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اخبار و اعلانات

داوران 1399

داوران 1400

اثربخشی درمان شناختی-رفتاری بر انزوای اجتماعی و حساسیت اضطرابی نوجوانان دختر مبتلا به صدابیزاری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران

2 دانشیار روانشناسی دانشگاه پیام نور، تهران، ایران

3 دانشیار، گروه روانشناسی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران

4 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران

چکیده

صدابیزاری نوعی اختلال عصبی-رفتاری است که باعث واکنش‌های فیزیکی و احساسی شدید نسبت به صداهای خاص می‌شود. پژوهش حاضر با هدف تعیین اثربخشی درمان شناختی-رفتاری بر انزوای اجتماعی و حساسیت اضطرابی نوجوانان دختر مبتلا به صدابیزاری انجام شد. طرح پژوهش حاضر، نیمه آزمایشی از نوع پیش آزمون-پس‌آزمون-پیگیری با گروه کنترل نابرابر بود. جامعه آماری پژوهش شامل تمامی دانش‌آموزان دختر سنین 12 تا 18 ساله مبتلا به صدا‌بیزاری شهر اردبیل در سال 1403 بودند که از میان آنان، 30 نفر به شیوه نمونه‌گیری هدفمند گزینش و به شیوه تصادفی در گروه آزمایش و گروه کنترل جایگزین شدند. گروه آزمایش 8 جلسه 60 دقیقه‌ای درمان شناختی-رفتاری را دریافت‌کرد و گروه کنترل مداخله‌ای دریافت نکرد. هر دو گروه، در سه مرحله قبل از اجرای مداخله، پس از پایان مداخله و در مرحله پیگیری به پرسشنامه صدابیزاری (وو و همکاران، 2014)، پرسشنامه انزوای اجتماعی (چلپی و امیرکافی ، 1383) و پرسشنامه حساسیت اضطرابی (ریس و پترسون، 1985) پاسخ دادند. برای تجزیه و تحلیل آماری داده‌ها از آزمون تحلیل واریانس با اندازه‌گیری مکرر استفاده شد. نتایج نشان داد که درمان شناختی-رفتاری موجب کاهش انزوای اجتماعی و حساسیت اضطرابی در مراحل پس‌آزمون و پیگیری گروه آزمایش تاثیر معنی‌دار داشته است (01/0>p). نتیجه این مطالعه نشان داد که درمان شناختی-رفتای موجب بهبود انزوای اجتماعی و کاهش حساسیت اضطرابی نوجوانان دختر مبتلا به صدا-بیزاری شده‌است. روانشناسان و روانپزشکان می‌توانند برای بهبود انزوای اجتماعی و حساسیت اضطرابی نوجوانان دختر مبتلا به صدابیزاری از این مداخله استفاده نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of cognitive-behavioral therapy on social isolation and anxiety sensitivity of adolescent girls with misophonia

نویسندگان [English]

  • Seyedeh Khadijeh Seyed Mousavi 1
  • Fereshteh Pourmohseni Koluri 2
  • Azra Ghaffari 3
  • Somayyeh Taklavi 4

1 Ph.D. Student in Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

2 Payame noor University

3 Associate Professor, Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

4 Assistant Professor, Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

چکیده [English]

Misophonia is a neurobehavioral disorder that causes strong physical and emotional reactions to certain sounds. The purpose of this research was the effectiveness of cognitive-behavioral therapy on social isolation and anxiety sensitivity of adolescent girls with misophonia. It was a semi-experimental research design of pre-test-post-test and follow-up with a unmatched control group. The statistical population of the study included all girles students aged 12 to 18 years old with misophonia in Ardabil city in 2024. The size of the statistical sample was 30 people from the mentioned statistical population who were selected by purposeful sampling and randomly placed in two experimental and control groups. For the experimental group, 8 sessions of 60 minutes of cognitive-behavioral therapy were performed, and the control group did not receive therapy. In this research, Misophonia Questionnaire (MQ), social isolation questionnaire (SIQ) and Anxiety Sensitivity Index (ASI) were used to collect data. For the statistical analysis of the obtained data, the analysis of variance test with repeated measurements was used. The results showed that cognitive-behavioral therapy had a significant effect on social isolation and anxiety sensitivity in the post-test and follow-up stages. The findings of this research provide useful information regarding cognitive-behavioral therapy, Psychologists and psychiatrists can use this intervention to improve social isolation and anxiety sensitivity of girls with misophonia.

