مقایسه تأثیر شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان شناختی رفتاری بر تنظیم شناختی هیجان زنان دارای اختلال واژینیسموس

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران.

2 استادیار گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران.

3 دانشیار گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران. دانشیار گروه روان‌پزشکی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: واژینیسموس یکی از اختلالات عملکرد جنسی در زنان است. تنظیم هیجانی به اعمالی اطلاق می‌شود که به‌منظور تغییر یا تعدیل یک حالت هیجانی به‌کار می‌رود. مطالعه حاضر با هدف مقایسه تأثیر شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان شناختی رفتاری بر تنظیم شناختی هیجان زنان دارای اختلال واژینیسموس انجام شد.
روشکار: این مطالعه نیمه‌تجربی در سال 1397 بر روی 45 زن مبتلا به واژینیسموس مراجعه‌کننده به کلینیک مشاوره روانشناسی رهیاب مشهد انجام شد. افراد به‌‌طور ‌تصادفی در سه گروه 15 نفره شامل دو گروه مداخله و یک گروه کنترل قرار گرفتند. افراد یک گروه مداخله تحت درمان شناختی- رفتاری و گروه دیگر شناخت درمانی مبتنی بر ذهن‌آگاهی قرار گرفتند و گروه کنترل هیچ مداخله‏ای دریافت نکردند. ابزار پژوهش پرسشنامه‌های جمعیت‌شناختی و تنظیم شناختی هیجان بود. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های تحلیل کوواریانس چندمتغیره و تک‌متغیره و آزمون تعقیبی بونفرونی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: هر دو روش شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان شناختی رفتاری در مقایسه با گروه کنترل بر بهبود ابعاد تنظیم شناختی هیجان زنان دچار اختلال واژینیسموس تأثیر داشتند (0001/0=p). با توجه به مقایسه اختلاف میانگین‌های دو گروه مداخله با گروه کنترل، شناخت درمانی مبتنی بر ذهن‌آگاهی نسبت به درمان شناختی رفتاری تأثیر بیشتری بر ابعاد تنظیم شناختی هیجان داشت (01/0>p).
نتیجه­ گیری: هرچند هر دو روش شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان شناختی رفتاری بر تنظیم شناختی هیجان زنان دارای اختلال واژینیسموس تأثیر دارند، اما تأثیر شناخت درمانی مبتنی بر ذهن‌آگاهی بیشتر از درمان شناختی رفتاری است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Mindfulness- Based Cognitive Therapy and Cognitive Behavior Therapy on Cognitive Emotion Regulation in Women with Vaginismus

نویسندگان [English]

  • Zahra Omidvar 1
  • Mohammad Hossien Bayazi 2
  • Farhad Faridhosseini 3
1 PhD student of Health Psychology, Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran.
2 Assistant Professor, Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran.
3 Associate professor, Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran. Associate professor, Department of psychiatry, Psychiatry and Behavioral sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Vaginismus is one of the sexual dysfunctions in women. Emotional regulation refers to the actions which are used to change or modify an emotional state. This study was performed with aim to compare the effect of mindfulness- based cognitive therapy and cognitive behavior therapy on cognitive emotion regulation in women with vaginismus.
Methods: This quasi-experimental study was performed in 2018 on 45 women with vaginismus referred to Rahyab Psychology Counseling Clinic in Mashhad. The subjects were randomly divided into three groups of 15 people including two intervention groups and one control group. The women of one intervention group received cognitive-behavioral techniques and the other group received mindfulness-based cognitive therapy; the control group did not receive any intervention. The research tools were demographic questionnaire and cognitive emotion regulation questionnaire. Data were analyzed by SPSS software (version 20) and multivariate and univariate analysis of covariance and Bonferroni post hoc test. P<0.05 was considered statistically significant.
Results: Both mindfulness-based cognitive therapy and cognitive-behavioral therapy methods were effective on improving the cognitive emotion regulation dimensions of women with vaginismus compared to the control group (P = 0.0001). Considering the comparison of the differences between the means of the two intervention groups with the control group, mindfulness-based cognitive therapy has a greater effect on the dimensions of cognitive emotion regulation than cognitive-behavioral therapy (P <0.01).
Conclusion: Although both mindfulness-based cognitive therapy and cognitive-behavioral therapy have were effective on the cognitive emotion regulation in women with vaginismus, but the effect of mindfulness-based cognitive therapy is greater than cognitive-behavioral therapy.

کلیدواژه‌ها [English]

  • Cognitive behavior therapy
  • cognitive emotion regulation
  • Mindfulness
  • Vaginismus
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