نوع مقاله : مقاله پژوهشی (کمی)
نویسندگان
1 گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران.
2 دانشگاه علوم پزشکی یاسوج مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، یاسوج، ایران
چکیده
هدف: پژوهش حاضر با هدف اثربخشی طرحواره درمانی بر دوسوگرایی در ابرازگری هیجانی، تمایزیافتگی خود، ذهنی سازی و حساسیت به طرد در بیماران مبتلا به اختلال شخصیت مرزی شهر شیراز در سال 1401 انجام شد.
روش شناسی: روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون -پس آزمون با گروه کنترل و پیگیری بود. جامعه آماری پژوهش را کلیه افراد مبتلا به اختلال شخصیت مرزی مراجعه کننده به مراکز مشاوره شهر شیراز تشکیل دادند که از بین آنها، 50 نفر به روش نمونه گیری هدفمند انتخاب و به طور تصادفی در گروه آزمایش (هر گروه 25 نفر) و گروه کنترل (25 نفر) گمارده شدند. گروه آزمایش با استفاده از طرحواره درمانی، 12 جلسه 60 دقیقه ای تحت آموزش قرار گرفتند و گروه کنترل در لیست انتظار ماندند. ابزارهای مورد استفاده در پژوهش حاضر شامل پرسشنامه شخصیت مرزی (کلاریج و بروکز، 1984)، دوسوگرایی در ابرازگری هیجانی (کینگ و امونز، 1990)، تمایزیافتگی خود (اسکورن و فریدلندر، 1998)، ذهنی‌سازی (فوناگی، 1991) و حساسیت به طرد (داونی و فلدمن، 1996) بودند.
یافته‌ها: تجزیه و تحلیل اطلاعات به دست آمده از اجرای پرسشنامه در دو بخش توصیفی و استنباطی (تحلیل واریانس با اندازه گیری مکرر) انجام گرفت. نتایج نشان داد آموزش طرحواره درمانی بر مولفه‌های دوسوگرایی در ابرازگری هیجانی (ابراز هیجان مثبت، ابراز صمیمیت و ابراز هیجان منفی) افراد مبتلا به اختلال شخصیت مرزی تاثیر دارد. آموزش طرحواره درمانی بر تمایزیافتگی خود و مولفه‌های (واکنش پذیری عاطفی، جایگاه من، عدم گریز عاطفی و هم آمیختگی با دیگران) در افراد مبتلا به اختلال شخصیت مرزی تاثیر دارد. آموزش طرحواره درمانی بر ذهنی‌سازی افراد مبتلا به اختلال شخصیت مرزی تاثیر دارد. نتایج نشان داد آموزش طرحواره درمانی بر حساسیت به طرد در افراد مبتلا به اختلل شخصیت مرزی تاثیر دارد. بدین صورت که این درمان توانسته تمایزیافتگی خود و ذهنی سازی بیماران مبتلا به اختلال شخصیت مرزی را افزایش و ابرازگری هیجانی منفی و حساسیت به طرد را کاهش دهد
نتیجه گیری: منطبق با یافته های پژوهش حاضر می توان طرحواره درمانی را به عنوان یک روش کارآ جهت افزایش تمایزیافتگی خود و ذهنی سازی و کاهش ابرازگری هیجانی منفی و حساسیت به طرد بیماران مبتلا به اختلال شخصیت مرزی پیشنهاد داد.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
The Effectiveness of Schema Therapy on Ambivalence in Emotional Expression, Self-Differentiation, Metallization and Sensitivity to Rejection in Patients With Borderline Personality Disorder Culture in Damavand Schools
نویسندگان [English]
- Fariba Farmanbar 1
- Alireza Maredpour 1
- Mohammad Malekzadeh 2
1 Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran.
2 Yasuj University of Medical Sciences, Social Determinant of Health research center, Yasuj, Iran
چکیده [English]
Purpose: The present study was conducted with the aim of the effectiveness of schema therapy on ambivalence in emotional expression, self-differentiation, subjectivity and sensitivity to rejection in patients with borderline personality disorder in Shiraz city in 1401.
Methodology: The research method was semi-experimental with a pre-test-post-test design with control and follow-up groups. The statistical population of the research was made up of all people with borderline personality disorder who referred to counseling centers in Shiraz, and among them, 50 people were randomly selected in the experimental group (25 people in each group) and the control group ( 25 people) were appointed. The experimental group was trained in 12 sessions of 60 minutes using schema therapy, and the control group remained on the waiting list. The tools used in this research include borderline personality questionnaire (Claridge and Brooks, 1984), ambivalence in emotional expression (King and Emmons, 1990), self-differentiation (Skorn and Friedlander, 1998), mentalization (Fonagy, 1991) and sensitivity to rejection. (Downey and Feldman, 1996).
Findings: The analysis of the information obtained from the implementation of the questionnaire was done in two descriptive and inferential sections (variance analysis with repeated measurements). The results showed that schema therapy training has an effect on the components of ambivalence in emotional expression (positive emotion expression, intimacy expression and negative emotion expression) of people with borderline personality disorder. Schema therapy training has an effect on self-differentiation and its components (emotional reactivity, my place, lack of emotional escape and integration with others) in people with borderline personality disorder. Schema therapy training has an effect on the mentalization of people with borderline personality disorder. The results showed that schema therapy training has an effect on sensitivity to rejection in people with borderline personality disorder. In this way, this treatment has been able to increase self-differentiation and mentalization of patients with borderline personality disorder and reduce negative emotional expression and sensitivity to rejection.
Conclusion: According to the findings of the present study, schema therapy can be suggested as an effective method to increase self-differentiation and mentalization and reduce negative emotional expression and sensitivity to rejection in patients with borderline personality disorder.
کلیدواژه‌ها [English]
- Ambivalence in Emotional Expression
- Self-Differentiation
- Mentalization
- Sensitivity to Rejection
- Schema Therapy
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