مقایسه اثر بخشی درمان مبتنی بر پذیرش و تعهد و روان درمانی پویشی فشرده و کوتاه مدت بر تنظیم هیجان افراد مبتلا به سندروم روده تحریک پذیر

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 استادیار، گروه روانشناسی ، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.

چکیده

هدف: هدف از انجام پژوهش حاضر مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و روان‌درمانی پویشی فشرده و کوتاه مدت بر تنظیم هیجان افراد مبتلا به سندروم روده تحریک‌پذیر بود. روش: روش پژوهش از نظر هدف کاربردی و از حیث گردآوری داده‌ها، نیمه آزمایشی با طرح پیش‌آزمون پس‌آزمون با گروه کنترل نابرابر بود. جامعه آماری پژوهش شامل تمامی بیماران مبتلا به سندروم روده تحریک‌پذیر بالای 20 سال شهر شیراز در سال 1401 بود. از بین جامعه‌ی آماری با استفاده از روش نمونه‌گیری هدفمند 45 نفر انتخاب و سپس به صورت جایگزینی تصادفی در سه گروه آزمایشی اول (15 نفر)، آزمایش دوم (15 نفر) و گروه کنترل (15 نفر) گمارده شدند. ابزار پژوهش شامل پرسشنامه‌ی مقیاس دشواری تنظیم هیجانی گراتز (2004)(27) بود. یافته‌ها: یافته‌ها نشان داد که هر دو مداخله روان‌پویشی کوتاه مدت فشرده و درمان مبتنی بر پذیرش و تعهد موجب افزایش تنظیم هیجان در بیماران سندروم روده تحریک‌پذیر شده است (05/0p<). هم‌چنین یافته‌های پژوهش حاکی از آن بود که بین درمان روان‌پویشی کوتاه مدت فشرده و درمان مبتنی بر پذیرش و تعهد تفاوت معنی‌داری وجود دارد و درمان روان‌پویشی کوتاه مدت و فشرده در افزایش تنظیم هیجان روش مؤثرتری می‌باشد (001/0p<). نتیجه‌گیری: با توجه به یافته‌های این پژوهش می‌توان از هر دو مداخله، به ویژه درمان روان پویشی کوتاه مدت فشرده در افزایش تنظیم هیجان بیماران دارای سندروم روده تحریک‌پذیر در کنار دیگر مداخلات درمانی استفاده نمود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the effectiveness of acceptance and commitment-based therapy and intensive and short-term dynamic psychotherapy on emotional regulation of people with irritable bowel syndrome

نویسندگان [English]

  • Nooshin Barahimi, 1
  • Majid Barzegar 2
  • Maryam Kuroshnia 2
1 PhD. student, Department of Psychology, Marvdasht, branch Islamic Azad University, Marvdasht, Iran.
2 Assistant Professor, Department of Psychology, Marvdasht branch,Islamic Azad University, Marvdasht, Iran.
چکیده [English]

Purpose: The purpose of the present study was to compare the effectiveness of acceptance and commitment-based therapy and intensive and short-term dynamic psychotherapy on emotional regulation of people with irritable bowel syndrome. Method: The research method was semi-experimental in terms of practical purpose and in terms of data collection with a pre-test and post-test design with an unequal control group. The statistical population of the study included all patients with irritable bowel syndrome over 20 years old in Shiraz city in 2022. 45 people were selected from the statistical population using the purposeful sampling method and then randomly assigned to the first experimental group (15 people), the second experiment (15 people) and the control group (15 people). The research tool included the Gratz (2004) emotional regulation difficulty scale questionnaire. Result: The findings showed that both short-term intensive psychodynamic intervention and treatment based on acceptance and commitment increased emotion regulation in irritable bowel syndrome patients (p<0.05). Also, the findings of the research indicated that there is a significant difference between intensive short-term psychodynamic therapy and treatment based on acceptance and commitment, and short-term and intensive psychodynamic therapy is a more effective method in increasing emotion regulation. be (p<0.001). Conclusion: According to the findings of this research, both interventions, especially short-term intensive psychodynamic therapy, can be used to increase the emotional regulation of patients with irritable bowel syndrome, along with other therapeutic interventions.

