بررسی مقایسه اثربخشی رفتار درمانی دیالکتیک و طرحواره درمانی بر اضطراب جدایی نوجوانان دختر
محورهای موضوعی : فصلنامه تعالی مشاوره و روان درمانیسارا پژمان 1 , نادره سهرابی شگفتی 2
1 - کارشناسی ارشد روانشناسی عمومی، دانشگاه آزاد مرودشت، شیراز، ایران. (نویسنده مسئول) sarapejman7@gmail.com
2 - دانشکده روانشناسی دانشگاه آزاد مرودشت، فارس، ایران
کلید واژه: اضطراب جدایی, رفتار درمانی دیالکتیک, طرحواره درمانی.,
چکیده مقاله :
پژوهش حاضر با هدف مقایسه اثربخشی رفتار درمانی دیالکتیک و طرحواره درمانی بر اضطراب جدایی نوجوانان دختر در شهر شیراز انجام شد. پژوهش آزمایشی از نوع پیش آزمون و پس آزمون بود. جامعه آماری این پژوهش شامل تمامی نوجوانان دختر پایه متوسطه اول و دوم مشغول به تحصیل در شهر شیراز در سال 1402 بود. با استفاده از نمونه گیری تصادفی 45 نفر از دانش آموزان در سه گروه (15نفره) گروه کنترل، یک گروه آزمایش با آموزش طرحواره درمانی و گروه آزمایش با آموزش رفتار درمانی دیالکتیک طبقه بندی شدند. در جمه آوری داده ها از پرسشنامه پرسشنامه اضطراب جدایی مارو و همکاران (1997) استفاده شد. گروه های آزمایش هر کدام آموزش مربوط به خود را دیده و گروه کنترل هیچ گونه آموزشی ندیدند و داده ها با استفاده از آزمون تحلیل کوواریانس تجزیه و تحلیل شدند. رفتار درمانی دیالکتیک بر اضطراب جدایی تأثیر مثبت معنادار داشته و موجب کاهش آن شده است، میزان تأثیر برابر با 17 درصد بود، رفتار درمانی طرحواره درمانی بر اضطراب جدایی تأثیر مثبت معنادار داشته و موجب کاهش آن شده است، میزان تأثیر برابر با 30 درصد بود. درمان مبتنی بر فتار درمانی دیالکیک و طرحواره درمانی به عنوان درمان های کاهش اضطراب جدایی در دانش آموزان استفاده شوند.
Purpose: The present study was conducted with the aim of comparing the effectiveness of dialectical behavior therapy and schema therapy on separation anxiety among adolescent girls in Shiraz city.
Methodology: The research method was a experimental pre-test and post-test with a control group. The statistical population of this study included all female teenagers in the first and second secondary grades studying in Shiraz in 2022. Using random sampling, 45 students were divided into three groups (15 people), a control group (15 people), an experimental group with schema therapy training (15 people) and an experimental group. The experimental groups were subjected to dialectical behavior therapy and schema therapy for 8 sessions of 75 minutes, and the control group received the usual treatment. The therapeutic protocol Linch et al. (2003) was implemented for the dialectical behavior therapy group and the therapeutic protocol Yung et al. (2011) was implemented for the schema therapy group, and the control group did not receive any training. Statistical data analysis was done using covariance analysis and SPSS software version 23.
Findings: The results and data analysis showed that dialectical behavior therapy had a significant positive effect on separation anxiety and reduced it (P<0.001), the effect rate was equal to 17%, and schema therapy behavior therapy had a significant positive effect on separation anxiety. had and caused it to decrease (P<0.001), the effect was equal to 30%. The findings showed that after the intervention, both treatment methods improved the separation anxiety of adolescents compared to the control group.
Conclusion: Based on the results of the research, it can be said that dialectical behavior therapy and schema therapy, along with other treatment methods, is a suitable intervention method for improving the separation anxiety disorder of adolescents, and psychologists, clinical counselors and therapists in the field of adolescents can reduce the problems of adolescents suffering from separation anxiety by holding psychological workshops such as behavior Dialectical therapy and schema therapy should be used as convenient, accessible and low-cost treatments to help these people.
Agili, S., Asghari, Haqsan, S., Namazi, M. (2021). Effectiveness of schema-focused cognitive group therapy on modulating early maladaptive schemas in adolescent girls from divorced families. Social cognition, 10(20), 223-235. [Persian] [Link].
Baldwin, D. S., Gordon, R., Abelli, M., & Pini, S. (2016). The separation of adult separation anxiety disorder. CNS spectrums, 21(4), 289-294. [Link].
Fitzpatrick, S., Bailey, K., & Rizvi, S. L. (2020). Changes in emotions over the course of dialectical behavior therapy and the moderating role of depression, anxiety, and posttraumatic stress disorder. Behavior therapy, 51(6), 946-957. [Link].
Habibian, N., Mizahosseini, H., Munirpour, N. (2021). Developing a schema therapy protocol to reduce the anxiety of children aged 8 to 13 and comparing its effectiveness with cognitive behavioral therapy. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences, 65 (4), 1451-1468. [Persian] [Link].
