اثربخشی رفتاردرمانی دیالکتیک بر بخشش خود و افسردگی دختران نوجوان دارای سابقه خودزنی شهر اصفهان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران

2 استادیار گروه روانشناسی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران

3 روان‌پزشک، مدرس دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران

چکیده

مقدمه: خودزنی از جمله علائم برخی از اختلالات روانشناختی است که بعضا از نوجوانی شروع می­شود. این پژوهش با هدف بررسی اثربخشی رفتاردرمانی دیالکتیک بر گذشت و افسردگی دختران نوجوان دارای سابقه خودزنی شهر اصفهان انجام گرفت.
روش: روش پژوهش نیمه­ آزمایشی از نوع پیش­ آزمون - پس­ آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل کلیه دختران نوجوان با سابقه خودزنی که در سال 1397 به مراکز مشاوره شهر اصفهان مراجعه کرده بودند. به این ترتیب 30 دختر نوجوان به شکل نمونه گیری در دسترس با توجه به ملاک ­های ورود و خروج انتخاب و به طور تصادفی در دو گروه آزمایش و گروه کنترل گمارده شدند (هر گروه 15 نفر). آزمودنی­ها قبل و بعد از مداخله به ابزارهای پژوهش شامل پرسشنامه­ های مقیاس گذشت بین فردی و پرسشنامه افسردگی بک پاسخ دادند. آزمودنی­های گروه آزمایش به مدت 8 جلسه 90 دقیقه­ای تحت رفتاردرمانی دیالکتیک قرار گرفتند اما گروه کنترل هیچ مداخله­ای دریافت نکرد. داده­ ها در دو سطح توصیفی (میانگین و انحراف استاندارد) و سطح استنباطی (تحلیل کواریانس چندمتغیره) تحلیل شد.
یافته­ ها: نتایج حاصل از تحلیل داده­ها نشان داد که گروه آزمایش در مقایسه با گروه کنترل در متغیر بخشش خود افزایش معنادار در مرحله پس­ آزمون داشته و در متغیر و افسردگی نیز کاهش معناداری در گروه آزمایش نسبت به گروه کنترل وجود داشت.
نتیجه­ گیری: بنابر یافته­ های پژوهش، می­توان برای یهیود گذشت بین فردی و کاهش افسردگی در دختران نوجوان دارای سابقه خودزنی، از رفتاردرمانی دیالکتیک سود جست.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Dialectical Behavior Therapy on Self-Forgiveness and Depression in Teenager Girls with Self-injury History in Isfahan

نویسندگان [English]

  • Amineh Sadat Tabatabayi 1
  • Zahra Yosofi 2
  • Masood Motamedi 3
  • Sara Taheri 1
1 Master of Clinical Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran
2 Assistant Professor, Department of Psychology, Faculty of Education and Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran
3 Psychiatrist, Lecturer, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran
چکیده [English]

Abstract
Introduction: Self-injury is defined as a deliberate destruction or deliberate alteration of body tissues that results in damage to the tissues. The purpose of this study was to investigate the effectiveness of dialectical behavior therapy on other-forgiveness and depression in teenager girls with self-injury history in Isfahan.
Method: The research method was a pre-test-posttest with a control group. The statistical population of the study consisted of all teenager girls with a history of self-injury who referred to counseling centers in Isfahan in 2018. A sample of 30 teenager girls were randomly selected that were selected by inclusion/exclusion criteria and randomly assigned to experimental and control groups (each group was 15). Subjects before and after the intervention, responded to the questionnaire of Interpersonal Motivation related to injury and Beck Depression Inventory. The experimental group received dialectical treatment therapy for 8 sessions of 90 minutes, while  no intervention  received by the control group.
Results: The data were analyzed in two descriptive levels (mean and standard deviation) and inferential level (multivariate covariance analysis). The results indicated significant increase in the mean of forgiveness and a decrease in mean of depression in the experimental group compared to the control group (p≤0.05).
Conclusion: According to research findings, dialectical behavior therapy can be used to increase forgiveness and reduce depression in teenager girls with a history of self-injury.

