The Role of Creating Flexible Patterns of Behavior through Value-Based Exposure in the Psychotherapy Process
Subject Areas : PsychologyAli Mohammad Rezaei 1 , Sharifi Tayyebeh 2 , Ahmad Ghazanfari 3 , Elham aflaki 4 , Mohammad jafar bahre dar 5
1 -
2 -
3 -
4 -
5 -
Keywords: acceptance and commitment therapy, compassion therapy, anxiety, chronic pain, systemic,
Abstract :
The aim of the present study was to establish flexible patterns of behavior through value-oriented exposure in the psychotherapeutic process to the reduction of chronic pain and clinical symptoms in patients with systemic lupus. The present research method was quasi-experimental (pre-test-post-test) with a three-month follow-up period and a control group. For this purpose, 60 subjects were selected based on the criteria for entering the study and were assigned by available sampling method in two groups of treatment based on acceptance and commitment (20 people), treatment focused on compassion (20 people) and one control group (20 people). Zong SAS Anxiety Questionnaire and Chronic Pain Questionnaire were used to collect information. To analyze the findings, the variance analysis method was used with repeated measurement and non-parametric follow-up tests of Bonfroni, Kalmograf-Smirnov and Krovit Machli. The results showed that there was a significant difference between the two intervention groups of treatment based on acceptance and commitment and treatment focused on compassion on anxiety and chronic pain and the control group on pre-test-post-test scores (p <0.001). Overall, the results of this study show that treatment based on acceptance and commitment and compassion-focused therapy has an effect on reducing anxiety and chronic pain in lupus patients.
اکبري، مهدي؛ حسيني، زهرا سادات (1398). فراتحليل مقايسه اثربخشي درمانهاي موج سوم رفتاري بر افسردگي در ايران: مقايسه درمانهاي مبتني بر پذيرش و تعهد، درمان مبتني بر توجهآگاهي و درمان فراشناختي (سالهاي 1380 تا 1396). روانشناسي باليني و شخصيت. 17 (1) :175-189.
اژهاي، جواد؛ صيادشيرازي، مريم؛ غلامعلي لواساني، مسعود و کسايياصفهاني، عبدالرحيم (1395). مقايسه اثربخشي درمان گروهي مبتني بر پذيرش و تعهد و درمان شناختي-رفتاري بر کاهش علائم اضطراب مادران داراي کودکان اتيسم. مجلة روانشناسي. 22(1). 21-3.
پورحسيني دهکردي، راضيه؛ سجاديان، ايلناز و شعربافچي، محمدرضا. (1398). اثربخشي درمان مبتني بر شفقت بر تنيدگي ادراک شده و پريشاني روانشناختي زنان مبتلا به سرطان پستان. فصلنامه علمي پژوهشي روانشناسي سلامت.31(3).37-52.
رجبي، ساجده و يزدخواستي، فريبا. (1393). اثر بخشي درمان گروهي پذيرش و تعهد بر اضطراب و افسردگي زنان مبتلا به بيماري ام-اس. روان شناسي باليني، 6(1)، 29-38.
رضايي، علي محمد(1398). مقايسه اثربخشي درمان مبتني بر پذيرش و تعهد، درمان مبتني بر شفقت و درمان ترکيبي بر افسردگي و اضطراب (نشانگان باليني)، دردهاي مزمن، کيفيت زندگي، نگرش هاي ناکارآمد و متابعت درماني بيماران مبتلا به لوپوس سيستميک شهر شيراز. رساله دکتري. دانشگاه آزاد اسلامي، واحد شهرکرد.
روحي هير، الهه و عذرا غفاري (1394). اثر بخشي درمان مبتني بر پذيرش و تعهد (ACT) در بهبود اضطراب اجتماعي افراد مبتلا به اختلال اضطراب اجتماعي، اولين همايش علمي پژوهشي علوم تربيتي و روانشناسي آسيب هاي اجتماعي و فرهنگي ايران، تهران، مرکز مطالعات و تحقيقات اسلامي سروش حکمت مرتضوي، انجمن علمي توسعه و ترويج علوم و فنون بنيادين،https://www.civilica.com/Paper-PSCONF01-PSCONF01_109.html
صالحي، شيما و سجاديان، ايلناز(1396). رابطه شفقت خود با شدت درد، فاجعه آفريني، خودکارآمدي درد و عواطف در زنان مبتلا به درد عضلاني-اسکلتي. فصلنامه علمي پژوهشي بيهوشي و درد، 2(8)، 83-72..
