مقایسه اثربخشی درمان هیجان مدار و طرحواره درمانی متمرکز بر ذهنیت بر ادراک طردشدگی زنان با اختلال شخصیت مرزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران

2 استادیار گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران(نویسنده مسئول)

3 استاد گروه روانشناسی، دانشگاه خوارزمی، کرج، ایران

4 استادیار گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

چکیده

مقدمه: کنترل ادراک طردشدگی در زنان مبتلا به اختلال شخصیت مرزی می‌تواند در روند درمان و بهبود آنها تاثیرگذار باشد، که در این خصوص شیوه‌های درمانی متعددی ایجاد شده است و لزوم دانستن عملکرد و تأثیر هریک از آنها بسیار حائز اهمیت است. این پژوهش با هدف مقایسه اثربخشی درمان هیجان مدار و طرحواره درمانی متمرکز بر ذهنیت بر ادراک طردشدگی زنان با اختلال شخصیت مرزی انجام شد.
روش کار: پژوهش حاضر نیمه­آزمایشی با طرح پیش­آزمون- پس­آزمون با گروه کنترل و دوره پیگیری دوماهه بود. از جامعه آماری زنان مبتلا به اختلال شخصیت مرزی مراجعه کننده به مراکز درمانی منطقه یک شهر تهران، تعداد 45 نفر با استفاده از روش نمونه گیری در دسترس به عنوان نمونه پژوهش انتخاب شد و با استفاده از روش تصادفی در سه گروه جایگزین شدند. روش اجرا بدین ترتیب بود که ابتدا هر سه گروه به پرسشنامه مقیاس ادراک طرد شدگی (لری و مک دونالد، 2005) پاسخ دادند. مداخله­های درمان هیجان مدار و طرحواره درمانی مبتنی بر ذهنیت در 10 جلسه برای گروه های آزمایش اعمال شد. داده های پژوهش جمع آوری شد و با استفاده از روش تحلیل واریانس با اندازه گیری مکرر تحلیل شد.
یافته‌ها: پژوهش نشان داد، که در مجموع هر دو روش درمان هیجان­مدار و طراحواره درمانی بر ادراک طرد شدگی زنان با اختلال شخصیت مرزی موثرتر بوده است، همچنین از روند مقایسه دو روش می‌توان نتیجه گرفت که درمان هیجان­مدار نسبت به طرحواره درمانی بر ادراک طرد شدگی زنان با اختلال شخصیت مرزی موثرتر بوده است (005/>p).
نتیجه‌گیری: به منظور بهبود ادراک طرحواره طردشدگی زنان با اختلال شخصیت مرزی می­توان از درمان هیجان­مدار بهره جست.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effectiveness of emotion-focused therapy and Mentally Focused schema therapy on the perception of rejection in women with borderline personality disorder

نویسندگان [English]

  • Maryam Afsar 1
  • Fariba Hasani 2
  • Valiollah Farzad 3
  • Fatemeh Golshani 4
1 PhD Student, Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2 Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran (Corresponding Author)
3 Professor, Department of Psychology, Kharazmi University, Karaj, Iran
4 Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
چکیده [English]

Introduction: Controlling the perception of rejection in women with borderline personality disorder can be effective in the process of treatment and improvement, in this regard, several treatment methods have been developed and it is necessary to know the function and effect of each of them is very important. The aim of this study was to compare the effectiveness of emotion-based therapy and schema therapy on the perception of rejection of women with borderline personality disorder.
Methods: The present study was a quasi-experimental with a pretest-posttest design with a control group and a two-month follow-up period. From the statistical population of women with borderline personality disorder referred to medical centers in district one of Tehran, 45 people were selected using available sampling method as a research sample and were randomly divided into three groups. The method was that all three groups first answered the Exclusion Perception Scale questionnaire (Larry and McDonald, 2005). Emotion-based therapy and schema-based therapy interventions were applied in 10 sessions for the experimental groups. Research data were collected and analyzed using repeated measures analysis of variance.
Results: The study showed that in general, both emotion therapy and design therapy methods were more effective on the perception of rejection of women with borderline personality disorder. It has been more effective on the perception of rejection of women with borderline personality disorder (p <0.005).
Conclusion: Emotional therapy can be used to improve the perception of rejection schemas of women with borderline personality disorder.

کلیدواژه‌ها [English]

