fa مقایسه اثربخشی درمان شناختی-رفتاری و درمان فراتشخیصی یکپارچه بر تنظیم هیجانی نوجوانان دارای اختلال اضطراب فراگیر روانشناسی بالینی Clinical Psychology پژوهشي Research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">پژوهش حاضر با هدف </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">مقایسه اثربخشی</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">درمان</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">شناختی رفتاری و درمان فراتشخیصی</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">یکپارچه</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">بر</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">تنظیم</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">هیجانی</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">نوجوانان</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">دارای</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">اختلال</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">اضطراب فراگیر انجام شد. روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون، با گروه کنترل و پیگیری دو ماهه بود. جامعه‌آماری پژوهش شامل </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">تمامی </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">نوجوانان مراجعه کننده به مراکز مشاوره<b> </b>شهر خرم‌آباد </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">در بازه زمانی آذر ماه 1400 تا تیرماه 1401 </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">بود که توسط روان‌شناس و روان‌پزشک تشخیص قطعی اختلال اضطراب فراگیر دریافت کردند</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">.</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">45 نفر به صورت هدفمند انتخاب و بطور تصادفی در دو گروه آزمایش و یک گروه گواه (هرگروه 15 نفر) قرار گرفتند. گروه آزمایش اول و دوم هریک به ترتیب طی 12 جلسه بصورت دو بار در هفته&nbsp; </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">تحت مداخله درمان فراتشخیصی یکپارچه، و درمان شناختی رفتاری</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt"> قرار گرفتند. ابزار پژوهش</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">پرسشنامه‌ی تنظیم شناختی هیجان </span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">(</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">CERQ</span></span><span lang="AR-SA" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">)</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">(گارنفسکی و کرایج، 2006)</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">بود</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">. تحلیل داده‌ها با روش </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">تحلیل</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">واریانس با اندازه‌گیری مکرر و</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">آزمون بونفرونی</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">انجام شد.</span></span></span><b> </b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.4pt">یافته‌های بدست آمده<b> </b></span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">نشان داد </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">که </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">هر دو مداخله‌ی درمان فراتشخیصی یکپارچه</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">درمان شناختی-رفتاری در مقایسه با گروه گواه به طور معنی‌داری باعث </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">افزایش </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">تنظیم هیجان سازش یافته و کاهش تنظیم هیجان سازش نایافته</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">می‌شوند </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">01/0</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P<</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">)؛ <span style="letter-spacing:-.2pt">و </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">تأثیر هر دو </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">روش مداخله </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">تا مرحله پیگیری (2 ماهه) دارای ماندگاری اثر است. همچنین </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">بین میزان اثربخشی </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">دو روش </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">تفاوت معناداری وجود ندارد (01/0</span></span><span lang="FA" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">). </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">بطورکلی با بکارگیری هر یک از رویکردهای درمان شناختی-رفتاری و درمان فراتشخیصی یکپارچه می‌توان گام مهمی در کاهش آسیب‌ها و پیامدهای ناشی از عدم تنظیم هیجان برداشت.</span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:9.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.4pt">The present study aimed to compare the effectiveness of cognitive-behavioral therapy(CBT) and unified transdiagnostic treatment on the cognitive-emotional regulation of adolescents with generalized anxiety disorder. The quasi-experimental study was carried out with a pre-test-post-test design, with a control group and a two-month follow-up. The statistical population included all teenagers who were referred to Khorramabad counseling centers between December 1400 and July 1401, and who received a definitive diagnosis of GAD from the psychologist and psychiatrist of the center. 45 people were purposive sampling method selected and placed in two experimental groups and one control group(15 people in each group). The first and second experimental groups, respectively, received unified transdiagnostic treatment and CBT during 12 sessions.</span></span></span></span> <span style="font-size:9.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.4pt">The research tools were cognitive emotion regulation questionnaire(GERQ) (Garnefski & et al,2006). The data were analyzed by the method of analysis of variance with repeated measurements and Bonferroni&rsquo;s post hoc test. The results showed that both unified transdiagnostic treatment and cbt significantly increased adaptive emotion regulation and decreased maladaptive emotion regulation compared to the control group(P<0.01) and the effect of both intervention methods remained until the follow-up stage (2 months). Also, there is no significant difference between the effects of the two methods (P>0.01). Thus, an important step can be taken in reducing the consequences caused by the lack of emotion cognitive regulation in GAD by using any of the therapeutic approaches of CBT and unified transdiagnostic for emotion regulation in adolescents with GAD.</span></span></span></span></span></span></span></span> اضطراب فراگیر, تنظیم هیجانی, درمان فراتشخیصی یکپارچه, درمان شناختی-رفتاری, نوجوانان. generalized anxiety disorder, emotional regulation, unified transdiagnostic treatment, cognitive-behavioral therapy(CBT), adolescents. 183 194 http://frooyesh.ir/browse.php?a_code=A-10-9109-1&slc_lang=fa&sid=1 Mahmoudreza Sharafi محمودرضا شرفی sharafipsychology@gmail.com 100319475328460046716 100319475328460046716 No PhD Student. Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran. دانشجوی دکترا، گروه روانشناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران. Davood Jafari داود جعفری davood_jafari5361@yahoomail.com 100319475328460046717 100319475328460046717 Yes Assistant Professor. Department of Psychology, Malayer Branch, Islamic Azad University, Malayer, Iran. استادیار، گروه روان‌شناسی واحد ملایر، دانشگاه آزاد اسلامی، ملایر، ایران. Mohsen Bahrami محسن بهرامی bahrami.m@malayer.iau.ac.ir 100319475328460046718 100319475328460046718 No Assistant Professor. Department of Psychology, Malayer Branch, Islamic Azad University, Malayer, Iran. استادیار، گروه روان‌شناسی واحد ملایر، دانشگاه آزاد اسلامی، ملایر، ایران.