fa مقایسه اثربخشی درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهن‌آگاهی بر نگرانی در بیماران مبتلا به اختلال اضطراب فراگیر تخصصي Special پژوهشي Research <span style="line-height:115%"><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مقدمه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">: </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">اختلال اضطراب فراگیر یکی از اختلالات شایع روانپزشکی می&shy;باشد که وجه مشخصه آن نگرانی مزمن و غیرقابل کنترل است. هدف از پژوهش حاضر </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">مقایسه اثربخشی درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهن&rlm;آگاهی بر نگرانی در بیماران مبتلا به اختلال اضطراب فراگیر </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">بود.</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal"></span></span></span></span><br> <span style="line-height:115%"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">روش کار</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">: روش پژوهش </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">نیمه&shy;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">آزمایشی با طرح پیش&shy;آزمون، پس&shy;آزمون و پیگیری </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">2</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal"> ماهه با گروه کنترل بود. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">جامعه آماری پژوهش حاضر کلیه بیماران مبتلا به اختلال اضطراب فراگیر شهر تهران در سال بهار 1402 بود. </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">در مرحله اول تعداد </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">45</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">نفر با نمره 10 و بالاتر در مقیاس اختلال اضطراب فراگیر انتخاب و سپس به شیوه تصادفی ساده در 2 گروه آزمایش (هر گروه 15 نفر) و یک گروه کنترل (15 نفر) جایگزین شدند. سپس بیماران گروه‌&shy;های آزمایش تحت درمان هیجان&shy;مدار و شناخت درمانگری مبتنی بر ذهن&shy;آگاهی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخله&rlm;ای دریافت نکرد</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">و در لیست انتظار باقی ماند. از </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">مقیاس اختلال اضطراب فراگیر (</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">GAD-7</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">) و </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">پرسشنامه نگرانی ایالت پنسیلوانیا (</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">PSWQ</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">) به منظور گردآوری اطلاعات استفاده شد. تحلیل داده&rlm;ها از طریق نرم&rlm;افزار </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">SPSS</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal"> نسخه 28 با استفاده از تحلیل واریانس با اندازه&shy;گیری مکرر و آزمون تعقیبی بن فرونی انجام شد.</span></span></span></span><i><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black"></span></span></span></i></span><br> <span style="line-height:115%"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">یافته&shy;ها</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">: </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">نتایج نشان داد </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">درمان هیجان مدار و شناخت درمانگری مبتنی بر ذهن&rlm;آگاهی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">تاثیر معناداری بر کاهش </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">نگرانی</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">در بیماران مبتلا به اختلال اضطراب فراگیر </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">داشته&shy;اند (05/0></span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">P</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">). نتایج آزمون تعقیبی بن&shy;فرونی نشان داد که درمان هیجان مدار تاثیر بیشتری نسبت به شناخت درمانگری مبتنی بر ذهن&shy;آگاهی <span style="color:black">دارد</span> (05/0></span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">P</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">).</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal"></span></span></span></span><br> <span style="line-height:115%"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نتیجه &shy;گیری</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">: طبق نتایج این مطالعه، </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">می&shy;توان نتیجه&shy;گیری کرد که علاوه بر اثربخش بودن هر دو درمان، تقدم استفاده در درمان مشکلات بیماران مبتلا به اختلال اضطراب فراگیر با درمان هیجان</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-weight:normal">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">مدار است.</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"></span></span></span><br> <br> &nbsp; <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%">Introduction</span></span></b><span style="font-size:11.0pt"><span style="line-height:150%">: Generalized anxiety disorder is one of the common psychiatric disorders disorders characterized by chronic and uncontrollable worry.</span></span> <span style="font-size:11.0pt"><span style="line-height:150%">The purpose of this study was to compare the effectiveness of emotion-focused therapy and mindfulness-based cognitive therapy on worry in patients with generalized anxiety disorder.</span></span><span style="font-size:14.0pt"><span style="line-height:150%"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%">Methods:</span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"> This semi-experimental study was conducted with a pretest-posttest design with a control group and follow-up 2 months. The statistical population of the present study was all patients with generalized anxiety disorder in Tehran in the spring year 2023. In the first stage, the number of 45 patients with a score of 10 and above on the generalized anxiety disorder scale were selected and then randomly divided into 2 experimental groups (each group 15 patients) and one control group (15 patients) was replaced and experimental groups underwent emotion-focused therapy and mindfulness-based cognitive therapy, but the control group received no training and</span></span> <span style="font-size:11.0pt"><span style="line-height:150%">remained in the waiting list. To collect data generalized anxiety disorder scale (GAD-7) and Penn State worry questionnaire (PSWQ). Data analysis was performed using SPSS-28 software with analysis of variance with repeated measures and Bonferroni.</span></span><span style="font-size:14.0pt"><span style="line-height:150%"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"> The results of the study showed that&nbsp;emotion-focused therapy and mindfulness-based cognitive therapy had a significant effect on worry</span></span> <span style="font-size:11.0pt"><span style="line-height:150%">patients with generalized anxiety disorder (P<0.05). In addition, the results of the Bonferroni post hoc test showed that emotion-focused therapy is more effective (P<0.05).</span></span><span style="font-size:14.0pt"><span style="line-height:150%"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"> It can be concluded that, in addition effectiveness of both treatments, the priority of use in the treatment of</span></span> <span style="font-size:11.0pt"><span style="line-height:150%">problems patients with generalized anxiety disorder is with emotion-focused therapy.</span></span><span style="font-size:14.0pt"><span style="line-height:150%"></span></span></span></span></span><br> <br> <span style="unicode-bidi:embed"><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal"></span></span></span></span></span><br> &nbsp; اختلال اضطراب فراگیر, درمان هیجان مدار, شناخت درمانگری مبتنی بر ذهن‌آگاهی, نگرانی. Emotion-Focused Therapy, Mindfulness-Based Cognitive Therapy, Worry, Generalized Anxiety Disorder. 101 112 http://ijpn.ir/browse.php?a_code=A-10-2496-1&slc_lang=fa&sid=1 Masoud Sharifzadeh مسعود شریف‌زاده masoud.sherif@yahoo.com 27900319475328460020242 27900319475328460020242 No دانشجوی دکترای تخصصی، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران. Narges Razeghi نرگس رازقی nrazeghi@iautb.ac.ir 27900319475328460020243 27900319475328460020243 No استادیار گروه روانشناسی، واحد پروفسور حسابی، دانشگاه آزاد اسلامی، تفرش، ایران. Hakime Aghaei حکیمه آقایی h.aghaei@iau-shahrood.ac.ir 27900319475328460020244 27900319475328460020244 Yes استادیار، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران. Seyed Mosa Tabatabaee سیدموسی طباطبایی s.mosatabatabaee@semnan.ac.ir 27900319475328460020245 27900319475328460020245 No استادیار، گروه علوم روانشناختی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران.