تاثیر درمان پذیرش و تعهد بر اجتناب از تجربه، ناگویی خلقی و تنظیم هیجان مبتلایان به دیابت نوع‌یک، (مطالعه موردی)

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، عضو هیات علمی، دانشکده رفاه، تهران، ایران

2 گروه روانشناسی بالینی، دانشگاه خاتم، تهران، ایران

چکیده

این مطالعه با هدف بررسی تأثیر درمان مبتنی بر پذیرش و تعهد بر اجتناب از تجربه، ناگویی خلقی و تنظیم هیجان مبتلایان به دیابت نوع‌یک انجام شد. جامعه­ آماری، بیماران مبتلا به دیابت نوع‌یک در سال 1401 مراجعه‌کننده بیمارستان شریعتی بودند که شش نفر به شیوه داوطلبانه انتخاب شدند. داده‌ها با پرسشنامه­ اجتناب از تجربه گامز، ناگویی خلقی تورنتو، تنظیم هیجان گارنفسکی  و دستگاه گلوکومتر گردآوری شدند. شرکت‌کنندگان پس از خط پایه، تحت هشت جلسه یکساعته درمان قرار گرفتند و یک ماه پس از اتمام درمان اولین پیگیری و سه ماه بعد پیگیری دوم انجام شد. داده­ها با استفاده از فرمول درصد بهبودی، اندازه اثر، محفظه ثبات و تحلیل دیداری مورد بررسی قرار گرفتند. نتایج نشان داد درمان در کاهش سطح اجتناب از تجربه، ناگویی‌خلقی و تنظیم هیجان‌ها مؤثر بوده است. بررسی پیگیری نشان داد این درمان بر روی کاهش قند خون نیز موثر بوده است. طبق یافته‌ها، درمان مبتنی بر پذیرش و تعهد شرایط لازم را برای سازگاری و پذیرش رنج­ها فراهم می­آورد ومیزان رفتارهای خود‌مراقبتی را در افراد افزایش می­دهد. این درمان موجب تنظیم هیجان‌ها، کاهش ناگویی‌خلقی و گشودگی نسبت به تجارب می‌شود و می‌توان از این درمان به عنوان یک روش مداخله مؤثر سود جست.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Acceptance and Commitment Therapy on Experiential Avoidance, Alexithymia and Emotion Regulation in Patients with Type One Diabetes, (Case Study)

نویسندگان [English]

  • Ghazal Zandkarimi 1
  • Soghra Ghahremany 2
1 Group of Psychology, Faculty member, Refah University College, Tehran, Iran
2 Group of Clinical Psychology, Faculty Humanities,, Khatam University, Tehran, Iran
چکیده [English]

The aim of this study was to investigate the effect of acceptance and commitment therapy on experiential avoidance, alexithymia and emotion regulation in patients with type 1 diabetes. The statistical population was patients with type 1 diabetes that referred to Shariati hospitals from February to June 2022. Six participants were selected voluntarily according to research entry criteria. Data were collected using the Gomez Avoidance Questionnaire (1998), Toronto Alexithymia Scale, Garnowski Emotion Regulation, and Glucometer. Participants underwent eight one-hour protocol sessions after baseline, and the first follow-up was performed one month after the end of treatment and the second follow-up three months later. Data were analyzed using recovery formula, effect size, stability chamber and visual analysis. The results showed that the treatment was effective in reducing the level of avoidance, alexithymia and emotion regulation. Follow-up study showed that this treatment was also effective in lowering blood sugar. According to the findings, acceptance and commitment therapy provides the necessary conditions for adaptation and acceptance and increases the rate of self-care behaviors in individuals. This treatment regulates emotions, reduces alexithymia as well as experiential avoidance, and can be used as an effective intervention method.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy
  • emotion regulation
  • experiential avoidance
  • alexithymia
  • type one diabetes

