مقایسه اثربخشی برنامه زمانی پارادوکسی و درمان مبتنی بر پذیرش و تعهد بر مکانیسم‌های دفاعی و علائم اضطراب اجتماعی افراد دارای نشانگان اختلال اضطراب اجتماعی

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 دانشیار گروه آموزش روان‌شناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران.

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

10.22038/mjms.2024.77211.4497

چکیده

پژوهش حاضر با هدف مقایسه اثربخشی برنامه زمانی پارادوکسی و درمان مبتنی بر پذیرش و تعهد بر مکانیسم‌های دفاعی و علائم اضطراب اجتماعی افراد دارای نشانگان اختلال اضطراب اجتماعی انجام شد. روش پژوهش از نوع طرح آزمایشی تک آزمودنی بود. جامعه آماری شامل دانشجویان کارشناسی روان‌شناسی دانشگاه آزاد اسلامی واحد خرم‌آباد بود که پس از کسب نمره بالای اضطراب اجتماعی، تشخیص گذاری با مصاحبه ساختاریافته و انطباق با ملاک‌های ورود و خروج، 6 نفر به‌صورت نمونه‌گیری در دسترس انتخاب شدند. اعضای نمونه با تعیین خط پایه، به‌صورت تصادفی در دو گروه آزمایش درمان مبتنی بر پذیرش و تعهد، برنامه زمانی پارادوکسی و یک گروه گواه قرار گرفتند. جلسات مداخله در 12 جلسه 90 دقیقه‌ای برای گروه های آزمایش به شکل جداگانه اجرا شد و گروه گواه مداخله‌ای دریافت نکرد. دوره پیگیری نیز در دو مرحله یک‌ماهه و دو‌ماهه انجام شد. جهت جمع‌آوری داده‌ها از پرسشنامه سبک‌های دفاعی اندروز و همکاران (1993) و پرسشنامه اضطراب اجتماعی (2000) استفاده شد. تجزیه‌وتحلیل داده‌ها با استفاده از شاخص‌های روند، ثبات، درصد داده‌های ناهمپوش و همپوش انجام شد. نتایج نشان داد تفاوت معناداری بین اثربخشی برنامه زمانی پارادوکسی و درمان مبتنی بر پذیرش و تعهد بر مکانیسم‌های دفاعی و علائم اضطراب اجتماعی وجود دارد. چنانکه درمان مبتنی بر پذیرش و تعهد نسبت به برنامه زمانی پارادکسی، تاثیر بیشتری بر مکانیسم‌های دفاعی و نشانگان اضطراب اجتماعی داشتند؛ اثرات آن در مراحل پیگیری نیز پایدار بود. بنابراین، کاربست درمان مبتنی بر پذیرش و تعهد به‌عنوان اولویت درمانی به‌منظور بهبود مکانیسم‌های دفاعی و علائم اضطراب اجتماعی پیشنهاد می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparing the Effectiveness of Paradoxical Schedule and Acceptance and Commitment Therapy on Defense Mechanisms and Social Anxiety Symptoms of People with Social Anxiety Disorder Symptoms

نویسندگان [English]

  • saeed salehi 1
  • SHAHRAM VAZIRI 2
  • maryam nasri 3
1 PhD student, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.
2 Associate Professor, Psychology Education Department, Roudhan Branch, Islamic Azad University, Tehran, Iran.
3 Assistant Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.
چکیده [English]

The present study was conducted with the aim of comparing the effectiveness of the paradoxical schedule and the acceptance and commitment therapy on defense mechanisms and social anxiety symptoms of people with social anxiety disorder symptoms. The research method was a single-subject experimental design. The statistical population included undergraduate psychology students of the Islamic Azad University, Khorramabad branch, after obtaining a high score of social anxiety, diagnosis with a structured interview, and compliance with the entry and exit criteria, 6 people were selected as available sampling. By determining the baseline, the sample members were randomly assigned to two experimental groups of acceptance and commitment therapy, paradoxical schedule and a control group. The intervention sessions were conducted in twelve 90-minute sessions for the experimental groups separately, and the control group did not receive any intervention. The follow-up period was carried out in two phases of one month and two months. In order to collect data, the defensive styles questionnaire of Andrews et al (1993) and the social anxiety questionnaire of Conor et al (2000) were used. Data analysis was performed using trend, stability, percentage of non-overlapping and overlapping data. The results showed that there is a significant difference between the effectiveness of the paradoxical schedule and acceptance and commitment therapy on defense mechanisms and social anxiety symptoms. As the acceptance and commitment therapy compared to the paradoxical schedule, had a greater effect on defense mechanisms and social anxiety symptoms; Its effects were stable in the follow-up stages. T

کلیدواژه‌ها [English]

  • Paradoxical Schedule
  • Acceptance And Commitment Therapy
  • Defense Mechanisms
  • Social Anxiety Symptoms

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 4
مهر-آبان1404
مهر و آبان 1404
صفحه 817-835

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