مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و روان‌درمانی وجودی بر بهزیستی روان‌شناختی دانش‌آموزان دختر دارای اختلال اضطراب فراگیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران.

2 استادیار، گروه روانشناسی و علوم‌تربیتی، دانشگاه پیام‌نور، تهران، ایران.

3 استادیار، گروه روانشناسی و مشاوره دانشگاه فرهنگیان، تهران، ایران.

چکیده

زمینه: این پژوهش با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان وجودی بر بهزیستی روان‌شناختی دانش‌آموزان دختر دارای اختلال اضطراب فراگیر انجام شد.
روش: روش پژوهش، نیمه‌آزمایشی با گروه کنترل بود. جامعه‌آماری شامل تمامی دانش‌آموزان دختر دوره متوسطه دوم مدارس ناحیه یک شهر کرج در سال تحصیلی 1403-1402بود. 45 نفر بصورت در دسترس بعنوان نمونه انتخاب و به‌طور تصادفی در سه گروه آزمایش و کنترل قرار گرفتند. جهت جمع‌آوری داده‌ها، از ویرایش چهارم پرسشنامه اختلال اضطراب فراگیر و آزمون بهزیستی روان‌شناختی استفاده شد. گروه‌های آزمایش هر یک طی 10جلسه تحت مداخله‌ی درمان پذیرش و تعهد و درمان وجودی قرار گرفتند. تحلیل داده‌ها با آزمون تحلیل واریانس آمیخته و آزمون تعقیبی بونفرونی انجام شد.
یافته‌ها: درمان پذیرش و تعهد و درمان وجودی بر افزایش بهزیستی روان‌شناختی تأثیرگذار بودند (p<0/01)؛ تأثیر درمان وجودی بیشتر از مداخله دیگر بود (p<0/01)؛ نتایج پیگیری 2ماهه مداخله نشان‌دهنده ثبات روش‌های مداخله بود (p<0/01).
نتیجه‌گیری: هر 2روش از مداخلات مؤثر بر افزایش بهزیستی روان‌شناختی می‌باشند. لذا توصیه می‌شود درمان وجودی در مراکز درمانی برای افراد مبتلا به اختلال اضطراب فراگیر مورد استفاده متخصصان و درمانگران بالینی قرار گیرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of acceptance and commitment therapy (ACT) and existential therapy on the psychological well-being of female students with generalized anxiety disorder

نویسندگان [English]

  • Zohreh Sharif 1
  • Alireza Merati 2
  • Mehdi Yousefvand 3
1 Ph.D Student in Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
2 Assistant Professor, Department of Psychology and Educational Sciences, Payame Noor University, Tehran, Iran.
3 Assistant Professor, Department of Psychology and Counseling, Farhangian University, Tehran, Iran.
چکیده [English]

Introduction: This comparative study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) and existential therapy on the psychological well-being of female students with generalized anxiety disorder.
Methods: The method of study was quasi-experimental with a control group. The statistical population included all the female students of the second-grade high schools in the district 1 of Karaj in 2023-2024. Forty-five people were randomly selected as samples and divided into three experimental and control groups. The fourth edition of the generalized anxiety disorder questionnaire and the psychological well-being test were used to collect data. The experimental groups received ACT and existential therapy during 10 sessions. Data were analyzed using mixed analysis of variance and Bonferroni's post hoc test.
Results: ACT and existential therapy increase psychological well-being (P<0.01). The existential therapy effect was greater than other method (P<0.01). The 2-month follow-up results revealed the stability of the interventions (P<0.01).
Conclusion: Both methods are effective in increasing psychological well-being. Thus, it is recommended that existential therapy be used by clinical therapists and experts in treatment centers for people with generalized anxiety disorder.

کلیدواژه‌ها [English]

