اثربخشي و كارآمدي روان درمانگري شناختي- تحليلي در بهزيستي ذهني و كاهش رفتارهاي تكانشي مردان مبتلا به اختلال شخصيت مرزي

An Intervention in Subjective Well-being and Reducing Impulsive Behaviors of Men with Borderline Personality Disorder: Efficiency and Effectiveness of Cognitive Analytic Therapy

ماهيت پيچيده اختلال شخصيت مرزي، بررسي و بكارگيري درمان­ هاي جديد را ايجاب مي­كند. پژوهش حاضر با هدف مداخله ­اي در بهزيستي ذهني و كاهش رفتارهاي تكانشي مردان مبتلا به اختلال شخصيت مرزي: اثربخشي و كارآمدي روان­درمانگري شناختي- تحليلي اجرا شد. اين پژوهش از نوع شبه آزمايشي بوده و از طرح پيش ­آزمون - پس ­آزمون و پيگيري با گروه كنترل استفاده شد. جامعه ­ي آماري اين پژوهش را كليه مردان مبتلا به اختلال شخصيت مرزي مراجعه كننده به مطب­ هاي روانپزشكان و بيمارستان روانپزشكي فارابي شهر كرمانشاه در سال 1392 تشكيل مي­ دهند. با استفاده از روش نمونه­ گيري هدفمند، براساس ارجاع متخصصان اعصاب و روان، 40 مرد مبتلا به اختلال شخصيت مرزي، از بين 50 مراجعه كننده به مطب ­هاي روانپزشكان و بيمارستان روانپزشكي فارابي، با توجه به پذيرش بيمار براي شركت در پژوهش، در وهله اول، و انجام مصاحبه باليني SCID-II براساس DSM-IV و آزمون ميلون 3، انتخاب شدند. به اين صورت كه از بين مردان ارجاع داده شده افرادي كه نمره بالاتر از (84

The complex nature of borderline personality disorder, review and development of new treatments will be required. This study aimed at intervening the subjective well-being and reducing impulsive behaviors of men with borderline personality disorder: Efficiency and effectiveness cognitive analytic therapy was administered. This was a pilot study and pre-test and post-test follow-up were used as controls. Population in this study was all of the men with borderline personality disorder admitted to a psychiatric hospital and psychiatric clinic in 2013 in Kermanshah perfect form.Using purposive sampling, based on the referring neurologist, 40 male patients with borderline personality disorder, the 50 patients referred to psychiatric clinics, psychiatric hospitals, Farabi, according to the admission of the patient to participate in the study, in the first place and clinical interview (SCID-II) based on DSM-IV, and 3 million tests were selected. That was, the men referred to those who score higher than (BR>84) on a scale of borderline personality MCMI-III. This collection of instruments, including the Structured Clinical Interview for personality disorders, mental Wellbeing scale, and impulsiveness test was 3 million. Both the pre-test, post-test and two-month follow-up was performed for statistical analysis of data from multivariate analysis of covariance was used. Findings of multivariate analysis of covariance showed that psychological therapy - Analysis of the Improving social Wellbeing, emotional, and psychological and decrease impulsiveness is effective in men with borderline personality disorder. Data analysis revealed that post-test and follow-up between the control and experimental groups, the social Wellbeing, emotional, psychological, and impulsiveness there are significant differences. According to our findings, cognitive - a method of analysis strategies for improving social Wellbeing, emotional, and psychological and reduce impulsiveness in patients with borderline personality disorder and it can be a suitable intervention profit search.