کلیدواژه‌ها [English]

  • emotion regulation
  • acceptance and commitment therapy
  • short-term and intensive psychodynamics

مراجع

  1. Longstreth, G. F. , Thompson, W. G. , Chey, W. D. , Houghton, L. A. , Mearin, F. , & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130(5), 1480-1491.
  2. Oka, P. , Parr, H. , Barberio, B. , Black, C. J. , Savarino, E. V. , & Ford, A. C. (2020). Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. The Lancet Gastroenterology & Hepatology, 5(10), 908-917.
  3. Yonsi, F., Kafi, M., and Ghanbari, A. (2015). Comparative study of personality traits in irritable bowel syndrome patients and healthy people. Journal of Gilan University of Medical Sciences, 25(98): 44-37.
  4. Burgell, R. E. , Asthana, A. K. , & Gibson, P. R. (2015). Irritable bowel syndrome in quiescent inflammatory bowel disease: a review. Minerva gastroenterologica e dietologica, 61(4), 201-213.
  5. Levy, R. L. , Olden, K. W. , Naliboff, B. D. , Bradley, L. A. , Francisconi, C. , Drossman, D. A. , & Creed, F. (2006). Psychosocial aspects of the functional gastrointestinal disorders. Gastroenterology, 130(5), 1447-1458.
  6. Klem, F. , Wadhwa, A. , Prokop, L. J. , Sundt, W. J. , Farrugia, G. , Camilleri, M. ,. . . & Grover, M. (2017). Prevalence, risk factors, and outcomes of irritable bowel syndrome after infectious enteritis: a systematic review and meta-analysis. Gastroenterology, 152(5), 1042-1054.
  7. Van Oudenhove, L. , Levy, R. L. , Crowell, M. D. , Drossman, D. A. , Halpert, A. D. , Keefer, L. ,. . . & Naliboff, B. D. (2016). Biopsychosocial aspects of functional gastrointestinal disorders: how central and environmental processes contribute to the development and expression of functional gastrointestinal disorders. Gastroenterology, 150(6), 1355-1367.
  8. Zejnelagic, J. , & Ohlsson, B. (2021). Chronic stress and poor sleeping habits are associated with self-reported IBS and poor psychological well-being in the general population. BMC research notes, 14(1), 1-8.
  9. Grover, M. , Kolla, B. P. , Pamarthy, R. , Mansukhani, M. P. , Breen-Lyles, M. , He, J. P. , & Merikangas, K. R. (2021). Psychological, physical, and sleep comorbidities and functional impairment in irritable bowel syndrome: Results from a national survey of US adults. PloS one, 16(1), e0245323.
  10. Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and emotion, 23(1), 4-41.
  11. Fournier, A. , Mondillon, L. , Dantzer, C. , Gauchez, A. S. , Ducros, V. , Mathieu, N. ,. . . & Pellissier, S. (2018). Emotional overactivity in patients with irritable bowel syndrome. Neurogastroenterology & Motility, 30(10), e13387.
  12. Fond, G. , Loundou, A. , Hamdani, N. , Boukouaci, W. , Dargel, A. , Oliveira, J. ,. . . & Boyer, L. (2014). Anxiety and depression comorbidities in irritable bowel syndrome (IBS): a systematic review and meta-analysis. European archives of psychiatry and clinical neuroscience, 264(8), 651-660.
  13. Surdea-Blaga, T. , Băban, A. , & Dumitrascu, D. L. (2012). Psychosocial determinants of irritable bowel syndrome. World journal of gastroenterology: WJG, 18(7), 616.
  14. Porcelli, P. , De Carne, M. , & Leandro, G. (2014). Alexithymia and gastrointestinal-specific anxiety in moderate to severe irritable bowel syndrome. Comprehensive psychiatry, 55(7), 1647-1653.
  15. Porcelli, P., De Carne, M., & Leandro, G. (2017). The role of alexithymia and gastrointestinal-specific anxiety as predictors of treatment outcome in irritable bowel syndrome. Comprehensive Psychiatry, 73, 127-135.‏
  16. Bagby, R. M. , Parker, J. D. A. , & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23–32.
