اثربخشی درمان پذیرش و تعهد متمرکز بر ضربه بر علائم افسردگی و تحمل پریشانی در دانشجویان با تجربه ضربة عشق

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کاندیدای دکتری تخصصی روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید مدنی آذربایجان، تبریز،

2 دانشیار روان‌شناسی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

3 دانشیار روان‌شناسی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران

چکیده

هدف: پژوهش حاضر با هدف ارزیابی اثربخشی درمان پذیرش و تعهد متمرکز بر ضربه بر علائم افسردگی و تحمل پریشانی دانشجویان با تجربه ضربة عشق انجام شد.
روش: روش پژوهش، شبه‌آزمایشی، از نوع پیش‌آزمون-پس‌آزمون–پیگیری ۳ ماهه با گروه کنترل بود. جامعه آماری، شامل دانشجویان دارای تجربه ضربة عشق دانشگاه‌های شهر کرمانشاه در سال ۱۴۰۳ بود. به روش نمونه‌گیری در دسترس، ۲۸ نفر انتخاب و به طور تصادفی در دو گروه آزمایش و کنترل گمارش شدند. از پرسشنامه افسردگی بک (ویرایش دوم) و مقیاس تحمل پریشانی سیمونز و گاهر(۲۰۰۵) در سه بازه زمانی (پیش‌آزمون، پس از مداخله و پیگیری) استفاده شد. گروه آزمایش ۱۰ جلسه درمانی ۷۵ دقیقه‌ای بر اساس پروتکل اکت متمرکز بر ضربه (هریس، ۲۰۲۱) دریافت کردند. داده‌ها با تحلیل واریانس آمیخته با اندازه‌گیری مکرر تحلیل شدند.
یافته‌ها: نتایج نشان داد اثر زمان و اثر تعامل زمان * گروه روی متغیر‌های وابسته در سطح ۰۰۱/۰ و برای گروه در سطح ۰۵/۰ معنادار است. آزمون پس‌تعقیبی بنفرونی برای مقایسه میانگین‌ها، نشان داد تفاوت میانگین‌ها در گروه آزمایش در مرحله پیش‌آزمون-پس‌آزمون و پیش‌آزمون-پیگیری به لحاظ آماری معنادار است
(۰۵/۰ p).
نتیجه‌گیری: بر اساس یافته‌ها می‌توان نتیجه گرفت که اکت متمرکز بر ضربه می‌تواند به عنوان رویکردی مؤثر برای کاهش علائم افسردگی و افزایش تحمل پریشانی در افراد دارای تجربه‌ی ضربة عشق، مورد استفاده روان‌درمانگران قرار گیرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of T Trauma-Focused ACT on Depression Symptoms and Distress Tolerance in Students with a History of Love Trauma

نویسندگان [English]

  • Ali Parvandi 1
  • Ezzatollah Ahmadi 2
  • Reza Abdi 3
  • Rahim Yousefi 3
1 Ph.D. Candidate, Department of Psychology, Faculty of Educational Sciences and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
2 Associate professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
3 Associate professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
چکیده [English]

Objective: The purpose of the present study was evaluation of the effectiveness of Trauma-Focused ACT on depression symptoms and distress tolerance in students with experience of love trauma.
Method: The research followed a quasi-experimental design with a pretest-posttest and three-month follow-up, including a control group. The statistical population consisted of university students in Kermanshah who had experienced love trauma in 2024. Using convenience sampling, 28 participants were selected and randomly assigned to experimental and control groups. Beck Depression Inventory–II (Beck et al 1996) and Distress Tolerance Scale (Simons and Gaher, 2005) were administered at three time points: pretest, posttest, and follow-up. The experimental group received ten 75-minute sessions of Trauma-Focused ACT based on Harris's (2021) protocol. Data were analyzed using repeated measures ANOVA.
Results: The results showed that the effects of time and the time × group interaction on the dependent variables were significant at the 0.001 level, while the effect of group was significant at the 0.05 level. The Bonferroni post-hoc test for comparing means showed that the difference in means in the experimental group at the pre-test - post-test and pre-test - follow-up stages was statistically significant (p < 0.05). But it is not significant at the post-test follow-up stage (p> 0.05).
Conclusion: The findings suggest that Trauma-Focused ACT as an effective therapeutic approach can be utilized by psychotherapists to reduce depressive symptoms and increase distress tolerance.