کلیدواژه‌ها [English]

  • cognitive-behavioral therapy
  • social isolation
  • anxiety sensitivity
  • misophonia
مراجع
بهاری، صونا.، توزنده جانی، حسن.، طاهری، الهام. (1399). اثر­بخشی درمان شناختی-رفتاری واحد پردازه­ای بر حساسیت اضطرابی، تحریف­های شناختی در دختران مبتلا به نشانگان بالینی اضطراب اجتماعی. روان­شناسی بالینی، 12(2)، 62-51.
چلبی، مسعود و امیرکافی، مهدی. (1383). تحلیل چند سطحی انزوای اجتماعی. مجله جامعه­شناسی ایران، 5 (2)، 3-31.
مرادی منش، فردین. میرجعفری، سیداحمد.گودرزی، محمدعلی و محمدی، نورالله . (1386).  بررسی ویژگی های روان سنجی شاخص تجدیدنظر شده حساسیت اضطرابی (ASIR)، فصلنامه روانشناسی، 11 (4)، 426-446.
مهرابی­زاده هنرمند، مهناز و روشنی، خدیجه. (1398). بررسی ویژگی‌های روان‌سنجی پرسشنامه صدا بیزاری. مجله علوم اعصاب شفای خاتم، ۷ (۲)، ۱۳-۲۲.
محمدی­جو، امیر. (1392). نقش اینترنت بر انزوای اجتماعی در میان دانشجویان دانشگاه آزاد اسلامی واحد تهران مرکز. مالعات رسانه­ای، 8، 19-30.
نرگسی، فریده. فتحی آشتیانی، علی. داودی، ایران. اشرفی، عماد. (1398). اثربخشی درمان فراتشخیصی یکپارچه بر حساسیت اضطرابی، تحمل پریشانی و علائم وسواسی-اجباری در افراد دچار اختلال وسواسی اجباری. دست‌آوردهای روان‌شناختی، 26(2)،  66-49.
Allan, N. P., Gorka, S. M., Saulnier, K. G., & Bryan, C. J. (2023). Anxiety sensitivity and intolerance of uncertainty: transdiagnostic risk factors for anxiety as targets to reduce risk of suicide. Current psychiatry reports, 1-9. DOI: 10.1007/s11920-023-01413-z.
Asnaani, A., Tyler, J., McCann, J., Brown, L., & Zang, Y. (2020). Anxiety sensitivity and emotion regulation as mechanisms of successful CBT outcome for anxiety-related disorders in a naturalistic treatment setting. Journal of Affective Disorders, 267 (15), 86-95. https://doi.org/10.1016/j.jad.2020.01.160
Barahmand, U., Mantzikos, M. S., Xiang, Y., Shamsina, N., & Rotlevi, E. (2023). Disgust and Anxiety Sensitivity as Vulnerability Factors in Misophonia. Psychiatry and Behavioral Sciences, 13(3), 166. Doi: 10.5455/PBS.20230130095513.
Bahari, Sona, Tozandeh Jani, Hassan, Taheri, Elham. (2019). Effectiveness of cognitive behavioral therapy on health, cognitive distortions in girls with social clinical syndromes. Clinical Psychology, 12(2): 51-62 [In persian].
Brout, J.J., Edelstein, M., Erfanian, M., Mannino, M., Miller, L.J., Rouw, R., Kumar, S., and Rosenthal, M.Z. (2018). Investigating misophonia: a review of the empirical literature, clinical implications, and a research agenda. Front. Neurosci. 12, 36. https://doi.org/10.3389/fnins. 2018.00036.
Cusack, S. E., Cash, T.V., & Varana, S.R. (2018). An Examination of the Relationship between Misophonia, Anxiety Sensitivity, and Obsessive- Compulsive Symptoms. Journal of Obsessive-Compulsive and Related Disorders, 1-22.
Cecilione, J. L., Hitti, S. A., & Vrana, S. R. (2022). Treating adolescent misophonia with cognitive behavioral therapy: considerations for including exposure. Clinical Case Studies, 21(3), 175-191. https://doi.org/10.1177/15346501211045707
Dixon, L. J., Schadegg, M. J., Clark, H. L., Sevier, C. J., & Witcraft, S. M. (2024). Prevalence, phenomenology, and impact of misophonia in a nationally representative sample of US adults. Journal of psychopathology and clinical science. 133(5), 403–412. DOI: 10.1037/abn0000904
Dozier, T. H., & Morrison, K. L. (2017). Phenomenology of misophonia: initial physical and emotional responses. The American Journal of Psychology, 130(4), 431-438. https://doi.org/10.5406/amerjpsyc.130.4.0431.
Dozier, T. H. (2015). Counterconditioning treatment for misophinia. Clinical Case Studies, 14 (5). 374-387. DOI: 10.1177/1534650114566924