  17. Hayes, S. C. , & Strosahl, K. D. (2004). A practical guide to Acceptance and Commitment Therapy. New York: Springer-Verlag.
  18. Levin, M. E. , Pistorello, J. , Seeley, J. R. , & Hayes, S. C. (2014). Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. Journal of American College Health, 62(1), 20-30.
  19. Grégoire, S. , Lachance, L. , Bouffard, T. , & Dionne, F. (2018). The use of acceptance and commitment therapy to promote mental health and school engagement in university students: A multisite randomized controlled trial. Behavior therapy, 49(3), 360-372.
  20. Davanloo, H. (1970). Unlocking the unconscious: Selected papers of Habib Davanloo, MD
  21. Johansson, R. , Town, J. M. , & Abbass, A. (2014). Davanloo’s Intensive Short-Term Dynamic Psychotherapy in a tertiary psychotherapy service: overall effectiveness and association between unlocking the unconscious and outcome. PeerJ,2, e548.
  22. Davanloo, H. (1990). Unlocking the unconscious: Selected papers of Habib Davanloo. New York: Wiley.
  23. Coughlin, P. (2016). Maximizing effectiveness in dynamic psychotherapy. New York, NY: Routledge.
  24. Brown, R. J. (2007). Introduction to the special issue on medically unexplained symptoms: background and future directions. Clinical Psychology Review, 27 (7), 769-780.
  25. Flacco, M. E. , Manzoli, L. , De Giorgio, R. , Gasbarrini, A. , Cicchetti, A. , Bravi, F. ,. . . & Ursini, F. (2019). Costs of irritable bowel syndrome in European countries with universal healthcare coverage: a meta-analysis. Eur Rev Med Pharmacol Sci, 23, 2986–3000.
  26. Delawar, A., Hashemi, N, Qadiri, I. (2021). The relationship between the use of cognitive and metacognitive strategies and the academic progress of master's students of the University of Police Sciences. Development of management and human resources and support.
  27. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26, 41-54.‏
  28. Khanzadeh, M., Saidian, M., Hossein Chari, M., and Idrisi, F. (2011). Factorial structure and psychometric properties of the scale of difficulty in emotional regulation. Journal of Behavioral Sciences, 6(1), 8-96.
  29. Dahl, J., Stewart, Y. Martel, K., Kaplan, J. (2014). ACT and RFT in Relationships: Helping People Seek Intimacy and Maintain Healthy Commitments. Translation: Navanejad, Sh., Saadati, N. Rostami, M., Jungle Publications, first edition.
  30. Qurbani Taqlid Abad, B and Tasbih Sazan Mashadi, R. (2015). The relationship between cognitive regulation mechanisms of emotion and lifestyle with perceived stress in patients with irritable bowel syndrome. Thought and Behavior, 10, 39.
  31. Khanzadeh, M., Saidian, M., Hossein Chari, M., and Idrisi, F. (2011). Factorial structure and psychometric properties of the scale of difficulty in emotional regulation. Journal of Behavioral Sciences, 6(1), 8-96.
  32. Dahl, J., Stewart, Y. Martel, K., Kaplan, J. (2014). ACT and RFT in Relationships: Helping People Seek Intimacy and Maintain Healthy Commitments. Translation: Navanejad, Sh., Saadati, N. Rostami, M., Jungle Publications, first edition.
  33. Qurbani Taqlid Abad, B. and Tasbih Sazan Mashadi, R. (2015). The relationship between cognitive regulation mechanisms of emotion and lifestyle with perceived stress in patients with irritable bowel syndrome. Thought and Behavior, 10, 39.
  34. Nathan, M. L. (2020). Holistic workplace wellbeing: construct, circumstances and strategic sustainability consequences. International Journal of Sustainable Strategic Management, 6(2), 145-166.
  35. Khouryani, M., Heydari-Nasab, L., Tayibi, Z. and Agha Mohammadian Shearbaf, H.R. (2011). Effectiveness of intensive short-term dynamic psychotherapy on reducing symptoms and emotional expression in patients with depression. Scientific Research Journal of Thought and Behavior, 7 (26), 46-37.