  • Borderline Personality Disorder
  • Perceived Rejection
  • Emotion-Oriented Therapy
  • Mentally Focused Schema Therapy
  1. Gunderson JG, Herpertz SC, Skodol AE, Torgersen S, Zanarini MC. Borderline personality disorder. Nature
    Reviews Disease Primers. 2018 May 24;4(1):1-20.
    2. Chanen AM, Nicol K, Betts JK, Thompson KN. Diagnosis and treatment of borderline personality disorder in
    young people. Current psychiatry reports. 2020 May;22(5):1-8.
    3. Paris J. Suicidality in borderline personality disorder. Medicina. 2019 Jun;55(6):223.
    4. Ellison WD, Rosenstein LK, Morgan TA, Zimmerman M. Community and clinical epidemiology of borderline
    personality disorder. Psychiatric Clinics. 2018 Dec 1;41(4):561-73.
    5. Temes CM, Zanarini MC. The longitudinal course of borderline personality disorder. Psychiatric Clinics. 2018
    Dec 1;41(4):685-94.
    6. Poggi A, Richetin J, Preti E. Trust and rejection sensitivity in personality disorders. Current psychiatry reports.
    2019 Aug;21(8):1-9.
    7. Sato M, Fonagy P, Luyten P. Rejection sensitivity and borderline personality disorder features: A mediation
    model of effortful control and intolerance of ambiguity. Psychiatry research. 2018 Nov 1;269:50-5.
    8. DeBono A, Muraven M. Rejection perceptions: Feeling disrespected leads to greater aggression than feeling
    disliked. Journal of Experimental Social Psychology. 2014 Nov 1;55:43-52.
    9. Foroughe M, Stillar A, Goldstein L, Dolhanty J, Goodcase ET, Lafrance A. Brief emotion focused family
    therapy: An intervention for parents of children and adolescents with mental health issues. Journal of marital
    and family therapy. 2019 Jul;45(3):410-30.
    10. Mohebbi, S., and Shokri, A., and Pourshahryar, H. The effect of resilience training program on cognitive
    assessments, coping and emotions. Developmental Psychology (Iranian Psychologists), 2019; 15 (57): 83-99.
    11. Arntz A, Lobbestael J, Livesley JW, Larstone R. Cognitive structures and processes in personality disorders.
    Handbook of personality disorders: Theory, research, and treatment. 2018 Feb 15:141-54.
    12. Jahangiri M M, Salehi M, Ashayerih H, Sharifi H P. Effectiveness of Schema Therapy on Modification Early
    Maladaptive Schemas patient With resistent Obsessive-Compulsion Disorder . Shenakht Journal of Psychology
    and Psychiatry. 2015; 2 (2) :13-27 .
    13. Puetz VB, Viding E, Gerin MI, Pingault JB, Sethi A, Knodt AR, Radtke SR, Brigidi BD, Hariri AR, McCrory
    E. Investigating patterns of neural response associated with childhood abuse v. childhood neglect.
    Psychological medicine. 2020 Jun;50(8):1398-407.
    14. Schaich A, Braakmann D, Richter A, Meine C, Assmann N, Köhne S, Arntz A, Schweiger U, Fassbinder E.
    Experiences of Patients With Borderline Personality Disorder With Imagery Rescripting in the Context of
    Schema Therapy—A Qualitative Study. Frontiers in Psychiatry. 2020;11.
    15. Glisenti, K., Strodl, E., King, R., & Greenberg, L. (2021). The feasibility of emotion-focused therapy for
    binge-eating disorder: a pilot randomised wait-list control trial. Journal of Eating Disorders, 9(1), 1-15.
    16. Mahmoudvandi Baher E, Falsafinejad M, Khodabakhshi koulaei A. The effectiveness of emotion group
    therapy on negative spontaneous hopes and thoughts of divorced women. Social health. 2018; 5 (1): 67-76.
    17. Tan, Y. M., Lee, C. W., Averbeck, L. E., Brand-de Wilde, O., Farrell, J., Fassbinder, E., ... & Arntz, A. (2018).
    Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions. PloS one,
    13(11), e0206039.
    18. Mohamadizadeh L, Makvandi B, Pasha R, BakhtiarPour S, Hafezi F. Comparison of the Efficacy of
    Dialectical Behavior Therapy (DBT) and Schema Therapy (ST) on Impulsive Behavior in Patients With
    Borderline Personality Disorder. J Guil Uni Med Sci. 2018; 27 (106) :44-53
    19. Shojaadini E, Azizi saeid Y. Relationship between Early Maladaptive Schemas and Attachment Styles in
    Prisoners with Borderline Personality Disorder in Hamadan Prison Center. MCS. 2019; 5 (3) :220-227.
  2. 20. Borjali M, Beygi Z, Golshani F. The relationship between early maladaptive schemas and mothers 'attachment
    styles with students' anxiety disorders. Journal of Family and Research. 2018; 14 (2): 31-48
    21. MacDonald G, & Leary M. R. Why does social exclusion hurt? The relationship between social and physical
    pain, PSYCHOLIGICAL BULLETI, 2005; 131. 202-223.
    22. Rajabi A, Kazemian S, Esmaeili M. Prediction of perceived rejection based on early maladaptive Schema at
    active and inactive elderly. jgn. 2016; 2 (2) :71-83
    23. Greenman, P. S., Johnson, S. M., & Wiebe, S. (2019). Emotionally focused therapy for couples: At the heart of
    science and practice.
    24. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York,
    25. Bernard, L., & Walburg, V. (2020). Efficacy of a Brief Cognitive-Emotional Group Intervention for Patients
    with Borderline personality disorder. Psychologie Française, 65(3), 185-196.
    26. Morvaridi M, Mashhadi A, Shamloo ZS, Leahy RL. The effectiveness of group emotional schema therapy on
    emotional regulation and social anxiety symptoms. International Journal of Cognitive Therapy. 2019
    Mar;12(1):16-24.
    27. Ghorbanalipour M, Moghaddamzadeh A, Jafari A. The effectiveness of schema therapy and meaning therapy
    on death anxiety in people with self-morbidity. Clinical Psycholog