کلیدواژه‌ها [English]

  • depression symptoms
  • distress tolerance
  • Trauma-Focused ACT

مراجع

American Psychiatric Association D. (2022). Diagnostic and statistical manual of mental disorders (DSM-5-TR): American psychiatric association Washington, DC; 2022.]link [
Biracyaza E, Habimana S, Rusengamihigo D. (2021).  Psychometric Properties of the Beck Depression Inventory (BDI-II) in Cancer Patients: Cancer Patients from Butaro Ambulatory Cancer Center, Rwanda. Psychol Res Behav Manag; 14:665-674.]link [
Brown, R. J., Burton, A. L., & Abbott, M. J. (2022). The relationship between distress tolerance and symptoms of depression: Validation of the Distress Tolerance Scale (DTS) and short-form (DTS-SF). Journal of clinical psychology, 78(12), 2609–2630.] link [
Doorley, J. D., Kashdan, T. B., Alexander, L. A., Blalock, D. V., & McKnight, P. E. (2019). Distress tolerance in romantic relationships: A daily diary exploration with methodological considerations. Motivation and Emotion, 43 (3), 505–516. [Link]
Faul, F., Erdfelder, E., Lang, AG. et al. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 39, 175–191 (2007). ]link[
Fooladvand, K. (2023). Comparing the difficulty in emotion regulation and distress tolerance in students with depressed and non-depressed symptoms. [Research]. Rooyesh-e-Ravanshenasi Journal(RRJ), 12(8), 57-64. [Persian]. ]link[
Fung, K. P.-L., & Wong, J. P.-H. (2024). Acceptance and commitment training (ACT) for mental health promotion: Reducing mental illness stigma and promoting valued-living. Toronto Metropolitan University Pressbooks. ]link[
Halgin, R. P., & Whitbourne, S. K. (2024). Abnormal psychology (Y. Seyed Mohammadi, Trans.; 9th ed., Vol. 1). Ravan Publishing. [Persian].
Harris, R. (2023). ACT with Love: Stop Struggling, Reconcile Differences, and Strengthen Your Relationship with Acceptance and Commitment Therapy: New Harbinger Publications.]link[
Harris, Russ. (2021). Trauma-Focused ACT: A Practitioner’s Guide to Working with Mind, Body, and EmotionUsing Acceptance and Commitment Therapy (1st edition). Oakland:  Context Press. ]link[
Jackson-Koku, G. (2016). Beck depression inventory. Occupational medicine, 66(2), 174-175. ]link[
Kim YE, Lee B. Assessing the factor structure and construct validity of the Beck Depression Inventory (BDI-II) in a Korean preschool teacher sample. OBM Neurobiology. 2024;8(2):224. ]link[
Luberto, C. M., Crute, S., Wang, A., Yeh, G. Y., Celano, C. M., Huffman, J. C., & Park, E. R. (2021). Lower distress tolerance is associated with greater anxiety and depression symptoms among patients after acute coronary syndrome. General Hospital Psychiatry, 70, 143–144. ]link[
Mahmoudpour, A., Shariatmadar, A., Borjali, A., & Shafiabadi, A. (2021). Psychometric Properties of the Distress Tolerance Scale (DTS) in the Elderly. Quarterly of Educational Measurement, 12(46), 49-64. [Persian]. ]link[
Mesbahi, E., AmiriMajd, M., Ghamari, M., & Bazazian, S. (2022). Relationship between parental attachment and perception of love trauma syndrome: The mediating role of maladaptive schemas domain of disconnection and rejection. [Research]. Rooyesh-e-Ravanshenasi Journal(RRJ), 11(5), 91-100.] link [
Mezyed, S., Abed, E., & Zarga, D. (2025). The effectiveness of trauma-focused acceptance and commitment therapy in reducing symptoms of complex post-traumatic stress disorder: A single case study mixed method. Humanities and Social Sciences, 13(1), 67–84. ]link[