  36. Palmieri, A. , Fernandez, K. C. , Cariolato, Y. , Kleinbub, J. R. , Salvatore, S. , & Gross, J. J. (2022). Emotion regulation in psychodynamic and cognitive-behavioural therapy: An integrative perspective. Clinical Neuropsychiatry, 19(2), 103.
  37. Darvish Basri, L., and Dasht Bagri, Z. (2016). The effectiveness of group therapy based on acceptance and commitment on the cognitive regulation of emotion and ataxia in patients with type 2 diabetes. Journal of Psychiatric Nursing, 5(1), 7-14.
  38. Abbasi, M., Mahmoudian, H., and Rizvanifar, Sh. (2013). Comparison of the effectiveness of two educational methods of acceptance and commitment and emotion regulation on the psychological well-being of students with math disorders. Journal of Technical and Vocational Education, 1(2): 23-33.
  39. Stenhoff, A. , Steadman, L. , Nevitt, S. , Benson, L. , & White, R. G. (2020). Acceptance and commitment therapy and subjective wellbeing: A systematic review and meta-analyses of randomised controlled trials in adults. Journal of Contextual Behavioral Science, 18, 256-272.
  40. Wojnarowska, A. , Kobylinska, D. , & Lewczuk, K. (2020). Acceptance as an emotion regulation strategy in experimental psychological research: What we know and how we can improve that knowledge. Frontiers in Psychology, 11, 242.
  41. Josefsson, T. , Ivarsson, A. , Gustafsson, H. , Stenling, A. , Lindwall, M. , Tornberg, R. , & Böröy, J. (2019). Effects of mindfulness-acceptance-commitment (MAC) on sport-specific dispositional mindfulness, emotion regulation, and self-rated athletic performance in a multiple-sport population: an RCT study. Mindfulness, 10, 1518-1529.
  42. Fuladi, F., Kaviani Borojni, M., and Ranjbar Sudjani, Y. (2016). Effectiveness of short-term intensive dynamic psychotherapy on social anxiety of mothers with children with Asperger syndrome disorder. Exceptional Children Quarterly, 18(2): 64-55.
  43. Aslani, S., and Hosseini, R. (2018). A review of emotion regulation from the perspective of short-term intensive dynamic psychotherapy. Psychological Development, 8(10): 115-125
  44. Nan, J. K. M. , & Ho, R. T. H. (2014). Affect regulation and treatment for depression and anxiety through art: Theoretical ground and clinical issues. Annals of Depression and Anxiety.
  45. Joladari, S., Sodagar, S., Bahrami Hidji, M. (2018). The effectiveness of treatment based on acceptance and commitment on psychological flexibility and cognitive regulation of emotion in women with breast cancer. Applied Psychology, 13(4): 548-527.
  46. Zaeri Esfahani, E., and Rahimi, A. (2017). The effectiveness of treatment based on acceptance and commitment on the difficulty of emotional regulation in women with MS in Isfahan city. The second international innovation and research conference in educational sciences, management and psychology.
  47. Bernal-Manrique, K. N. , García-Martín, M. B. , & Ruiz, F. J. (2020). Effect of acceptance and commitment therapy in improving interpersonal skills in adolescents: A randomized waitlist control trial. Journal of Contextual Behavioral Science, 17, 86-94.
  48. Binandeh, A.S., Siraj Khorrami, N., Asgari, P., Faizi, A. and Tahani, B. (2018). The effectiveness of acceptance and commitment therapy on the cognitive regulation of emotion and symptoms of dental anxiety patients. Behavioral Science Research, 17(4): 641-629.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 67، شماره 6
بهمن-اسفند1403
بهمن و اسفند 1403
صفحه 1635-1655

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