عابدي قليچقشلاقي، ميلاد؛ اصغريمقدم، محمدعلي و خليلزاده پشتگل، مرضيه (1391). ويژگيهاي روانسنجي سياهه خودمديريتي درد (PSMC) در بيماران مبتلا به درد مزمن. مجله روانپزشكي و روانشناسي باليني ايران؛ 18 (2) :150-156.
گيلبرت،پائول(1397). درمان متمرکز بر شفقت. ترجمه: مهرنوش اثباتي و علي فيضي. تهران: انتشارات ابن سينا.
محمدي، ابوالفضل؛ زرگر، فاطمه؛ اميدي، عبدالله؛ محرابي، علي و اکبري، مهدي (1394). مقدمهاي بر نسل سوم: درمان هاي شناختي- رفتاري. تهران: کتاب ارجمند.
مرشدي مهدي، داورنيا رضا، زهراکار کيانوش، محمودي محمد جلال، شاکرمي محمد (1394). کارآيي درمان مبتني بر پذيرش و تعهد (ACT) بر کاهش فرسودگي زناشويي زوج ها. پژوهش پرستاري؛ 10 (4): 76-87.
مظهري آزاد، فرشته؛ عابدي، حيدرعلي و ناجي، سيدعلي(1389). پيامدهاي رواني عاطفي در بيماران مبتلا به لوپوس اريتماتوز سيستميک. مجله دانشکده پرستاري و مامايي رازي کرمان. 10 (19):14-23.
مولوي، پرويز؛ ميکائيلي، نيلوفر؛ رحيمي، ندا و مهري، سعيد (1393). تأثير درمان مبتني بر پذيرش و تعهد بر کاهش اضطراب و افسردگي دانش آموزان داراي ترس اجتماعي. مجله دانشگاه علوم پزشکي اردبيل. 14 (4) :412-423.
ميري سمانه، منصوري احمد. اثربخشي گروه درماني مبتني بر پذيرش و تعهد بر کمالگرايي و اضطراب امتحان دانشجويان. روانشناسي باليني و شخصيت. 1396؛ 15 (2) :17-26.
نمازي شيده، ضيايي وحيد، رضايي نيما. نقش سايتوکينها در بيماري لوپوس اريتماتوزيس سيستميک: مقاله مروري. مجله دانشکده پزشکي، دانشگاه علوم پزشکي تهران. 1394؛ 73 (6) :397-404.
هيز، استيون (1393). شش فرايند اصلي در ACT: مدل انعطاف پذيري روانشناختي. علي فيضي (مترجم). برگرفته در روز 10 سال 1399 از سايت مرکز خدمات روانشناسي و مشاوره زندگي http://www.mrmz.ir.
يزداني، فرزانه و شيخالاسلامي، راضيه (1398). رابطه بين کمالگرايي و بهزيستي فضيلت گرا:نقش واسطه اي خودشفقت ورزي. مجله روانشناسي. 23(3). 285-269.
Alonso M, Lopez A, Losada A, Gonzalez JL, Wetherell JL. (2017). Acceptance and commitment therapy and selective optimization with compensation for institutionalized older people with chronic pain. Pain Medicine. 78. 38–48.
Arch, J.J., Eifert, G.E., Plumb, J., Rose, R., Davies, C., & Craske, M.G. (2012) Randomized clinical trial of Cognitive Behavioral Therapy (CBT) versus Acceptance and Commitment Therapy (ACT) in the treatment of mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750-765.
Arimitsu K, Hofman SG. (2018) Cognitions as mediators in the relationship between self compassion and affect. Pers Indiv Differ, 74: 41-48.
Besharat, M. A. (2005). Psychometric features of Depression Anxiety Stress Scales (DASS-21) in clinical and general samples. Research report, Tehran University.[Persian].
Bluth, K., Eisenlohr-Moul, T.A. (2017). Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, self-compassion, and emotional well-being outcomes. Journal of Adolescence, 57, 108-118.
Borkovec ,DePree., & T, Pruzinsky., E, Robinson., D. T, (1998) Some: worry of exploration preliminary A. J and Research Behavior. Processes and Characteristics.16-9 (1) 21.
