مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد، درمان شناختی رفتاری و ذهن آگاهی بر بهبود شاخص توده بدنی مبتلایان به اضافه وزن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران.

2 استادیار گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران.(نویسنده مسئول)

3 استادیار گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران.

چکیده

مقدمه
ابتلا به چاقی به عنوان یک معضل بهداشتی جهانی و رو به رشد، زمینه بروز بسیاری از بیماری‎های ‎مزمن را فراهم می نماید و با مشکلات جسمانی- روانشناختی متعددی همراه است. این پژوهش با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد، درمان شناختی رفتاری و ذهن آگاهی بر بهبود شاخص توده بدنی مبتلایان به اضافه وزن انجام شد.
روش کار: روش این پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون و پس آزمون با گروه گواه است. از جامعه آماری زنان دارای اضافه وزن(نمایه توده بدنی بین 25 و 9/29) در شهرستان ورامین تعداد 80 نفر زن به روش در دسترس و با در نظر گرفتن ملاک­های ورود به مطالعه انتخاب شدند و به صورت تصادفی در چهار گروه جایگزین شدند. برای تحلیل داده‌های پژوهش از نرم افزار spss نسخه 22 و آزمون تحلیل کوواریانس و آزمون تعقیبی بن فرونی استفاده شد.
نتایج: آزمون کواریانس نشان داد که بین گروه­های پژوهش در شاخص شاخص توده بدنی تفاوت معنی­داری وجود دارد (005/>p). آزمون تعقیبی بن فرونی نشان داد که هر سه مداخله بر بهبود شاخص شاخص توده بدنی نسبت به گروه کنترل موثر بود و نتیجه مقایسه مداخله­ها نیز نشان داد که ذهن­آگاهی بیشترین تاثیر را داشته، سپس پذیرش و تعهد و شناختی رفتاری موثر بودند.
نتیجه گیری: با توجه به موثرتر بودن مداخله ذهن­آگاهی، پیشنهاد می­شود از این مداخله برای بهبود شاخص توده بدنی مبتلایان به چاقی استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

Comparing the effectiveness of treatment based on acceptance and commitment, cognitive behavioral therapy and mindfulness on improving the body mass index of overweight patients

نویسندگان [English]

  • Maryam Rashidizafar 1
  • Fariba Bashardoust Tajali 2
  • Nastaran Sharifi 3
1 Ph.D student of psychology department, Roudehen branch, Islamic Azad University, Roudehen, Iran.
2 Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudhen, Iran.(Corresponding Aouthor)
3 Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
چکیده [English]

Introduction
Obesity, as a global and growing health problem, provides the basis for the occurrence of chronic diseases and is associated with many physical-psychological problems. This research was conducted with the aim of comparing the effectiveness of acceptance and commitment therapy, cognitive behavioral therapy and mindfulness on improving the body mass index of overweight patients.
Material and Method
The method of this research is a semi-experimental type with a pre-test and post-test design with a control group. From the statistical population of overweight women (body mass index between 25 and 29.9) in Varamin city, 80 women were selected according to the available method and considering the inclusion criteria and were randomly divided into four groups. became SPSS version 22 software and analysis of covariance and Ben Feroni's post hoc test were used to analyze the research data.
Results
The covariance test showed that there is a significant difference between the research groups in the body mass index (p/>005). Ben Feroni's post hoc test showed that all three interventions were effective in improving the body mass index compared to the control group, and the result of comparing the interventions also showed that mindfulness had the greatest effect, followed by ACT and CBT.
Conclusion
Considering the effectiveness of mindfulness intervention, it is suggested to use this intervention to improve the body mass index of obese patients.

کلیدواژه‌ها [English]

  • acceptance and commitment therapy
  • cognitive behavioral therapy
  • mindfulness
  • body mass index
  • overweight

