اثربخشی گروه درمانی شناختی- تحلیلی بر تکانشگری و تجارب تجزیه ای بیماران مبتلا به اختلال شخصیت مرزی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی دانشگاه سمنان، سمنان، ایران

2 استادیار، گروه روانشناسی بالینی دانشگاه سمنان، سمنان، ایران

3 دانشیار، گروه روانشناسی بالینی دانشگاه سمنان، سمنان، ایران

چکیده

مقدمه: تکانشگری عامل زیر بنایی و پیش­بین­کننده آسیب­شناسی روانی و یکی از پایدار­ترین ویژگی­های اختلال شخصیت مرزی شناخته می­شود. همچنین، تجارب تجزیه­ای از برجسته­ترین مؤلفه های این اختلال می­باشد. هدف از پژوهش حاضر بررسی اثربخشی گروه درمانی شناختی _ تحلیلی  بر تکانشگری و تجارب تجزیه­ای در بیماران مرزی بود.
روش: طرح پژوهش حاضر نیمه آزمایشی از نوع پیش­آزمون-پس آزمون و پیگیری با گروه کنترل بود. نمونه این پژوهش 20 نفر از مردان مبتلا به اختلال شخصیت مرزی در زندان شهرستان سمنان بودند که توسط روانپزشک بر اساس مصاحبه بالینی ساختار یافته، آزمون چند محوری بالینی میلون-3  انتخاب شدند. شرکت کنندگان به صورت تصادفی در دو گروه آزمایش (10 نفر)  و کنترل (10 نفر) گمارده شدند و مقیاس تکانشگری بارت و مقیاس تجارب تجزیه­ای را در پیش­آزمون، پس­آزمون و پیگیری تکمیل کردند. گروه آزمایش تحت 16جلسه 120 دقیقه­ای دو بار در هفته تحت گروه درمانی درمان­ شناختی- تحلیلی قرار گرفتند. داده­ها به روش تحلیل کواریانس بین گروهی تحلیل شدند.
یافته‌ها: یافته­های این پژوهش نشان داد که درمان شناختی تحلیلی پس از 5 و10جلسه مداخله اثر معنی­داری در کاهش تکانشگری و تجارب تجزیه­ای گروه آزمایش نسبت به گروه کنترل نداشت، اما پس از  16 جلسه مداخله و دوره پیگیری یک ماهه اثر معناداری در کاهش این علائم مشاهده شد.
نتیجه‌گیری: نتایج  پژوهش حاضر نشان داد که درمان شناختی تحلیلی به شیوه گروهی، راهبردی مؤثر در بهبود علائم تکانشگری و تجارب تجزیه­ای اختلال شخصیت مرزی می­باشد و می­توان از آن به عنوان روش درمانی مؤثر بهره برد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Cognitive-Analytic Therapy on Impulsivity and Dissociative Experiences of Borderline Personality Disordered Patients

نویسندگان [English]

  • L Debashi, 1
  • M Najafi, 2
  • I. Rahimian-Boogar, 3
1 Department of Clinical Psychology, University of Semnan, Semnan, Iran
2 Semnan University
چکیده [English]

Introduction: Impulsivity is known as one of  the underlying and predictive factor in psychopathology  that considered as the most enduring features of borderline personality disorder. Also, dissociative experiences are the most prominent components of this disorder. The aim of this study was to investigate the effectiveness of cognitive-analytical therapy (CAT) on impulsivity and dissociative experiences in patients with borderline personality disorder.
Method: This study was a semi-experimental research conducted in the form of pretest-posttest and follow-up with control group. The sample of this study included 20 male with borderline personality disorder in the prison of Semnan who were selected by an experienced psychiatrist based on the Structured Clinical Interview and Millon Clinical Multiaxial Inventory-III (MCMI-III). Participants were included randomly in two experimental groups (n=10) and one control group (n=10) and completed the Barratt Impulsivity Scale (BIS-II) and the Dissociative Experiences Scale (DES) in pretest, posttest and follow-up.  The experimental group received the cognitive-analytical therapy (CAT) for sixteen 120-minute sessions twice a week. Data were analyzed by mixed analysis of variance (ANOVA).
Results: The findings of this study showed that cognitive-analytic therapy (CAT) after 5 and 10 sessions had no significant effects on decreasing impulsivity and dissociative experiences of the experimental group compared to the control group, but after 16 sessions of intervention and one month follow-up, a significant effect on reduction of this symptoms was observed.
Conclusion: The results of the current study showed that cognitive-analytic therapy was an effective strategy to improve the symptoms of impulsivity and dissociative experiences inborderline personality and can be used as an effective therapeutic approach.

کلیدواژه‌ها [English]

  • Cognitive analytic group therapy
  • Impulsivity
  • Dissociative experiences
  • borderline personality disorder

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