مقایسه اثربخشی طرح‌واره درمانی و رفتاردرمانی شناختی بر اضطراب افسردگی و استرس بیماران منییر

رحمانی, مهدی; جلالی, محسن; پوراحمدی اسفستانی, الناز; نیکان, عبدالصمد

doi:10.30473/hpj.2025.72787.6141

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	مقایسه اثربخشی طرح‌واره درمانی و رفتاردرمانی شناختی بر اضطراب افسردگی و استرس بیماران منییر
روانشناسی سلامت
دوره 14، شماره 54، شهریور 1404، صفحه 63-80 اصل مقاله (1.33 M)
نوع مقاله: علمی- پژوهشی
شناسه دیجیتال (DOI): 10.30473/hpj.2025.72787.6141
نویسندگان
مهدی رحمانی¹؛ محسن جلالی^* ²؛ الناز پوراحمدی اسفستانی³؛ عبدالصمد نیکان⁴
¹دانشجوی دکتری روانشناسی سلامت، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران
²استادیار روان شناسی بالینی،دانشکده علوم انسانی و اجتماعی، دانشگاه گلستان،گرگان، ایران،
³گروه روان‌شناسی، واحد بندرگز، دانشگاه آزاد اسلامی، بندرگز، ایران.
⁴گروه روان شناسی بالینی، واحد بندرگز، دانشگاه آزاد اسلامی، بندر گز، ایران
چکیده
مقدمه: بیماران منییر مشکلات روان‌شناختی عدیده‌ای را گزارش می‌کنند درحالی‌که در جهت درمان و بهبود ابعاد روانشناسی این بیماران تلاش چندانی نشده است. لذا هدف مطالعه حاضر مقایسه میزان اثربخشی طرح‌واره درمانی و رفتاردرمانی شناختی بر افسردگی، اضطراب و استرس بیماران منییر بود. روش: این پژوهش نیمه تجربی با طرح پیش‌آزمون پس‌آزمون و پیگیری بود. جامعه آماری پژوهش حاضر بیماران منییر مبتلا به افسردگی و اضطراب همبود بود که از بین آن‌ها، 45 بیمار با توجه به معیار‌های ورود و خروج با روش نمونه‌گیری در دسترس مبتنی بر هدف انتخاب و به صورت تصادفی به سه گروه رفتاردرمانی شناختی، طرح‌واره درمانی و کنترل اختصاص داده‌ شدند. هر سه گروه قبل، بعد از مداخله و یک ماه بعد از مداخله با مقیاس افسردگی، اضطراب و استرس مورد ارزیابی قرار گرفتند. در نهایت داده‌ها با استفاده از تحلیل واریانس اندزه گیری مکرر مورد تجزیه‌وتحلیل قرار گرفتند. یافته‌ها: نتایج کاهش معنادار در افسردگی، اضطراب و استرس بیماران منییر گروه‌های آزمایش نسبت به کنترل در پس‌آزمون و پیگیری نشان داد (05/0P<). همچنین بین گروه طرح‌واره درمانی و رفتاردرمانی شناختی در کاهش افسردگی به نفع طرح‌واره درمانی تفاوت معنادار نشان داده شد (05/0P<) اما در دیگر متغیرها تفاوت معناداری بین دو گرو آزمایش یافت نشد (05/0P>). نتیجه‌گیری: مداخلات طرح‌واره درمانی و رفتاردرمانی شناختی در بهبود علائم روان‌شناختی بیماران منییر مؤثر است. نتیجه این پژوهش و پژوهش‌های مشابه می‌تواند در حوزه‌های تشخیصی و درمانی بیماران منییر مورد استفاده قرار گیرد.
کلیدواژه‌ها
طرح‌واره درمانی؛ رفتاردرمانی شناختی؛ منییر
عنوان مقاله [English]
Effectiveness of Schema Therapy and Cognitive Behavioral Therapy on Anxiety, Depression, and Stress in Patients with Ménière's Disease
نویسندگان [English]
Mahdi Rahmani¹؛ mohsen jalali²؛ elnaz pourahmadi³؛ Abdolsamad nikan⁴
¹PhD student in health psychology, Department of Health Psychology, Gorgan Branch, Islamic Azad University
²Assistant Prof of clinical psychology, Faculty of Humanities and Social sciences, Golestan University, Gorgan, Iran,
³Department of Psychology, Bandargaz Branch, Islamic Azad University, Bandargaz, Iran
⁴Department of Psychology, Bandargaz Branch, Islamic Azad University, Bandargaz, Iran
چکیده [English]
Objective: Patients with Ménière's disease often report experiencing various psychological challenges, including heightened levels of anxiety, depression, and stress. Despite these concerns, research addressing the treatment of psychological aspects in Ménière's disease remains limited. Individuals living with this condition face substantial difficulties, compounded by the absence of a definitive cure. A review of the literature, both within and outside Iran, highlights a scarcity of evidence supporting the efficacy of psychological interventions for this population. Furthermore, existing studies provide mixed findings regarding the effectiveness of schema therapy and cognitive-behavioral therapy (CBT) in alleviating anxiety, depression, and stress among these patients. This study aimed to address this gap by comparing the efficacy of schema therapy and CBT in reducing psychological symptoms in patients with Ménière's disease. Method: This quasi-experimental study employed a pre-test, post-test, and follow-up design to evaluate the interventions. The statistical population comprised patients diagnosed with Ménière's disease who exhibited comorbid depression and anxiety. From this population, 45 patients were selected using purposive sampling and assigned to three groups: schema therapy, CBT, and a control group. Participants were randomly distributed among these groups, with 15 patients in each. Inclusion and exclusion criteria ensured the selection of participants suitable for the study. The schema therapy group underwent intervention facilitated by the researcher in ten weekly group sessions, each lasting two hours over a 2.5-month period. The CBT group also participated in ten weekly two-hour sessions, administered by a therapist specializing in CBT. The control group received no therapeutic intervention but participated in the pre-test, post-test, and follow-up assessments. Psychological outcomes were measured at baseline, immediately following the intervention, and one month post-intervention using the Depression, Anxiety, and Stress Scale (DASS). Data were analyzed using repeated mesure variacnes. Results: The results revealed significant reductions in depression, anxiety, and stress among patients in both schema therapy and CBT groups compared to the control group at post-test and follow-up (P < 0.05). Notably, schema therapy demonstrated significantly greater efficacy than CBT in reducing depression (P < 0.05), while no significant differences were observed between the two therapies for anxiety and stress reduction (P > 0.05). These findings indicate that schema therapy was particularly effective in mitigating depressive symptoms during the follow-up phase, whereas both therapies were equally beneficial in addressing anxiety and stress relative to the control condition. Conclusion: This study underscores the effectiveness of schema therapy and CBT in alleviating psychological symptoms in patients with Ménière's disease. The findings suggest that these interventions may serve as valuable therapeutic approaches for improving the mental health of this population. Schema therapy, in particular, appears to offer superior benefits in reducing depressive symptoms. However, several limitations should acknowledged. The study's relatively small sample size and the geographic dispersion of participants posed logistical challenges. Additionally, the researcher’s dual role as therapist for the schema therapy group may have introduced bias, potentially impac the double-blind rigor of the study. Future research with larger, more diverse samples and independent therapists recommended to validate findings and refine treatment strategies
کلیدواژه‌ها [English]
Schema Therapy, Cognitive Behavioral Therapy, Ménière's Disease

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مقایسه اثربخشی طرح‌واره درمانی و رفتاردرمانی شناختی بر اضطراب افسردگی و استرس بیماران منییر