اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﺮ اﻓﮑﺎر اﺿﻄﺮاﺑﯽ و ﺗﺮس از ارزﯾﺎﺑﯽ ﻣﻨﻔﯽ زﻧﺎن اﻓﺴﺮده

The Effectiveness of Acceptance and Commitment Therapy on AnxiousThoughts and Fear of Negative Evaluation of Depressed Women

ﻣﻘﺪﻣﻪ: زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ اﻓﺴﺮدﮔﯽ ﻣﺸﮑﻼت ﻋﻤﺪهاي در زﻣﯿﻨﻪ ﺳﻼﻣﺖ روانﺷﻨﺎﺧﺘﯽ دارﻧﺪ و ﯾﮑﯽ از روشﻫﺎي ﻣﺪاﺧﻠﻪ ﺑﺮاي ﮐﺎﻫﺶ ﻣﺸﮑﻼت روانﺷﻨﺎﺧﺘﯽ، روش درﻣﺎن ﭘﺬﯾﺮش و ﺗﻌﻬﺪ اﺳﺖ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﺮ اﻓﮑﺎر اﺿﻄﺮاﺑﯽ و ﺗﺮس از ارزﯾﺎﺑﯽ ﻣﻨﻔﯽ زﻧﺎن اﻓﺴﺮده اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻃﺮحﻫﺎي ﮐﺎرﺑﺮدي و ﺷﺒﻪآزﻣﺎﯾﺸﯽ و ﻧﻮع ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن ﻫﻤﺮاه ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري را زﻧﺎن اﻓﺴﺮده ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﮐﻠﯿﻨﯿﮏﻫﺎي درﻣﺎﻧﯽ روانﭘﺰﺷﮑﯽ ﺷﻬﺮ ﺳﺎري در ﺳﺎل 1398 ﺗﺸﮑﯿﻞ دادﻧﺪ. ﻧﻤﻮﻧﻪﻫﺎي ﭘﮋوﻫﺶ، 30 ﻧﻔﺮ ﺑﻮدﻧﺪ ﮐﻪ ﺑﺎ اﺳﺘﻔﺎده از روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﮔﺮدﯾﺪﻧﺪ و ﺑﻪ ﺷﯿﻮه ﺗﺼﺎدﻓﯽ ﺳﺎده در دو ﮔﺮوه آزﻣﺎﯾﺶ )15 ﻧﻔﺮ( و ﮐﻨﺘﺮل )15 ﻧﻔﺮ( ﮔﻤﺎﺷﺘﻪ ﺷﺪﻧﺪ و ﺑﻪ ﭘﺮﺳﺶﻧﺎﻣﻪﻫﺎي اﻓﮑﺎر اﺿﻄﺮاﺑﯽ Wells )1994(، ﺗﺮس از ارزﯾﺎﺑﯽ ﻣﻨﻔﯽ Watson و Freund )1969( و اﻓﺴﺮدﮔﯽ Beck )1961( ﭘﺎﺳﺦ دادﻧﺪ. ﮔﺮوه آزﻣﺎﯾﺶ ﺑﻪ ﻣﺪت 10 ﺟﻠﺴﻪ ﺑﻪ ﺻﻮرت ﻫﻔﺘﮕﯽ و زﻣﺎن 60 دﻗﯿﻘﻪاي ﺗﺤﺖ آﻣﻮزش ﻗﺮار ﮔﺮﻓﺖ. ﮔﺮوه ﮐﻨﺘﺮل ﻫﯿﭻ ﻣﺪاﺧﻠﻪاي درﯾﺎﻓﺖ ﻧﮑﺮدﻧﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮه ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﺗﻌﻬﺪ و ﭘﺬﯾﺮش ﺑﺮ ﮐﺎﻫﺶ اﻓﮑﺎر اﺿﻄﺮاﺑﯽ ﻣﻨﻔﯽ و ﮐﺎﻫﺶ ﺗﺮس از ارزﯾﺎﺑﯽ اﺛﺮ داﺷﺖ )0/001

Introduction: Women with depression have major problems with psychological health. One of the intervention methods for reducing psychological issues is acceptance and commitment therapy. This study aimed to evaluate the effectiveness of acceptance and commitment-based therapy on anxious thoughts and fear of negative evaluation of depressed women. Materials and Methods: The present study was applied and quasi-experimental with a pre-test-post-test design with a control group. Its statistical population consisted of depressed women referred to psychiatric clinics in Sari in 1398. The samples were 30 people from the mentioned community selected using the available sampling method. They were assigned to acceptance and commitment treatment (15 people) and control (15 people) groups by a simple random method to answer the Anxious Thought Questionnaire (Wells, 1994), Fear of Negative Evaluation Questionnaire (Watson & Friend, (1969), and Depression Inventory (Beck, 1961). The experimental group was trained for 10 sessions once a week for 60 minutes, and the control group did not receive any intervention. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of covariance) in SPSS-24 software. Results: The results showed that commitment and acceptance therapy reduced negative, anxious thoughts and fear of evaluation (p<0.001). Eta squared showed the effect of this treatment on anxiety to be 0.38 and fear of negative to be 0.47. Conclusion: Based on the findings, acceptance and commitment therapy is recommended as an effective and complementary psychological intervention in depressed women to reduce anxious thoughts and fear of negative evaluation.