Moghbeli-Hanzaii, M., Omidi, A., & Zanjani, Z. (2019). The comparison of distress tolerance and experiential avoidance in people with health anxiety and normal people. [Research]. Feyz Medical Sciences Journal, 23(6), 689-697. [Persian]. ]link[
Moosavi afzal, a., & Heydarinasab, l. (2022). Predicting depressive symptoms based on neuroticism with respect to the mediating role of resilience and mindfulness. Journal of Clinical Psychology, 14(2), 39-50. [Persian]. ]link[
Nozari, M., Nejati, V., & Mirzaian, B. (2020). Effectiveness of Transcranial direct current stimulation on executive functions and amelioration of symptoms of individuals with Major Depression Disorder. Applied Psychology, 13(4), 577-599. [Persian]. ]link[
Ong, C. W., Barthel, A. L., & Hofmann, S. G. (2024). The Relationship Between Psychological Inflexibility and Well-Being in Adults: A Meta-Analysis of the Acceptance and Action Questionnaire. Behavior therapy, 55(1), 26–41. ]link[
Oorjitham, S., Medvedev, O.N., Bravo, A.J. et al. (2024). Cross-national examination of the Distress Tolerance Scale using Rasch methodology. Curr Psychol, 43, 21162–21179. ]link[
Parvandi, A., Chalabianloo, G. and Bafandeh Gharamaleki, H. (2023). The Effectiveness of Acceptance and Commitment Therapy on Attention Bias to Threat and Safety Behaviors in Students with Social Anxiety Disorder. Journal of Psychological Studies, 19(3), 35-48. [Persian]. ]link[
Qasemitabeq, f., Bakhshipour-Roodsari, A., & farnam, A. (2022). Journal of Clinical Psychology, 14(2), 51-61. [Persian]. ]link[
Rajabi, S., & Alimoradi, K. (2018). Effectiveness of cognitive-behavioral therapy on self-concept clarity, depression, anxiety and stress, and self-esteem in students with Love trauma syndrome. Journal of Psychological Studies, 14(3), 131-146. [Persian]. ]link[
Rezaei, S., Mojtabaei, M., & Shomali Oskoei, A. (2023). Comparison of the Effectiveness of Intensive Short-Term Dynamic Psychotherapy and Schema Therapy on Depression, Anxiety in Mothers with Autistic Children. Applied Psychology, 17(4), 143-168. [Persian]. ]link[
 Rosse, R. B. (2007). The Love Trauma Syndrome: Free Yourself from The Pain of A Broken Heart: Translated by: Masoudi, F., Farrokhzad, T., Tarkavonnejad, S and Alizad Ashrafi, A. Saye Sokhan Publications. [Persian]. ]link[
Sharma G. (2021). All about Romantic Love: A Three Sixty Degree View of Relationships: Notion Press; 2021.] link [
Verhallen, A. M., Alonso-Martínez, S., Renken, R. J., Marsman, J.-B. C., & ter Horst, G. J. (2022). Depressive symptom trajectory following romantic relationship breakup and effects of rumination, neuroticism and cognitive control. Stress and Health, 38(4), 653–665. ]link[
Vujanovic, A.A., Webber, H.E., McGrew, S.J., Green CE. Lane SD., Schmitz, J.M (2022). Distress tolerance: prospective associations with cognitive-behavioral therapy outcomes in adults with posttraumatic stress and substance use disorders. Journal ofCognitive Behaviour Therapy, 51(4),326-342. ]link[
Webb, AJ. (2023). Acceptance and Commitment Therapy (ACT): Foundational Principles, Processes, and Treatment Components. ]link[
Woods, R., Lavoie, K. L., & Bacon, S. L. (2022). The factor structure and stability of the Beck Depression Inventory-II (BDI-II) in a population undergoing bariatric surgery. Obesity Surgery, 32(11), 3732-3739. ]link[

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