اثر بخشی درمان شناختی رفتاری واحدپردازه ای بر حساسیت اضطرابی ،تحریف های شناختی در دختران مبتلا به نشانگان بالینی اضطراب اجتماعی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی عمومی، دانشگاه علوم و تحقیقات خراسان رضوی، خراسان رضوی، ایران

2 دانشیار، دانشگاه آزاد اسلامی واحد نیشابور، خراسان رضوی، ایران

3 استادیار، گروه روانپزشکی، دانشگاه علوم پزشکی مشهد، خراسان رضوی، ایران

چکیده

مقدمه: پژوهش حاضر با هدف بررسی اثربخشی درمان شناختی رفتاری واحدپردازه ای بر حساسیت اضطرابی و تحریف های شناختی در دختران مبتلا به اضطراب اجتماعی انجام شد.
روش: پژوهش حاضر از نوع نیمه آزمایشی با طرح پیش آزمون - پس آزمون با گروه کنترل بود. جامعه آماری پژوهش را کلیه دانش آموزان دختر مبتلا به اضطراب اجتماعی شهر مشهد و نمونه آماری شامل 24 نفر از دانش آموزان مبتلا به اضطراب اجتماعی بودند، که با روش نمونه گیری در دسترس انتخاب شدند.برای جمع آوری داده ها از پرسشنامه حساسیت اضطرابی تجدید نظر شده کوکس و تیلور، تحریف های شناختی بک و وایسمن استفاده شد. گروه آزمایش به مدت 10جلسه 90 دقیقه ای تحت مداخله قرار گرفتند.
یافته ها: نتایج تحلیل کوواریانس نشان داد که با کنترل اثر پیش آزمون در مرحله پس آزمون بین دو گروه کنترل و آزمایش در متغیرهای حساسیت اضطرابی و تحریف های شناختی تفاوت معناداری وجود دارد. به طوری که گروه آزمایش در مقایسه با گروه کنترل کاهش معناداری نشان داد. همچنین نتایج پژوهش کاهش در زیر مقیاس های ترس از واکنش های اضطرابی، ترس از نشانه های قلبی عروقی و تنفسی و عدم مهار شناختی حساسیت اضطرابی او زیر مقیاس نیاز به تأیید دیگران و آسیب پذیری-ارزشیابی عملکرد تحریف های شناختی را نشان داد.
نتیجه گیری: از آنجا که مبتلایان به اضطراب اجتماعی علایم حساسیت اضطرابی و تحریف های شناختی دارند، لذا استنفاده از مداخله شناختی رفتاری واحدپردازه ای به عنوان درمانی اثربخش در مبتلایان به اضطراب اجتماعی پیشنهاد می گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Modular Cognitive Behavioral Therapy on the anxiety sensitivity, cognitive distortions of teen girls who has Social Anxiety Disorder.

نویسندگان [English]

  • Sona Bahari 1
  • Hassan Toozandehjani 2
  • Elham taheri 3
1 PhD student in General Psychology, Khorasan Razavi University of Science and Research, Khorasan Razavi, Iran
2 Associate Professor, Islamic Azad University, Neishabour Branch, Khorasan Razavi, Iran
3 Assistant Professor, Department of Psychiatry, Mashhad University of Medical Sciences, Khorasan Razavi, Iran
چکیده [English]

Introduction: The aim of this study then was to investigate the effectiveness of modular cognitive behavioral therapy on anxiety sensitivity and cognitive distortions in girls with social anxiety.
Method: A semi-experimental design with pretest-posttest and control group was applied. The statistical population of the study consisted of all female students with social anxiety in Mashhad. The statistical sample consisted of 24 students with social anxiety, who were selected by available sampling method and assigned to the experimental and control groups. The revised Cox and Taylor anxiety sensitivity questionnaire, Beck and Weisman cognitive distortions were used for data collection. After performing the pre-test, the experimental group underwent intervention for 10 sessions of 90 minutes, while the control group was placed on the waiting list.
Findings: The results of analysis of covariance showed that by controlling the effect of pre-test in the post-test stage, there is a significant difference between the control and experimental groups in the variables of anxiety sensitivity and cognitive distortions. So that the experimental group showed a significant decrease compared to the control group. Also, the results of the study showed a decrease in the subscales of fear of anxiety reactions, fear of cardiovascular and respiratory symptoms and lack of cognitive control of his anxiety sensitivity subscale.
Conclusion: According to the research findings, since patients with social anxiety have symptoms of anxiety sensitivity and cognitive distortions, the use of modular cognitive-behavioral intervention as an effective treatment in patients with social anxiety is recommended.

