اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر خودپنداره و افسردگی افراد مبتلا به اختلال پرخوری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، روانشناسی عمومی، واحد ملارد، دانشگاه آزاد اسلامی، تهران، ایران

2 دکترای تخصصی روانشناسی استادیارهیات علمی، واحد ملارد، دانشگاه آزاد اسلامی، تهران، ایران

3 دکترای تخصصی روانشناسی استادیارهیات علمی، واحد ملارد، دانشگاه آزاد اسلامی، تهران،

چکیده

چکیده
مقدمه: امروزه اختلالات خوردن یک موضوع مطرح در جامعه و از مورد توجه­ترین اختلالات روانی به شمار می­روند که ریشه در مسائل زیستی، روانی، اجتماعی و فرهنگی دارند. هدف از پژوهش حاضر بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر خودپنداره و افسردگی افراد مبتلا به اختلال پرخوری است.
روش کار: پژوهش حاضر از نوع شبه آزمایشی و با طرح پیش آزمون- پس آزمون با گروه کنترل است. جامعه آماری این پژوهش کلیه­ی افراد مبتلا به اختلال پرخوری شهر تهران بودند که از بین آنها تعداد 30 نفر به روش نمونه­گیری هدفمند انتخاب و سپس در دو گروه آزمایش و کنترل گمارده شدند. برای گردآوری داده ها از پرسشنامه های خودپنداره، افسردگی و اختلال پرخوری استفاده شد.
نتایج: با توجه به میزان 700/166F=. در متغیر خودپنداره و 997/587F=  در متغیر افسردگی، می­توان اینگونه بیان کرد که میان گروه آزمایش و کنترل در پس آزمون تغییرات معناداری مشاهده می­شود. که نشان می­دهد درمان مبتنی بر پذیرش و تعهد (ACT) باعث بهبود خودپنداره، کاهش افسردگی و کاهش معنادار علائم پرخوری گروه آزمایش در مقایسه با گروه کنترل گردیده است.
نتیجه گیری: نتایج این پژوهش نشان داد که درمان مبتنی بر پذیرش و تعهد (ACT) بر بهبود خودپنداره و کاهش افسردگی و علائم پرخوری موثر است و استفاده از این روش درمانی سودمند به نظر می­رسد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment-Based Therapy (ACT) on Self-Imagination and Depression in People with Binge Eating Disorder

نویسندگان [English]

  • Fatemeh Momeni 1
  • Zahra Shayegan Manesh 2
  • Tahmours Aghajani 3
1 M.Sc., General Psychology, Mallard Branch, Islamic Azad University, Tehran, Iran
2 PhD in Psychology of Scientific Assistants, Mallard Branch, Islamic Azad University, Tehran, Iran
3 PhDs in Psychology of Scientific Assistants, Mallard Branch, Islamic Azad University, Tehran
چکیده [English]