  • "acceptance and commitment therapy(ACT)"
  • "existential therapy"
  • "generalized anxiety"
  • "psychological well-being"
  • "students"
  1. Kajastus K, Haravuori H, Kiviruusu O, Marttunen M, & Ranta K. Associations of generalized anxiety and social anxiety with perceived difficulties in school in the adolescent general population. Journal of Adolescence, 2024;96(2):291-304. https://doi.org/10.1002/jad.12275
  2. LeardMann CA, McMaster HS, Warner S, Esquivel AP, Porter B, Powell TM. & Tu XM, Lee WW, Rull RP, Hoge CW, Boparai SK. Comparison of posttraumatic stress disorder checklist instruments from diagnostic and statistical manual of mental disorders, vs fifth edition in a large cohort of US military service members and veterans. JAMA network open,2021;4(4): e218072. https://doi.org/10.1001/jamanetworkopen.2021.8072
  3. Casares MÁ, Díez-Gómez A, Pérez-Albéniz A, Lucas-Molina B, & Fonseca-Pedrero E. Screening for anxiety in adolescents: Validation of the Generalized Anxiety Disorder Assessment-7 in a representative sample of adolescents. Journal of Affective Disorders,2024;354:331-338. https://doi.org/10.1016/j.jad.2024.03.047
  4. Putri SK, Sarinastiti W, & Murdaningtyas CD. Media Information of Generalized Anxiety Disorder in Adolescent Through Animation Explainer. In 2021 International Electronics Symposium (IES) (pp. 488-493). IEEE. https://ieeexplore.ieee.org/abstract/document/9594054
  5. Sheldon E, Simmonds-Buckley M, Bone C, Mascarenhas T, Chan N, Wincott M, Gleeson H SK, Hind D & Barkham M. (2021). Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis. Journal of affective disorders,2021;287: 282-292. https://doi.org/10.1016/j.jad.2021.03.054
  6. Asadzadeh N, Makvandi B, Askari P, Pasha R, & Naderi F. The Effectiveness of Reality Therapy on Social Adjustment, Psychological Well-Being and Self-Criticism of Generalized Anxiety Disorder Referring to Ahvaz Psychological Clinics. Psychologycal Achievements,2019;4(26): 159-178. https://doi.org/10.22055/psy.2019.26578.2137
  7. George LS, Maciejewski PK, Epstein AS, Shen M, & Prigerson HG. (2020). Advanced cancer patients’ changes in accurate prognostic understanding and their psychological well-being. Journal of pain and symptom management, 2020;59(5):983-989. https://doi.org/10.1016/j.jpainsymman.2019.12.366
  8. Twenge JM, & Martin GN. Gender differences in associations between digital media use and psychological well-being: Evidence from three large datasets. Journal of adolescence,2020;79: 91-102. https://doi.org/10.1016/j.adolescence.2019.12.018
  9. Martela F, & Ryan RM. Clarifying Eudaimonia and Psychological Functioning to Complement Evaluative and Experiential Well-Being: Why Basic Psychological Needs Should Be Measured in National Accounts of Well-Being. Perspectives on Psychological Science,2023; 17456916221141099. https://doi.org/10.1177/17456916221141099
  10. Pailler S, & Tsaneva M. The effects of climate variability on psychological well-being in India. World Development,2018;106:15-26. https://doi.org/10.1016/j.worlddev.2018.01.002
  11. Iani L, Quinto RM, Lauriola M, Crosta ML, & Pozzi G. Psychological well-being and distress in patients with generalized anxiety disorder: The roles of positive and negative functioning. PloS One,2019;14(11): e0225646. https://doi.org/10.1371/journal.pone.0225646
  12. Takebayashi Y, Tanaka K, Sugiura Y, & Sugiura T. (2018). Wellbeing and generalized anxiety in Japanese undergraduates: a prospective cohort study. Journal of Happiness Studies,2018;19:917-937. https://doi.org/10.1007/s10902-017-9852-3
  13. Jalali M, Mehrinejad A, & Aghae H. (2022). Effectiveness of Cognitive-Behavioral Therapy with and without Neurofeedback, Neurofeedback on Treatment and Increasing Women’s Psychological Wellbeing with Generalized Anxiety Disorder. Clinical Psychology & Personality, 2022;20(1):1-15. https://dx.doi.org/10.22070/cpap.2022.14078.1066
  14. Donahue ML, Fruge JE, Andresen FJ, & Twohig MP. (2024). Acceptance and commitment therapy (ACT) among US veterans: A systematic review. Journal of Contextual Behavioral Science,2024;32:100731. https://doi.org/10.1016/j.jcbs.2024.100731
  15. Fernández-Rodríguez C, Coto-Lesmes R, Martínez-Loredo V, González-Fernández S, & Cuesta M. Is activation the active ingredient of transdiagnostic therapies? A randomized clinical trial of behavioral activation, acceptance and commitment therapy, and transdiagnostic cognitive-behavioral therapy for emotional disorders. Behavior modification,2023;47(1):3-45. https://doi.org/10.1177/01454455221083309
