اثربخشی درمان فراتشخیصی یکپارچه بر خطاهای شناختی، نشخوارفکری و اجتناب شناختی در مبتلایان به اختلال اضطراب اجتماعی (مطالعه موردی)

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی، دانشگاه خاتم، تهران، ایران

2 استادیار، گروه روانشناسی، دانشکده رفاه، تهران، ایران

چکیده

مقدمه: هدف از پژوهش حاضر تعیین اثربخشی درمان فراتشخیصی یکپارچه بر خطاهای شناختی، نشخوار فکری و اجتناب شناختی مبتلایان به اختلال اضطراب اجتماعی بود.
روش: طرح پژوهش تک آزمودنی با خط پایه چندگانه (ABAB) و پیگیری یک ماهه بود. جامعه آماری افراد مبتلا به اضطراب اجتماعی مراجعه­ کننده به کلینیک آروین در تهران، در سال 1400 بود که از این تعداد 3 نفر به شیوه نمونه­ گیری داوطلبانه دردسترس انتخاب شدند. تعداد 12 جلسه درمان فراتشخیصی یکپارچه روی آزمودنی­ها اجرا شد. ابزار گردآوری داده­ ها مقیاس پاسخ­های نشخواری نولن هوکسما و مارو، پرسشنامه اجتناب شناختی، پرسشنامه تحریف‌های شناختی، و پرسشنامه هراس اجتماعی بود. درمان مورد استفاده، پروتکل فراتشخیصی یکپارچه به مدت دوازده جلسه در دوماه، هفته‌ای یکساعت بود. برای تجزیه و تحلیل داده­ها از فرمول درصد بهبودی، اندازه اثر کوهن و ترسیم دیداری استفاده شد.
یافته ­ها: نتایج تجزیه و تحلیل داده­ها نشان داد درمان فراتشخیصی یکپارچه (UP) موجب بهبود متغیرهای پژوهشی شده است به گونه­ای که درصد بهبودی کلی اضطراب اجتماعی در هر سه آزمودنی به ترتیب 57%، 59% و 48% بود و این میزان در پیگیری یک ماهه نیز ثابت ماند.
نتیجه­ گیری: نتایج تجزیه و تحلیل داده­ها حاکی از اثربخشی درمان فراتشخیصی یکپارچه در کاهش خطاهای شناختی، نشخوار فکری و اجتناب شناختی در آزمودنی­ها می­باشد. این درمان می‌تواند به‌عنوان آموزش برای توان‌بخشی و ارتقای کیفیت زندگی بیماران مبتلا به اضطراب اجتماعی به کار رود.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Unified Trans diagnostic Therapy on Cognitive Errors, Rumination and Cognitive Avoidance in Social Anxiety Disorder Patients: A Case Study

نویسندگان [English]

  • Zahra Askari 1
  • Ghazal Zandkarimi 2
1 Master's Degree in Clinical Psychology, Khatam University, Tehran, Iran
2 Assistant Professor, Department of Psychology, Faculty of Welfare, Tehran, Iran
چکیده [English]

Introduction: This study aimed to investigate the effectiveness of unified trans-diagnostic treatment on cognitive errors, rumination, and cognitive avoidance in social anxiety disorder patients.
Method: The research was a single-case experimental design with multiple baselines (ABAB) as well as a one-month follow-up. The research population have been patients suffering from social anxiety referred to Arvin Clinic in 2022 and three participants were selected on a voluntary basis. Instruments included the Ruminative Response Scale, Cognitive Avoidance, Cognitive Distortion, and Social Panic Questionnaires. Therapy was performed according to the integrated unified trans-diagnostic protocol for one hour, two months, and twice a week. Percentage recovery, Cohen's effect size, and visual analysis were used to analyze the data.
Results: Results showed that integrated unified trans-diagnostic protocol significantly reduced cognitive errors, rumination, and cognitive avoidance in participants. The overall improvement percentage of social anxiety in the participants was 57%, 59%, and 48% and these rates remained stable in the one-month follow-up.


Conclusion: These findings suggested that integrated trans-diagnostic therapy is an essential therapy to remedy cognitive errors, ruminations, and cognitive avoidance and is highly recommended for treatment of the social anxiety-disordered patients.

کلیدواژه‌ها [English]

  • Keywords: Integrated Unified Trans diagnostic treatment
  • cognitive errors
  • rumination
  • cognitive avoidance
  • social anxiety disorder

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