اثربخشی درمان پذیرش و تعهد بر اضطراب، باورهای فراشناختی و فراهیجانی زنان چاق مبتلا به اختلال خوردن شهر خمین
کلمات کلیدی:
درمان پذیرش و تعهد, اضطراب, باورهای فراشناختی, فراهیجانی, زنان چاق, اختلال خوردنچکیده
هدف: هدف از این پژوهش بررسی تأثیر اثربخشی درمان پذیرش و تعهد بر اضطراب، باورهای فراشناختی و فراهیجانی زنان چاق مبتلا به اختلال خوردن شهر خمین است. روششناسی: این پژوهش یک مطالعه نیمه آزمایشی با طرح پیش آزمون، پس آزمون و گروههای کنترل و آزمایش بود. جامعه آماری تحقیق را زنان چاق مراجعه کننده به مراکز مشاوره منطقه 2 شهر تهران در سال 1402 تشکیل دادند. روش نمونهگیری هدفمند و براساس معیارهای ورود و خروج بوده که حجم نمونه با استفاده از نرم افزار Gpower تعیین و به صورت تصادفی ساده به دو گروه کنترل و آزمایشی تقسیم شدند. پرسشنامههای اضطراب، پرسشنامه باورهای فراشناختی، پرسشنامه باورهای فراهیجانی و پرسشنامه اختلال خوردن در اختیار آزمودنیهای گروه تجربی و کنترل به صورت پیش آزمون و پس آزمون قرار گرفت. ده جلسه درمان پذیرش و تعهد براساس نظریه فورامن و هربرت بر روی آزمودنیهای گروه آزمایش اجرا شد. جهت تجزیهوتحلیل دادههای تحقیق از تحلیل کوواریانس استفاده شد. تمام عملیات آماری پژوهش با استفاده از نرمافزار SPSS نسخه 25 با سطح معنیداری 05/0>P در نظر گرفته شد. یافتهها: نتایج تحقیق نشان داد که تفاوت میانگین نمرههای پسآزمون اضطراب، باورهای فراشناختی، فراهیجان مثبت، فراهیجان منفی و اختلال خوردن در دو گروه آزمایش و کنترل معنادار است (05/0>P). نتیجهگیری: با توجه به نتایج تحقیق میتوان گفت که درمان پذیرش و تعهد بر اضطراب، باورهای فراشناختی و فراهیجانی زنان چاق مبتلا به اختلال خوردن تأثیر دارد.
دانلودها
مراجع
Axelsson, E., & Hedman-Lagerlöf, E. (2019). Cognitive behavior therapy for health anxiety: systematic review and meta-analysis of clinical efficacy and health economic outcomes. Expert Review of Pharmacoeconomics & Outcomes Research, 19(6), 663-676. https://doi.org/10.1080/14737167.2019.1703182
Bagherzadehledari, R., Hosseini, H., Forughi, A. a., & Farhoush, M. (2021). Acceptance and Commitment therapy and Eating Disorders : A Theoretical and Research Review [Review]. Clinical Excellence, 10(4), 24-32. https://ce.mazums.ac.ir/article-1-570-en.pdf
Berthoud, H.-R., & Morrison, C. (2008). The brain, appetite, and obesity. Annu. Rev. Psychol., 59, 55-92. https://doi.org/10.1146/annurev.psych.59.103006.093551
Chao, A., Grey, M., Whittemore, R., Reuning-Scherer, J., Grilo, C. M., & Sinha, R. (2016). Examining the mediating roles of binge eating and emotional eating in the relationships between stress and metabolic abnormalities. Journal of behavioral medicine, 39, 320-332. https://doi.org/10.1007/s10865-015-9699-1
Cousin, E., Schmidt, M. I., Ong, K. L., Lozano, R., Afshin, A., Abushouk, A. I., Agarwal, G., Agudelo-Botero, M., Al-Aly, Z., Alcalde-Rabanal, J. E., Alvis-Guzman, N., Alvis-Zakzuk, N. J., Antony, B., Asaad, M., Bärnighausen, T. W., Basu, S., Bensenor, I. M., Butt, Z. A., Campos-Nonato, I. R.,…Duncan, B. B. (2022). Burden of diabetes and hyperglycaemia in adults in the Americas, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Diabetes & Endocrinology, 10(9), 655-667. https://doi.org/10.1016/S2213-8587(22)00186-3
Da Luz, F., Sainsbury, A., Mannan, H., Touyz, S., Mitchison, D., & Hay, P. (2017). Prevalence of obesity and comorbid eating disorder behaviors in South Australia from 1995 to 2015. International Journal of Obesity, 41(7), 1148-1153. https://doi.org/10.1038/ijo.2017.79
Dawson, D., Strodl, E., & Kitamura, H. (2022). Childhood maltreatment and disordered eating: The mediating role of emotion regulation. Appetite, 172, 105952. https://doi.org/10.1016/j.appet.2022.105952
Efklides, A. (2006). Metacognition and affect: What can metacognitive experiences tell us about the learning process? Educational Research Review, 1(1), 3-14. https://doi.org/10.1016/j.edurev.2005.11.001
Eilenberg, T., Hoffmann, D., Jensen, J. S., & Frostholm, L. (2017). Intervening variables in group-based acceptance & commitment therapy for severe health anxiety. Behaviour research and therapy, 92, 24-31. https://doi.org/10.1016/j.brat.2017.01.009
