Journal title
عنوان نشریه
Journal of Torbat Heydariyeh University of Medical Sciences
Medical Sciences
http://jms.thums.ac.ir
1
admin
2716-9669
2716-9669
doi
fa
jalali
1398
11
1
gregorian
2020
2
1
7
4
online
1
fulltext
fa
مقایسه اثربخشی رفتار درمانی دیالکتیک و درمان متمرکز بر شفقت بر سطح کورتیزول خون و خود کنترلی در سوء مصرف کنندگان مواد مخدر
Comparing the effectiveness of Dialectical Behavior Therapy and Compassion Focused Therapy on blood cortisol levels and self-control in drug abusers
تخصصي
Special
پژوهشي
Research
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">زمینه و هدف:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اختلال سوء مصرف مواد پیامدهای منفی و روزافزو</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ن </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">در تمام جوامع دارد و درمان­های روانشناختی در جهت کاهش این اختلال کمک کننده هستند.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">هدف این مطالعه نیز </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقایسه </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">اثربخشی </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">رفتار درمانی دیالکتیک</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> و شفقت درمانی بر کورتیزول خون و خود کنترلی در سوء</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف کنندگان مواد مخدر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بود.</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"></span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش­ها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در این پژوهش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نیمه تجربی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جامعه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آماری را </span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کلیه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مردان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مراجعه کننده به کلینیک ترک اعتیاد بزرگمهر تربت حیدریه در سال 1397 </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تشکیل می دادند</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نمونه ها به روش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در دسترس</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انتخاب و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمایش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">یک گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کنترل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تصادفی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جایگزین</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شدند.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمایش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">10</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جلسه 90 دقیقه ای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آموزش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دیدند،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">ولی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کنترل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">هیچ</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آموزشی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دریافت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نکردند. در پایان پژوهش، آموزشهای گروه مداخله به گروه کنترل نیز ارائه شد.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ابزار پرسشنامه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خود کنترلی تانجی و بررسی آزمایشگاهی سطح کورتیزول خون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شد.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داده ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از آزمون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مانکوا</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و نرم­افزار </span></span><span dir="LTR">SPSS</span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> ورژن 16 </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تجزیه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تحلیل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شدند</span></span><span dir="LTR">.</span><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> </span></span></strong><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">یافتهها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نشان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمایش</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، مداخله</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گرفته</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خودکنترلی و کورتیزول خون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تأثیر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">معنی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داشت (0/001</span></span><span dir="LTR"><span style="font-size:12.0pt;">p=</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">)، اما با توجه به تفاوت میانگین، اثر بخشی </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">شفقت درمانی بر دو متغیر مذکور بیشتر از رفتار درمانی دیالکتیک بود.</span></span><br>
<strong><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتیجه­گیری:</span></span></span></strong> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان های روانشناختی از جمله مداخلات انجام شده در این پژوهش میتوانند کمک به سزایی در درمان اختلال </span></span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سوء مصرف مواد داشته باشند.</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">لذا با توجه به کم هزینه و اثربخش بودن این درمان ها، توصیه می شود در درمان سوء مصرف مواد از آن­ها استفاده شود.</span></span></span>
<strong><em>Background & Aim</em></strong><em>:</em> Substance abuse disorder has an increasing negative implication in all societies. Psychological treatments are helpful in reducing this disorder. The aim of this study was to compare the effectiveness of Dialectical Behavior Therapy and Compassion Focused Therapy on blood cortisol levels and self-control in drug abusers.<br>
<strong><em>Methods</em></strong><strong>:</strong> The research method was quasi-experimental. The statistical population of the study included all men with substance abuse in the Bozorgmehr clinic of Torbat-e-Heydariyeh in 2018, 60 of whom were selected by available sampling method and were randomly assigned to two experimental groups and a control group. The experimental group was trained for 10 sessions of 90 minutes, but the control group did not receive any training. To collect data, self-control questionnaire and vitro serum levels of cortisol, were used. The data were analyzed using Mancova in spss 24 software.<br>
<strong><em>Results</em></strong>: The results showed that there was a significant effect on self-control and cortisol levels in two groups of Dialectical Behavior Therapy (p = 0.001). However, according to the mean difference, the effectiveness of Compassion Focused Therapy on two self-control variables and cortisol levels was higher than Dialectical Behavior Therapy.<br>
<strong><em>Conclusion</em>:</strong> Psychological treatments such as interventions applied in this study can help to treat substance abuse disorder. Therefore, considering the low cost and effectiveness of these treatments, it is recommended to use them in the treatment of substance abuse.
رفتار درمانی دیالکتیک, درمان متمرکز بر شفقت, سطح کورتیزول خون, خودکنترلی, سوء مصرف مواد مخدر
Dialectical behavior Therapy, Compassion Focused Therapy, Blood cortisol levels, Self-control, Drug abuse
35
48
http://jms.thums.ac.ir/browse.php?a_code=A-10-53-7&slc_lang=fa&sid=1
Godrati Torbati
A
عباس
قدرتی تربتی
ghodratita171@yahoo.com
100319475328460010841
100319475328460010841
No
Department of Psychology, Islamic Azad University, Neyshabur Branch, Neyshabur, Iran
گروه روانشناسی، دانشگاه آزاد اسلامی، واحد نیشابور، نیشابور، ایران
Nejat
H
حمید
نجات
hnejat54@yahoo.com
100319475328460010842
100319475328460010842
Yes
Department of Psychology, Islamic Azad University, Quchan Branch, Quchan, Iran
گروه روانشناسی، دانشگاه آزاد اسلامی، واحد قوچان، قوچان، ایران
Toozandehjani
H
حسن
توزنده جانی
h.toozandehjani@ymail.com
100319475328460010843
100319475328460010843
No
Department of Psychology, Islamic Azad University, Neyshabur Branch, Neyshabur, Iran
گروه روانشناسی، دانشگاه آزاد اسلامی، واحد نیشابور، نیشابور، ایران
Samari
A
علی اکبر
ثمری
aasamari@yahoo.com
100319475328460010844
100319475328460010844
No
Department of Psychology, Islamic Azad University, Kashmar Branch, Kashmar, Iran
گروه روانشناسی، دانشگاه آزاد اسلامی واحد کاشمر، کاشمر، ایران
Akbari Amarghan
H
حسین
اکبری امرغان
drakbari54@yahoo.com
100319475328460010845
100319475328460010845
No
Department of Psychology, Islamic Azad University, Quchan Branch, Quchan, Iran
گروه روانشناسی، دانشگاه آزاد اسلامی، واحد قوچان، قوچان، ایران