کلیدواژه‌ها [English]

  • :Modula Cognitive-Behavioral Therapy
  • Anxiety Sensitivity
  • Cognitive Distortions
  • Social Anxiety

مراجع

منابع
1. Kaplan, B.J., Kaplan and sadock’s synopsis of psychiatry. Behavioral sciences/clinical psychiatry. Tijdschrift voor Psychiatrie, 2016. 58(1): p. 78-79.
2. Clark, D.A. and A.T. Beck, Cognitive therapy of anxiety disorders: Science and practice. 2011: Guilford Press.
3. Anderson, E.R. and D.A. Hope, The relationship among social phobia, objective and perceived physiological reactivity, and anxiety sensitivity in an adolescent population. Journal of anxiety disorders, 2009. 23(1): p. 18-26.
4. Association, A.P., Diagnostic and statistical manual of mental disorders. 2013: American Psychiatric Publishing.
5. Hofmann, S.G., Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia. Behaviour Research and Therapy, 2005. 43(7): p. 885-895.
6. Chen, N.T. and P.J. Clarke, Gaze-based assessments of vigilance and avoidance in social anxiety: a review. Current psychiatry reports, 2017. 19(9): p. 59.
 
7. Aderka, I.M., et al., Functional impairment in social anxiety disorder. Journal of anxiety disorders, 2012. 26(3): p. 393-400.
8. Shirasawa, T., et al., The relationship between distorted body image and lifestyle among Japanese adolescents: a population-based study. Archives of Public Health, 2015. 73(1): p. 32.
9. Niemeyer, H., S. Moritz, and R. Pietrowsky, Responsibility, metacognition and unrealistic pessimism in obsessive–compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 2013. 2(2): p. 119-129.
10. Raines, A.M., et al., Obsessive compulsive disorder and anxiety sensitivity: Identification of specific relations among symptom dimensions. Journal of Obsessive-Compulsive and Related Disorders, 2014. 3(2): p. 71-76.
11. Taylor, C.T. and L.E. Alden, Social interpretation bias and generalized social phobia: The influence of developmental experiences. Behaviour Research and Therapy, 2005. 43(6): p. 759-777.
12. Howell, A.N., et al., Anxiety sensitivity, distress tolerance, and discomfort intolerance in relation to coping and conformity motives for alcohol use and alcohol use problems among young adult drinkers. Addictive behaviors, 2010. 35(12): p. 1144-1147.
13. Goldin, P.R., et al., Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder. Behaviour research and therapy, 2014. 56: p. 7-15.
14. Rector, N.A., K. Szacun-Shimizu, and M. Leybman, Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. Behaviour Research and Therapy, 2007. 45(8): p. 1967-1975.
15. Sigurvinsdóttir, A.L., et al., Effectiveness of cognitive behavioral therapy (CBT) for child and adolescent anxiety disorders across different CBT modalities and comparisons: a systematic review and meta-analysis. Nordic Journal of Psychiatry, 2020. 74(3): p. 168-180.
16. Storch, M., et al., Psychoeducation in affect regulation for patients with eating disorders: a randomized controlled feasibility study. American journal of psychotherapy, 2011. 65(1): p. 81-93.
17. McCabe, M.P. and M. Vincent, The role of biodevelopmental and psychological factors in disordered eating among adolescent males and females. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 2003. 11(4): p. 315-328.
18. Tuschen-Caffier, B., S. Kühl, and C. Bender, Cognitive-evaluative features of childhood social anxiety in a performance task. Journal of behavior therapy and experimental psychiatry, 2011. 42(2): p. 233-239.
19. Laurito, L.D., et al., Predictors of benzodiazepine use in a transdiagnostic sample of panic disorder, social anxiety disorder, and obsessive-compulsive disorder patients. Psychiatry research, 2018. 262: p. 237-245.
20. Clark, D.M. and A. Wells, A cognitive model of social phobia. Social phobia: Diagnosis, assessment, and treatment, 1995. 41(68): p. 00022-3.
21. Goldin, P.R., et al., Neural mechanisms of cognitive reappraisal of negative self-beliefs in social anxiety disorder. Biological psychiatry, 2009. 66(12): p. 1091-1099.
22. Eidelman, P., et al., Change in dysfunctional beliefs about sleep in behavior therapy, cognitive therapy, and cognitive-behavioral therapy for insomnia. Behavior therapy, 2016. 47(1): p. 102-115.
23. Wang, W.-T., et al., The hierarchical model of social interaction anxiety and depression: The critical roles of fears of evaluation. Journal of Anxiety Disorders, 2012. 26(1): p. 215-224.
