مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد

مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد

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
مریم رشیدی ظفر 1
فریبا بشردوست تجلی 2
نسترن شریفی 3
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.
10.22038/mjms.2022.66866.3956
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
درمان پذیرش و تعهد
درمان شناختی رفتاری
ذهن آگاهی
شاخص توده بدنی
اضافه وزن

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
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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 6
بهمن و اسفند 1401
صفحه 2486-2497