مراجع

بشارت، محمدعلی. (1392). مقیاس ناگویی هیجانی تورنتو: پرسشنامه، روش اجرا و نمره‌گذاری، (نسخه فارسی). فصلنامه روانشناسی تحولی؛10(37)، 90 -92.
بشارت، محمدعلی. (1395). پرسشنامه تنظیم شناختی هیجان: روش اجرا و نمره گذاری. فصلنامه روانشناسی تحولی؛ 13(50)، 221-223.
عباسی، ایمانه؛ فتی، لادن؛ مولودی، رضا؛ ضرابی، حمید. (1391). کفایت روانسنجی نسخه فارسی پرسشنامه پذیرش و عمل– نسخه دوم. فصلنامه علمی - پژوهشی روشها و مدلهای روان‌شناختی؛ 3(10)، 65-80.
Abasi, I., Fatta, L., Moloudi, R., & Zarrabi, H. (2011). Psychometric adequacy of the Persian version of the admission and practice questionnaire - second edition. Journal of Psychological Methods and Models; 3(10), 65-80. [Text in Persian]
Bagby, R., Taylor, G., & Parker, J. (1994). The Twenty-item Toronto alexithymia scale: Convergent, discriminant and concurrent validity. Journal of Psychosomatic Research; 38(7), 33-40
Besharat, M. A. (2012). Toronto emotional dysfunction scale: Questionnaire, execution method and scoring, (Persian version). Journal of Developmental Psychology; 10(37), 90-92. [Text in Persian]
Besharat, M. A. (2015). Cognitive emotional regulation scale: Execution method and scoring. Journal of Developmental Psychology; 13(50), 221-223. [Text in Persian]
Blanchard, E. B., Schwarz, S. P. (1988). Clinically significant changes in behavioral medicine. Journal of Behavioral Assessment, 10(5), 171–188.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K, M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R., D. (2011). Preliminary psychometric properties of the acceptance and action questionnaire -II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy; 24(4), 676-688.
Bremner, J. D. (2021). Isotretinoin and neuropsychiatric side effects: Continued vigilance is needed, Journal of Affective Disorders Reports; 6, 100230-100245.
Cai, T., Verze, P., & Jhansen, T. B. E. (2021). The quality of life definition: Where are we going? Journal of URO/MDPI; 1, 14-22.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (second ed). Hillsdale, NJ: Lawrence Erlbaum Associates.
Eghrari, E., Bayazi, M. H., & Rajayi, A. R., (2021). Comparing of the effects of acceptance and commitment therapy and emotion regulation training on diabetes Empowerment. Journal of Client-Centered Nursing Care, 7(1), 55-64.
Feldbrin, M., Shargorodsky, J., Wainstein, D., Melnikov, G., & Zandaman, G. (2018). Effect of short- and long-term diabetes control on in-hospital and one-year mortality rates in hospitalized patients with diabetic foot. European Journal of Internal Medicine; 10(4), 1-11.
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(2020), 155-166.
Gamez, W., Chmielewski, M., Kotov, R., & Watson, D. (2011). Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire. Journal Psychological Assessment; 23(3), 692-713.
Garnefski, N., & Kraaij, K. (2016). Specificity of relations between adolescents’ cognitive emotion regulation strategies and symptoms of depression and anxiety. Journal Cognition and Emotion, 32(6), 1401-1408.
Hayes, S. (2019). Acceptance and commitment therapy: towards a unified model of behavior change. Journal Behavior Modification; 18(2), 226-227.
Kato, E., Silverman, M., & Mosenzon, A. (2019). Effect of dapagliflozin on heart failure and mortality in type 2 diabetes mellitus. Journal Circulation; 22(2), 2528-2536.
Long, N. G., Kim, E. S., Chen, Y., Wilson, M. F., Everett, L., Tyler W., & Vanderweele, J. (2020). The role of Hope in subsequent health and well-being for older adults: An outcome-wide longitudinal approach. Global Epidemiology; 2(2020), 100018-100035.
Lorenzo, P., Milvia, C., & Guendalina, G. (2020). Measuring the quality of life in diabetic patients: A scoping review. Journal of Diabetes Research; 14(3), 26-50.
Matthew, C. (2020). Diabetes care: Following and leading the stories of diabetes. American Journal Diabetes Association, Diabetes Care; 43(5), 3-4.
Martino, G., Caputo, A., Vicario, C., Catalano, A., Schwarz, P., & Quattropani, M. (2020). Relationship between alexithymia and type 2 diabetes: A systematic review. Frontiers in Psychology; 11(202), 1-21.
Maya, A., Stefan, G., & Idan, M. (2020). I’m not feeling it: Momentary experiential avoidance and social anxiety among individuals with social anxiety disorder. Journal Behavior Therapy; 52(7), 183-194.
Mayorga, N.A., Manning, K.F., Garey, L. (2022). The role of experiential avoidance in terms of fatigue and pain during COVID-19 among latinx adults. Cognitive Therapy Research 46(1), 470–479.
Messina, I., Alessandro, G., & Viviani, R. (2021). Neurobiological models of emotion regulation: a meta-analysis of neuroimaging studies of acceptance as an emotion regulation strategy. Journal Social Cognitive and Affective Neuroscince; 16(3), 257-267.
Nicholas, C., Rorgogna, C., Berry, A., Emma, C., & Jose, G. (2020). A multicultural examination of experiential avoidance: AAQ-II measurement comparisons across Asian American, Black, Latinx, Middle Eastern, and White college students. Journal of Contextual Behavioral Science; 16(1), 1-8.
Seo, S., Chung, U., Rim, H., & Jeong, S. (2009). Reliability and validity of the 20-ltem Toronto alexithymia scale in Korean adolescents. Psychiatry investigation Journal; 6(1), 173-179.
Southward, M., Sauer, S., & Cheavens, J. (2021). Specifying the mechanisms and targets of emotion regulation: A translational framework from affective science to psychological treatment. Journal Clinical Psychology, 34(4), 55-65.
Tillman, C. R., & Burns, M. K. (2009). Evaluating educational interventions single-case design for measuring response to intervention. New York & London: Guilford Press.

فایل ها

هم رسانی

ارجاع به این مقاله

آمار