Faiad, Y., Khoury, B., Daouk, S., Maj, M., Keeley, J., Gureje, O., & Reed, G. (2018). Frequency of use of the International Classification of Diseases ICD-10 diagnostic categories for mental and behavioural disorders across world regions. Epidemiology and Psychiatric Sciences, 27(6), 568-576. https://doi.org/10.1017/S2045796017000683
Fernández-Aranda, F., Krug, I., Granero, R., Ramón, J. M., Badia, A., Giménez, L., Solano, R., Collier, D., Karwautz, A., & Treasure, J. (2007). Individual and family eating patterns during childhood and early adolescence: an analysis of associated eating disorder factors. Appetite, 49(2), 476-485. https://doi.org/10.1016/j.appet.2007.03.004
Fink, P., Ørnbøl, E., Toft, T., Sparle, K. C., Frostholm, L., & Olesen, F. (2004). A new, empirically established hypochondriasis diagnosis. American Journal of Psychiatry, 161(9), 1680-1691. https://doi.org/10.1176/appi.ajp.161.9.1680
Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive–developmental inquiry. American Psychologist, 34(10), 906. https://doi.org/10.1037/0003-066X.34.10.906
Forman, E. M., & Herbert, J. D. (2009). New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy, 52009, 77-101. https://books.google.com/books?hl=en&lr=&id=W1rLL2BYPqgC&oi=fnd&pg=PA77&dq=3.+Forman,+E.+M.,+%26+Herbert,+D.+(2008).+New+directions+in+cognitive+behavior+therapy:+acceptance+based+therapies,+chapter+to+appear+in+W.+O%27donohue,+Je.+Fisher,+(Eds),+cognitive+behavior+therapy:+Applying+empirically+supported+treatments+in+your+practice,+2nd+ed.+Hoboken,+NJ:+Wiley,+263-26.&ots=29WARbgDhm&sig=24yfieebK2kqJSX_-bOoMRXOxWU
Ghadampour, E., Sadeghi, M., Yousefvand, M., & Alavi, Z. (2019). Effectiveness of Acceptance and Commitment Treatment in Modifying Beliefs and Marital Satisfaction in Couples with Depression. Journal of Modern Psychological Researches, 14(53), 229-252. https://psychologyj.tabrizu.ac.ir/article_9136_en.html
Goossens, L., Braet, C., Van Vlierberghe, L., & Mels, S. (2009). Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 17(1), 68-78. https://doi.org/10.1002/erv.892
Han, S., & Kahn, J. H. (2017). Attachment, emotion regulation difficulties, and disordered eating among college women and men. The Counseling Psychologist, 45(8), 1066-1090. https://doi.org/10.1177/0011000017744884
Hansson, E., Daukantaitė, D., & Johnsson, P. (2016). Typical patterns of disordered eating among Swedish adolescents: associations with emotion dysregulation, depression, and self-esteem. Journal of Eating Disorders, 4, 1-14. https://doi.org/10.1186/s40337-016-0122-2
Hoffmann, D., Halsboe, L., Eilenberg, T., Jensen, J., & Frostholm, L. (2014). A pilot study of processes of change in group-based acceptance and commitment therapy for health anxiety. Journal of Contextual Behavioral Science, 3(3), 189-195. https://doi.org/10.1016/j.jcbs.2014.04.004
Hoffmann, D., Rask, C. U., Hedman-Lagerlöf, E., Ljótsson, B., & Frostholm, L. (2018). Development and feasibility testing of internet-delivered acceptance and commitment therapy for severe health anxiety: pilot study. JMIR mental health, 5(2), e9198. https://doi.org/10.2196/mental.9198
Hong, E.-J., & Kangas, M. (2022). The relationship between beliefs about emotions and emotion regulation: A systematic review. Behaviour Change, 39(4), 205-234. https://doi.org/10.1017/bec.2021.23
Janse Van Vuuren, M. A., Strodl, E., White, K. M., & Lockie, P. D. (2018). Emotional food cravings predicts poor short‐term weight loss following laparoscopic sleeve gastrectomy. British Journal of Health Psychology, 23(3), 532-543. https://doi.org/10.1111/bjhp.12302
Jia, X., Liu, J., Chen, B., Jin, D., Fu, Z., Liu, H., Du, S., Popkin, B. M., & Mendez, M. A. (2018). Differences in nutrient and energy contents of commonly consumed dishes prepared in restaurants v. at home in Hunan Province, China. Public health nutrition, 21(7), 1307-1318. https://doi.org/10.1017/S1368980017003779