Carfora V, Caso D, Conner M. (2015) The role of self-identity in predicting fruit and vegetable intake. Appetite. DOI: 10.1016/j.appet. 2015.12.020 PMID: 26723237
Ferrari S, Chiarotto A, Pellizzer M, Vanti C,Monticohe M. (2015) Pain self- efficacy Italian patients with chronic low back pain. Pain Practice (Ahead for print.
Gilbert, P. (2009). An introduction to the theory & practice of compassion focused therapy and compassionate mind training for shame based difficulties: Workshop notes. Online published: www.compassionatemind.co.uk
Gilbert, P. (2005). Compassion: Conceptualization, research and use in psychotherapy. Routledge Publication (Taylor & Francis Group). London & New York.
Hayes, s. C. Pistorello, J. Bigland, A. (2008). Acceptance and commitment therapy: Model, data, and extension to the prevention of suicide. Journal of Behavior and Cognitive therapy. X, (1), pp. 81-102.
Hofmann, S. G., & Asmundson, G., J.G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat?. Clinical Psychology Review. 28, 1–16.
Hosseinsabet, F,. (2008). The effectiveness of waiting training on anxiety, depression and happiness. Journal of Islamic Studies and Psychology. [Persian].
Karakoyun, O., Gorken, I., Sahin, S., Orcin, E., Alanyali, H., & Kinay, M. (2010). Depression and anxiety levels in woman under follow-up for breast cancer: Relationship to coping with cancer and quality of life. Medical Oncology, 27(1), 108-113.
Lee, Y. S. , Kek, B. L. K. , Poh, L. K. S. , Saw, S. M. , Loke, K. Y. (2014). The association of raised liver transaminases with physical inactivity, increased waist-hip ratio and other metabolic morbidities in severely obese children. J Pediatr Gastroenterol Nutr; 47:172-8.
Lobindo, G., & Haber, J. (1994). Nursing research (1st ed.). Mosby: Philadelphia.
Moses N, Wiggers J, Nicholas C, Cockburn J.(2005) Prevalence and correlates of perceived unmet needs of people with systemic lupus erythematosus. Patient Educ Couns Apr; 57(1): 30-8.
Neziri AY, Scaramozzino P, Andersen OK, Dickenson AH, Arendt- Nielsen & L, Curatola M(2017). Refernce vulues of mechanical and thermal pain tests in a pain free population. Eur J Pain, 15(4): 376-383.
Niles, A. N., Burklund, L. J., Arch, J. J., Lieberman, M. D. ,Saxbe, D., & Craske, M. G. (2014). Cognitive mediators of treatment for social anxiety disorder: Comparing acceptance and commitment therapy and cognitive-behavioral therapy. Behavior Therapy, 45, 664–677.
Rector, N. A. (2011). Acceptance and commitment therapy: Empirical considerations. Behavior Therapy, 44 (2): 213-217.
Sirois FM. A self- regulation resource model of selfcompassion and health behavior intentions emerging adults. Prev Med Rep, 2: 218-222.
Sturgeon JA, & Zautra AJ. (2017) State and trait pain catastrophizing and emotional health in rheumatoid arthritis. J Behav Med; 45(1): 69-77.
Salami, SO. (2010) Job stress and counterproductive work behavior: Negative affectivity as a moderator. Soc Sci; 5: 486-492.
Tanenbaum, M.L., Adams, R.N., Gonzalez, J.S., Hanes, S.J., & Hood, K.K. (2017). Adapting and validating a measure of diabetes-specific self-compassion. Journal of Diabetes and its Complications, 33(10), 1540-1541.
Vlaeyen JW, & Linton SJ. (2016) Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain; 153(6): 1144-1147.
Vowles K, McNeil D, Groos R, MC Daniel, & Mouse (2019) A. effects of pain acceptance and pain control strategies on physical impairment in individuals with chronic low back pain. Behav Ther; 38: 412-425.
Vowles KE, McCracken LM, & O’Brien JZ. (2011) Acceptance and values-based action in chronic pain: A three-year follow-up analysis of treatment effectiveness and process. Behav Res Ther; 49(11):748-55. DOI: 10.1016/j.brat.2011.08.002 PMID: 21885034
Wai EK, Roffey DM, Bioshop P, Kwon BK, & Dagenais S. (2017) Causal assessment of occupational lifting and low back pain: Results of systematic review. Spain J; 10(6): 554-566.
Wang, X., Chen, Z., Poon, K., Teng, F., & Jin, S. (2017). Self-compassion decreases acceptance of own immoral behaviors. Personality and Individual Differences, 106, 329-333.