Dover N., McGuire J.F.(2023). Family-Based Cognitive Behavioral Therapy for Youth With Misophonia: A Case Report, Cognitive and Behavioral Practice, 30 (1),  169-176. https://doi.org/10.1016/j.cbpra.2021.05.005
Ferrer-Torres, A., & Giménez-Llort, L. (2022). Misophonia: a systematic review of current and future trends in this emerging clinical field. International journal of environmental research and public health, 19(11), 6790. DOI: 10.3390/ijerph19116790.
Frank, B., Roszyk, M., Hurley, L., Drejaj, L., & McKay, D. (2020). Inattention in misophonia: Difficulties achieving and maintaining alertness. Journal of Clinical and Experimental Neuropsychology, 42(1), 66–75. https://doi.org/10.1080/ 13803395.2019.1666801.
Grayless, B. (2021). Assessment and Management of Misophonia in a Female Adolescent: A Case Study. Perspectives of the ASHA Special Interest Groups, 6(6), 1526-1532. https://misophoniafoundation.com/who-icd-11-misophonia-proposal/.
Grodnitzky, G. R, & Tafrate, R.C. (2000). Imaginal exposure for anger reduction in adult outpatients: a pilot study. Journal of Behavior Therapy Experimental Psychiatry, 31:259-279. doi: 10.1016/s0005- 7916(01)00010-6. PubMed PMID: 11494961.
Guetta, R. E., Cassiello-Robbins, C., Trumbull, J., Anand, D., & Rosenthal, M. Z. (2022). Examining emotional functioning in misophonia: The role of affective instability and difficulties with emotion regulation. Plos one, 17(2), e0263230. DOI: 10.1371/journal.pone.0263230
Hämmig, O. (2019). Health risks associated with social isolation in general and in young, middle and old age. PloS one, 14(7), e0219663.
Haji Wali, A. (2016). Determining the effectiveness of cognitive behavioral therapy on reducing aggression and noise aversion in anxious youth. Journal of Psychological Studies and Educational Sciences, 8 (1), 43-63.
Hope, D. A., Heimberg, R. G., & Turk, C. L. (2010). Managing social Anxiety: A cognitive-behavioral therapy approach: Therapist guide. Oxford University Press, USA.
Jager, I.J., Vulink, N.C.C., Bergfeld, I.O., van Loon, A.J.J.M., and Denys, D.A.J.P. (2020). Cognitive behavioral therapy for misophonia: a randomized clinical trial. Depress. Anxiety 38, da.23127. https://doi.org/10.1002/da.23127.
Jager, I.J., Vulink, N.C.C., van Loon, A., Sxhroder, A., Slaghekke, S, et al. (2022). Synopsis and qualitative evaluation of a treatment protocol to guide systemic group-cognitive behavioral therapy for misophonia, Front. Psychiatry, 28 (13), 1-13. PMID: 35836662. DOI: 10.3389/fpsyt.2022.794343
Käll, A., Jägholm, S., Hesser, H., Andersson, F., Mathaldi, A., Norkvist, B. T., ... & Andersson, G. (2020). Internet-based cognitive behavior therapy for loneliness: a pilot randomized controlled trial. Behavior therapy, 51(1), 54-68. DOI: 10.1016/j.beth.2019.05.001.
Kashihara, S., Kanayama, N., Miyatani, M., and Nakao, T. (2017). Attentive observation is essential for the misattribution of agency to selfperformance. Front. Psychol. 8, 890. https://doi. org/10.3389/fpsyg.2017.00890.
Kook, M., Rast, C. E., Cervin, M., Clinger, J., Smith, E., Draper, I., ... & Guzick, A. G. (2024). Quality of Life among Youth with Misophonia: The Role of Internalizing Symptoms and Pessimism. Journal of Psychopathology and Behavioral Assessment, 1-11.Doi.org/10.1111/cdev.12958
Kushibiki, N., Aiba, M., Midorikawa, H., Komura, K., Sugawara, D., Shiratori, Y., ... & Tachikawa, H. (2024). How do social networks, perception of social isolation, and loneliness affect depressive symptoms among Japanese adults?. Plos one, 19(4), e0300401.doi.org/10.1371/journal.pone.0300401
