اثربخشی ذهن آگاهی (MBCT) بر بهبود روابط بین فردی و کاهش تکانش‌پذیری اختلال دوقطبی II

دانش و پژوهش در روان شناسی کاربردی

مقاله 16، دوره 23، شماره 1 - شماره پیاپی 87، خرداد 1401، صفحه 189-198   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.30486/jsrp.2021.1904148.2512

نویسندگان

اصغر کامران^{* 1}؛ سیدرضا میرمهدی²؛ مجید غفاری نهجیری³

¹مربی گروه روانشناسی، دانشگاه پیام‌نور، ایران

²دانشیار گروه روانشناسی، دانشگاه پیام‌نور، ایران

³کارشناس روانشناسی دانشگاه پیام‌نور، ایران.

چکیده

باتوجه به اینکه اختلال دوقطبی یکی از شایع‌ترین اختلالات روانپزشکی است، این مطالعه با هدف بررسی اثربخشی ذهن‌آگاهی بر بهبود نشانگان اختلال دوقطبی دارای سابقۀ رفتارهای تکانشی انجام شد. روش مورد استفاده در این پژوهش از نوع آزمایشی و طرح پیش‌آزمون –پس‌آزمون است. جامعۀ آماری در این پژوهش، بیماران مبتلا به اختلال دوقطبی بخش روانپزشکی بیمارستان فارابی اصفهان در سال 99 بودند که بر اساس تشخیص روانپزشک دارای این اختلال تشخیص داده شده‌اند که از میان آن‌ها 22 نفر با تشخیص اختلال دوقطبی و با توجه به داوطلب بودن و تطبیق با معیارهای پژوهش انتخاب شدند و به صورت تصادفی در دو گروه آزمایش و کنترل و در هر گروه 11 نفر جای گرفتند. داده‌ها از طریق مقیاس تکانشگری بارات (, 2004  Barratt)، هوش هیجانی بار-آن (Bar-on, 1980)، جمع‌آوری شد. تحلیل داده‌ها به روش آماری تحلیل کواریانس و با نرم‌افزار SPSS₂₅ تحلیل گردید. نتایج نشان داد که مداخلۀ به عمل آمده، تغییرات معنادار و قابل توجهی در بهبود روابط بین فردی و اعمال تکانشی اختلال دوقطبی ایجاد کرده است(001/0=p). مداخلات درمانی مبتنی بر ذهن‌آگاهی بر بهبود روابط بین فردی و کاهش رفتارهای تکانشی مؤثر بود.

کلیدواژه‌ها

اختلال دوقطبی II؛ بهبود روابط بین فردی؛ تکانش‌پذیری؛ ذهن‌آگاهی

مراجع

Akhavan Salmasi A, Aghayi H. (2017).  The effectiveness of mindfulness training on depression in male patients with bipolar disorder in Parsa Chronic Psychiatric Rehabilitation Center in Mashhad University of Guilan. 24 (4): 215-220. [Persian].

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

Arabvarnousfaderani, M., fatehizade M., bahrami F., jazayeri R.S., ebrahimi A. (2017). The effects of men's bipolar mood disorder type ii on marital relationships from the spouse's perspective: a qualitative study. Journal of family research. volume 13 , number 51 ; pp 375-388. [Persian].

Atkinson R L, Atkinson R C, Smith E E, Bem D J, & Nolen-Hoeksema S. (2000). Hilgard's Introduction to Psychology. History, Theory, Research, and Applications. Journal of affective disorders, 145(3), 386-393.

Crane L., Davidson I., Prosser R., & Pellicano E. (2019). Understanding psychiatrists' knowledge, attitudes and experiences in identifying and supporting their patients on the autism spectrum: online survey

Ekhtiari H., Safaei H., Esmaeeli D., Javif G., Atefvagid M. K., Edalati H. & Mokri A. (2008). Reliability and validity of Persian version of Eysenck, Barratt, Dickman & Zuckman questionnariers in assessing risky and impulsive behaviors. Iranian journal of psychiatry and clinical psychology. 14(3), 326-336. [Persian].

Fathi Ashtiani A, Dastani M (2009). Psychological tests: Assessment of personality and mental health Tehran: Besat Publications. [Persian].

Garland E L, Schwarz N M, Kelly A, Whitt A, Howard M. (2012). Mindfulness-Oriented Recovery Enhancement for Alcohol Dependence: Therapeutic Mechanisms and Intervention Acceptability. J Soc Work Pract Addict. 12(3): 242–263.

Ghorbani M, Khalilian R. (2016). Effects of Mindfulness Training on Working Memory and Behavioral Inhibition fo rAdults with Attention Deficit /Hyperactivity. Adv Cogn Sci 2016;18(3): 90-100. [Persian].

Gilbert P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199-208.

Gilbert P. (2010). The compassionate mind: A new approach to life's challenges. New Harbinger Publications.

Gilbert P, & Andrews B. (Eds.). (1998). Shame: Interpersonal behavior, psychopathology, and culture. Oxford University Press on Demand.

Gilbert P & Procter S. (2006). Compassionate mind training for people with high shame and self‐criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13(6), 353-379.

Godfrin K A,  Heeringen C V. (2012). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study. Behav Res Ther. 48(8):738-46.

 

Golpour chamarkohi R, Mohammadamini Z. ( 2012). The efficacy of mindfulness based stress reduction on mindfulness and assertiveness of students with test anxiety. Journal of school psychology. 1 (3): 83-100. [Persian].

Golpour R, Soleimani A (2016). Psychology of mindfulness (from theory to practice). Publisher: Urmia University. [Persian].

