تعيين اثربخشي درمان گروهي مبتني‌بر پذيرش و تعهد بر اضطراب و عزت‌نفس نوجوانان داراي لكنت 14تا18سال شهرستان مباركه انجام گرفت.
روش‌بررسي: طرح پژوهش، شبه‌آزمايشي از نوع پيش‌آزمون‌پس‌آزمون با گروه كنترل بود.در اين پژوهش، از نوجوانان داراي لكنت مراجع كلينيك‌هاي توان‌بخشي شهر مباركه تعداد20 نفر، به‌عنوان نمونه انتخاب شدند. آزمودني‌ها پس‌از انجام پيش‌آزمون به‌صورت تصادفي در دو گروه آزمايش (10=n) و كنترل (10=n) قرار گرفتند. مداخله در هشت جلسه به‌اجرا درآمد. در گروه آزمايش و كنترل ميزان اضطراب با پرسشنامهٔ افسردگي و اضطراب و استرس 21 (DASS-21) و عزت‌نفس با پرسشنامهٔ عزت‌نفس آيزنك قبل و بعداز مداخله سنجيده شد. جهت تجزيه‌وتحليل داده‌ها ، آناليز كوواريانس تك‌متغيره به‌كار گرفته شد.
نتيجه‌گيري: بنابر نتايج اين پژوهش، به درمان‌گران درحيطهٔ كار با نوجوانان داراي لكنت توصيه مي‌شود از درمان گروهي مبتني‌بر پذيرش و تعهد، جهت كاهش اضطراب و افزايش عزت‌نفس آنان استفاده كنند.
چكيده لاتين :
Objective: For children and teens, the acquisition of language has a profound effect on their growth. Effective verbal ability is needed for
playing, communication with peers, academic achievement, general knowledge and behavioral and emotional development. Conversely, if the
child's communicative function is not fully developed, there is a harmful social impact and an increased risk of psychiatric disorders such as
anxiety, stress, depression, low self-esteem, and etc. The onset of stuttering is in the age range of 6 to 7, simultaneously with the development
of emotional and social adaptability when children are most susceptible to this disorder. Self-esteem is a sense of worthiness. This sense comes
from the sum of our thoughts, feelings, emotions and experiences throughout life. Stuttering teens have a negative opinion about their speech
impairment, and they consider themselves incompetent since their childhood. These teenagers are reticent and lonely, and do not attend the
crowd because of their fear of being mocked, especially among peers. They are not comfortable in their communications with family and
friends. Acceptance and commitment therapy ACT is one of the traditional cognitive behavioral therapies. Its underlying principles include: 1)
Adoption, or the desire to experience pain or other turbulent events without resorting to them. 2) Value-based action or commitment with
desire to act as meaningful personal goals rather than eliminating undesirable experiences. Anxiety and self-esteem are thought to be factors
that can affect quality of life. A treatment option is to reduce anxiety and increase self-esteem of these adolescents. The aim of this study was
to investigate the effect of acceptance and commitment therapy on anxiety and self-esteem among stuttering adolescents aged 14-16 years old.
Methods: This is a two-group pretest-posttest quasi-experimental study. The population consisted of all stuttering adolescents at the age range
of 14 to 18 years’ old who were referred to Rehabilitation clinics in Mobarakeh-Iran. Convenience sampling was used to recruit 20
participants. The participants were assigned to the experimental and control groups in equal numbers. The experimental group received 8
sessions of Acceptance and Commitment therapy. Anxiety level was measured by Depression and Anxiety Inventory (DASS-21) and selfesteem
with Eysenck Self-Esteem Questionnaire (before and after the intervention). Validity and Reliability of the Anxiety Scale (DASS-21)
in Iran were studied by Samani Jokar (2007). The results of calculating the correlation between the factors, the questionnaire in Anthony et
al.'s study showed a correlation coefficient of 0.63. Each subscale of anxiety consists of seven statements. The Eysenck self-esteem
questionnaire has 30 statements with scores ranging from 0 to 30, the higher the score, the higher the self-esteem. Hermazi Nezhad (1380)
reported a validity of 74.7 for female students and 0/79 for male students. The coefficient of reliability was reported using Cronbach's alpha
method to be 0/88 using the standard method to be 0/87. Single-variable and multi-variable variance were used to examine the research
hypotheses.
Results: Data analysis showed that group therapy based on admission and commitment had a significant effect on anxiety scores (F=17.127,
p<0.001) and self-esteem (F=52.183, p=0.012) Is.
Conclusion: Group therapy based on Acceptance and Commitment among stuttering adolescents decreased anxiety and increased self-esteem.
