نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار گروه روان‌شناسی دانشگاه الزهرا، تهران، ایران.

2 دکترای روان‌شناسی عمومی، دانشیار گروه روان‌شناسی دانشگاه تربیت مدرس، تهران، ایران.

3 دکترای روان‌شناسی بالینی، دانشیار گروه روان‌شناسی دانشگاه تربیت مدرس، تهران، ایران.

4 دکترای روان‌شناسی بالینی، استاد مرکز تحقیقات علوم رفتاری دانشگاه علوم پزشکی بقیه الله، تهران، ایران.

چکیده

هدف از انجام این پژوهش، مقایسه اثربخشی درمان شناختی - رفتاری و درمان بین فردی بر کاهش توجه متمرکز بر خود و ترس از ارزیابی منفی در افراد مبتلا به اختلال اضطراب اجتماعی بود. این مطالعه از نوع طرح های پیش آزمون – پس آزمون دوگروهی است که در آن از بین دانشجویان دختر مبتلا به اختلال اضطراب اجتماعی، نمونه ای40 نفره، انتخاب شدند و به صورت تصادفی به دو گروه CBT و IPT اختصاص داده شدند. ابزارهای مورد استفاده در این مطالعه شامل مصاحبه تشخیصی روانپزشکی، پرسشنامه کانون توجه (FAQ)، فرم تجدیدنظر شده مقیاس مختصر ترس از ارزیابی منفی (BFNE-II) و پرسشنامه هراس اجتماعی(SPIN) بود. داده های به دست آمده با روش آماری تحلیل کوواریانس چند متغیره مورد تجزیه و تحلیل قرار گرفتند. تحلیل داده ها مشخص کرد که با کنترل آماری واریانس پیش آزمون، بین اثربخشی IPT و CBT در کاهش توجه متمرکز بر خود و ترس از ارزیابی منفی تفاوت معناداری مشاهده نشد. در مجموع نتایج مطالعه حاضر نشان داد که CBT و IPT به یک اندازه در کاهش نشانه های شناختی هراس اجتماعی مؤثر هستند. با توجه به اینکه IPT به اندازه درمان مبتنی بر شواهد شناختی رفتاری در کاهش ترس از ارزیابی منفی و توجه متمرکز بر خود اثربخش است، لذا می توان در شرایطی که درمان بین فردی تناسب و امکان اجرای بیشتری دارد مانند مواردی که نقص عملکرد اجتماعی و شناختی خفیف تر است، از این درمان جهت کاهش علایم هراس اجتماعی به ویژه ترس از ارزیابی منفی و توجه متمرکز بر خود استفاده کرد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of Interpersonal therapy and cognitive behavior therapy for cognitive symptoms of social anxiety disorder

نویسندگان [English]

  • Azadeh Tavoli 1
  • Abbasali Allahyari 2
  • Parviz Azadfallah 3
  • Ali fathiAshtiani 4

1 Assistant professor/Alzahra university

2 Associate Professor at the Faculty of Humanities, Department of Psychology, Tarbiat Modares University

3 Associate Professor, Department of Psychology, Faculty of Humanities, Tarbiat Modares University

4 Professor of Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences

چکیده [English]

Abstract:

The aim of this study was to compare the effectiveness of cognitive - behavioral therapy (CBT) and interpersonal therapy (IPT) in reducing self- focused attention and fear of negative evaluation in patients with social anxiety. The study design pre-test - post-test in which 40 students with social anxiety disorder were selected and randomly assigned to either group CBT and IPT. Tools used in this study included the Structured Clinical Interview, the Focus of Attention Questionnaire (FAQ), the Social Phobia Inventory (SPIN), and the Brief Fear of Negative Evaluation Scale revised version (BFNE-II). Data were statistically analyzed using multivariate covariance analysis (MANCOVA). The results showed that there was no difference between the two psychotherapies in the improvement in self- focused attention and fear of negative evaluation. The findings of this study showed that both therapies are equally effective for self- focused attention and fear of negative evaluation in patients with social anxiety. Given that IPT is as effective as cognitive-behavior therapy in reducing the fear of negative evaluation and self-focused attention, it could be used to reduce the symptoms of social phobia, especially the fear of negative evaluation and self-focused attention.in situations where IPT is more efficacious, such as those with milder dysfunction in social and cognitive performance.

کلیدواژه‌ها [English]

  • Cognitive - behavioral therapy
  • fear of negative evaluation
  • Interpersonal therapy
  • self-focused attention
  • social anxiety disorder
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