Kärkkäinen, U., Mustelin, L., Raevuori, A., Kaprio, J., & Keski‐Rahkonen, A. (2018). Do disordered eating behaviours have long‐term health‐related consequences? European Eating Disorders Review, 26(1), 22-28. https://doi.org/10.1002/erv.2568
Karlsson, J., Persson, L.-O., Sjöström, L., & Sullivan, M. (2000). Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. International Journal of Obesity, 24(12), 1715-1725. https://doi.org/10.1038/sj.ijo.0801442
Kashdan, T. B., Rottenberg, Jonathan. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878. https://doi.org/10.1016/j.cpr.2010.03.001
Köteles, F., & Witthöft, M. (2017). Somatosensory amplification–An old construct from a new perspective. Journal of Psychosomatic Research, 101, 1-9. https://doi.org/10.1016/j.jpsychores.2017.07.011
Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59(10), 877-883. https://doi.org/10.1001/archpsyc.59.10.877
Krug, I., Villarejo, C., Jiménez‐Murcia, S., Perpiñá, C., Vilarrasa, N., Granero, R., Cebolla, A., Botella, C., Montserrat‐Gil de Bernabe, M., & Penelo, E. (2013). Eating‐related environmental factors in underweight eating disorders and obesity: are there common vulnerabilities during childhood and early adolescence? European Eating Disorders Review, 21(3), 202-208. https://doi.org/10.1002/erv.2204
Lachat, C., Nago, E., Verstraeten, R., Roberfroid, D., Van Camp, J., & Kolsteren, P. (2012). Eating out of home and its association with dietary intake: a systematic review of the evidence. Obesity Reviews, 13(4), 329-346. https://doi.org/10.1111/j.1467-789X.2011.00953.x
Limbers, C. A., Greenwood, E., Shea, K., & Fergus, T. A. (2021). Metacognitive beliefs and emotional eating in adolescents. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 1-6. https://doi.org/10.1007/s40519-020-01078-0
Lopez-Cepero, A., Frisard, C. F., Lemon, S. C., & Rosal, M. C. (2018). Association of dysfunctional eating patterns and metabolic risk factors for cardiovascular disease among Latinos. Journal of the Academy of Nutrition and Dietetics, 118(5), 849-856. https://doi.org/10.1016/j.jand.2017.06.007
Manser, R., Cooper, M., & Trefusis, J. (2012). Beliefs about emotions as a metacognitive construct: Initial development of a self‐report questionnaire measure and preliminary investigation in relation to emotion regulation. Clinical Psychology & Psychotherapy, 19(3), 235-246. https://doi.org/10.1002/cpp.745
Olstad, S., Solem, S., Hjemdal, O., & Hagen, R. (2015). Metacognition in eating disorders: Comparison of women with eating disorders, self-reported history of eating disorders or psychiatric problems, and healthy controls. Eating Behaviors, 16, 17-22. https://doi.org/10.1016/j.eatbeh.2014.10.019
Palmieri, S., Mansueto, G., Ruggiero, G. M., Caselli, G., Sassaroli, S., & Spada, M. M. (2021). Metacognitive beliefs across eating disorders and eating behaviours: A systematic review. Clinical Psychology & Psychotherapy, 28(5), 1254-1265. https://doi.org/10.1002/cpp.2573
Ridenour, J. M., Hamm, J. A., Neal, D. W., & Lysaker, P. H. (2020). From fragmentation to coherence: psychodynamic psychotherapy for psychosis through the lens of metacognition. Psychodynamic Psychiatry, 48(4), 455-476. https://doi.org/10.1521/pdps.2020.48.4.455
Romano, K. A., Heron, K. E., Amerson, R., Howard, L. M., MacIntyre, R. I., & Mason, T. B. (2020). Changes in disordered eating behaviors over 10 or more years: A meta‐analysis. International Journal of Eating Disorders, 53(7), 1034-1055. https://doi.org/10.1002/eat.23288
Russell, J. K., Strodl, E., & Kavanagh, D. J. (2021). Correlates of distress in young people with cystic fibrosis: the role of self-efficacy and metacognitive beliefs. Psychology & Health, 36(12), 1497-1513. https://doi.org/10.1080/08870446.2020.1861280
