اثر بخشی درمان مبتنی بر پذیرش و تعهد بر تنظیم هیجان در مردان مبتلا به پرخوری عصبی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت. دانشگاه آزادااسلامی. واحد امارات متحده عربی.

2 نویسنده مسئول، استادیار دانشگاه پیام نور تهران، تهران، ایران، rafiepoor@yahoo.com

3 استادیار گروه روانشناسی دانشگاه آزاد اسلامی واحد کرج، ایران، morvaridahdi1360@gmail.com

4 استادیار گروه روانشناسی تربیتی دانشگاه خوارزمی، تهران، ایران، ghrasar2@gmail.com

چکیده

مقدمه: پرخوری از اختلالات شایع در زندگی امروزی است که چالش­های زیادی برای افراد مبتلا ایجاد کرده است و تلاش­ها برای درمان آن اهمیت خاصی پیدا کرده است. پژوهش حاضر با هدف بررسی اثر بخشی درمان مبتنی بر پذیرش و تعهد بر تنظیم هیجان در مردان مبتلا به پرخوری عصبی انجام شد.
روش پژوهش: روش تحقیق نیمه آزمایشی بود. جامعة آماری در این پژوهش شامل کلیة مردان مبتلا به پرخوری عصبی مراجعه کننده به انجمن پرخوران ایران که توسط روانپزشک تشخیص اختلال پرخوری عصبی دریافت کرده اند، بود. حجم نمونه پژوهشی حاضر با توجه به توان آزمون (80/0)، اندازه اثر (50/0) و سطح اطمینان (05/0) برای هر گروه نمونه 15 نفر در نظر گرفته شد که بصورت تصادفی انتخاب گردیدند. گروه آزمایش به مدت 8  به صورت هفته ای 1 جلسه 70 تا 90 دقیقه ای تحت آموزش قرار گرفت. ابزار پژوهش پرسشنامة تنظیم هیجان گارنفسکی و کرایج (2006) بود.
 یافته ها: تحلیل داده­ها پس از بررسی مفروضه­های اماری با روش تحلیل کواریانس انجام گرفت. نتایج تحلیل کواریانس نشان داد که مداخله مبتنی بر پذیرش و تعهد روی راهبردهای مثبت و راهبردهای منفی تنظیم هیجان اثربخش بوده است (05/0>p).
 نتیجه گیری: مداخله مبتنی بر پذیرش و تعهد راهبردهای مثبت و کاهش راهبردهای منفی تنظیم هیجان در درمان پرخوری عصبی تاثیرگذار است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy on Emotion Regulation in Men with Bulimia Nervosa

نویسندگان [English]

  • Ebrahim Erfani 1
  • Amin Rafiepoor 2
  • Morvarid Ahadi 3
  • Gholamreza Serami 4
1 PHD student of psychology, Islamic Azad University, UAE Branch,
2 Corresponding author, Assistant Professor Payame Noor University of Tehran, Tehran, Iran, rafiepoor@yahoo.com
3 Assistant Professor, Department of Psychology, Islamic Azad University, Karaj Branch, Iran, morvaridahdi1360@gmail.com
4 - Assistant Professor, Department of Educational Psychology, Kharazmi University, Tehran, Iran, ghrasar2@gmail.com
چکیده [English]

Introduction: Overeating is one of the most common disorders in life today, which has created many challenges for people with the disease, and efforts to treat it have become particularly important. The aim of this study was to evaluate the effectiveness of acceptance and commitment-based therapy on emotion regulation in men with bulimia nervosa.
Method: The research method was quasi-experimental. The statistical population in this study included all men with bulimia nervosa referred to the Iranian Overeating Association who received a diagnosis of bulimia nervosa by a psychiatrist. The volume of the present research sample according to the test power (0.80), effect size (0.50) and confidence level (0.05) was considered for each sample group of 15 people who were randomly selected. The experimental group was trained for 8 sessions of 70 to 90 minutes per week. The research instrument was Garnowski and Craig Emotion Regulation Questionnaire. Data analysis was performed after examining statistical assumptions by analysis of covariance.  Results: The results of the analysis showed that the intervention based on acceptance and commitment was effective on positive and negative strategies of emotion regulation.
Conclusion: Based on the findings, it can be concluded that by using the intervention based on acceptance and commitment, positive and negative strategies of emotion regulation can be improved in men with bulimia nervosa.

کلیدواژه‌ها [English]

