اثربخشی درمان مبتنی بر پذیرش و تعهد بر نشانه‌های پُرخوری، افسردگی و تَن‌انگاره در مبتلایان به پُرخوری عصبی

نوع مقاله: مقاله پژوهشی

نویسنده

مربی، گروه علوم تربیتی دانشگاه پیام ‌نور، ایران

چکیده

مقدمه: پُرخوری عصبی نوع خاصی از اختلالات خورد و خوراک است که با مواد غذایی و تَن‌انگاره فرد رابطه دارد. لذا پژوهش حاضر با هدف، بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر نشانه‌های پُرخوری، افسردگی و تَن‌انگاره در مبتلایان به پُرخوری عصبی انجام شد.

روش: تحقیق از نوع نیمه‌تجربی با طرح پژوهش پیش‌آزمون و پس‌آزمون با گروه گواه بود. جامعۀ آماری شامل کلیۀ زنان مبتلا به پُرخوری عصبی از مراجعه­کنندگان به مرکز روان‌پزشکی فارابی کرمانشاه بود؛ براساس معیارهای ورود به پژوهش، تشخیص روان‌پزشک و پرسشنامه‌های عادات خوردن (EHQ)، شدت پُرخوری (BES)، نگرانی از تَن‌انگاره (BIS)، و افسردگی بِک- فُرم کوتاه بیمارانی که دارای بالاترین نمرات بودند، با روش نمونه‌گیری در دسترس انتخاب و به صورت تصادفی به گروه های آزمایش و گواه تقسیم شدند. گروه آزمایشی 8 جلسه مداخلة درمانی 120 دقیقه­ای طی دو جلسه در هفته را دریافت نمود؛ اما گروه گواه مداخله­ای دریافت نکرد. اطلاعات به‌ دست ‌آمده با تحلیل کوواریانس چندمتغیریتحلیل شد.

یافته‌ها: نتایج پژوهش نشان داد کهتفاوت معناداری بین گروه‌های آزمایش و گواه در کاهش شدت نشانگان پُرخوری عصبی و عادات خوردن وجود دارد. همچنین، در تَن‌انگاره و افسردگی تفاوت معناداری بین گروه‌ها مشاهده گردید.

نتیجه‌گیری: با توجه به یافته‌های پژوهش می‌توان بیان کرد که درمان مبتنی بر پذیرش و تعهد موجب کاهش نشانگان پُرخوری عصبی، افسردگی و بهبود تَن‌انگاره در افراد تحت درمان شده است. استفاده از این روش درمانی برای مبتلایان به پُرخوری عصبی در جامعۀ بیماران پیشنهاد می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of acceptance and commitment therapy (ACT) on bulimia symptoms, depression and body image in bulimia nervosa patients

نویسنده [English]

  • H Boloorsaz-Mashhadi,
Academic member, University of PayameNoor, Tehran, Iran
چکیده [English]

 

Introduction:Bulimia nervosa is a particular type of feeding and eating disorderswhich affects the person’s relationship with food and their body. This study was examined the effectiveness of acceptance and commitment therapy on symptoms of bulimia, depression and body image in bulimia nervosapatients.

Method: The research design was a semi-experimental one with pretest-posttest and control group format.The sample included all patients with bulimia nervosa who referred to Farabi Hospital of Kermanshah city in 2016,whowere assessed based on psychiatrists definitive diagnosis, Eating Habits Questionnaire, Binge Eating Scale, Body Image Scale and Beck depression short inventory Questionnaires; Those with higher scores were selected via available sampling method and the study subjects were randomly divided into experimental and control groups.The experimental group was exposed to 8 sessions of two hours ACT. The data was analyzed using descriptive statistics and multivariate analysis of covariance.

Results: The results showed significant difference between experimental and control groups in abatement bulimia nervosa intensity and eating habits.Significant difference were found between groups in body image and depression as well (P

کلیدواژه‌ها [English]

  • acceptance and commitment therapy
  • Bulimia Nervosa
  • depression
  • Body Image

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