اثربخشی درمان مبتنی بر پذیرش و تعهد بر تصویر بدنی و باورهای اختلال خوردن دختران

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد مشاوره خانواده، دانشگاه علامه طباطبایی، تهران، ایران

2 استادیار، گروه روانشناسی، واحد قائم شهر، دانشگاه آزاد اسلامی، قائم شهر، ایران

3 دانشجوی کارشناسی ارشد، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

10.22034/aftj.2023.370133.1824

چکیده

هدف: پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر تصویر بدنی و باورهای اختلال خوردن دختران هجده تا سی و پنج سال انجام شد. روش پژوهش: روش پژوهش حاضر از نوع طرح­های کاربردی و نیمه آزمایشی از نوع پیش‌آزمون- پس‌آزمون همراه با گروه گواه بود. جامعه آماری این پژوهش شامل کلیه دختران هجده تا سی و پنج ساله دارای اضافه وزن ساکن شهر ساری بودند که تعداد 30 نفر از آنها با استفاده از روش نمونه­گیری دردسترس انتخاب و به صورت تصادفی­ در دو گروه درمان مبتنی بر پذیرش و تعهد (15=n) و گروه گواه (15=n) گماشته شدند. داده ­ها با استفاده از باورهای اختلال خوردن (EDBQ)، پرسشنامه نگرانی از تصویر بدن (BICI)  به دست آمد. داده­ها با استفاده از روش مانکوا و تحلیل واریانس با اندازه­گیری مکرر استفاده شد و تحلیل­های آماری فوق با بهره­گیری از نرم افزار SPSS.22 به اجرا درآمد. یافته­ ها: نتایج نشان داد که گروه درمان پذیرش و تعهد بر بهبود تصویر بدنی (26/18=F، 001/0>P) و باورهای اختلال خوردن(10/35=F، 001/0>P) دختران هجده تا سی و پنج سال تاثیر معناداری داشت. نتیجه ­گیری: بنابراین می­توان نتیجه گرفت که با توجه به تاثیر مثبت درمان مبتنی بر پذیرش و تعهد بر بهبود تصویر بدنی و باورهای اختلال خوردن دختران هجده تا سی و پنج سال استفاده از این روش‌ها در برنامه ریزی اقدامات بهداشت روانی به خصوص برای دختران هجده تا سی و پنج ساله دارای اضافه وزن توصیه می‌شود

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effectiveness of acceptance and commitment therapy on body image and eating disorder beliefs in girls

نویسندگان [English]

  • Amin Afshin 1
  • Seyedah Zahra Sadati 2
  • Fatemeh Zadehhasan 3
1 M.A of Family Counseling, Allameh Tabataba'i University, Tehran, Iran
2 Assistant Professor, Department of Psychology, Ghaemshahr Branch, Islamic Azad University, Ghaemshahr, Iran
3 M.A. student, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
چکیده [English]

Aim: The present study was conducted with the aim of determining the effectiveness of treatment based on acceptance and commitment on body image and eating disorder beliefs in girls between the ages of eighteen and thirty-five. Methods: The current research method was applied and quasi-experimental designs of pre-test-post-test type with control group. The statistical population of this research included all overweight girls aged 18 to 35 living in Sari, 30 of whom were randomly selected using the available sampling method in two treatment groups based on acceptance and commitment. n=15) and the control group (n=15) were assigned. Data were obtained using Eating Disorder Beliefs (EDBQ), Body Image Concern Questionnaire (BICI). The data were analyzed using repeated measure analysis of variance, and the above statistical analyzes were performed using the SPSS.22 software. Results: The results showed that the acceptance and commitment treatment group improved body image (F=18.26, P<0.001) and eating disorder beliefs (F=35.10, P<0.001) of girls aged eighteen to Thirty-five years had a significant impact. Conclusion: Therefore, it can be concluded that due to the positive effect of treatment based on acceptance and commitment on improving the body image and eating disorder beliefs of eighteen to thirty-five year old girls, the use of these methods in planning mental health measures, especially It is recommended for overweight girls aged eighteen to thirty-five.

کلیدواژه‌ها [English]

  • acceptance and commitment therapy
  • body image
  • eating disorder beliefs
  • girls

