تدوین و تعیین روایی پروتکل طرحواره درمانی هیجانی برای اختلال شخصیت مرزی: یک مطالعۀ توصیفی
الموضوعات :
وحید صبری
1
,
حمید یعقوبی
2
,
جعفر حسنی
3
,
مجید محمودعلیلو
4
,
آرزو قاسم خانلو
5
1 - استادیار گروه پرستاری دانشگاه علوم پزشکی خوی
2 - دانشیار گروه روانشناسی دانشگاه شاهد
3 - استاد گروه روانشناسی دانشگاه خوارزمی
4 - استاد گروه روانشناسی دانشگاه تبریز
5 - کارشناس سلامت روان، معاونت بهداشت دانشکده علوم پزشکی خوی
الکلمات المفتاحية: اختال شخصیت مرزی, طرحواره درمانی هیجان, روایی,
ملخص المقالة :
هـدف ایـن پژوهـش تدویـن و تعییـن روایـی پروتـکل طـرحواره درمانـی هیجانـی بـرای بیمـاران مبتلابـه اختـلال شـخصیت مـرزی بـود. ایـن پژوهـش توصیفـی و بـر پایـۀ مبانـی نظـری و شـواهد پژوهشـی تدویـن شـده اسـت. 15 جلسـۀ طـرحواره درمانـی هیجانـی طراحـی و سـپس روایـی آن بـر اسـاس مـلاک ارزیابـی راهنماهـای درمانـی (انجمـن روانشناسـی آمریـکا، 2021) و پرسشـنامۀ 45 مـا ّده ای ارزیابـی جلسـه های درمـان، توسـط متخصصـان ارزیابـی شـد. داده هـا بـا اسـتفاده از شـاخص روایـی محتـوا و ضریـب نسـبت روایـی محتـوا تحلیـل شـدند. نتایـج نشـان داد شـاخص روایـی محتـوا در مرحلـۀ تدویـن درمـان 0/80 بـود و ضریـب نسـبت روایـی محتـوا بـرای روایـی محتـوای جلسـات درمانـی بـرای تمـام جلسـه ها مـورد تأییـد قـرار گرفـت. همچنیـن شـاخص روایـی محتـوا بـرای جلسـه های درمانـی نیـز بیـش از 0/79 بـود. طـرحواره درمانـی هیجانـی از سـوی متخصصـان چـه از نظـر مـدل نظـری درمـان و چـه از نظـر محتـوای جلسـه ها روا بـود. بـا توجـه بـه نتایـج پژوهـش، ایـن درمـان میتوانـد به عنـوان درمـان انتخابـی بـرای بیمـارانمبتلـا بـه اختـال شـخصیت مـرزی بـه کار بـرود.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. Arlington: Wa- hington DC, American Psychiatric Association.
American Psychological Association (2021). Criteria for Evaluating Treatment Guidelines. Washington.
Apfelbaum, S., Regalado, P., Herman, L., Teitelbaum, J., & Gagliesi, P. (2013). Comorbidity between bipolar disorder and cluster B personality disorders as indicator of affective dysregulation and clinical severity. Actas Espanolas de Psiquiatria, 41(5), 269-278.
Bateman, A., Campbell, C., Luyten, P., & Fonagy, P. (2018). A mentalization-based approach to common factors in the treatment of borderline personality disor- der.Current Opinion in Psychology,21(3), 44-49.
Bateman, A., & Fonagy, P. (2004). Psychotherapy for bor- derline personality disorder (pp. 529-532). Oxford: Oxford University Press.
Bender, D. S., Skodol, A. E., Pagano, M. E., Dyck, I. R., Grilo, C. M., Shea, M. T., & Gunderson, J. G. (2006). Prospective assessment of treatment use by patients with personality disorders. Psychiatric Services, 57(2), .254-257
Davidson, K. M., & Tran, C. F. (2014). Impact of treatment intensity on suicidal behavior and depression in border- line personality disorder: A critical review. Journal of Personality Disorders, 28(2), 181-197.
Flynn, D., Kells, M., Joyce, M., Corcoran, P., Gillespie, 234 C., Suarez, C., & Arensman, E. (2019). Innovations
Pompili, M., Girardi, P., Ruberto, A., & Tatarelli, R. (2005). Suicide in borderline personality disorder: A meta-anal- ysis. Nordic Journal of Psychiatry, 59(5), 319-324.
