اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﻓﺮاﺷﻨﺎﺧﺘﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ ﺑﺮ راﻫﺒﺮدﻫﺎي ﻣﻨﻔﯽ ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﭘﺮدازش ﻫﯿﺠﺎﻧﯽ اﻓﺮاد ﻣﺒﺘﻠﺎ ﺑﻪ اﺧﺘﻠﺎل اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ

The Effectiveness of Metacognitive Therapy Based on Mindfulness on negative Emotion Regulation Strategies and Emotional Processing in People with General Anxiety Disorder

زﻣﯿﻨﻪ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﻓﺮاﺷﻨﺎﺧﺘﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ ﺑﺮ راﻫﺒﺮدﻫﺎي ﻣﻨﻔﯽ ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﭘﺮدازش ﻫﯿﺠﺎﻧﯽ اﻓﺮاد ﻣﺒﺘﻠﺎ ﺑﻪ اﺧﺘﻠﺎل اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ اﻧﺠﺎم ﮔﺮﻓﺘﻪ اﺳﺖ. روش ﮐﺎر اﯾﻦ ﭘﮋوﻫﺶ، ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ اﺳﺖ و در اﯾﻦ ﻃﺮح ﭘﮋوﻫﺸﯽ 30 ﻧﻔﺮ داراي اﺧﺘﻠﺎل اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮔﺮوه ﮐﻨﺘﺮل ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ، از ﻣﺮاﺟﻌﻪﮐﻨﻨﺪﮔﺎن ﺑﻪ ﮐﻠﯿﻨﯿﮏ ﻧﺪاي آراﻣﺶ روان ﺷﻬﺮ ﺗﻬﺮان اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﻫﻤﻪ آزﻣﻮدﻧﯽﻫﺎ ﻗﺒﻞ و ﺑﻌﺪ از درﻣﺎن، ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي ﻧﻈﻢﺟﻮﯾﯽ ﺷﻨﺎﺧﺘﯽ ﻫﯿﺠﺎن )ﮔﺎرﻧﻔﺴﮑﯽ، 2001( و ﭘﺮدازش ﻫﯿﺠﺎﻧﯽ )ﺑﺎﮐﺮ، 2007( ارزﯾﺎﺑﯽ ﺷﺪﻧﺪ. آزﻣﻮدﻧﯽﻫﺎي ﮔﺮوه آزﻣﺎﯾﺶ، 8 ﺟﻠﺴﻪ درﻣﺎن ﻓﺮاﺷﻨﺎﺧﺘﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ درﯾﺎﻓﺖ ﮐﺮدﻧﺪ. ﭘﺲ از اﺗﻤﺎم درﻣﺎن، از ﻫﻤﻪ آزﻣﻮدﻧﯽﻫﺎ ﭘﺲآزﻣﻮن ﮔﺮﻓﺘﻪ ﺷﺪ و دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮن ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮه، ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل در ﺑﻬﺒﻮد راﻫﺒﺮدﻫﺎي ﻣﻨﻔﯽ ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﭘﺮدازش ﻫﯿﺠﺎﻧﯽ، ﺗﻔﺎوت ﻣﻌﻨﺎداري وﺟﻮد دارد )0005≤P(. ﻧﺘﯿﺠﻪﮔﯿﺮي ﻣﯽﺗﻮان ﻧﺘﯿﺠﻪ ﮔﺮﻓﺖ ﮐﻪ درﻣﺎن ﻓﺮاﺷﻨﺎﺧﺘﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ، در ﮐﺎﻫﺶ راﻫﺒﺮدﻫﺎي ﻣﻨﻔﯽ ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﭘﺮدازش ﻫﯿﺠﺎﻧﯽ اﻓﺮاد دﭼﺎر اﺧﺘﻠﺎل اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ، ﻣﺆﺛﺮ اﺳﺖ.

Background: The main aim of the present study was investigating the effect of metacognitive therapy based on mindfulness on negative emotion regulation strategies and emotional processing in people with general anxiety disorder. Materials & Methods: This was a semi-experimental research and in this research project, 30 person with general anxiety disorder were selected from Tehran Nedaye Aramesh Ravan clinic’s clients using purposeful sampling. All subjects, in two experimental and control groups, were evaluated before and after treatment by Cognitive Emotion Regulation Questionnaire and Emotional Processing Scale. Subjects in experimental group received 8 session of metacognitive therapy based on mindfulness. After completion of treatment, all subjects were retested. Data were analyzed using Analysis of Covariance (MANCOVA). Results: The results showed that there is a significant difference between experimental and control group in improving the negative emotion regulation strategies and emotional processing (P≤0/0005). Conclusion: The results of this study showed that metacognitive therapy based on mindfulness can decrease negative emotion regulation strategies and emotional processing in people with general anxiety disorder.