Today, eating disorders are a major issue in society and are considered to be the most important psychological disorders that are rooted in biological, psychological, social and cultural issues. These disorders cause physical and mental health problems and impair the quality of life of the sufferer. Therefore, the aim of this study was to investigate the effectiveness of acceptance and commitment-based therapy (ACT) on self-concept and depression in people with binge eating disorder. The research method is quasi-experimental with pre-test-post-test design with control group. The statistical population of this study was all people with binge eating disorder in Tehran, of which 30 people were selected by targeted sampling method and then assigned to two experimental and control groups. The experimental group used Beck Depression Infection (BDI-II) and Overeating (BES) and a covariance analysis test was used to test the research hypotheses. According to the rate of 1600F = 700. In the variable of self-concept and 587 / 997F = in the variable of depression, it can be stated that there are significant changes between the experimental and control groups in the posttest. Acceptance and commitment-based therapy (ACT) has been shown to improve self-concept, reduce depression, and significantly reduce the symptoms of overeating in the experimental group compared to the control group. The results of this study showed that acceptance-based therapy (ACT) is effective in improving self-concept and reducing depression and symptoms of binge eating, and the use of this treatment seems to be beneficial.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy
  • Self-Imagination
  • Depression and Overeating Disorder
1-Dall GR. Eating disorders: progress and challenges.
Eur J Intern Med, 2015;22(2): 153-160.
2-spitzer, RL, Yanovski S, Wadden T,Wing R, Marcus
M D & Stunkard, A.Binge eating disorder: Its further
validation in a multisite study. International Journal
Eating Disorders, 2014 ;13(2):137-153.
3-Levine M, Piran N.The role of body image in the
prevention of eating disorders. Body image,2014;
1(7):57-70.
4- CostarelliVD, Costarelli X. Emotional intelligence,
body image and disordered eating attitudes in combat
sport relationship between social anxiety, perfectionism
and depression perception of body image and eating
disorders among young people. Journal of Social
Psychology,2016; 9 (2): 35-42.
5-American Psychiatric Association. Diagnostic and
statistical manual of mental disorders 5th ed.
Washington, DC: American Psychiatric
Publishing,2013.
6-Sadock B J,Sadock V A, & Ruiz P. Kaplan &
Sadock's Comprehensive Textbook of Psychiatry, 9th
Edition. Lippincott Williams & Wilkins,2009.
7-Lauren FN. The Role of Perception in Eating
Disorders. A Senior Honors Thesis Submitted to the
Faculty of The University of Utah In Partial Fulfillment
of the Requirements for the Honors Degree in Bachelor
of Science In The Department of Psychology,2019.
8-Harris R.The happiness trap: Stop stuggling stary
living Wollombi, New, Australia: Exile Publishing,2007.
9-Eilenberg T, Fink P, Jensen J, Rief W, Frostholm L.
Acceptance and commitment group therapy (ACT-G)
for health anxiety: a randomized controlled
trialPsychological medicine. 2016;46(1):103-15.
10-Rodgers RF, Lowy AS. A Meta-Analysis Examining
the Influence of Pro-Eating Disorder Websites on Body
Image and Eating Pathology. Eur Eat Disord
Rev,2016;24(1): 3-8.
11-Narimani M , Ghasemi Nejad M. The role of
psychological factors in predicting binge eating
disorder,2014; 3 (86):254-263. (Persian).
12-Zandi S, Homayounnia M. The Relationship
between Eating Disorders and Imaginary Impact with
Endowment Social Anxiety in the Elderly, Ninth
International Congress of Psychotherapy ,2016.
(Persian).
13-Hooman F, Mehrabizadeh A. A Study of the
Effectiveness of Behavioral Cognitive Behavioral
Therapy Group on Nervous Overeating in Women
Visiting Ahvaz Overeating Association, Journal of
Medical Science,2010; 10 (4):621-635. (Persian).
14-Beck A T, Ward C H, Mendelson M, Mock J, &
Erbaugh J. An inventory for measuring depression.
Archives of General Psychiatry,1978; 4(10) 561–571.
15-Kaviani H, Mousavi A. Psychometric
characteristics of Beck's anxiety questionnaire in the
age and sex classes of the Iranian population. Journal
of Tehran University of Medical Sciences,2000;66
(2):254-269. (Persian).
16-Ashja M . Investigating the effectiveness of the
acceptance and commitment approach to reducing
depression in housewives in Tehran. (Master's thesis in
counseling and guidance). Islamic Azad University,
Khomeini Shahr Branch, Khomeini Shahr,2012.
17-Harlow J, Farrar S, Stopa L, Turner H. The impact of
self-imagery on aspects of the self-concept in
individuals with high levels of eating disorder
cognitions. Journal of behavior therapy and
experimental Psychiatry,2018; 61, 7-13.
18-Mozaffari K, Hosseinzadeh S . Prevalence of Eating
Disorders and Obesity in Students of Yazd Girls' High
Schools in 2011-2010, Yazd School of Health
Research Journal, 2011;1 (31):114-129. (Persian).
19-Mazzeo SE, Jones I, Mitchell K, Kendler KS, Neale
MC, Aggen SH & Bulik CM. Associations among
postpartum depression, eating disorders, and
perfectionism in a population-based sample of adult
women. Int. J. Eat. Disord,2006; 39(3): 191-202.
20-Walser R D, Garvert D. Effectiveness of acceptance
and commitment therapy in treating depression and
suicidal ideation in veterans. Journal of Behavior
Research and Therapy,2015; 74(2): 25-31.
21-Molander P, Hesser H, Weineland S, Bergwall K,
Buck S, Jäder Malmlöf J, et al. Internet-based
acceptance and commitment therapy for psychological
distress experienced by people with hearing problems: a
pilot randomized controlled trial. Cognitive Behaviour
Therapy, 2017;4(15): 1-16.
22-Negovan V, Bagana E, & Dinca S. Gender, age and
academic standards of school differences in adolescents
self-acceptance,2016; 12(8): 40-48.
23-Hayes S C, Lillis J. Acceptance and commitment
therapy. Massachusetts, USA: American Psychological
Association,2017;41(5): 198-210.