24. Wheaton, M.G., et al., Dimensions of anxiety sensitivity in the anxiety disorders: Evaluation of the ASI-3. Journal of Anxiety disorders, 2012. 26(3): p. 401-408.
25. Chorpita, B.F. and M.A. Southam-Gerow, Fears and Anxieties. 2006.
26. Chorpita, B.F., et al., Toward large‐scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 2002. 9(2): p. 165-190.
27. Chorpita, B.F., et al., Efficacy of modular cognitive behavior therapy for childhood anxiety disorders. Behavior Therapy, 2004. 35(2): p. 263-287.
28. Chorpita, B.F., E.L. Daleiden, and J.R. Weisz, Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental health services research, 2005. 7(1): p. 5-20.
29. Laurie, A.D., An Investigation Into The Relationship Between Disassociation, Life Satisfaction and Loss of Control in The Explanation of Gambling Behaviour. 2008, University of Surrey (United Kingdom).
30. Galla, B.M., et al., One year follow-up to modular cognitive behavioral therapy for the treatment of pediatric anxiety disorders in an elementary school setting. Child Psychiatry & Human Development, 2012. 43(2): p. 219-226.
31. Chiu, A.W., et al., Effectiveness of modular CBT for child anxiety in elementary schools. School psychology quarterly, 2013. 28(2): p. 141.
32. Salimzade, O., R. Pourhosein, and M. Lavasani, Investigating the effectteaching mindfulness-based stress reduction in reducing psychological symptoms in adolescent boys in dorms. International Journal of Behavioral Social and Movement Sciences, 2014. 3(4): p. 44-9. (Persian
33. MoradiManesh F, Mirjafari SA, Godarzi M A &Mohammadi N. the survey of psychometric dimensions of ASI-R. Psycholo J. 2006;11(4):426- 46. (Persian).
34. Gharaei, B., Determination of the identity conditions and its relationship with identity and depression style among teenagers (dissertation). Iran University of medical sciences, 2003. (Persian).
35. Sohrabi, N., Psychometric properties of Dysfunctional Attitude Scale. 2015. (Persian
36. Chorpita, B.F., Modular cognitive-behavioral therapy for childhood anxiety disorders. 2007: Guilford Press.
37. López‐Mourelo, O., et al., Social anxiety and autism spectrum traits among adult FMR1 premutation carriers. Clinical genetics, 2017. 91(1): p. 111-114.
38. Smink, F.R., et al., Prevalence and severity of DSM‐5 eating disorders in a community cohort of adolescents. International Journal of Eating Disorders, 2014. 47(6): p. 610-619.
39. Hezel, D.M. and R.J. McNally, Theory of mind impairments in social anxiety disorder. Behavior therapy, 2014. 45(4): p. 530-540.
40. Kendall, P.C., Child and adolescent therapy: Cognitive-behavioral procedures. 2011: Guilford Press.
41. Hayes, S.C., K.D. Strosahl, and K.G. Wilson, Acceptance and commitment therapy: The process and practice of mindful change. 2011: Guilford Press.
42. Peschard, V., et al., Social anxiety and sensitivity to social-rank features in male faces. Journal of behavior therapy and experimental psychiatry, 2019. 63: p. 79-84.
43. Lebowitz, E.R., et al., Anxiety sensitivity moderates behavioral avoidance in anxious youth. Behaviour research and therapy, 2015. 74: p. 11-17.
44. Ino, K., et al., Anxiety sensitivity as a predictor of broad dimensions of psychopathology after cognitive behavioral therapy for panic disorder. Neuropsychiatric Disease and Treatment, 2017. 13: p. 1835.
45. Cusack, S.E., T.V. Cash, and S.R. Vrana, An examination of the relationship between misophonia, anxiety sensitivity, and obsessive-compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 2018. 18: p. 67-72.
46. Anderson, B., et al., Self-representation in social anxiety disorder: Linguistic analysis of autobiographical narratives. Behaviour Research and Therapy, 2008. 46(10): p. 1119-1125.
47. Wright, J.H., et al., Learning cognitive-behavior therapy: An illustrated guide. 2017: American Psychiatric Pub.
48. Capron, D.W., et al., The depression distress amplification model in adolescents: A longitudinal examination of anxiety sensitivity cognitive concerns, depression and suicidal ideation. Journal of Adolescence, 2015. 41: p. 17-24.

فایل ها

سابقه مقاله

  • تاریخ دریافت: 06 آبان 1398
  • تاریخ بازنگری: 20 مهر 1399
  • تاریخ پذیرش: 15 آذر 1399

هم رسانی

ارجاع به این مقاله

آمار