اثربخشی مداخله شناختی رفتاری خانواده‌محور بر انطباق خانواده و شدت اختلال وسواس بی‌اختیاری کودکان
محورهای موضوعی : روان شناسی تحولیمریم دلاوری 1 , علی مشهدی 2 , سیدعلی کیمیایی 3 , مژگان خادمی 4
1 - دانشجوی دکتری روان‌شناسی
دانشگاه فردوسی مشهد
2 - دانشیار گروه روان‌شناسی
دانشگاه فردوسی مشهد
3 - دانشیار گروه مشاوره
دانشگاه فردوسی مشهد
4 - استادیار گروه روان‌پزشکی
دانشگاه علوم پزشکی شهید بهشتی
کلید واژه: کودک, آموزش خانواده, اختلال وسواس بی‌اختیاری, درمان‌شناختی رفتاری,
چکیده مقاله :
هدف این پژوهش تعیین اثربخشی مداخله شناختی رفتاری متمرکز بر آموزش خانواده بر کاهش انطباق خانواده و شدت وسواس کودک بود.طرح پژوهش از نوع شبه‌تجربی همراه با پیش‌آزمون، پس‌آزمون و گروه گواه بود.با استفاده از مقیاس اختلال وسواس بی‌اختیاری یل‌براون کودکان(اسکاهیل و دیگران،1997)،20کودک مبتلا به اختلال وسواس بی‌اختیاری8تا12ساله به عنوان نمونه انتخاب شدند و به تصادف در دو گروه آزمایش(10نفر)و گواه(10نفر)قرار گرفتند.سپس مقیاس انطباق خانواده(کالووکورسی و دیگران،1999)و مقیاس اثر وسواس بر کودک(پیاسنتینی، برگمن، کلر و مک‌کراکان،2003)اجرا شدند.سپس، کودکان و خانوادههای آنها در گروه آزمایش تحت درمان12جلسه‌ای راهنمای عملی شناختی رفتاری متمرکز بر آموزش خانواده قرار گرفتند.در این بازه زمانی گروه گواه هیچ مداخله‌ای را دریافت نکرد.همه مقیاس‌ها به عنوان پس‌آزمون برای هر دو گروه اجرا شد.داده‌ها با استفاده از تحلیل واریانس با اندازه‌گیری مکرر مورد تحلیل قرار گدفتند.نتایج نشان داد که پس از این مداخله، انطباق خانواده، شدت وسواس و اختلال درعملکرد کودکان گروه آزمایش در مقایسه با گروه گواه کاهش معنادار داشت.یافته‌های این پژوهش با روشن ساختن نقش انطباق خانواده در شدت وسواس کودکان، منجر به کاربرد بیشتر الگوی ترکیبی درمان‌شناختی رفتاری و آموزش خانواده در موقعیت‌های بالینی خواهد شد.
The present study examined the effectiveness of family education focused cognitive behavior therapy on reducing family accommodation, child OCD severity and functional impairment. The study design was quasi-experimental with pretest-posttest and control group. With using Yale Brown Child OCD Scale (Scahill et al, 1997) twenty OCD children were selected and assigned into either experimental (n=10) or control (n=10) group. Then family accommodation scale (Calvocoressi et al., 1999) and child OCD impact scale (Piacentini, Bergman, Keller, McCracken, 2003) were administered. The experimental group received 12 family focused cognitive behavior therapy. During this period, the control group did not receive any intervention. All scales were performed as the post-test for both groups. The data were analyzed using ANOVA with repeated measurement. The results indicated that family accommodation, child OCD severity and functional impairment reduced significantly in the experimental group compared to the control group. Findings of this study by clarifying the role of family accommodation in the severity of obsessive-compulsive disorder, will lead to a further contribution JIP Aug 2019 SS.docxof the application of the combined pattern of cognitive-behavioral therapy and family education in clinical settings.
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