مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی بالینی، دانشگاه سمنان، سمنان، ایران

2 دانشیار، گروه روانشناسی بالینی، دانشگاه سمنان، سمنان، ایران.

چکیده

هدف: باورهای فراشناختی از چالش‌های مهم درمان وابستگی است و روش‌های مؤثر درمانی می‌توانند نقش بسزایی در کاهش آن داشته باشند. این پژوهش با هدف پژوهش حاضر مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد بود.
روش: این مطالعه از نوع نیمه آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل ومرحله پیگیری سه ماهه بود. جامعه آماری شامل بیماران وابسته به مواد تحت درمان با متادون مراجعه‌کننده به مراکز ترک اعتیاد شهر شاهرود در سال 1403 بودند. ۴۸ نفر به صورت نمونه گیری هدفمند انتخاب و به صورت تصادفی در سه گروه 16 نفره شامل دو گروه آزمایش و یک گروه کنترل گمارده شدند. جهت جمع‌آوری داده‌ها از پرسشنامه باورهای فراشناختی ولز و کاترایت- هاتون (2004) استفاده شد. گروه آزمایشی اول، شناخت‌درمانی مبتنی بر ذهن‌آگاهی (8 جلسه 90 دقیقه‌ای) و گروه آزمایشی دوم درمان ذهن آگاهی مبتنی بر خودشفقت‌ورزی (8 جلسه 90 دقیقه‌ای) را به صورت یک جلسه در هفته دریافت کردند. داده‌ها با استفاده از تحلیل واریانس اندازه‌گیری‌های مکرر و آزمون تعقیبی بن‌فرونی در نرم افزار SPSS26 تحلیل شدند.
یافته‌ها: نتایج نشان داد هر دومداخله د بهبود مولفه‌های باورهای فراشناختی درپس‌آزمون وپیگیری موثر بوده‌اند (0/05<p). همچنین، بین دو گروه آزمایش تفاوت معناداری در میانگین پس‌آزمون و پیگیری مولفه‌های باورهای فراشناختی وجود داشت و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی نسبت به شناخت درمانی مبتنی بر ذهن‌آگاهی اثربخش‌تر بود (0/05<p).
نتیجه‌گیری: این یافته‌ها بر لزوم بهره‌گیری ازدرمان ذهن‌آگاهی مبتنی برخودشفقت‌ورزی در درمان وابستگی به مواد تأکید دارد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

A Comparison of the Efficacy of Mindfulness-Based Cognitive Therapy and Mindfulness-Based Self-Compassion on Metacognitive Beliefs in Individuals with Substance Dependence Receiving Methadone Maintenance Treatment

نویسندگان [English]

  • Narjes Ameri 1
  • Mahmoud Najafi 2
1 Ph.D. Student, Department of Clinical Psychology, Semnan University, Semnan, Iran.
2 Associate Professor, Department of Clinical Psychology, Semnan University, Semnan, Iran.
چکیده [English]

Background: Metacognitive beliefs are pose a significant challenge in addiction treatment. Effective therapeutic interventions have the potential to significantly reduce these beliefs. This study aimed to compare the effectiveness of Mindfulness-Based Cognitive Therapy and Self-Compassion-Based Mindfulness Therapy on metacognitive beliefs in individuals with substance dependence undergoing Methadone Maintenance Treatment.
Method:This quasi-experimental study employed a pretest–posttest design with a control group and a three-month follow-up. The statistical population included individuals with substance dependence receiving Methadone Maintenance Treatment at addiction treatment centers in Shahrood city in 2024. A total of 48 participants were selected via purposive sampling and randomly assigned to three groups of 16: two experimental groups and one control group. Data were collected using the Metacognitions Questionnaire (Wells & Cartwright-Hatton, 2004). The first experimental group received Mindfulness-Based Cognitive Therapy and the second Self-Compassion-Based Mindfulness Therapy, each delivered in eight weekly 90-minute sessions. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests via SPSS26.
Results: Both interventions led to significant improvements in metacognitive beliefs at the posttest and follow-up stages (p < 0.05). Additionally, Self-Compassion-Based Mindfulness Therapy demonstrated significantly greater efficacy compared to Mindfulness-Based Cognitive Therapy in reducing metacognitive beliefs (p < 0.05).
Conclusion: The findings indicate that both Mindfulness-Based Cognitive Therapy and Self-Compassion-Based Mindfulness Therapy are effective in improving metacognitive beliefs among individuals with substance dependence undergoing Methadone Maintenance Treatment. Notably, Self-Compassion-Based Mindfulness Therapy showed superior outcomes and may serve as a promising therapeutic approach for addressing psychological vulnerabilities in this population.

کلیدواژه‌ها [English]

  • Metacognitive beliefs
  • Self-compassion
  • Mindfulness
  • Cognitive therapy
  • Methadone Maintenance Treatment

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سابقه مقاله

  • تاریخ دریافت: 19 اسفند 1403
  • تاریخ بازنگری: 20 تیر 1404
  • تاریخ پذیرش: 20 خرداد 1404

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