اثربخشی رواندرمانی پویشی فشرده و کوتاهمدت بر کاهش علائم و مکانیسمهای دفاعی اختلال شخصیت مرزی
الموضوعات : روانشناسی بالینی و آسیب شناسی روانی
سیده مهسا موسوی
1
,
سیف اله آقاجانی
2
1 - گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی اردبیل، ایران.
2 - گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی اردبیل، ایران.
الکلمات المفتاحية: رواندرماني پویشي فشرده و کوتاهمدت, اختلالالهای شخصیت مرزی, مكانیسمهای دفاعي,
ملخص المقالة :
هدف از پژوهش حاضر، تعیین اثربخشی رواندرمانی پویشی فشرده و کوتاهمدت (ISTDP) بر کاهش علائم بالینی و تغییر مکانیسمهای دفاعی در افراد مبتلا به اختلال شخصیت مرزی بود. این پژوهش از نوع شبهآزمایشی با طرح تکآزمودنی A–B–A انجام شد. جامعه آماری پژوهش شامل کلیه افراد مبتلا به اختلال شخصیت مرزی بود که در سهماهه نخست سال ۱۴۰۳ به مرکز سلامت روان جامعهنگر (سراج) شهرستان میاندوآب مراجعه کرده بودند. از میان جامعه آماری، ۳ نفر که تشخیص اختلال شخصیت مرزی را براساس سیاهه چندمحوری بالینی میلون ۳ (MCMI-III) و مصاحبه روانپزشکی مبتنی بر ملاکهای DSM-5دریافت کرده بودند، به روش نمونهگیری هدفمند انتخاب شدند. ابزارهای مورد استفاده در این پژوهش شامل سیاهه چندمحوری بالینی میلون۳ (MCMI-III)، پرسشنامه مکانیسمهای دفاعی (DSQ-40) و مصاحبه بالینی ساختاریافته برای اختلالهای (SCID) DSM بود. مداخله درمانی براساس پروتکل رواندرمانی پویشی فشرده و کوتاهمدت مطابق با رویکرد دوانلو (1995، 2000) روی آزمودنیها اجرا شد. سنجش آزمودنیها در مرحله خط پایه بهصورت ارزیابیهای مکرر (هر سه جلسه یکبار) انجام گرفت و پساز پایان جلسات درمانی، سه مرحله ارزیابی پیگیری با فواصل یکماهه صورت پذیرفت. دادهها با استفاده از تحلیل دیداری نمودارها و آزمون ناپارامتریک فریدمن و با بهرهگیری از نرمافزار SPSS نسخه ۲۴ تحلیل شدند. یافتههای پژوهش نشان داد که رواندرمانی پویشی فشرده و کوتاهمدت موجب کاهش معنادار علائم اختلال شخصیت مرزی شد (05/0>p). همچنین، نتایج حاکی از تغییر معنادار در مکانیسمهای دفاعی آزمودنیها بود؛ بهگونهای که مکانیسمهای دفاعی رشدنیافته و روانآزرده کاهش و مکانیسمهای دفاعی رشدیافته افزایش یافتند (05/0>p). براساس یافتههای بهدستآمده میتوان نتیجه گرفت که رواندرمانی پویشی فشرده و کوتاهمدت میتواند بهعنوان یک مداخله مؤثر، نقش مهمی در کاهش علائم بالینی و اصلاح الگوهای دفاعی ناکارآمد در افراد مبتلا به اختلال شخصیت مرزی ایفا کند.
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