اثربخشی طرحواره درمانی مبتنی بر ذهنیت بر اضطراب و نشخوار فکری زنان مطلقه دارای علائم افسردگی

•   آرشیو : نسخه زمستان 1403
•   کد پذیرش : 12181
•   موضوع : روانشناسی بالینی
• نویسنده/گان : | یونس نصرتی، محمد یوسفوند، آیت جعفری، صابر حسینی نهاد
•   زبان : فارسی
•   نوع مقاله : پژوهشی
•   چکیده مقاله به فارسی : پژوهش حاضر با هدف بررسی اثربخشی طرحواره درمانی مبتنی بر ذهنیت بر اضطراب و نشخوار فکری زنان مطلقه دارای علائم افسردگی انجام شد. تحقیق حاضر یک طرح نیمه آزمایشی از نوع پیش آزمون - پس آزمون و پیگیری دوماهه با گروه گواه بود. جامعه آماری پژوهش شامل زنان مطلقة تحت پوشش پایگاه های خدمات اجتماعی شهر کرمانشاه در سال 1402-1403 تشکیل داد. نمونه پژوهش 30 زن سرپرست خانوار دارای علائم افسردگی بودند که به شیوه نمونه گیری در دسترس و بر اساس ملاک های ورود و خروج به پژوهش انتخاب و با گمارش تصادفی در دو گروه آزمایش و یک گروه گواه (هر گروه 15 نفر) قرار گرفتند. ابزارهای گردآوری مطالعه حاضر پرسشنامه های افسردگی و اضطراب بک و پرسش‌نامه سبک پاسخدهی نشخواری بود. گروه آزمایش 12 جلسله ۹۰ دقیقه ای پروتکل طرحواره درمانی مبتنی بر ذهنیت را دریافت کرد و گروه گواه هیچ مداخله ای دریافت نکرد. تجزيه و تحلیل داده ها با استفاده از روش تحلیل واریانس آمیخته و براساس رعايت مفروضه های آن صورت گرفت. نتایج نشان داد که پروتکل طرحواره درمانی مبتنی بر ذهنیت بر کاهش اضطراب و نشخوار فکری زنان مطلقه دارای علائم افسردگی اثربخش (01/0>p) است. بر این اساس می توان نتیجه گرفت که یافته‌های این مطالعه از اثربخشی پروتکل طرحواره درمانی مبتنی بر ذهنیت، حمایت می‌کند.
•   لیست منابع : [1] Abasi Rad, A., Bahrami Hidaji, M., Tajeri, B., Mohamadi Shirmahaleh, F., & Ranjbari Poor, T. (2023). The effectiveness of schema therapy based on the mindset model based on emotional dysregulation and coherent self-knowledge in self-harming delinquent teenagers. Rooyesh-e-Ravanshenasi Journal (RRJ), 12(7), 93-102.
  [2] Akpinar Aslan, E., Batmaz, S., Yildiz, M., & Songur, E. (2020). Suicide attempts in Turkish university students: The role of cognitive style, hopelessness, cognitive reactivity, rumination, self-esteem, and personality traits. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 38(4), 579-601.
  [3] Ali, N. M., Eletrby, R. R., & El-Bilsha, M. (2024). Correlation between Ruminative Thoughts and Anxiety among Depressed Patients. International journal of Nursing Didactics, 14(03), 14-20.
  [4] Arntz, A., Jacob, G. A., Lee, C. W., Brand-de Wilde, O. M., Fassbinder, E., Harper, R. P., ... & Farrell, J. M. (2022). Effectiveness of predominantly group schema therapy and combined individual and group schema therapy for borderline personality disorder: a randomized clinical trial. JAMA psychiatry, 79(4), 287-299.
  [5] Arntz, A., Rijkeboer, M., Chan, E., Fassbinder, E., Karaosmanoglu, A., Lee, C. W., & Panzeri, M. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 1-14.
  [6] Avci, R., Adiguzel, A., Zeybek, S. U., & Çolakkadıoğlu, O. (2021). The role of post-divorce parental conflict in predicting aggression, anger, and symptoms of anxiety and depression among university students. Journal of Divorce & Remarriage, 62(3), 199-215.
  [7] Bagherinezhad, M., Salehi Fadardi, J., & Tabatabayi, S. M. (2010). The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling, 11(1).
  [8] Basile, B., Tenore, K., Luppino, O. I., & Mancini, F. (2017). SCHEMA THERAPY MODE MODEL APPLIED TO OCD. Clinical Neuropsychiatry, 14(6).
  [9] Beck, A. T., & Steer, R. A. (1990). Manual for the Beck anxiety inventory. San Antonio, TX: Psychological Corporation.
  [10] Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology, 56(6), 893.
  [11] Edwards, D. J. A. (2022). Using schema modes for case conceptualization in schema therapy: an applied clinical approach. Frontiers in Psychology, 12, 763670.
  [12] Fassbinder, E., Schweiger, U., Jacob, G., & Arntz, A. (2014). The schema mode model for personality disorders. Die Psychiatrie, 11(02), 78-86.
