اثربخشی درمان فراشناختی مبتنی بر ذهن‌آگاهی بر راهبردهای منفی تنظیم هیجان و پردازش هیجانی افراد مبتلا به اختلال اضطراب فراگیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری روانشناسی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 استاد گروه روانشناسی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 استاد گروه روانشناسی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

چکیده

زمینه  پژوهش حاضر با هدف بررسی اثربخشی درمان فراشناختی مبتنی بر ذهن‌آگاهی بر راهبردهای منفی تنظیم هیجان و پردازش هیجانی افراد مبتلا به اختلال اضطراب فراگیر انجام گرفته است.
روش کار این پژوهش، نیمه‌آزمایشی است و در این طرح پژوهشی 30 نفر دارای اختلال اضطراب فراگیر در دو گروه آزمایش و گروه کنترل با روش نمونه‌گیری هدفمند، از مراجعه‌کنندگان به کلینیک ندای آرامش روان شهر تهران انتخاب شدند. همه آزمودنی‌ها قبل و بعد از درمان، با پرسشنامه‌های نظم‌جویی شناختی هیجان (گارنفسکی، 2001) و پردازش هیجانی (باکر، 2007) ارزیابی شدند. آزمودنی‌های گروه آزمایش، 8 جلسه درمان فراشناختی مبتنی بر ذهن‌آگاهی دریافت کردند. پس از اتمام درمان، از همه آزمودنی‌ها پس‌آزمون گرفته شد و داده‌ها با استفاده از آزمون کوواریانس چندمتغیره، تجزیه و تحلیل شدند.
یافته‌ها نتایج نشان داد که بین دو گروه آزمایش و کنترل در بهبود راهبردهای منفی تنظیم هیجان و پردازش هیجانی، تفاوت معناداری وجود دارد (0005≥P).  
نتیجه‌گیری می‌توان نتیجه گرفت که درمان فراشناختی مبتنی بر ذهن‌آگاهی، در کاهش راهبردهای منفی تنظیم هیجان و پردازش هیجانی افراد دچار اختلال اضطراب فراگیر، مؤثر است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of metacognitive therapy based on mindfulness on negative emotion regulation strategies and emotional processing in people with general anxiety disorder

نویسندگان [English]

  • nastaran mohajeri aval 1
  • mohammad narimani 2
  • goodarz sadeghi 3
  • nader hajloo 2
1 PhD in Psychology, Department of Psychology, Faculty of Education and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
2 Professor of Psychology, Department of Psychology, Faculty of Education and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
3 Professor of Psychology, Department of Psychology, Faculty of Education and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
چکیده [English]

Background: The main aim of the present study was investigating the effect of metacognitive therapy based on mindfulness on negative emotion regulation strategies and emotional processing in people with general anxiety disorder.
Materials & Methods: This was a semi-experimental research and in this research project, 30 person with general anxiety disorder were selected from Tehran Nedaye Aramesh Ravan clinic’s clients using purposeful sampling. All subjects, in two experimental and control groups, were evaluated before and after treatment by Cognitive Emotion Regulation Questionnaire and Emotional Processing Scale. Subjects in experimental group received 8 session of metacognitive therapy based on mindfulness. After completion of treatment, all subjects were retested. Data were analyzed using Analysis of Covariance (MANCOVA).
Results: The results showed that there is a significant difference between experimental and control group in improving the negative emotion regulation strategies and emotional processing (P≤0/0005).
Conclusion: The results of this study showed that metacognitive therapy based on mindfulness can decrease negative emotion regulation strategies and emotional processing in people with general anxiety disorder.  

کلیدواژه‌ها [English]