  16. Zhang X, Haixia M, Yee LC, Wk HG, & Mak YW. Effectiveness of Acceptance and Commitment Therapy on self-care, psychological symptoms, and quality of life in patients with cardiovascular disease: A systematic review and meta-analysis. Journal of Contextual Behavioral Science,2023;29: 46-58. https://doi.org/10.1016/j.jcbs.2023.05.007
  17. Nissling L, Weineland S, Vernmark K, Radvogin E, Engström AK, Schmidt S, & Hursti T. Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial. Research in Psychotherapy: Psychopathology, Process, and Outcome,2023;26(2):681.   https://doi.org/10.4081/ripppo.2023.681
  18. Stapleton A, Stynes G, Cassidy S, & McHugh L. Assessing acceptance and commitment therapy for adolescent mental health: Single-case AB design with high temporal density assessments. Journal of Contextual Behavioral Science,2023;29:147-159. https://doi.org/10.1016/j.jcbs.2023.06.011
  19. Ara BS, Khosropour F, & Zarandi HM. Effectiveness of acceptance and commitment therapy (act) on emotional processing, irrational beliefs and rumination in patients with generalized anxiety disorder. Journal of Adolescent and Youth Psychological Studies, 2023;4(4):34-44. https://doi.org/10.61838/kman.jayps.4.4.5
  20. Dinarvand F, Bakhtiarpour S, & Heydarei A. Comparison of the Effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on reduction of anxiety symptoms in patients with Generalized anxiety disorder during the outbreak of Covid-19. Research in Behavioral Sciences,2022;19(4):590-600. http://rbs.mui.ac.ir/article-1-1186-fa.html
  21. Tanha Doust K, Zahiri Mojdehi A, Zamani M, Zabihi Oskooei F, & Amani O.The Effects of Acceptance and Commitment Group Therapy on Rumination and Emotional Processing in Women with Generalized Anxiety Disorder. MEJDS,2021;11:6-6. http://jdisabilstud.org/article-1-1907-fa.html
  22. Malboeuf-Hurtubise, C., Di Tomaso, C., Lefrançois, D., Mageau, G. A., Taylor, G., Éthier, M. A., & Léger-Goodes T. Existential Therapy for Children: Impact of a Philosophy for Children Intervention on Positive and Negative Indicators of Mental Health in Elementary School Children. Int. J. Environ. Res. Public Health,2021;18(23): 12332. https://doi.org/10.3390/ijerph182312332
  23. Heidenreich T, Noyon A, Worrell M, & Menzies R. Existential approaches and cognitive behavior therapy: Challenges and potential. International Journal of Cognitive Therapy,2021;14:209-234. https://doi.org/10.1007/s41811-020-00096-1
  24. Hoffman L, Ramey B, & Silveira D. Existential therapy, religion, and mindfulness. In The science of religion, spirituality, and existentialism 2020 Jan 1(pp. 359-369). Academic Press. https://doi.org/10.1016/B978-0-12-817204-9.00026-3
  25. Arnold-Baker C, Wharne S, Dowek NH, Gibson N, Molle J, & Van Deurzen E. Existential Therapy: Responses to Frequently Asked Questions. Taylor & Francis. https://doi.org/10.4324/9781003355700
  26. Rosli MR, Rafae NM, & Alim A. The Effectiveness of Existential Therapy to Reduce The Level of Depression among Residents in Moral Rehabilitation Schools. Journal Contemporary of Islamic Counselling Perspective,2022;1(1): 2948. https://jcicp.unishams.edu.my/images/Vol1No1August2022/1-JCICP_VOL_1_ISSUE_1_2022_-RIDHUAN.pdf
  27. Daradkah S, & Jaradat AK. Exploring the Effectiveness of Existential Therapy and Reality Therapy in Reducing Stress and Increasing Family Cohesion among Wives of Drug Addicts. Jordan Journal of Educational Sciences,2021;17(3): 421-436. https://doi.org/10.47015/17.3.7
  28. VanVoorhis CW, & Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutorials Quant methods Psychol,2007;3(2):43-50. http://doi.org/10.20982/tqmp.03.2.p043
  29. Newman MG, Zuellig AR, Kachin KE, Constantino MJ, Przeworski A, Erickson T, & Cashman-McGrath L. Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy,2002;33(2): 215-233. https://doi.org/10.1016/S0005-7894(02)80026-0
  30. Bita F, & Mohamadi N. the psychometric properties of the Generalized Anxiety Disorder Questionnaire-IV. Psychologycal Models and Methods,2018;8(3):87-104. https://doi.org/20.1001.1.22285516.1396.8.29.5.4
  31. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of personality and social psychology,1989;57(6): 1069. https://doi.org/10.1037/0022-3514.57.6.1069
  32. Bayani AA, Mohammad Koochekya A., Bayani, A. Reliability and Validity of Ryff’s Psychological Well-being Scales. IJPCP,2008;14(2):146-151. [Persian] http://ijpcp.iums.ac.ir/article-1-464-fa.html
  • تاریخ دریافت: 24 خرداد 1403
  • تاریخ بازنگری: 05 دی 1404
  • تاریخ پذیرش: 12 مرداد 1404
  • تاریخ اولین انتشار: 13 خرداد 1405
  • تاریخ انتشار: 01 تیر 1405