مقایسه اثربخشی درمان فراشناخت و آموزش نوروفیدبک بر بهبود باورهای فراشناختی و علائم اضطراب در دانشجویان دختر دارای اختلال اضطراب اجتماعی (تک آزمودنی)

نویسندگان
فاطمه غیورکاظمی 1
زهره سپهری شاملو 2
علی مشهدی 2
علی غنائی 2
فروزان پاسالار 1
1 دانشگاه فردوسی مشهد
2 دانشکده روانشناسی دانشگاه فردوسی
چکیده
هدف این پژوهش مقایسه اثربخشی درمان فراشناخت با نوروفیدبک در بهبود باورهای فراشناختی و علائم اختلال اضطراب اجتماعی بود. این پژوهش از نوع مطالعه تک آزمودنی و نمونه گیری داوطلبانه بود. 5 دانشجوی دانشگاه فردوسی مشهد و دانشگاه فرهنگیان با تشخیص اختلال اضطراب اجتماعی، براساس شدت اختلال (خفیف تر یا شدید) همتا شده، به صورت تصادفی در دو گروه فراشناخت و نوروفیدبک جای گرفتند. از مصاحبه بالینی DSM-IV-TR، پرسشنامه هراس اجتماعی کانور، پرسشنامه اضطراب اجتماعی واتسون و فرند و پرسشنامه باورهای فراشناختی استفاده شد. درمان فردی فراشناخت در 8 جلسه هفتگی و نوروفیدبک 16جلسه، سه بار در هفته اجرا شد. پرسشنامه ها در خط پایه، انتهای درمان و پیگیری 45 روزه تکمیل شدند، به علاوه پرسشنامه کانور دوبار در میانه درمان (یک سوم و دو سوم مدت دوره درمان) نیز تکمیل گردید. برای تحلیل داده­ها از شاخص درصد بهبودی استفاده گردید. یافته­ها نشان دهنده اثربخشی هردو درمان در نشانه­های اضطرابی آزمودنی­ها، با دامنه درصدهای بهبودی متفاوت در هر فرد بود. میانگین درصدهای بهبودی آزمودنی­ها برای هردو درمان در اختلال اضطراب اجتماعی، تفاوت معناداری نداشت. اگرچه بیشترین بهبودی در باورهای فراشناختی در آزمودنی­های گروه فراشناخت ایجاد شده بود. بهبودی همه آزمودنیها در دوره پیگیری ادامه یافته بود. بطورکلی درمان فراشناخت و نوروفیدبک به­طور اثربخشی توانستند اختلال اضطراب اجتماعی را بهبود بخشند اما اثربخشی بیشتر درمان فراشناخت برای کاهش علائم اضطراب اجتماعی خفیف و نوروفیدبک برای اختلال اضطراب اجتماعی شدیدتر مشاهده شد.
کلیدواژه‌ها
اضطراب اجتماعی
اضطراب
فراشناخت درمانی
نوروفیدبک

عنوان مقاله English

A Comparative Study of the Effectiveness of Metacognitive Therapy with Neurofeedback Training on Metacognitive Beliefs and Anxiety Symptoms in Female Students with Social Anxiety Disorder (single subject)

نویسندگان English

fatemeh ghayourkazemi 1
zohreh sepehri shamloo 2
ali mashhadi 2
ali ghanaei 2
frozan pasalar 1
چکیده English

The aim of this research was to compare the effectiveness of MCT and Neurofeedback on metacognitive believes and symptoms of SAD. This research was a single subject study with volunteer sampling method. 7 students from Ferdowsi and Farhangian universities with diagnosis of SAD have been matched and assigned into one of the three groups (control, MCT and Neurofeedback).DSM-IV structured interview,Conner's Social Phobia Inventory, Watson and Friend's social anxiety questionnair, metacognition questionnair have been used before and after intervention and in 45 days follow-up. Conner's Inventory also had been answered 2 times within the treatment. 8 session per week for MCT and 16 sessions 3 times each week for neurofeedback has been performed. Percent recovery is used for data analysis. Results showed MCT and neurofeedback were effective in treating SAD with different range of percent recovery in each one of the subjects. But the mean of percent recoveries weren't different between the two interventions. Although metacognitive believes changed more in MCT. Percent recovery has improved in the follow up. In general, MCT and Neurofeedback are both effective in reducing SAD but MCT was more effective in milder SAD and Neurofeedback was more effective in more severe SAD than MCT.

کلیدواژه‌ها English

Social anxiety disorder
anxiety
Metacognitive therapy
Neurofeedback
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