مقایسه اثربخشی طرحواره درمانی با درمان مبتنی بر پذیرش و تعهد بر نشانگان تیپ شخصیتی نوع D و پیروی از درمان در بیماران کرونر قلبی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران

2 گروه روانشناسی، دانشگاه فردوسی مشهد، مشهد، ایران

10.22075/jcp.2020.12459.1217

چکیده

مقدمه: هدف مطالعه حاضر مقایسه اثربخشی طرحواره درمانی با درمان مبتنی بر پذیرش و تعهد بر نشانگان تیپ شخصیتی نوع D و پیروی از درمان در بیماران کرونر قلبی بود.
روش: یک طرح تک آزمودنی با کنترل خط پایه چندگانه همزمان و با پیگیری 6 هفته­ای اجرا شد. 10 مرد مبتلا به بیماری قلبی به روش نمونه­ گیری در دسترس از میان بیماران بیمارستان رضوی مشهد انتخاب شدند. اثربخشی پروتکل درمانی طی 3 مرحله (خط پایه، درمان 10 جلسه­ای و پیگیری 6 هفته­ ای) با استفاده از پرسشنامه نشانگان تیپ شخصیتی نوع D و پرسشنامه پیروی از درمان (MMAS-8) مورد بررسی قرار گرفت. داده­ها به روش ترسیم دیداری، شاخص تغییر پایا (RCI)، فرمول درصد بهبودی و معناداری بالینی تحلیل شدند.
یافته ­ها: تحلیل نتایج نشان داد که در مرحله پس ­آزمون طرحواره درمانی نسبت به درمان پذیرش و تعهد به میزان بیشتری موجب کاهش معنادار نشانگان تیپ شخصیتی نوع D و افزایش پیروی از درمان بیماران قلبی می شود. اما در مرحله پیگیری، طرحواره درمانی در کاهش نشانگان تیپ شخصیتی نوعD  و افزایش پیروی از درمان مؤثرتر بود.
نتیجه­ گیری: نتایج نشان داد که از نظر معناداری آماری طرحواره درمانی بهبودی بیشتری را در رفتارهای آماج ایجاد کرد. اما از لحاظ معناداری بالینی تفاوتی بین طرحواره درمانی و پذیرش و تعهد در رفتارهای آماج وجود ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Schema Therapy and Acceptance and Commitment Therapy on Personality Type D and Adherence to Treatment in Patients with Coronary Artery Disease

نویسندگان [English]

  • Mohammad ebrahim Hokmabadi 1
  • Imanollah Bigdeli 2
  • Mohamad javad Asghari ebrahimabad 2
  • Javanshir Asadi 1
1 Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran
2 Department of Psychology, School of Educational Sciences and Psychology, Ferdowsi University, Mashhad, Iran
چکیده [English]

Abstract
Introduction: The purpose of this study was to compare the effectiveness of schema therapy with acceptance and commitment therapy on type D personality and adherence to treatment in coronary heart disease patients.
Method: A  single-subject design with multiple baseline control and 6-week follow-up was applied. Ten men with heart disease were selected by convenience sampling method among patients of Razavi Hospital in Mashhad. The efficacy of treatment protocol in three stages (baseline, 10-session treatment and 6-weeks follow-up) was examined using Type D Personality Questionnaire and  Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using visual charting, Reliable Change Index (RCI), Percentage Recovery Formula and Clinical Significance.
Results: In the post-test phase, schema therapy significantly reduced type D personality and increased adherence to treatment for cardiac patients compared to acceptance and commitment therapy (p < 0.05), but at follow-up, Schema therapy was more effective in reducing type D personality and increasing adherence to treatment.
Conclusion: The results showed that schema therapy significantly improved target behaviors. No clinically important difference evident between schema therapy and acceptance and commitment therapy in term of target behaviors.

کلیدواژه‌ها [English]

  • Schema Therapy
  • Acceptance and Commitment Therapy (ACT)
  • Type D Personality
  • Adherence to Treatment
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