مراجع

Agras, W. S., Lock, J., Brandt, H., Bryson, S. W., Dodge, E., Halmi, K. A.,... & Woodside, B. (2014). Comparison of 2 family therapies for adolescent anorexia nervosa: a randomized parallel trial. JAMA psychiatry, 71(11), 1279-1286.
Allan, S., & Goss, K. (2014). Eating disorder beliefs and behaviours across eating disorder diagnoses. Eating behaviors, 15(1), 42-44.
Bedford, O., & Hwang, K. K. (2003). Guilt and shame in Chinese culture: A cross‐cultural framework from the perspective of morality and identity. Journal for the Theory of Social Behaviour, 33(2), 127-144.
Caspi, A., Amiaz, R., Davidson, N., Czerniak, E., Gur, E., Kiryati, N.,... & Stein, D. (2017). Computerized assessment of body image in anorexia nervosa and bulimia nervosa: comparison with standardized body image assessment tool. Archives of women's mental health, 20, 139-147.
Chen, H. H., Tseng, Y. J., Wang, S. Y., Tsai, Y. S., Chang, C. S., Kuo, T. C.,... & Kuo, P. H. (2015). The metabolome profiling and pathway analysis in metabolic healthy and abnormal obesity. International journal of obesity, 39(8), 1241-1248.
Cook, D.R. (1991). Internalized Shame Scale, Menomonie, Wisconsin.
Cooper, M.J, Rose, K.S., Turner, H. (2005). Core Beliefs and the Presence or Absence of Eating Disorder Symptoms and Depressive Symptoms in Adolescent Girl, International Journal of Eating Disorder, 38,1 60-64.
Fairburn, C.G., Cooper, Z., Doll,H.A., O’Connor, M.E., Kristin Bohn, B.A., Hawker, D.M., et al. (2009). Transdiagnostic Cognitive-behavioral Therapy for Patients with Eating Disorders: A Two-site Trial with 60- Week Follow-up, American Journal of Psychiatry, 166: 311-319.
Fogelkvist, M., Gustafsson, S. A., Kjellin, L., & Parling, T. (2020). Acceptance and commitment therapy to reduce eating disorder symptoms and body image problems in patients with residual eating disorder symptoms: A randomized controlled trial. Body image, 32, 155-166.
Firuzi, H., Amiri, F., Saadati, N., & Rostami, M. (2016). The effects of childhood abuse on women's body image and sexual function. Journal of Fundamentals of Mental Health, 18(6), 313-20.
Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride: A cognitive-behavioural functional analysis. In P. Gilbert & J. Miles (Eds.), Body shame: Conceptualization, research & treatment (pp. 3–54). Hove, UK: Brunner-Routledge.
Griffiths, S., Mond, J. M., Murray, S. B., & Touyz, S. (2015). Positive beliefs about anorexia nervosa and muscle dysmorphia are associated with eating disorder symptomatology. Australian & New Zealand Journal of Psychiatry, 49(9), 812-820.
Grilo, C. M., & Mitchell, J. E. (Eds.). (2011). the treatment of eating disorders: A clinical handbook. Guilford Press.
Junne, F., Zipfel, S., Wild, B., Martus, P., Giel, K., Resmark, G.,... & Löwe, B. (2016). The relationship of body image with symptoms of depression and anxiety in patients with anorexia nervosa during outpatient psychotherapy: Results of the ANTOP study. Psychotherapy, 53(2), 141.
Loumidis, K., & Wells, A. (2001). Exercising for the wrong reasons: Relationships among eating disorder beliefs, dysfunctional exercise beliefs and coping. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 8(6), 416-423.
Manlick, C. F., Cochran, S. V., & Koon, J. (2013). Acceptance and commitment therapy for eating disorders: Rationale and literature review. Journal of Contemporary Psychotherapy, 43, 115-122.
Mountford, V. A., Brown, A., Bamford, B., Saeidi, S., Morgan, J. F., & Lacey, H. (2015). BodyWise: evaluating a pilot body image group for patients with anorexia nervosa. European Eating Disorders Review, 23(1), 62-67.
Murphy, C. M., Stojek, M. K., & MacKillop, J. (2014). Interrelationships among impulsive personality traits, food addiction, and body mass index.Appetite, 73, 45-50.
Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
Saadati, N., & Heydari, H. (2016). Child abuse dimensions with self body-image and sexual satisfaction. Journal of Research and Health, 6(4), 413-422.
Rodgers, R. F., Paxton, S. J., McLean, S. A., Massey, R., Mond, J. M., Hay, P. J., & Rodgers, B. (2015). Stigmatizing attitudes and beliefs toward bulimia nervosa: The importance of knowledge and eating disorder symptoms. The Journal of nervous and mental disease, 203(4), 259-263.
Simmonds, M., Llewellyn, A., Owen, C. G., & Woolacott, N. (2016). Predicting adult obesity from childhood obesity: a systematic review and meta‐analysis. Obesity reviews, 17(2), 95-107.
Stice, E., Presnell, K., & Spangler, D. (2002). Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation. Journal Health Psychology, 21(2), 131
Udell, C. J., Ruddy, J. L., & Procento, P. M. (2018). Effectiveness of acceptance and commitment therapy in increasing resilience and reducing attrition of injured US Navy recruits. Military medicine, 183(9-10), e603-e611.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. Guilford Press.
 
خانواده درمانی کاربردی
دوره 4، شماره 3 - شماره پیاپی 17
مجموعه مقالات حوزه خانواده و فرزند
شهریور 1402
صفحه 278-290

فایل ها

سابقه مقاله

  • تاریخ دریافت: 22 آبان 1401
  • تاریخ بازنگری: 12 اردیبهشت 1402
  • تاریخ پذیرش: 13 شهریور 1402

هم رسانی

ارجاع به این مقاله

آمار