اثربخشي طرحواره درماني بر انعطاف‌پذيري شناختي و تاب‌آوري بيماران مبتلا به اضطراب فراگير

The Effectiveness of Schema Therapy on Cognitive Flexibility and Resiliency in Patients with Generalized Anxiety

ﻣﻘﺪﻣﻪ: اﯾﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﺑﺮ اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ و ﺗﺎبآوري ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ اﻧﺠﺎم ﮔﺮﻓﺖ. روش ﮐﺎر: روش ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻧﻮع ﻧﯿﻤﻪ آزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶ آزﻣﻮن ﭘﺲ آزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري اﯾﻦ ﭘﮋوﻫﺶ را ﺗﻤﺎﻣﯽ اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ ﻣﻨﻘﻄﻪ 1 ﺗﻬﺮان ﺗﺸﮑﯿﻞ دادﻧﺪ. از ﻃﺮﯾﻖ ﻓﺮاﺧﻮان و ﻣﺮاﺟﻌﻪ ﺑﻪ ﮐﻠﯿﻨﯿﮏﻫﺎي رواﻧﺸﻨﺎﺳﯽ ﻣﻨﻄﻘﻪ 1 ﺷﻬﺮ ﺗﻬﺮان، 40 ﻧﻔﺮ ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ اﻧﺘﺨﺎب و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﺟﺎﯾﮕﺰﯾﻦ ﺷﺪﻧﺪ؛ ﺑﺪﯾﻦ ﺗﺮﺗﯿﺐ اﺑﺘﺪا ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ و ﺗﺎبآوري ﺑﻪ ﻋﻨﻮان ﭘﯿﺶ آزﻣﻮن اﺟﺮا ﺷﺪ ﺳﭙﺲ ﮔﺮوه آزﻣﺎﯾﺶ ﺗﺤﺖ ﻃﺮﺣﻮارهدرﻣﺎﻧﯽ ﺑﻪ ﻣﺪت 10 ﺟﻠﺴﻪ ﻗﺮار ﮔﺮﻓﺘﻨﺪ و در ﭘﺎﯾﺎن از ﻫﺮ دو ﮔﺮوه ﭘﺲآزﻣﻮن ﺑﻪ ﻋﻤﻞ آﻣﺪ و دادهﻫﺎي ﭘﮋوﻫﺶ ﺑﺎ اﺳﺘﻔﺎده از ﮐﻮارﯾﺎﻧﺲ ﻣﻮرد ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﻧﺘﺎﯾﺞ: ﻧﺘﺎﯾﺞ ﮐﻮارﯾﺎﻧﺲ ﻧﺸﺎن داد ﮐﻪ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﺑﺮ اﻓﺰاﯾﺶ اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ و ﺗﺎبآوري ﺑﯿﻤﺎران ﻣﺒﺘﻼ اﺿﻄﺮاب ﻓﺮاﮔﯿﺮ ﺗﺎﺛﯿﺮ ﻣﺜﺒﺖ و ﻣﻌﻨﯽ داري دارد)0/001

Introduction: The purpose of this study was to determine the effectiveness of schema therapy on cognitive flexibility and resiliency in patients with generalized anxiety. Methods: The present study was a quasi-experimental study with pretest-posttest design with control group. The statistical population of this study consisted of all individuals with generalized anxiety disorder in Tehran 1. 40 patients with generalized anxiety were selected through recall and referral to psychology clinics in district 1 of Tehran. They were randomly assigned into two experimental and control groups. The pretest was administered then the experimental group underwent 10 sessions of Schema Therapy. At the end of both posttest groups the research data were analyzed using covariance. Results: The results of covariance showed that schema therapy had a positive and significant effect on increasing cognitive flexibility and resiliency in patients with generalized anxiety (p≤0.001). Conclusion: Schema therapy can increase cognitive flexibility and resiliency in patients with generalized anxiety.