Pourshahryar, H., Alizadeh, H., & Rajaeinia, K. (2018). Experiences of childhood emotional harassment and characteristics of borderline personality disorder in adulthood: The mediating role of attachment styles and emotional regulation. Iranian Journal of Psychiatry and Clinical Psychology (Thought and Behavior), 24 (2), 153-162. [In Persian].
Rezaei, M., Qadmpour, A., Rezaei, M., & Kazemi, R.(2015). The effectiveness of Emotional Therapy Scheme (EST) on the anxiety and severity of depres- sion in patients with major depression. Clinical Psy- chology, 4 (7), 45-57. [In Persian].
Sabri,V., Yaqubi, H., Hassani, J ., & Mahmud Alilou, M. (In Press). The role of child abuse and emotional vul- nerability in borderline personality traits: The mediat- ing role of emotional schemas and emotional regula- tion. Journal of Developmental Psychology: Iranian Psychologists. [In Persian].
Sadock, B. J., & Sadock, V. A. (2011). Kaplan and Sa- dock’s synopsis of psychiatry: Behavioral sciences/ clinical psychiatry. Lippincott Williams & Wilkins.
Sauer-Zavala, S., Wilner, J. G., Cassiello-Robbins, C., Sar- aff, P., & Pagan, D. (2019). Isolating the effect of op- posite action in borderline personality disorder: A lab- oratory-based alternating treatment design. Behaviour Research and Therapy, 117, 79-86.
Shakeri, J., & Sadeghi, Kh. (2001). Prevalence of person- ality disorders in patients admitted to an education- al-medical center in Kermanshah. Iranian Journal of Psychiatry and Clinical Psychology, 8 (1), 49-56. [In Persian].
Timmerman, I. G., & Emmelkamp, P. M. (2001). The re- lationship between traumatic experiences, dissociation, and borderline personality pathology among male fo- rensic patients and prisoners. Journal of Personality Disorders, 15(2), 136-149.
Verheul, R. (2005). Clinical utility of dimensional models for personality pathology. Journal of Personality Dis- orders, 19(3), 283-302.
ders. New York: John Wiley & Sons.
Lawshe, C. H. (1975). A quantitative approach to content
validity. Personnel Psychology, 28(4), 563-575. Leahy .R(2015). Emotional schema therapy. New York:
Routledge. .
Leahy .R(2018). Emotional schema therapy, distinctive
feature. New York: Routledge.
Leahy, R. L., &Tirch, D. (2011). Emotion regulation in psychotherapy: A practitioner’s guide. New York: Guilford Press.
Leahy, R. L. (2007). Emotional schemas and self-help: Homework compliance and obsessive-compulsive disor- der.Cognitive and Behavioral Practice,14(3), 297-302.
Leible, T. L., & Snell, W. E., Jr. (2004). Borderline per- sonality disorder and multiple aspects of emotional in- telligence. Personality and Individual Differences,37, .404–393
Lieb, K., Völlm, B., Rücker, G., Timmer, A., & Stoffers, J. M. (2010). Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomized trials. The British Journal of Psychiatry, 196(1), 4-12.
Linehan, M. M. (2018). Cognitive-behavioral treatment of borderline personality disorder. UK: Guilford Publica- tions.
Linehan, M. M., Bohus, M., & Lynch, T. R. (2007). Dia- lectical behavior therapy for pervasive emotion dys- regulation: Theoretical and practical underpinnings. In James J. Gross (Ed.), Handbook of emotion regulation (pp. 581-605). New York, US: Guilford Press.
Majdara, A., Rahimian Booger, A., Talehpasan, S., & Greg- ory, R. (2018). The effectiveness of scanning decon- struction psychotherapy in the treatment of borderline personality disorder: Introducing an evidence-based treatment model. Journal of Medical Science Studies, 29 (6), 1-1-19. [In Persian].
McGovern, M. P., Xie, H., Segal, S. R., Siembab, L., & Drake, R. E. (2006). Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers. Journal of Substance Abuse Treatment, 31(3), 267-275.
Oldham, J. M. (2006). Borderline personality disorder and suicidality. American Journal of Psychiatry, 163(1),
psychopathology. Psychiatry Research, 242, 186- .191
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163(5), 827-832.
Waltz, C. F., & Bausell, R. B. (1981). Nursing research: Design, statistics, and computer analysis. FA Davis company.
Westphal, M., Leahy, R. L., Pala, A. N., & Wupperman, P. (2016). Self-compassion and emotional invalida- tion mediate the effects of parental indifference o
