اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر خودکارآمدی هیجانی و افکار خودکشی در بیماران مبتلا به اختلال شخصیت مرزی
کلمات کلیدی:
پذیرش و تعهد, خودکارآمدی هیجانی, افکار خودکشی, اختلال شخصیت مرزیچکیده
هدف پژوهش بررسی اثر درمان مبتنی بر پذیرش و تعهد بر بهبود خودکارآمدی هیجانی و کاهش افکار خودکشی در بیماران مبتلا به اختلال شخصیت مرزی بود. این پژوهش بهصورت نیمه آزمایشی با طرح پیشآزمون–پسآزمون همراه با گروه کنترل انجام شد. نمونه شامل ۳۰ بیمار مبتلا به اختلال شخصیت مرزی بود که با نمونهگیری هدفمند انتخاب و به شکل تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش طی هشت جلسه ۹۰ دقیقهای درمان گروهی مبتنی بر پذیرش و تعهد دریافت کرد و گروه کنترل هیچ مداخلهای دریافت نکرد. ابزارهای اندازهگیری شامل پرسشنامه خودکارآمدی هیجانی و مقیاس افکار خودکشی بود. تحلیل دادهها با استفاده از تحلیل واریانس با اندازهگیری مکرر انجام شد. نتایج نشان داد درمان مبتنی بر پذیرش و تعهد موجب افزایش معنادار خودکارآمدی هیجانی و کاهش معنادار افکار خودکشی در گروه آزمایش نسبت به گروه کنترل شد. همچنین اثر زمان و اثر تعاملی زمان–گروه معنادار بود که نشاندهنده تداوم نسبی اثرات درمان در مرحله پیگیری است. درمان مبتنی بر پذیرش و تعهد یک رویکرد مؤثر برای بهبود تواناییهای تنظیم هیجان و کاهش افکار خودکشی در بیماران مبتلا به اختلال شخصیت مرزی است و میتواند بهعنوان یک روش درمانی قابلاجرا در محیطهای بالینی مورد استفاده قرار گیرد.
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حق نشر 1404 Mohammad Reza Yekta (Corresponding author); Faride Ranjbar Neysiani, Mahtab Kachouei, Masoumeh Khorramdashti, Vida Tavassoli (Author)

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