  • Acceptance and Commitment" Overeating" Excitement regulation
  • References

    • Lucassen EA., Zhao X., Rother KI., Mattingly MS., Courville AB., De Jonge L., Csako G, Cizza G, Sleep Extension Study Group. Evening chronotype is associated with changes in eating behavior, more sleep apnea, and increased stress hormones in short sleeping obese individuals. PloS one. 2013 Mar 6;8(3):e56519.
    • Gianini LM., White MA., Masheb RM. Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eating behaviors. 2013 Aug 1;14(3):309-13.
    • Hilbert A., Tuschen‐Caffier B.. Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa. International journal of eating disorders. 2007 Sep;40(6):521-30.
    • Basak Nejad S., Hooman F., Qasemi Nejad M.. The relationship between cognitive-behavioral avoidance coping styles and eating disorders in university students. Journal of Mental Health Principles, 2012; 14 (56): 85-287.
    • Hooman F., Mehrabizadeh Honarmand M., Khajehuddin N., Zargar Y.. Evaluation of the effectiveness of cognitive-behavioral group therapy on bulimia nervosa in women referred to the Ahvaz Bulimia Association. Jundishapur Medical Quarterly, 2018; 10 (4): 417-425.
    • Gross JJ., Thompson RA.. Emotion regulation: conceptual foundation. in jj gross (ed). handbook of emotion regulation.2007.
    • Ricca V., Castellini G., Sauro CL., Ravaldi C., Lapi F., Mannucci E., Rotella CM., Faravelli C.. Correlations between binge eating and emotional eating in a sample of overweight subjects. Appetite. 2009 Dec 1;53(3):418-21.
    • Munsch S., Meyer AH., Quartier V., Wilhelm FH.. Binge eating in binge eating disorder: a reakdown of emotion regulatory process?. Psychiatry research. 2012 Feb 28;195(3):118-24.
    • Rahmanian M., Nejatali R., Oraki M.. The Effectiveness of Acceptance and Commitment Therapy in Cognitive Emotion Regulation and Concerns of Body Image in Females with Bulimia Nervosa. JHPM. 2018; 7 (4) :33-40.
    • Hayes SC., Wilson KG., Gifford EV., Follette VM., Strosahl K.. Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of consulting and clinical psychology. 1996 Dec;64(6):1152.
    • Soleimani M., Khodavirdi T., Qasemzadeh A.R.. Evaluation effect of dialectical behaviour therapy (DBT) on decreasing overeating and depression in women with binge eating disorder (BED) Scientific Journal of the Medical System Organization of the Islamic Republic of Iran. 2014; 32 (1) :9-18.
    • Safarzade S., Mahmoody Khorandi Z.. Survey on Eating Disorders (Mental Anorexia, Bulimia) among 13-18-Year- Old Adolescents of Gonabad City in 2014. JRUMS. 2015; 14 (5) :393-404
    • Kaviani H., Javaheri F., Bahiray H.. Efficacy of Mindfulness-Based Cognitive Therapy in Reducing Automatic Thoughts, Dysfunctional Attitude, Depression and Anxiety: A Sixty-Day Follow-Up. Advances in Cognitive Sciences. 2005; 7 (1) :49-59
    • Mohammadi L., Salehzade Abarghoei M., Nasirian M.. Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation in Men under Methadone Treatment. JSSU. 2015; 23 (9) :853-861
    • Zettle RD., Petersen CL., Hocker TR., Provines JL.. Responding to a challenging perceptual-motor task as a function of level of experiential avoidance. The Psychological Record. 2007 Jan;57(1):49-62.
    • Gholam Hosseini B., Khodabakhshi Kolaei A., Taqvai D.. The effectiveness of acceptance and commitment group therapy in improving depression and body image in obese women. Social Health, 2014؛ 2 (1): 8-1.
    • Garnefski N., Kraaij V.. Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and individual differences. 2006 Oct 1;41(6):1045-53.
    • Garnefski N., Van Den Kommer T., Kraaij V., Teerds J., Legerstee J., Onstein E.. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non‐clinical sample. European journal of personality. 2002 Sep;16(5):403-20.
    • Yousefi F.. The Relationship of Cognitive Emotion Regulation Strategies with depression and Anxiety in Students of Special Middle Schools for Talented Students in Shiraz. JOEC. 2007; 6 (4) :871-892
    • Hayes, S. C. “A contextual approach to therapeutic change. In N. Jacobson (Ed.), Psychotherapists in clinical practice: Cognitive and behavioral perspectives ,New York: The Guilford Press.1987.
    • Forman EM., Butryn ML., Hoffman K.L, Herbert JD.. An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral practice. 2009 May 1;16(2):223-35.
    • Weineland S., Arvidsson D., Kakoulidis TP., Dahl J.. Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obesity research & clinical practice. 2012 Jan 1;6(1):e21-30.
    • Pearson AN., Follette VM., Hayes SC.. A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice. 2012 Feb 1;19(1):181-97.
    • Dalen J., Smith BW., Shelley BM., Sloan AL., Leahigh L., Begay D.. Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complementary therapies in medicine. 2010 Dec 1;18(6):260-4.
    • Kristeller JL., Wolever RQ.. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eating disorders. 2010 Dec 28;19(1):49-61.
    • Katterman SN., Goldstein SP., Butryn ML., Forman EM., Lowe MR.. Efficacy of an acceptance-based behavioral intervention for weight gain prevention in young adult women. Journal of Contextual Behavioral Science. 2014 Jan 1;3(1):45-50.
    • Hayes SC., Luoma JB., Bond FW., Masuda A., Lillis J.. Acceptance and commitment therapy: Model, processes and outcomes. Behavior research and therapy. 2006 Jan 1;44(1):1-25.
    • Hayes SC., Strosahl K., Wilson KG.. Acceptance and commitment therapy: An experiential approach to behavior change. 1999. New York: Guilford. 2005.