Sassaroli, S., Bertelli, S., Decoppi, M., Crosina, M., Milos, G., & Ruggiero, G. (2005). Worry and eating disorders: A psychopathological association. Eating Behaviors, 6(4), 301-307. https://doi.org/10.1016/j.eatbeh.2005.05.001
Shaw, R., Smith, L. J., & Hiles, D. (2018). Exploring the Felt Sense of Chronic Ill-Health: Dialoguing Between IPA, Lifeworld Theory and Narrative Inquiry to Make Sense of Feelings and Affect. Qualitative research in psychology, 20(2), 1-19. https://doi.org/10.1080/14780887.2018.1499839
Spada, M., Proctor, D., Caselli, G., & Strodl, E. (2013). Metacognition in substance misuse. Principles of addiction: Comprehensive addictive behaviors and disorders, 1(1), 355-362. https://doi.org/10.1016/B978-0-12-398336-7.00037-1
Sternheim, L., Startup, H., Saeidi, S., Morgan, J., Hugo, P., Russell, A., & Schmidt, U. (2012). Understanding catastrophic worry in eating disorders: Process and content characteristics. Journal of Behavior Therapy and Experimental Psychiatry, 43(4), 1095-1103. https://doi.org/10.1016/j.jbtep.2012.05.006
Stice, E., Fisher, M., & Martinez, E. (2004). Eating disorder diagnostic scale: additional evidence of reliability and validity. Psychological Assessment, 16(1), 60. https://doi.org/10.1037/1040-3590.16.1.60
Strodl, E., & Sorensen, P. (2023). The role of metacognitive beliefs versus meta-emotion beliefs in disordered eating. Australian Psychologist, 58(3), 179-189. https://doi.org/10.1080/00050067.2023.2181685
Strodl, E., Stewart, L., Mullens, A. B., & Deb, S. (2015). Metacognitions mediate HIV stigma and depression/anxiety in men who have sex with men living with HIV. Health Psychology Open, 2(1), 2055102915581562. https://doi.org/10.1177/2055102915581562
Strodl, E., & Wylie, L. (2020). Childhood trauma and disordered eating: Exploring the role of alexithymia and beliefs about emotions. Appetite, 154, 104802. https://doi.org/10.1016/j.appet.2020.104802
Sun, X., Zhu, C., & So, S. (2017). Dysfunctional metacognition across psychopathologies: a meta-analytic review. European Psychiatry, 45, 139-153. https://doi.org/10.1016/j.eurpsy.2017.05.029
Torbahn, G., Gellhaus, I., Koch, B., von Kries, R., Obermeier, V., Holl, R. W., Fink, K., & van Egmond-Fröhlich, A. (2017). Reduction of portion size and eating rate is associated with BMI-SDS reduction in overweight and obese children and adolescents: results on eating and nutrition behaviour from the Observational KgAS Study. Obesity Facts, 10(5), 503-516. https://doi.org/10.1159/000480517
Ulijaszek, S. J. (2002). Human eating behaviour in an evolutionary ecological context. Proceedings of the Nutrition Society, 61(4), 517-526. https://doi.org/10.1079/PNS2002180
Ulijaszek, S. J., & Lofink, H. (2006). Obesity in biocultural perspective. Annu. Rev. Anthropol., 35, 337-360. https://doi.org/10.1146/annurev.anthro.35.081705.123301
Vann, A., Strodl, E., & Anderson, E. (2013). Thinking about internal states, a qualitative investigation into metacognitions in women with eating disorders. Journal of Eating Disorders, 1(1), 1-11. https://doi.org/10.1186/2050-2974-1-22
Weck, F., Richtberg, S., & MB Neng, J. (2014). Epidemiology of hypochondriasis and health anxiety: comparison of different diagnostic criteria. Current Psychiatry Reviews, 10(1), 14-23. https://doi.org/10.2174/1573400509666131119004444
Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford press. https://books.google.com/books?hl=en&lr=lang_en&id=L0Ty67gOD4oC&oi=fnd&pg=PR1&dq=+Metacognitive+therapy+for+anxiety+and+depression.&ots=N26EFyKlnG&sig=aWixWyPkqEJFc1p0Oa__N6rSgps
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour research and therapy, 42(4), 385-396. https://doi.org/10.1016/S0005-7967(03)00147-5
دانلود
چاپ شده
ارسال
بازنگری
پذیرش
شماره
نوع مقاله
مجوز
حق نشر 2025 پویایی روانشناختی در اختلال های خلقی

این پروژه تحت مجوز بین المللی Creative Commons Attribution-NonCommercial 4.0 می باشد.