  • Key words: metacognitive therapy based on mindfulness
  • negative emotion regulation strategies
  • emotional processing
  • general anxiety disorder
[1]. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5thed.). Washington, DC: American Psychiatric Association. 2013; pp: 9-945.
[2]. Sadoc B, Sadoc V. the behavioral science psychiatry summary. Translated by Poorafkari N. Tehran: Shahrab Press. 2007; pp: 5-201
[3]. Teesson M, Slade T. DSM-IV and DSM-5 social anxiety disorder in the Australian Community. Australian and New Zealand Journal of Psychiatry. 2015; 49(3): 227-235.
[4]. Furmark T. Social phobia: Overview of community surveys. Acta Psychiatrica Scandinavica, 2002; 105: 84-93.
[5]. Kessler RC, Berglund P, Demler O. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry; 2005; 62: 593-602.
[6]. Bruce SE, Yonkers KA, Otto MW, Eisen JL, Weisberg RB, Pagano M, Shea MT, & Keller MB. Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12year prospective study. American Journal of Psychiatry. 2005; 162: 79-87.
[7]. Wittchen HU, Fuetsch M, Sonntag H, Müller N, & Liebowitz M. Disability and quality of life in pure and co morbid social phobia: Findings from a controlled study. European Psychiatry. 2000; 15: 46-58.
[8]. Reich J, Hofmann SG. State personality disorder in social phobia, Annals of Clinical Psychiatry. 2004; 16: 139-144. [9]. Bandelow B, Boerner R, Kasper S, Linden M, Wittchen HU, Moller H-J. The diagnosis and treatment of generalized anxiety disorder. Deutsches Arzteblatt International. 2013; 110(17): 300-1.
[10]. Hamidpour H, Dolatshai B, Pour Shahbaz A, Dadkhah A. The efficacy of schema therapy in treating women’s generalized anxiety disorder. Journal of Psychiatry & Clinical Psychology. 2011; 16(4): 420-31. (Persian).
[11]. Wells A. Metacognitive therapy for anxiety and depression. New York: the Guilford Press. 2009; pp:11542.
[12]. Wells A. Emotional disorder and metacognition: Innovative cognitive therapy. Chic Hester: Wiley. 2000; pp: 2-17 [13]. Wells A, Sembi S. Metacognitive therapy for PTSD: A core treatment manual. Cognitive and Behavioral Practice. 2004; 11(7): 365-377.
[14]. Wells A. Detached mindfulness in cognitive therapy: A metacognitive analysis and ten techniques. Journal of Rational-Emotive & Cognitive Behavior Therapy. 2005; 23(4): 55-337.
[15]. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences. 2001; 30, 13111327.
[16]. Jermann F, Van der Linden M, d’Acremont M, Zermatten A. Cognitive Emotion Regulation Questionnaire (CERQ): confirmatory factor analyses and psychometric properties of the French translation. European Journal of Psychological Assessment, 2006; 22, 126-131.
[17]. Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Personality and Individual Differences. 2006; 40, 1659-1669.
[18]. Wang Y, Yi J, He J, Chen G, Li L, Yang Y, Zhu X. Cognitive emotion regulation strategies as predictors of depressive symptoms in women newly diagnosed with breast cancer. Psycho-Oncol. 2014; 23(1), 93-99.
[19]. Clark DM, Mc Manus F. Information processing in social phobia. Biological Psychiatry. 2002; 51, 92-100.
[20]. Braddeley A. Working memory, the psychology of learning and motivation, In G.H. Bower (EDs). 1995; pp: 13-231. [21]. Capron DW, Kotov R, Schmidt NB. A cross-cultural replication of an interactive model of anxiety sensitivity relevant to suicide. Psychiatry Research. 2013; 205(1): 74-8.
[22]. 22- Constans JI. Worry propensity and the perception of risk. Behavior Research and Therapy. 2001; 39(6), 721-729.
[23]. Hirsch CR, Hirsch A, Mathews A, Lequertier B, Perman G, Hayes S. Characteristics of worry in Generalized Anxiety Disorder. Journal Behavior Therapy & Experimental Psychology. 2013; 44(4), 388-395.
[24]. Wells A. Meta-cognition and worry: A cognitive model of generalized anxiety disorder. 1995; 23: 301-20.
[25]. Wells A. Metacognitive therapy: Cognitive applied to regulation cognition. Behavior Psychotherapy. 2008; 36(6), 651-658.
[26]. Norton AR, Abbott MJ, Norberg MM, Hunt CA. Systematic review of mindfulness and acceptance-based treatments for social anxiety disorder. Journal of Clinical Psychology. 2015; 71(4): 283-301.
[27]. Askari Mobarak K. The effect of Meta-Cognitive therapy on anxiety symptoms of social phobia disorder patients. Knowledge & Research in Applied Psychology. 2012; 12(4,46): 12-19. (Persian).
[28]. Janeck AS, Calamari JE, Riemann BC, Heffelfinger SK. Too much thinking? Metacognitive differences in obsessive compulsive disorder. Journal of Anxiety Disorder. 2003; 17(2): 95-181.
[29]. Fisher PL, Wells A. Metacognitive therapy for obsessive compulsive disorder: Acase series. Journal of Behavior Therapy and Experimental Psychiatry. 2008; 39(2): 32-117.
[30]. 30- Khorramdel K, Neshatdoost HT, Molavi H, Amiri SH, Bahrami F. The effect of metacognitive therapy of wells in patient with anxiety. Journal of Fundamental Health. 2010; 12(1): 9-400.
[31]. Mennin DS, Turk CL, Heimberg RG, Carmin C. Focusing on the regulation of emotion: a new direction for conceptualizing generalized anxiety disorder. In: M. A. Reinecke and D. A. Clark (Eds.), Cognitive therapy over the lifespan: evidence and practice. New York: Cambridge University Press. 2004; pp: 60-89.
[32]. Sattary-Najaf-Abady R, Heidary H. The effectiveness of Meta-cognitive treatment on test anxiety in student. Journal of Behavior Science. 2015; 9(1): 27-32. (Persian).
[33]. Wells A, Fisher PL. Metacognitive therapy for obsessive compulsive disorder: A case series. Journal of Behavior Therapy and Experiment Psychiatry. 2008; 43: 117-32.
[34]. Ross KE, Van K. An open trail of group metacognitive therapy for obsessive-compulsive disorder. Journal of Behavior Therapy and Experiment Psychiatry. 2008; 39: 451-8.
[35]. Wells A. Emotional disorder and metacognition. Translate by Bahrami F and Rezvan Shyva. Isfahan: Mani Press. 2000; pp: 5-157.
[36]. Abolghasemi A, Alizade H, Kazemi M, Narimani M. The effect of meta-cognitive and drug therapies on meta 
cognitive belifs of patients with OCD. Iran Journal of Behavior Science. 2011; 4(4): 12-305.
[37]. Ghahvehchi-Hosseini F, Fathi-Ashtiani A, Azadfallah P. Meta-cognitive therapy versus cognitive therapy in reducing meta-worry in students with anxiety disorder. Iran Journal of Behavior Science. 2013; 7(1):19-26.
[38]. Wells A. Metacognitive therapy for anxiety and depression. Translated by Akbari M, Mohammadi A, Hamidpoor H, Andooz Z. Tehran: Arjmand publications. 2012; pp: 25-315. (Persian).