Leigh, E., & Clark, D. M. (2016). Cognitive therapy for social anxiety disorder in adolescents: a development case series. Behavioural and Cognitive Psychotherapy, 44(1), 1-17.
Lewin, A.B., Wu, M.S., Murphy, T.K., Storch, E.A., )2015(. Sensory over-responsivity in pediatric obsessive compulsive disorder. J. Psychopathol.Behav.Assess.37(1),134–143. https://doi.org/10.1007/s10862-014-9442-1.
Lewin, A. B., Dickinson, S., Kudryk, K., Karlovich, A. R., Harmon, S. L., Phillips, D. A., ... & Ehrenreich-May, J. (2021). Transdiagnostic cognitive behavioral therapy for misophonia in youth: Methods for a clinical trial and four pilot cases. Journal of affective disorders, 291, 400-408. DOI: 10.1016/j.jad.2021.04.027
Lim, M., Van Hulst, A., Pisanu, S., & Merry, L. (2022). Social isolation, loneliness and health: a descriptive study of the experiences of migrant mothers with young children (0–5 years old) at la maison bleue. Frontiers in global women's health, 3, 823632. DOI: 10.3389/fgwh.2022.823632
Lyu, C., Siu, K., Xu, I., Osman, I., & Zhong, J. (2024). Social isolation changes and long-term outcomes among older adults. JAMA Network Open, 7(7), e2424519-e2424519. Doi:10.1001/jamanetworkopen.2024.24519
Mattson, S.A., D’Souza, J., Wojcik, K.D., Guzick, A.G., Goodman, W. K., &Storch, E.A. (2023). A systematic review of treatments for misophonia, Personalized Medicine in Psychiatry, 39–40 https://doi.org/10.1016/J.PMIP.2023.100104.
Mehrabizadeh Honarmand, Mahnaz. Roshni, Khadijah. (2018). Examining the psychometric properties of noise aversion questionnaire. Shafai Khatam Journal of Neuroscience, 7 (2), 22-13 [In persian].
Nargesi, Farideh. Fathi Ashtiani, Ali. Davoudi, Iran. Ashrafi, Emad. (2018). The effectiveness of integrated transdiagnostic treatment on anxiety sensitivity, distress tolerance and obsessive-compulsive symptoms in people with obsessive-compulsive disorder. Psychological Achievements. 26(2): 49-66. DOI: 10.22055/psy.2019.26369.2121 [In persian].
Mednicoff, S. D., Barashy, S., Vollweiler, D. J., Benning, S. D., Snyder, J. S., & Hannon, E. E. (2024). Misophonia reactions in the general population are correlated with strong emotional reactions to other everyday sensory–emotional experiences. Philosophical Transactions of the Royal Society B, 379(1908), 20230253.
Muller, D., Khemlani-Patel, S., & Neziroglu, F. (2018). Cognitive-behavioral therapy for an adolescent female presenting with misophonia: a case example. Clinical Case Studies, 17(4), 249-258.
Otto, M.W., Smits, J.A., Fitzgerald, H.E., Powers, M.B., Baird,S.O. (2019). Anxiety sensitivity and your clinical practice. The Clinician's Guide to Anxiety Sensitivity Treatment and Assessment. San Diego, CA, US: Elsevier Academic Press; p. 179-93.
Quek, T.C., Ho, C.S., Choo, C.C., Nguyen, L.H., Tran, B.X., and Ho, R.C. (2018). Misophonia in Singaporean psychiatric patients: a crosssectional study. International Journal of Environmental Research. Public Health, 15(7), E1410. https://doi.org/10.3390/ ijerph15071410.
Moradi Manesh, F., Mirjafari, S. A, Gudarzi, Mohammad Ali. Mohammadi, Nurullah. (1386). Examining the psychometric properties of the revised Anxiety Sensitivity Index (ASIR), Psychology Quarterly, 11(4): 426-446 [In persian].
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour research and therapy, 24(1), 1-8.
