مقایسه اثربخشی آموزش شناختی رفتاری و آموزش مبتنی بر پذیرش و تعهد بر تحمل پریشانی در نوجوانان خود آسیب رسان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

2 استادیار، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

چکیده

هدف: در این تحقیق به مقایسه اثربخشی آموزش شناختی رفتاری و آموزش مبتنی بر پذیرش و تعهد بر تحمل پریشانی در دانش آموزان خود آسیب رسان دوره دوم متوسطه پرداخته شد. روش: طرح پژوهش نیمه آزمایشی از نوع پیش‌ آزمون-پس‌آزمون و پیگیری با گروه گواه بود. جامعه آماری این پژوهش نوجوانان پسر خود آسیب رسان (دانش‌آموزان مقطع متوسطه دوم مدارس ناحیه یک) شهر ساری بودند که در سال تحصیلی 01-1400 مشغول به تحصیل بودند که از بین آن‌ها، تعداد ۴۵ نفر به روش نمونه گیری هدفمند به عنوان نمونه انتخاب شدند و به صورت تصادفی در دو گروه ازمایش و یک گروه گواه قرار گرفتند (هر گروه 15 نفر). گروه آزمایش اول، طی 8 جلسه 90 دقیقه‌ای به صورت هفتگی و براساس بسته آموزش شناختی رفتاری (بک، 1976) و گروه آزمایش دوم، نیز طی 8 جلسه 90 دقیقه‌ای به صورت هفتگی و براساس بسته آموزش مبتنی بر پذیرش و تعهد (هیز و همکاران، 2013) قرار گرفتند. ابزار جمع آوری داده‌ها شامل پرسشنامه تحمل پریشانی سیمونز و گاهر (2005) و پرسشنامه خود آسیب رسانی کلونسکی و گلن (2011) بود. داده ها، با استفاده از نرم افزار SPSS-21 و آزمون های آماری تحلیل واریانس با اندازه گیری مکرر و تحلیل واریانس دو عاملی تحلیل شد. یافته‌ها: یافته‌ها نشان داد آموزش شناختی رفتاری و آموزش مبتنی بر پذیرش و تعهد بر تحمل پریشانی (57/6=F، 002/0=P) دانش آموزان خود آسیب رسان تاثیر داشت و میزان اثربخشی آموزش شناختی رفتاری و آموزش مبتنی بر پذیرش و تعهد بر متغیرهای مورد مطالعه یکسان بود. نتیجه گیری: می‌توان نتیجه گرفت که آموزش شناختی رفتاری و آموزش مبتنی بر پذیرش و تعهد بر تحمل پریشانی دانش آموزان خود آسیب رسان تاثیر داشت و می‌توان از هر دو آموزش در جهت بهبود مشکلات نوجوانان دارای مشکل خودآسیب‌رسانی بهره برد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effectiveness of cognitive-behavioral education and acceptance and commitment-based education on distress tolerance in self-harming adolescents

نویسندگان [English]

  • Elahe Geraily Moshkabadi 1
  • shaban haydari 2
  • Mohammadkazem Fakhri 2
1 PhD Student, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
2 2- Assistant Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
چکیده [English]

Aim: In this study, the effectiveness of cognitive-behavioral education and education based on acceptance and commitment on tolerating distress in self-harming high school students was studied. Method: The quasi-experimental research design was test-post-test and follow-up with a control group. The statistical population of this study was self-injurious adolescents (second grade high school students in district one) in Sari who were studying in the academic year of 1400-100, of which 45 were targeted by sampling. The sample was selected and randomly divided into two experimental groups and one control group (15 people in each group). The first experimental group, during 8 sessions of 90 minutes per week and based on the behavioral cognitive training package (Beck, 1976) and the second experimental group, during 8 sessions of 90 minutes per week and based on the training package based on acceptance and commitment (Hayes et al., 2013). Data collection tools included Simmons and Gaher (2005) Distress Tolerance Questionnaire and Klonsky & Glenn (2011) Self-Injury Questionnaire. Data were analyzed using SPSS-21 software and statistical tests of repeated measures analysis of variance and two-factor analysis of variance. Results: The results showed that cognitive-behavioral education and education based on acceptance and commitment had an effect on distress tolerance (F = 6.57, P = 0.002) of self-harming students and the effectiveness of cognitive-behavioral education and training. Acceptance and commitment based on the studied variables were the same. Conclusion: It can be concluded that cognitive-behavioral education and education based on acceptance and commitment had an effect on the tolerance of self-harming students and both educations can be used to improve the problems of adolescents with self-harm.