Hannesdottir, D. K., Sigurjonsdottir, S. B., Njardvik, U., & Ollendick, T. H. (2018). Do Youth with Separation Anxiety Disorder Differ in Anxiety Sensitivity From Youth with Other Anxiety Disorders?. Child Psychiatry & Human Development, 49(6), 888-896. [Link].
Hofmann, SG., & Hayes, SC. (2019). The future of intervention science: process-based therapy. Clin Psychol Sci 7, 37–50. [Link].
Mabilia, D., Di Riso;D., Lis;A.; Bobbio, Andrea. (2019). A Prediction Model for Separation Anxiety: The Role of Attachment Styles and Internalizing Symptoms in Italian Young Adults. Journal of Adult Development, 1-9. [Link].
March, J. S., Parker, J. D., Sullivan, K., Stallings, P., & Conners, C. K.(1997).The multidimensional anxiety scale for children (MASC): Factor structure, reliability and validity. Journal of the American academy of child &adolescent psychiatry, 36(4), 554–565. [Link].
Milrod, B., Keefe, J. R., Choo, T. H., Arnon, S., Such, S., Lowell, A., ... & Markowitz, J. C. (2020). Separation anxiety in PTSD: A pilot study of mechanisms in patients undergoing IPT. Depression and anxiety. [Link].
Mollahosseini, SH., Alavi Majid, H., & Khalsi, P. (2009). Investigating the relationship between quality of life and hypothyroidism in patients referred to hospitals affiliated to Tehran universities of medical sciences in 2016. Journal of Medical Sciences of Islamic Azad University, 19 (4, 99-120). [Persian][Link]
Moradi, S., Rahmati, N., Khalili, P., Mehdipour Kyabani, J., & Nikunam Nizami, T. (2021). The effectiveness of schema therapy on the anxiety of women under violence. The 13th international research conference in psychology, counseling and educational sciences. [Persian] [Link]
Peeters, N., van Passel, B., & Krans, J. (2022). The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. British Journal of Clinical Psychology, 61(3), 579-597. [Link].
Posavac, S. S., & Posavac, H. D. (2019). Adult Separation Anxiety Disorder Symptomology as a Risk Factor for Thin-Ideal Internalization: The Role of Self-Concept Clarity. Psychological reports, 0033294119829440. [Link].
Renner, Fritz., Lobbestael, Jill., Peeters, Frenk., Arntz A, Huibers M. (2012). Early maladaptive schemas in depressed patients: stability and relation with depressive symptoms over the course of treatment. Journal of Affect Disord, 136 (3). 581 – 590. [Link].
Rodríguez-Menchón, M., Orgilés, M., Fernández-Martínez, I., Espada, J. P., & Morales, A. (2020). Rumination, Catastrophizing, and Other-Blame: The Cognitive-Emotional Regulation Strategies Involved in Anxiety-Related Life Interference in Anxious Children. Child Psychiatry & Human Development, 1-14. [Link].
Safari, Alale and Aftab, Roya. (1400). The Effectiveness of Online Dialectical Behavior Therapy on the Emotion Regulation Difficulties, Guilt Feeling and Dissociative Symptoms in Depressed People. Scientific-Research Quarterly of Applied Psychology, 15 (4), 206-179. [Persian] [Link].
Schiele, M. A., Bandelow, B., Baldwin, D. S., Pini, S., & Domschke, K. (2020). A neurobiological framework of separation anxiety and related phenotypes. European Neuropsychopharmacology. [Link].
Simon, G. E., Shortreed, S. M., Rossom, R. C., Beck, A., Clarke, G. N., Whiteside, U., ... & Smith, J. (2022). Effect of offering care management or online dialectical behavior therapy skills training vs usual care on self-harm among adult outpatients with suicidal ideation: a randomized clinical trial. Jama, 327(7), 630-638. [Link].
Tabatabai, A., Yousefi, Z., Motamedi, M., & Taheri, S. (2021). Effectiveness of dialectical behavior therapy on self-forgiveness and depression in adolescent girls with a history of self-mutilation in Isfahan city. Clinical Psychology, 13(1), 13-22. [Persian] [Link].
Taheri Dagian, A., Ghasemi Mutlaq, M., & Mahdian, H. (2018). Investigating the effectiveness of dialectical behavior therapy on anxiety and rumination in depressed patients. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 62, 275-264. [Persian] [Link].
Todosijevic, B,. Snežana L,. Aleksandra A. (2023). Mate Selection Criteria: A Trait Desirability Assessment Study of Sex Differences in Serbia. Evolutionary psychology. (1).116-126. [Link].
Zavashkiani, Y., & Mojtabaei, M. (2018). The effectiveness of the treatment to improve the parent-child relationship on reducing the symptoms of separation anxiety disorder in children of divorce. Clinical Psychology and Counseling Research, 9(1), 114-121. [Persian] [Link].
Zeifman, R. J., Boritz, T., Barnhart, R., Labrish, C., & McMain, S. F. (2020). The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training. Personality Disorders: Theory, Research, and Treatment, 11(3), 181. [Link].
