مقایسه اثربخشی طرحواره درمانی و درمان فراتشخیصی بر تنظیم شناختی هیجان پسران نوجوان مبتلا به اختلال وسواس فکری عملی

نویسندگان
الهام اسودی
افسانه خواجوند خوشلی
سمانه فرنیا
الناز پوراحمدی
چکیده
این پژوهش با هدف مقایسه اثربخشی طرحواره‌درمانی و درمان فراتشخیصی بر تنظیم شناختی هیجان پسران نوجوان مبتلا به اختلال وسواس فکری-عملی اجرا شد. روش این پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون همراه با گروه کنترل و پیگیری سه‌ماهه بود که در آن جامعه‌ی آماری این پژوهش را نوجوانان پسر 14 تا 16 ساله مبتلا به اختلال وسواس فکری عملی مراجعه کننده به مراکز و کلینیک‌های روانشناسی شهر ساری(رستا، باور) در بازه زمانی 04-1403 تشکیل می‌دهند. از میان این جامعه، ۴۵ پسر نوجوان به روش نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی ساده در سه گروه ۱۵ نفره جای‌گماری شدند و داده‌های پژوهش با استفاده از پرسشنامه تنظیم شناختی هیجان گارنفسکی و همکاران (۲۰۰۶) و پرسشنامه وسواس فکری-عملی ییل-براون (۱۹۸۹) گردآوری شد؛ همچنین برای گروه‌ آزمایش اول پروتکل طرحواره‌درمانی یانگ (۲۰۰۶) و برای گروه آزمایش دوم پروتکل درمان فراتشخیصی بارلو و همکاران (۲۰۱۱) اجرا گردید. نتایج حاصل از تحلیل واریانس با اندازه‌گیری مکرر نشان داد که بین نمرات تنظیم شناختی هیجان در گروه طرحواره‌درمانی و گروه درمان فراتشخیصی تفاوت معنی‌داری وجود دارد (P < ۰,۰۵) و طرحواره‌درمانی سبب ایجاد تغییرات و بهبود بیشتری در تنظیم شناختی هیجان شده است، ضمن اینکه عدم تفاوت معنی‌دار میان مرحله پس‌آزمون و پیگیری از پایداری و ثبات این دستاوردهای درمانی حکایت داشت. در مجموع، یافته‌های این مطالعه نشان می‌دهد که اگرچه می‌توان از هر دو رویکرد درمانی مورد قیاس برای بهبود سلامت روان پسران نوجوان مبتلا به اختلال وسواس فکری-عملی بهره برد، اما طرحواره‌درمانی در مقایسه با درمان فراتشخیصی، تأثیرات به مراتب عمیق‌تر و چشمگیرتری بر ارتقای تنظیم شناختی هیجان آن‌ها دارد.
کلیدواژه‌ها
تنظیم شناختی هیجان
طرحواره درمانی
درمان فراتشخیصی
اختلال وسواس فکری عملی

عنوان مقاله English

Comparison of the effectiveness of schema therapy and transdiagnostic therapy on cognitive emotion regulation in adolescent boys with obsessive-compulsive disorder

نویسندگان English

elham asvadi
afsaneh khajevand khoshli
samaneh farnia
elnaz poorahmadi
چکیده English

The present study aimed to compare the effectiveness of Schema Therapy and Transdiagnostic Treatment on cognitive emotion regulation among adolescent boys with Obsessive-Compulsive Disorder (OCD). This study employed a quasi-experimental design with a pretest–posttest, control group, and three-month follow-up. The statistical population consisted of 14- to 16-year-old adolescent boys diagnosed with OCD who were referred to psychological counseling centers and clinics (Rasta and Bavar) in Sari, Iran, during 2024–2025. From this population, 45 participants were selected using purposive sampling and were randomly assigned to three groups of 15 participants each. Data were collected using the Cognitive Emotion Regulation Questionnaire (CERQ) developed by Garnefski et al. (2006) and the Yale–Brown Obsessive-Compulsive Scale (Y-BOCS) developed by Goodman et al. (1989). The first experimental group received Young’s Schema Therapy protocol (2006), whereas the second experimental group underwent Barlow et al.’s Unified Transdiagnostic Treatment protocol (2011). Data were analyzed using repeated-measures analysis of variance (RM-ANOVA). The findings indicated a significant difference between the Schema Therapy and Transdiagnostic Treatment groups in cognitive emotion regulation scores (p < .05), with Schema Therapy producing greater improvements in cognitive emotion regulation. Furthermore, the absence of significant differences between the posttest and follow-up assessments demonstrated the stability and maintenance of the treatment effects over time. Overall, the findings suggest that although both therapeutic approaches are effective in improving the psychological functioning of adolescent boys with OCD, Schema Therapy yields substantially greater improvements in cognitive emotion regulation than Transdiagnostic Treatment.

کلیدواژه‌ها English

cognitive emotion regulation
Schema therapy
transdiagnostic therapy
Obsessive-compulsive disorder
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