کلیدواژه‌ها [English]

  • Cognitive-behavioral therapy
  • Acceptance and commitment therapy
  • Anxiety tolerance
  • Adolescents
Azizi, A. R. (2010). Reliability and validity of the Persian version of distress tolerance scale. Iranian journal of psychiatry, 5(4), 154
Beck, J. S. (2011). Cognitive-behavioral therapy. Clinical textbook of addictive disorders, 491, 474-501.
Bowes, L., Carnegie, R., Pearson, R., Mars, B., Biddle, L., Maughan, B.,... & Heron, J. (2015). Risk of depression and self-harm in teenagers identifying with goth subculture: a longitudinal cohort study. The Lancet Psychiatry, 2(9), 793-800.
Choi, S. M., & Jeong, M. K. (2019). Mediating Effects of the Distress Tolerance on the Relationship between Negative Emotions and Subjective Well-Being. Journal of the Korea Academia-Industrial cooperation Society, 20(5), 145-154.
Cook, L., Mostazir, M., & Watkins, E. (2019). Reducing stress and preventing depression (RESPOND): Randomized controlled trial of web-based rumination-focused cognitive behavioral therapy for high-ruminating university students. Journal of medical Internet research, 21(5), e11349.
Fang, S., & Ding, D. (2020). The efficacy of group-based acceptance and commitment therapy on psychological capital and school engagement: A pilot study among Chinese adolescents. Journal of contextual behavioral science, 16, 134-143.
Geulayov, G., Casey, D., McDonald, K. C., Foster, P., Pritchard, K., Wells, C.,... & Hawton, K. (2018). Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study. The Lancet Psychiatry, 5(2), 167-174.
Gholamrezaei, M., Heath, N., & Panaghi, L. (2017). Non-suicidal self-injury in a sample of university students in Tehran, Iran: prevalence, characteristics and risk factors. International journal of culture and mental health, 10(2), 136-149.
Ghielen, I., Rutten, S., Boeschoten, R. E., Houniet-de Gier, M., van Wegen, E. E., van den Heuvel, O. A., & Cuijpers, P. (2019). The effects of cognitive behavioral and mindfulness-based therapies on psychological distress in patients with multiple sclerosis, Parkinson's disease and Huntington's disease: Two meta-analyses. Journal of Psychosomatic Research, 122, 43-51.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Hong, S. A., & Peltzer, K. (2017). Dietary behaviour, psychological well-being and mental distress among adolescents in Korea. Child and Adolescent Psychiatry and Mental Health, 11(1), 1-12.
Keles, B., McCrae, N., & Grealish, A. (2020). A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth, 25(1), 79-93.
Kemani, M. K., Kanstrup, M., Jordan, A., Caes, L., & Gauntlett-Gilbert, J. (2018). Evaluation of an intensive interdisciplinary pain treatment based on acceptance and commitment therapy for adolescents with chronic pain and their parents: A nonrandomized clinical trial. Journal of pediatric psychology, 43(9), 981-994.
Keles, S., & Idsoe, T. (2018). A meta-analysis of group cognitive behavioral therapy (CBT) interventions for adolescents with depression. Journal of adolescence, 67, 129-139.
Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of psychopathology and behavioral assessment, 31(3), 215-219.
Levin, M. E., Krafft, J., Hicks, E. T., Pierce, B., & Twohig, M. P. (2020). A randomized dismantling trial of the open and engaged components of acceptance and commitment therapy in an online intervention for distressed college students. Behaviour Research and Therapy, 126, 103557.
McGuire, J. F., & Storch, E. A. (2019). An inhibitory learning approach to cognitive-behavioral therapy for children and adolescents. Cognitive and behavioral practice, 26(1), 214-224.
Mosher, C. E., Secinti, E., Hirsh, A. T., Hanna, N., Einhorn, L. H., Jalal, S. I.,... & Johns, S. A. (2019). Acceptance and commitment therapy for symptom interference in advanced lung cancer and caregiver distress: a pilot randomized trial. Journal of pain and symptom management, 58(4), 632-644.
Rith-Najarian, L. R., Mesri, B., Park, A. L., Sun, M., Chavira, D. A., & Chorpita, B. F. (2019). Durability of cognitive behavioral therapy effects for youth and adolescents with anxiety, depression, or traumatic stress: A meta-analysis on long-term follow-ups. Behavior Therapy, 50(1), 225-240.
Padyab Z, Fayazbakhsh H. (2020). The Effectiveness of Positivism with an Emphasis on Quranic Verses in Improving Distress Tolerance and Personal Growth of Mothers with Mentally-Retarded Children. Journal of Assessment and Research in Applied Counseling; 2 (3) :32-48
Palermo, T. M., Beals-Erickson, S., Bromberg, M., Law, E., & Chen, M. (2017). A single arm pilot trial of brief cognitive behavioral therapy for insomnia in adolescents with physical and psychiatric comorbidities. Journal of Clinical Sleep Medicine, 13(3), 401-410.
Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion, 29(2), 83-102.
Viskovich, S., & Pakenham, K. I. (2018). Pilot evaluation of a web‐based acceptance and commitment therapy program to promote mental health skills in university students. Journal of Clinical Psychology, 74(12), 2047-2069.