کلیدواژه‌ها [English]

  • Self-Forgiveness
  • depression
  • Self-injury
  • Dialectic Behavioral Therapy
  1. منابع

    1. Hawton K, Saunders K, Connor R. Self-harm and suicide in adolescents. 2012; the Lancet, 379(9834), 2373-2382.

    2. Nock MK, Prinstein MJ.Contextual features and behavioral functions of self-mutilation among adolescents. J of Abnorm Psychol.2005; 114:140–146.

    3. Khanipour H, Barjaili A, Falsfinejad MR. Suicidal self-immolation in juvenile offenders with a history Child Abuse: Motives and Suicide Special Personnel Schedule. 2017;12(23): 59-79. (Persian)

    4. Nock M K, Joiner TE, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. J of Psychiatry Res.2007; 144(7): 65–72.

    5. Muehlenkamp JJ, Gutierrez PM.An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. J of Suicide Life Threat Behav. 2004; 34(8): 12-22.

    6. Plener PL, Kaess M, Schmahl C, Pollak S, Fegert JM, Brown RC. Nonsuicidal Self-Injury in Adolescents. 2018; 115(3):23-30. doi: 10.3238/arztebl.2018.0023.

    7. Ross S, N L. Heath. A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents.J of Youth and Adolesc. 2002; 31(14):67–77.

    8. Bakken NW. Self-Cutting and Suicidal Ideation among Adolescents: Gender Differences in the Causes and Correlates of Self-Injury. J of Deviant Behav. 2012; 33(7): 339–356.

    9. Kaplan HI, Sadock BJ. Synopsis of psychiatry: Behavioral sciences, clinical psychiatry 11th edition. Published by LWW. 2015.

    10. Jahangasht Kh, Asiri SH, Pakseresht S, Kazemnejad-Leili E. Prevalence of Depression Symptoms and its related Factors in School Students. J of Nurs and Midwifery 2014; 26(9): 8-15. (Persian)

    11. Mc Cullough M, Root LM. Forgiveness as change. In: E.L. Worthington Jr Editor. Handbook of forgiveness. Brunner-Routledge. New York. 2005; pp. 207–226

    12. Hall JH, Fincham FD. The temporal course of self-forgiveness. J of Soc and Clin Psychol. 2008; 27(12): 174-202.

    13. Wohl MJ, DeShea L, Wahkinney RL. Looking within: Measuring stateOther-Forgivenessand its relationship to psychological wellbeing. Canadian. J of Behav Sci.2008; 40:1-10.

    14. Hawton K, Hall S, Simkin S, et al. Deliberate self-harm in adolescents: a study of characteristics and trends in Oxford, 1990–2000. J Child Psychol Psychiatry.2005; 44(9): 1191–98.

    15. Robins CJ, Koons CR. Dialectical behavior therapy for severe personality disorder. In J.J. Magnavita (Ed.). Handbook of personality disorders: Theory and practice. New York: Wiley; 2004.

    16. Miller AM, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. New York: Guilford. 2007; 14(5): 38-95.

    17. Linehan MM. Cognitive-behavior treatment of borderline personality disorder. New York, USA: the Guilford press.1993.

    18. Kroger C, Schweiger U, Sipos V, Arnold R, gkahl K, schunert T. Effective of dialectical Behavioral therapy for borderline personality disorder in an inpatient unit. Behav res and ther. 2006; 44: 1211-1217

    19. Dimeff L, korner K, Linehan MM. Summury research on DBT. The Behavioral technology transfers group; 2001.

    20. Shaffer D, Jacobson C. Proposal to the DSM-V Childhood Disorder and Mood Disorder Work Groups to Include Non-Suicidal Self-Injury (NSSI) as a DSM-V Disorder. American Psychiatric Association.2009; 1-21.

    21. Linhan MM, Chen EY.Dialectical behaior therapy in eating disorders. In Freeman. A,. (Ed). EncychIopeda of cognitiw behavior therapy (pp ivi). New York: Springer;

    22. Ross S, Heath N. A Study of the Frequency of Self Mutilation in a Community Sample of adolescents. J of Youth and Adolesc. 2002; 31(1): 67–77.

    23. Lynch TR, Morse JQ, Mendelson T, Robins CJ. Dialectical behavior therapy for depressed older adults: A randomized pilot study. Am J Geriat Psychiat. 2003; 11(1): 43-35.

    24. Gray NO, Susan P, Keane RM, Hurst JT, Mitchell JB, Warburton JT, Chok AR. A modified DBT skills training program for oppositional defiant adolescents: promising preliminaryfindings. Behav Res Ther. 2006; (44):1811–20.

    25. Alavi kh. The Effectiveness of Group Dialectic Behavioral Therapy in Reducing Depression Symptoms Students in Mashhad. MSc Thesis. Ferdowsi University of Mashhad.2009. (Persian)

    26. Madahi ME, Madah L. Eeffectivness of dialectical behavior therapy in reducing depression and suicide thoughts in girl students. J of Sch Psychol. 2014; 3(16): 74-85. (Persian)

    27. Alijanzadeh M, Makvand-Hosseini Sh, Kianersi F. The Effectiveness of Group Dialectical Behavior Therapy (Based on Skills Training) on Aggression in Adolescents. J of Clin Psychol. 2014; 3 (23): 17-29. (Persian)

    28. Fatahi R. The Effectiveness of the Islamic Menu Therapeutic Group on Depressed Symptoms and quality of life of female students of Isfahan University, Master's thesis. University of Esfahan.2010. (Persian)

    29. McCullough M E, Rachal KC, Sandage S J, Worthington EL, Brown SW, Hight TL. Interpersonal forgiving in close relationships II: Theoretical elaboration and measurement. J of Pers and Soc Psychol. 1988; 75(6): 78-99.

    30. McCullough ME, Bellah CG, Kilpatrick SD, Johnson JL. Vengefulness: Relationships with forgiveness, rumination, well-being, and the big five. Pers Soc Psychol Rev Bulletin.2011; 27(5): 601- 610.

    31. Khojasteh Mehr R, Karaieh A, Abbaspour Z. Characteristics Evaluation Psychometric Analysis of Injury Related Injury Questionnaire. Journal of Behavioral Sciences Research. 2010; 31(3): 22-37. (Persian)

    32. Beck AT, Steer RA. Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Coporation. 1993.

    33. Marnat, Gary Hertha. Psychological Evaluation Guide. Translation by Pasha Sharifi H, Nikkhoo MR. Speech Publication: Tehran. 2005. (Persian)

    1. 34.  National Collaborating Centre for Mental Health. Self-harm: longer term management. NICE clinical guideline 133. London: National Institute for Clinical Excellence. 2007.

    35. Morrison V, Bennett P. An introduction to health psychology: Pearson Education; 2009.

    36. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years later. J of Clin Psychol Rev. 1988; 8, 77-100.

    1. 37.  Fatehizadeh M, Shafiabadi A, Eatemadi A, Delavar A. The effectiveness of dialectical behavior therapy and cognitive-behavioral therapy in reducing symptoms of borderline personality disorder in female patients of Isfahan. J Psychol Stud. 2006; 2(3-4):7-24. (Persian)

    38. Trousselard M, Steiler D, Raphel D, Cian C, Duymedjian R, Claverie D, Canini D. Validation of a French version of the Freiburg Mindfulness Inventory- short version: relationships between mindfulness and stress in an adult population. Bio Psycho Soc Med. 2010; (4):1-11.

    39. Jerman F, Van-Der-Linden M, Acremont M, Zermatten, A. Cognitive Emotion Regulation Questionnaire (CERQ): Confirmatory Factor Analysis and Psychometric Properties of the French Translation. Eur. J of Psychol Assess. 2006; 22(2): 126-131.

    40. Berking M, Margraf M, Ebert D, Wupperman P, Hofmann SG, Junghanns K. Deficits in emotion- egulation skills predict alcohol use during and after cognitive-behavioral therapy for alcohol dependence. J Consult Clin Psychol. 2011 Jun; 79(3): 307-18.