Rossetti, M. G., Perlini, C., Girelli, F., Zovetti, N., Brambilla, P., Bressi, C., & Bellani, M. (2024). Developing a brief telematic cognitive behavioral therapy for the treatment of social isolation in young adults. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1433108.
Rouw, R., and Erfanian, M. (2018). A large-scale study of misophonia. Journal of Clinical Psychology, 74, 453–479.  https://doi.org/10.1002/jclp.22500.
Simner, J., Koursarou, S., Rinaldi, L. J., & Ward, J. (2021). Attention, flexibility, and imagery in misophonia: Does attention exacerbate everyday disliking of sound?. Journal of Clinical and Experimental Neuropsychology, 43(10), 1006–1017. https://doi.org/10.1080/13803395.2022.2056581.
Schadegg, M. J., Clark, H. L., & Dixon, L. J. (2021). Evaluating anxiety sensitivity as a moderator of misophonia and dimensions of aggression. Journal of Obsessive-Compulsive and Related Disorders, 30, 100657.
Schröder, A., van Wingen, G., Eijsker, N., San Giorgi, R., Vulink, N. C., Turbyne, C., & Denys, D. (2019). Misophonia is associated with altered brain activity in the auditory cortex and salience network. Scientific reports, 9(1), 7542.
Schroder A.E., Vulink N.C., van Loon A.J., Denys D.A. (2017). Cognitive behavioral therapy is effective in misophonia: An open trial. Journal of Affective Disorders, 217, pp. 289-294. Doi.org/10.1371/journal.pone.0054706
Silva, L.A.; Noll, M.; Siqueira, G.C.; Barbosa, A.K.N. (2024). Assessing Misophonia in Young Adults: The Prevalence and Psychometric Validation of the MisoQuest Questionnaire. Healthcare, 12, 1888.
Smith, E. E., Guzick, A. G., Draper, I. A., Clinger, J., Schneider, S. C., Goodman, W. K., ... & Storch, E. A. (2022). Perceptions of various treatment approaches for adults and children with misophonia. Journal of affective disorders, 316, 76-82.
Siepsiak, S., Rosenthal, M.Z., Raj-Koziak, D., & Dragan, W. (2022). Psychiatric and audiologic features of misophonia: use of a clinical control group with auditory overresponsivity, Journal of PsychosomaticResearch,156,110777, https://doi.org/10.1016/j.jpsychores.2022.110777
Storch, E. A., Guzick, A. G., D'Souza, J., Clinger, J., Ayton, D., Kook, M., ... & Cervin, M. (2024). Family Accommodation in Children and Adolescents with Misophonia. Behavior Therapy, 55(3), 595-604. DOI: 10.1016/j.beth.2023.09.001
Swedo, S.E., Baguley, D.M., Denys,D., Dixon, L. J., Erfanian, M., Fioretti, A., Jastreboff, P.J., Kumar, S., Rosenthal, M. Z., Rouw, R., Schiller, D., Simner, J., Storch, E. A., Taylor, S., Werff, K.R.V., Altimus, C.M., Raver, S.M. (2022). Consensus definition of Misophonia: a Delphi study,FrontiersinNeuroscience,16,841816, https://doi.org/10.3389/FNINS.2022.841816/BIBTEX
Taylor, S. (2017). Misophonia: A new mental disorder?.  Medical Hypotheses, 103, 109-117.
Wadsworth, L.P., and Hayes-Skelton, S.A. (2020). Exploring perceived control, a low-control task, and a brief acceptance intervention in a low and high transdiagnostic anxiety sample. Neurology, psychiatry and Brain Research, 35, 1–9. https://doi.org/10. 1016/j.npbr.2019.11.001.
Wildermuth, S. A. (2008). Cognitive behavioral group therapy for adolescents with type I diabetes. Regent University.
Wu, M. S., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2014). Misophonia: incidence, phenomenology, and clinical correlates in an undergraduate student sample. Journal of clinical psychology, 70(10), 994-1007.
مطالعات روان‌شناسی بالینی
دوره 15، شماره 56
مهر 1403
صفحه 1-16
فایل ها
هم رسانی
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