  [13] Hald, G. M., Ciprić, A., Sander, S., & Strizzi, J. M. (2022). Anxiety, depression and associated factors among recently divorced individuals. Journal of Mental Health, 31(4), 462-470.
  [14] Jacob, G., Van Genderen, H., & Seebauer, L. (2015). Breaking negative thinking patterns: A schema therapy self-help and support book. John Wiley & Sons.
  [15] Jeong, K. H., Lee, S., Kim, C., Im, J. H., & Jung, H. (2024). Patterns of depression among women post-divorce and the influential factors: Latent growth modeling. Journal of Affective Disorders Reports, 17, 100789.
  [16] Kaviani, H., & Mousavi, A. S. (2008). Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University medical journal.
  [17] Lobbestael, J. (2012). Validation of the schema mode inventory. The Wiley‐Blackwell handbook of schema therapy: Theory, research, and practice, 541-551.
  [18] Nolen-Hoeksema, S., & Morrow, J. (1991). Response styles questionnaire. Psychological Assessment.
  [19] Penney, E. S., & Norton, A. R. (2022). A novel application of the schema therapy mode model for social anxiety disorder: A naturalistic case study. Clinical Case Studies, 21(1), 34-47.
  [20] Phillips, K., Brockman, R., Bailey, P. E., & Kneebone, I. I. (2020). Schema in older adults: does the schema mode model apply?. Behavioural and Cognitive Psychotherapy, 48(3), 341-349.
  [21] Poshtiri, S. N., Hasanzadeh, R., & Emadian, S. O. (2023). The effectiveness of mindfulness-based schema therapy on cognitive distortions and causal attributions in nursing and midwifery students with health anxiety. Applied Family Therapy Journal (AFTJ), 4(4), 581-593.
  [22] Rotermann, M. (2007). Marital breakdown. Health Reports, 18(2), 33-44.
  [23] Saviola, F., Pappaianni, E., Monti, A., Grecucci, A., Jovicich, J., & De Pisapia, N. (2020). Trait and state anxiety are mapped differently in the human brain. Scientific reports, 10(1), 1-11.
  [24] Stavropoulos, A., Haire, M., Brockman, R., & Meade, T. (2020). A schema mode model of repetitive negative thinking. Clinical Psychologist, 24(2), 99-113.
  [25] Stefan-Dabson, K., Mohammadkhani, P., & Massah-Choulabi, O. (2007). Psychometrics characteristic of Beck Depression Inventory-II in patients with magor depressive disorder. Archives of Rehabilitation, 8, 82-0.
  [26] Tavakolian, N., Lotfi, M. H., Soodejani, M. T., Madadizadeh, F., & Kalantari, F. (2023). The trend of marriage, childbearing, and divorce and its determinants of socio-economic factors on divorce in Yazd province 2016-2021: A cross-sectional study. International Journal of Reproductive BioMedicine, 21(8), 657.
  [27] Vélez, C. E., Hoang, K. N., Krause, E. D., & Gillham, J. E. (2024). The Rumination on Problems Questionnaire: Broadening our Understanding of Rumination and its Links to Depression, Anxiety, and Stress in Young Adults. Journal of Psychopathology and Behavioral Assessment, 46(1), 191-204.
  [28] Watkins, E. R., & Roberts, H. (2020). Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination. Behaviour research and therapy, 127, 103573.
  [29] Wilkinson, P. O., Croudace, T. J., & Goodyer, I. M. (2013). Rumination, anxiety, depressive symptoms and subsequent depression in adolescents at risk for psychopathology: a longitudinal cohort study. BMC psychiatry, 13, 1-9.
  [30] Yook, K., Kim, K. H., Suh, S. Y., & Lee, K. S. (2010). Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of anxiety disorders, 24(6), 623-628.
  [31] Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy. New York: Guilford, 254, 653-658.
•   کلمات کلیدی به فارسی : طرحواره درمانی مبتنی بر ذهنیت، اضطراب، نشخوار فکری، زنان مطلقه، علائم افسردگی.
•   چکیده مقاله به انگلیسی : The present study aimed to investigate the effectiveness of schema mood therapy on anxiety and rumination in divorced women with depressive symptoms. The present study was a quasi-experimental design with a pre-test-post-test and two-month follow-up with a control group. The statistical population of the study included divorced women covered by social service centers in Kermanshah in 2024. The sample of the study was 30 female heads of households with depressive symptoms who were selected through convenience sampling and based on the inclusion and exclusion criteria and randomly assigned to two experimental groups and a control group (15 people in each group). The instruments used in the present study were Beck Depression and Anxiety Questionnaires and the Ruminative Response Style Questionnaire. The experimental group received 12 90-minute sessions of schema mood therapy protocol, and the control group did not receive any intervention. Data analysis was performed using the mixed analysis of variance method and based on its assumptions. The results showed that the Mindfulness-Based Schema Therapy protocol was effective in reducing anxiety and rumination in divorced women with depressive symptoms (p<0.01). Accordingly, it can be concluded that the findings of this study support the effectiveness of the Mindfulness-Based Schema Therapy protocol.
•   کلمات کلیدی به انگلیسی : Schema Mood Therapy, Anxiety, Rumination, Divorced Women, Depressive Symptoms
•  صفحات : 32-44
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