مراجع

  1. Wolf C, Wolf S, Weiss M, Nino G. Children’s environmental health in the digital era: understanding early screen exposure as a preventable risk factor for obesity and sleep disorders. Children. 2018 Feb 23;5(2):31.
  2. Consultation WH. Obesity: preventing and managing the global epidemic. World Health Organization technical report series. 2000; 894:1-253.
  3. World Health Organization. Global action plan for the prevention and control of no communicable diseases 2013-2020. World Health Organization; 2013.
  4. Brennan L, Walkley J, Fraser SF, Greenway K, Wilks R. Motivational interviewing and cognitive behaviour therapy in the treatment of adolescent overweight and obesity: study design and methodology. Contemporary clinical trials. 2008 May 1;29(3):359-75.
  5. Abubakar MB, Uthman YA, Ibrahim KG. Prevalence of overweight and obesity among health-care workers in Ghana: A systematic review. Nigerian Journal of Experimental and Clinical Biosciences. 2021 Jan 1;9(1):47.
  6. Wiebe N, Ye F, Crumley ET, Bello A, Stenvinkel P, Tonelli M. Temporal associations among body mass index, fasting insulin, and systemic inflammation: a systematic review and meta-analysis. JAMA network open. 2021 Mar 1;4(3):e211263-.
  7. Sadock BJ, Sadock VA, Ruiz P. Compêndio de Psiquiatria-: Ciência do Comportamento e Psiquiatria Clínica. Artmed Editora; 2016 Nov 1.
  8. Roemer L, Orsillo SM, Salters-Pedneault K. Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. Journal of consulting and clinical psychology. 2008 Dec;76(6):1083.
  9. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006 Jan 1;44(1):1-25.
  10. Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science. 2020 Oct 1;18:181-92.
  11. Huffman K, Dowdell K, Sanderson CA. Psychology in action. John Wiley & Sons; 2017 Nov 13.
  12. Orsillo SM, Roemer L, Barlow DH. Integrating acceptance and mindfulness into existing cognitive-behavioral treatment for GAD: A case study. Cognitive and Behavioral Practice. 2003 Jun 1;10(3):222-30.
  13. Hofmann SG, Hayes SC. The future of intervention science: Process-based therapy. Clinical Psychological Science. 2019 Jan;7(1):37-50.
  14. Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan C, Hartery K, Kirschbaum C, Doherty G, Cullen G, Dooley B. Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology. 2019 Mar 1;156(4):935-45.
  15. Murphy R, Calugi S, Cooper Z, Dalle Grave R. Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist. 2020;13.
  16. Hayes SC, Strosahl KD, Wilson KG. Terapia de Aceitação e Compromisso-: O Processo e a Prática da Mudança Consciente. Artmed Editora; 2021 Mar 22.
  17. Keyvani E, Bolghan-Abadi M. The effectiveness of acceptance and commitment therapy on improving self-concept, depression, and anxiety in obese women. International Archives of Health Sciences. 2021 Apr 1;8(2):79.
  18. Mortezaei Shemirani S, Sanaei Zaker B, Tajeri B, Sodagar S, Meschi F. Comparing the Effects of Acceptance and Commitment Group Therapy and Cognitive-Behavioral Group Therapy on Life Habits, Disordered Eating Behavior, and Health-Promoting Lifestyle in Obese Women. J Arak Uni Med Sci. 2020; 23 (6) :944-957.
  19. Lotfi Kangarshahi A, Dehghani Arani F, Rostami R, Ashraf Talesh S H, Abolhasani M. Comparing the effectiveness of cognitive-behavioral therapy with cognitive therapy based on mindfulness in increasing activity and reducing weight in obese people with coronary heart disease. Scientific-research quarterly journal of health psychology. 2019 Nov 22;8(31):53-78
  20. Iturbe I, Pereda-Pereda E, Echeburúa E, Maiz E. The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatment: The Mind&Life Randomized Control Trial Study Protocol. International Journal of Environmental Research and Public Health. 2021 Apr 21;18(9):4396.
  21. Cattivelli R, Guerrini Usubini A, Manzoni GM, Vailati Riboni F, Pietrabissa G, Musetti A, Franceschini C, Varallo G, Spatola CA, Giusti E, Castelnuovo G. ACTonfood. Acceptance and commitment therapy-based group treatment compared to cognitive behavioral therapy-based group treatment for weight loss maintenance: an individually randomized group treatment trial. International Journal of Environmental Research and Public Health. 2021 Sep 10;18(18):9558.
  22. Ogata K, Koyama KI, Amitani M, Amitani H, Asakawa A, Inui A. The effectiveness of cognitive behavioral therapy with mindfulness and an internet intervention for obesity: A case series. Frontiers in nutrition. 2018 Jun 27; 5:56.
  23. Lillis J, Schumacher L, Thomas JG, Levin ME, Dunsiger S, Unick JL, Evans E, Hayes JF, Wing RR. Study protocol for a randomized controlled trial comparing two low-intensity weight loss maintenance interventions based on acceptance and commitment therapy or self-regulation. Contemporary clinical trials. 2021 Apr 1; 103:106327.
  24. kachooei M, Hasani J, Taghizadeh F. Comparison of effectiveness of cognitive reappraisal and mindfulness based interventions in modulating body mass index (BMI), Food craving and binge eating in overweight women. Feyz. 2021; 25 (3) :951-962
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 6
بهمن و اسفند 1401
صفحه 2486-2497

فایل ها

هم رسانی

ارجاع به این مقاله

آمار