مقایسه اثربخشی درمان دلبستگی با درمان انگیزشی در کاهش لغزش، عود، ولع و تداوم پرهیز مصرف مواد در بیماران اختلال شخصیت مرزی وابسته به مواد
الموضوعات :حجت اله طهماسبیان 1 , وحید احمدی 2 , شهرام مامی 3
1 - دانشجوی دکتری روانشناسی عمومی، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران
2 - استادیار، دکتری تخصصی روانشناسی سلامت، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران.
3 - استادیار، دکتری تخصصی روانشناسی عمومی، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران
الکلمات المفتاحية: اختلال شخصیت مرزی, لغزش و عود, درمان انگیزشی, و ولع وتداوم پرهیز, درمان دلبستگی, افراد وابسته به مواد,
ملخص المقالة :
هدف از انجام این پژوهش مقایسه اثربخشی درمان دلبستگی با درمان انگیزشی در کاهش لغزش، عود، ولع و تداوم پرهیز مصرف مواد در بیماران اختلال شخصیت مرزی وابسته به مواد بوده است. این پژوهش مداخله‌ای با روش نیمه‌آزمایشی طرح پیش‌آزمون- پس‌آزمون با گروه گواه و پیگیری سه ماهه انجام شد. جامعه آماری کلیه افراد وابسته به مواد دارای اختلال شخصیت مرزی مراجعه کننده به مراکز ترک اعتیاد شهر کرمانشاه که 60 نفر ازآنها به روش نمونه‌گیری در دسترس به عنوان نمونه انتخاب شدند. از پرسشنامه‌های دلبستگی بزرگسالان راس (RASS Adult Attachment, 1996)، اختلال شخصیت مرزی گشتاسبی اصل و همکاران (Gashtasbi asl et al., 2017)، مراحل آمادگی تغییر رفتار و انگیزش برای درمان پروین (Parvin, 2015)، افکار اعتیاد مک مولین (McMullen Addiction Thoughts,1990)، پرسشنامه محقق ساخته عود، ولع، لغزش و پرهیز، پروتکل درمانی مداخله انگیزش مدل فرانظری تغییر (Motivational intervention of trans-theoretical model of change) (Procheska and Clemente, 1990) و پروتکل درمان دلبستگی (Jahanbakhsh et al., 2011) استفاده شد. داده‌ها توسط آزمون تحلیل کوواریانس چندمتغیره تحلیل شد. نتایج نشان داد درمان دلبستگی و درمان انگیزشی، میزان لغزش، عود و ولع بیماران را به طور معنی داری کاهش و تداوم پرهیز را افزایش می‌دهند (05/0P<). درمان دلبستگی و درمان انگیزشی بر میزان لغزش، عود، ولع و تداوم پرهیز بیماران در آزمون پیگیری ماندگاری داشته است (05/0P<). میزان تغییرات نمرات لغزش، عود، ولع و پرهیز افرادی که درمان دلبستگی را دریافت کرده‌اند بیشتر از افرادی که تحت درمان انگیزشی قرار گرفته‌اند، بوده است (05/0P<). درمان دلبستگی در مقایسه با درمان انگیزشی بر کاهش لغزش، عود، ولع و تداوم پرهیز مصرف مواد در بیماران تاثیر بیشتری دارد (05/0P<). نتایج نشان داد هر دو روش مداخله در بهبود مصرف افراد دارای اختلال شخصیت مرزی تأثیرگذار بودند. با این حال تأثیر درمان مبتنی بر درمان اعتیاد در افراد دارای اختلال شخصیت مرزی به شیوه درمان مبتنی بر دلبستگی موثرتر از درمان انگیزشی می‌باشد.
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