Hadi N. (2012). Comparison of health related quality of life between bipolar patients and healthy people. Journal of Fundamentals of Mental Health. Volume 14, Issue 53. pp 54-63. [Persian].

Hamid Kazemi z, Mohagheghian M. (2019). Efficacy of mindfulness based on cognitive therapy on impulsivity and self- inhibition in patients with bipolar disorder under medical treatment. 27 (7): 1701-1713. [Persian].

Hanssen I, Van Dord M I, F, Compen F R, Geurts D E M, Schellekens M P J, Speckens A E M. (2019). Journal Article published in Internati on al Journal of Bipolar Disorders volume 7 issue 1. Exploring the clinical outcome of Mindfulness-Based Cognitive Therapy for bipolar and unipolar depressive patients in routine clinical practice: a pilot study.

Hasani Ardekani H, Javidi H, Mehryar A H, Hoseni E. (2018). Journal Article published in Bipolar Disorder: Open Access volume 04 issue 02. Effectiveness of Integration of Mindfulness – Based Cognitive Therapy and Recovery Cognitive Behavioral Therapy on Adolescents with Spectrum Bipolar Disorder. [Persian].

Hossein Mardi S, Abbasi S (2016). Psychometric properties of the Kentucky Mindfulness Questionnaire and its relationship with hardiness among working women in Alborz province. Fifth National Conference on Sustainable Development in Education and Psychology, Social and Cultural Studies. [Persian].

Jahanian M, Fatehizadeh M, Ahmadi A, Bahrami F. (2014). Using Mindfulness Based Interventions in Family and Couples: Effect of Mindfulness-Based Relationship Enhancement on Marital Satisfaction in Isfahan Couples. Int J Psychol Behav Res. 1(1). [Persian].

Kabat-Zinn J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology Science Practice; 10(2): 144-56.

Kabat-Zinn J. (2002). Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life. Hachette Books

Leary M R, Tate E B, Adams C E, Batts Allen A, & Hancock J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of personality and social psychology, 92(5), 887.

Marnat G G. (2004) . Handbook of Psychological Assessment, Trans.Pashasharifi H, NickhooM. Tehran: Sokhan Pub.

McCarney R W, Schulz J, Grey A R. (2012). Effectiveness of mindfulness-based therapies in reducing symptoms of depression: A meta-analysis. European journal of psychotherapy & counselling. 3 (14): 279-299.

Michalak J, Burg J &Heidenreich T.(2012). Don't Forget Your Body: Mindfulness, Embodiment, andthe Treatment of Depression. Mindfulness.

Murphy J G, MacKillop J. (2006). Relative reinforcing efficacy of alcohol among college student drinkers. Exp Clin Psychopharmacol. 14(2):219-27.

Noorbala F, Borjali A, Noorbala A A. (2013). The interaction effect between “self-compassion” and “rumination” of depressed patients in “compassion focused therapy”. Daneshvar Dedicine. 104 (20): 77-84 [Persian].

Pasieczny N & Connor J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour Research and Therapy, 49(1), 4-10.

Perich T, Manicavasagar V, Mitchell P B, Ball J R. (2014) Journal Article published in M in dfulness volume 5 issue 2 on page s186 to 191. Mindfulness-Based Approaches in the Treatment of Bipolar Disorder: Potential Mechanisms and Effects.

Potek, R. (2012). Mindfulness as a school-based prevention program and its effect on adolescent stress, anxiety and emotion regulation Ph.D., New York university.

Raes F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2(1), 33-36.

Roemer L, Williston SK, Rollins LG. (2015). Mindfulness and Emotion Regulation. Current Opinion In Psychology 2015; 3: 52-7.

Sadock, Benjamin, and Pedro Ruiz. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences. Walters Kluwer, (2015).

Smith  B W, Ortiz J A, Steffen L E, Tooley E M, Wiggins K T, Yeater E A, Montoya J D, Bernard M L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. J Consult Clin Psychol. 2011 Oct;79(5):613-7.

Stiglmayr C E, Shapiro D A, Stieglitz R D, Limberger M F & Bohus M. (2001). Experience of aversive tension and dissociation in female patients with   personality disorder—a controlled study. Journal of psychiatric research, 35(2), 111-118.

Summary of Kaplan and Sadok Psychiatry Based on DSM5 Volume 2 Translated by Mehdi Ganji Savalan Publishing.

Talebi zadeh M, Shahmir E, Jafari fard S. (2013). effectiveness of mindfulness-based cognitive therapy in the decrease of depression and maniac symptoms of individuals diagnosed with bipolar disorder journal of clinical psychology andishe va raftar (andisheh va raftar) (applied psychology), volume 7, number 26; page(s) 17 to 26. [Persian].

Toghiani M, Taji H. (2004). Graduate Thesis Abstract 2004. Publisher: Islamic Azad University (Khorasgan) [Persian].

Williams PG, Thayer JF. (2009). Executive Functioning and Health: Introduction to the Special Series. AnnBehav Med 2009; 37(2): 101-5.

Zabihollahzadeh F (2009). The effectiveness of mindfulness-based cognitive therapy on depressive symptoms and quality of life in patients with bipolar disorder, 4th International Conference on New Research in Educational Sciences and Psychology and Social Studies in Iran. [Persian].

Zare H, Khaleghi DF, Zare M, Shayeghian Z. (2016). Effect of Mindfulness in Reducing Aggression And Impulsivity in Adolescents. Iranian J Research & Health 2016; 6(1): 113-21. [Persian].