مقایسه اثربخشی درمان شناختی رفتاری و طرحواره درمانی بر کاهش نشانگان افسردگی در افراد با سوء مصرف مواد مخدر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، رشتة روانشناسی سلامت، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران

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

3 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد ساری ، ایران

چکیده

مقدمه
سوءمصرف مواد یکی از شایع‌ترین و پرهزینه‌ترین مشکلات سلامتی در جهان امروز است. پژوهش حاضر با هدف مقایسه اثربخشی درمان شناختی رفتاری و طرحواره درمانی بر کاهش نشانگان افسردگی در افراد با سوء مصرف مواد مخدر انجام شد.
روش کار
روش پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش شامل کلیه افرادی بود که مبتلا به سوء مصرف مواد بوده و برای درمان وابستگی خود طی سه ماه (دی تا اسفند 1400) به مراکز ترک اعتیاد دولتی در منطقه 5 شهر تهران مراجعه کردند که از بین آنها با روش نمونه‌گیری هدفمند تعداد 45 آزمودنی انتخاب و به صورت تصادفی در سه گروه مساوی 15 نفری جایگزین شدند. 12 جلسه روان درمانی شناختی -رفتاری (مایکل فری، 2005) و 15 جلسه طرحواره درمانی (یانگ، 2003) اجرا شد. برای جمع‌آوری اطلاعات از پرسشنامة افسردگی بک (1987) بهره برده شد.
نتایج
یافته‌های حاصل از پژوهش نشان داد که درمان شناختی- رفتاری نسبت به گروه گواه تفاوت معنی‌داری در مرحله پس آزمون و پیگیری در متغیر افسردگی ایجاد کرده است (01/0 ≥p) اما مداخله طرحواره درمانی در مرحله پس‌آزمون و پیگیری در متغیر کلی افسردگی نسبت به گروه گواه تفاوت معنی‌داری ایجاد نکرده است ( 01/0(p≥
نتیجه‌گیری
بر اساس یافته‌های حاصل از پژوهش می‌توان نتیجه گرفت که درمان شناختی-رفتاری روشی مؤثرتر از طرحواره درمانی بوده است. بنابراین، درمان شناختی-رفتاری می‌تواند یک درمان انتخابی برای کاهش افسردگی در افراد با سوء مصرف مواد مخدر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparing the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Reducing Depressive Symptoms in Drug Addicts.

نویسندگان [English]

  • Samaneh Salamian 1
  • Mostafa Heydari 2
  • Asghar Norouzi 3
1 Ph.d student, Department of Health Psychology, Tonekabon, Branch Islamic Azad University, Tonekabon, Iran
2 Assistant Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.(Corresponding author)
3 Assistant Professor, Department of Psychology, Sari Branch Islamic Azad University, Sari, Iran
چکیده [English]

Introduction
Substance abuse is one of the most common and costly health problems in the world today. The present study was conducted with the aim of comparing the effectiveness of cognitive behavioral therapy and schema therapy in reducing depressive symptoms in people with drug abuse.
Material and Method
The research method was semi-experimental with a pre-test, post-test and follow-up plan with a control group. The statistical population of the research included all the people who were suffering from substance abuse and went to government addiction treatment centers in the 5th district of Tehran for the treatment of their addiction within three months (December 2021 to March 2021). 45 subjects were selected and randomly replaced in three equal groups of 15 people. 12 sessions of cognitive-behavioral psychotherapy (Frey, 2005) and 15 sessions of schema therapy (Yang, 2003) were performed. Beck's depression questionnaire (1987) was used to collect information.
Results
The results of the research showed that the cognitive-behavioral therapy compared to the control group has created a significant difference in the post-test and follow-up stage in the depression variable (p ≥ 0.01), but the schema therapy intervention in the post-test and follow-up stage in The general variable of depression did not make a significant difference compared to the control group (p≥0.01).
Conclusion
Based on the findings of the research, it can be concluded that cognitive-behavioral therapy was more effective than schema therapy. Therefore, cognitive-behavioral therapy can be a treatment of choice to reduce depression in people with drug abuse.

کلیدواژه‌ها [English]

  • cognitive behavioral therapy
  • schema therapy
  • depression

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 66، شماره 4
مهر-آبان1402
مهر و آبان 1402

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