اثربخشي درمان رفتاري- فراشناختي بر كاهش ميزان خودتنبيهي در بيماران مبتلا به اختلال استرس پس از سانحه

Efficacy of Meta Cognitive Behavioral Therapy in Reducing Self Punishment in Patients with Post Traumatic Stress Disorder

Introduction: This study aimed to examine the efficacy of Meta Cognitive Behavioral Therapy (MCBT) on reducing self-punishment behaviors in patients with Post Traumatic Stress Disorder (PTSD). Methods: In this clinical trial study, One hospital (Shahid Rajaie) was selected from the two psychiatric hospitals for war veterans in Isfahan through multi stage cluster sampling. Thirty subjects were then randomly selected from the war veterans with PTSD referred to this hospital and were randomly assigned to one experimental and one control group. Thought Control Questionnaire (TCQ) was then administerd to both groups as pretest. Afterward the experimental group received Meta-Cognitive Behavioral Therapy (MCBT) in 8 weekly sessions as well as drug therapy while the control group received only drug therapy. Post-tests were then administered to both groups once immediately afterward and then 2 months later. Findings: Results showed that MCBT was followed by a significant decrease in self-punishment (P<0.01). Compared with pretest, the experimental group showed a 52% decrease in the rate of self -punishment in the immediate post-test and a 50% decrease in that at the two-month follow-up post-test.Discussion: This intervention is believed to reduce self- punishment by facilitating transmission from the object mode to the metacognitive mode and enhancing the efficient and flexible coping skills. Key words: Metacognitive Behavioral Therapy, Self-punishment, Post Traumatic Stress Disorder.