fa تأثیر درمان شناختی-رفتاری گروهی بر نشخوار فکری و علائم اختلال وسواسی-اجباری زنان متأهل تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" titr="">مقدمه:</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">اختلال وسواسی-اجباری</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">به عنوان یکی از شایع‌ترین اختلالات روان‌شناختی شناخته می‌شود که با حضور افکار مزاحم و رفتارهای تکراری مشخص می‌گردد و تأثیر بسزایی بر کیفیت زندگی افراد می‌گذارد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">بنابراین، پژوهش حاضر با هدف بررسی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">تأثیر درمان شناختی-رفتاری گروهی بر نشخوار فکری و علائم&nbsp; اختلال وسواسی-اجباری زنان متأهل انجام شد.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" titr="">روش&shy; کار:</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> مطالعه حاضر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">از نوع </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">نیمه آزمایشی با طرح پیش &shy;آزمون-پس&shy; آزمون و گروه کنترل بود. جامعه آماری این پژوهش شامل کلیه زنان مراجعه&shy; کننده به کلینیک&shy; های شهر اسلامشهر در سال 1403 بود که تعداد 30 نفر به شیوه هدفمند انتخاب </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">و با گمارش تصادفی در گروه آزمایش و کنترل جایگزین شدند. </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">ابزارهای سنجش شامل </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مقیاس</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">نشخوار فکری نولن&shy; هوکسما و مارو (</span></span></span></span><span dir="LTR" style="background:white"><span new="" roman="" style="font-family:" times="">RRS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">) و </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp;وسواس فکری-جبری </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">ییل-براون (</span></span></span></span><span dir="LTR" style="background:white"><span new="" roman="" style="font-family:" times="">Y-BOCS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">) بود.</span></span></span></span><i> </i><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">گروه آزمایش آموزش درمان شناختی-رفتاری گروهی را طی هشت جلسه، هر هفته یک جلسه و به مدت 90 دقیقه دریافت نمودند. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">جهت تجزیه‌وتحلیل داده&shy; ها از روش تحلیل کوواریانس با نرم‌افزار </span></span></span></span><i><span dir="LTR" style="background:white"><span new="" roman="" style="font-family:" times="">SPSS</span></span></i><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> نسخه 26 استفاده شد.</span></span></span></span><i><span dir="LTR" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span style="font-family:"Tahoma",sans-serif"></span></span></span></span></i></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" titr="">یافته &shy;ها:</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یافته &shy;ها نشان داد که قبل از مداخله، گروه&shy; های آزمایش و کنترل از نظر نشخوار فکری و علائم وسواسی- اجباری تفاوت معناداری نداشتند، اما پس از مداخله، گروه &shy;ها از نظر هر دو متغیر تفاوت معناداری داشتند </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">(0/01></span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">).</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> به عبارت دیگر، درمان شناختی ـ رفتاری گروهی باعث کاهش میزان نشخوار فکری و علائم وسواسی- اجباری زنان</span></span></span></span><i> </i><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">متأهل</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> شد. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" titr="">نتیجه&shy; گیری:</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در مجموع، یافته‌های پژوهش نشان داد که درمان شناختی-رفتاری گروهی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یک مداخله‌ مؤثر برای کاهش نشخوار فکری و علائم اصلی اختلال وسواسی-اجباری در زنان متأهل است؛</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> این روش از طریق آموزش راهبردهای شناختی-رفتاری تخصصی به مراجعین کمک می‌کند تا به طور پایدارتری بر چالش‌های درونی و بیرونی ناشی از اختلال مسلط شده و سطح بهزیستی روانی خود را بهبود بخشند.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Obsessive-compulsive disorder is known as one of the most common psychological disorders, characterized by the presence of intrusive thoughts and repetitive behaviors, and has a significant impact on the quality of life of individuals. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Therefore, the present study was conducted to investigate the effect of group cognitive-behavioral therapy on rumination and obsessive-compulsive disorder symptoms in married women.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The present study was a quasi-experimental study with a pre-test-post-test design and a control group. The statistical population of this study included all women referring to clinics in Islamshahr in 2024, of which 30 were selected purposively and randomly assigned to the experimental and control groups. The measurement tools included the Nolenhoksma and Maro Rumination Scale (RRS) and the Yale-Brown Obsessive-Compulsive Disorder Scale (Y-BOCS). The experimental group received group cognitive-behavioral therapy training in eight sessions, one session per week for 90 minutes. The analysis of covariance method was used with SPSS version 26 software to analyze the data.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The findings showed that before the intervention, the experimental and control groups did not differ significantly in terms of rumination and obsessive-compulsive symptoms, but after the intervention, the groups differed significantly in terms of both variables (P<0.01). In other words, group cognitive-behavioral therapy reduced the amount of rumination and obsessive-compulsive symptoms in married women.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusions:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Overall, the research findings showed that group cognitive-behavioral therapy is an effective intervention for reducing rumination and the main symptoms of obsessive-compulsive disorder in married women; </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">this method helps clients to more sustainably master the internal and external challenges caused by the disorder and improve their level of psychological well-being by teaching specialized cognitive-behavioral strategies.</span></span></span></span></span><br> &nbsp; اختلال وسواسی-اجباری, درمان شناختی-رفتاری, نشخوار فکری. Cognitive-behavioral therapy, Obsessive-compulsive disorder, Rumination 76 86 http://ijpn.ir/browse.php?a_code=A-10-2679-1&slc_lang=fa&sid=1 Behnaz Yavari بهناز یاوری byavari38@gmail.com 27900319475328460020863 27900319475328460020863 No Islamshahr Azad University دانشگاه آزاد اسلامشهر Rozita Zabihi رزیتا زبیحی rozita.zabihi@yahoo.com 27900319475328460020864 27900319475328460020864 Yes Islamshahr Azad University دانشگاه آزاد اسلامشهر Nahid Babaei Amiri ناهید بابایی امیری nbabaieamiry@iua.com 27900319475328460020865 27900319475328460020865 No Islamshahr Azad University دانشگاه آزاد اسلامشهر