اثربخشی درمان مبتنی بر تنظیم شناختی - رفتاری هیجان بر تنظیم هیجان و نشانه‌های اختلال نافرمانی مقابله‌ای در نوجوانان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری روانشناسی بالینی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

2 استاد، گروه روانشناسی بالینی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

چکیده

مقدمه: اختلال نافرمانی مقابله‌ای از رایج‌ترین دلایل ارجاع در
روان­پزشکی کودک و نوجوان است. یک اشکال شدید در تنظیم هیجان در این اختلال وجود دارد. پژوهش حاضر با هدف بررسی اثربخشی درمان مبتنی بر تنظیم شناختی - رفتاری هیجان بر نشانه‌های اختلال و تنظیم هیجان در نوجوانان با اختلال نافرمانی مقابله‌ای انجام شد.
روش: طرح پژوهش، تجربی تک‌موردی از نوع خط پایه چندگانه بود. از بین دختران مراجعه ­کننده به مراکز روانشناسی شهر شیراز در سال تحصیلی 1400-1399، سه دختر نوجوان با اختلال نافرمانی مقابله‌ای از طریق مصاحبه بالینی ساختاریافته و نمره برش در پرسشنامه اختلال نافرمانی مقابله‌ای گزارش والد، و با لحاظ ملاک‌های ورود و خروج، به روش نمونه‌گیری در دسترس انتخاب شدند. مصاحبه تشخیصی انجام شد و پرسشنامه‌های اختلال نافرمانی مقابله‌ای و تنظیم هیجان به عنوان ابزارهای ارزشیابی در مراحل پیش­آزمون، درمان و پیگیری به کار گرفته شد. درمان مبتنی بر تنظیم شناختی - رفتاری هیجان به مدت 10 جلسه 90 دقیقه‌ای فردی روی این سه نفر اجرا شد. برای تحلیل داده‌ها از نرم‌افزار اکسل 16 استفاده‌شد.
یافته­ ها: رسم نمودار، فرمول درصد بهبودی، شاخص تغییر پایا و درصد غیرهم پوشی داده‌ها نشان داد تأثیر درمان مبتنی بر تنظیم شناختی - رفتاری هیجان بر شدت علائم اختلال و مؤلفه فرونشانی در افراد با اختلال نافرمانی مقابله‌ای معنی‌دار است اما درمان بر مؤلفه بازارزیابی تأثیر معنی‌دار نداشته است.
نتیجه ­گیری: درمان مبتنی بر تنظیم شناختی - رفتاری هیجان می‌تواند باعث کاهش علائم اختلال نافرمانی مقابله‌ای و کاهش فرونشانی شود. بر این اساس می‌توان از این درمان برای بهبود اختلال نافرمانی مقابله‌ای و نظم­ جویی بهتر هیجان استفاده کرد.

کلیدواژه‌ها

عنوان مقاله [English]

Emotion Regulation and Oppositional Defiant Disorder Symptoms in Adolescence

نویسندگان [English]

  • Mahboobeh Javid 1
  • noorallah mahammmadi 2
  • Changiz Rahimi 2
1 PhD in Clinical Psychology, Faculty of Educational Sciences and Psychology, Shiraz University, Shiraz, Iran
2 Professor, Department of Clinical Psychology, Faculty of Educational Sciences and Psychology, Shiraz University, Shiraz, Iran
چکیده [English]

Introduction: Oppositional defiant disorder (ODD) is one of the most common referrals in child and adolescent psychiatry. People with ODD have problems with emotion regulation. The aim of this study was to evaluate the effectiveness of therapy based on cognitive-behavioral emotion regulation on the symptoms of the disorder and cognitive regulation in adolescents with oppositional defiant disorder (ODD).
Method: The design of this study was a type of multiple non-concurrent baseline design. Among the girls referred to psychological centers in Shiraz in the academic year 2020-2021, three clients were selected by convenience sampling method, based on conducting the diagnostic interview, cut-off point 16 in the ODD scale reported by parents, and inclusion and exclusion criteria. An Emotion Regulation Questionnaire & Oppositional Defiant Disorder Rating Scale were used in the baseline, treatment, and follow-up steps. An intervention with the Emotion Cognitive-Behavioral Regulation Therapy for 10 individual sessions each lasting for 90 minutes was performed. Version 16 of Excel software was used to analyze the data.
Results: visual analysis (chart drawing), the index of stable change, the percentage of improvement, and the percentage of non-overlapping data (PND) indicated the therapy based on cognitive-behavioral regulation of emotion had reduced the severity of the symptoms of the disorder and suppression. Treatment had a moderate effect on the reappraisal component.
Conclusion: According to the results, Emotion Cognitive-Behavioral Regulation Therapy can reduce the symptoms of ODD and reduce suppression. Accordingly, this treatment can be used to improve ODD and better emotion regulation.

کلیدواژه‌ها [English]

  • Emotion Regulation
  • suppression
  • reappraisal
  • oppositional defiant disorder

مراجع

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