مقايسه تاثير درمان آدلري و درمان شناختي - رفتاري بر علايم باليني اختلال اضطراب فراگير

The Comparison of Adlerian Treatment and Cognitive-Behavioral Therapy (CBT) on Reducing Symptoms in Students Suffering from Generalized Anxiety Disorder (GAD

زمينه و هدف: هدف از انجام پژوهش حاضر، مقايسه تاثير درمان آدلري و درمان شناختي - رفتاري بر كاهش شدت علايم در دانشجويان مبتلا به اضطراب منتشر بود. مواد و روش: اين تحقيق به روش نيمه آزمايشي با طرح پيش آزمون - پس آزمون همراه با پي گيري انجام گرديد. از بين دانشجويان ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه به مركز مشاوره دانشگاه هاي نيشابور 45 نفر كه ملاك هاي اضطراب منتشر را داشتند، در سال 1395 به شيوه روش نمونه گيري در دسترس انتخاب شدند و به شيوه تصادفي در سه گروه آدلري، شناختي رفتاري و گروه شاهد قرار گرفتند(15 نفر در گروه). براي جمع آوري داده ها از پرسش نامه اضطراب حال/ صفت اسپيل برگر استفاده شد و سپس با استفاده از نرم افزار SPSS آزمون تحليل واريانس مختلط، تحليل كوواريانس دو راهه و تحليل كوواريانس يك راهه مورد تجزيه و تحليل قرار گرفت. يافته ها: تفاوت معناداري بين دو گروه آزمايشي آدلري و شناختي رفتاري در زمينه تاثير بر كاهش شدت علايم در دانشجويان مبتلا به اضطراب منتشر كه اين دو درمان را تجربه كرده بودند، وجود نداشت (P>0.05). از طرف ديگر، مداخله آدلري تاثير معني داري را بر كاهش شدت علايم دانشجويان مبتلا به اضطراب منتشر نشان داد (0/05>P) اما اين نتيجه براي درمان شناختي رفتاري بدست نيامد (P>0.05). نتيجه گيري: مي توان گفت كه درمان آدلري در كاهش شدت علايم دانشجويان مبتلا به اضطراب منتشر نسبت به رويكرد شناختي رفتاري اثربخشي بهتري دارد و ثبات و پايداري درمان آدلري بيشتر است.

Background and Purpuse The rate of anxiety in Iranian society is reported to be between 7% to 15%, while this rate among the university students is between 12% to 20%. The purpose of the present study is to compare the Adlerian Treatment and Cognitive-Behavioral Therapy (CBT) on reducing symptoms in students suffering from generalized anxiety disorder (GAD) Materials & Methods The current research was conducted using a semi-experimental pre-test and post-test design with follow-up process. Among the students who referred to the counseling centers of the Universities in Neyshabour, based on the generalized anxiety criteria, 45 subjects have been chosen randomly (in 1395) and assigned to three Adlerian, Cognitive-Behavioral, and control groups (15 subjects in each group). The data were collected through State-Trait Anxiety Inventory (STAI) and then were analyzed using software SPSS mixed Variance Analysis, two-way Analysis of Covariance (ANCOVA), and one-way Analysis of Covariance. Based on the generalized anxiety criteria, 45 subjects have been chosen randomly (in 1395) and assigned to three Adlerian, Cognitive-Behavioral, and control groups (15 subjects in each group). Findings There was no significant difference demonstrated between Adlerian and Cognitive-Behavioral groups in terms of reducing the severity of symptoms in students with generalized anxiety that experienced these two treatments (P>0.05). There was no significant difference observed with cognitive behavioral group statistically. On the other hand, the Adlerian intervention had a significant effect on reducing the severity of symptoms in students suffering from generalized anxiety (P<0.05), whereas no significant results were achieved through Cognitive-Behavioral Therapy (P>0.05). Conclusion According to the results, it can be argued that Adlerian treatment is more effective than Cognitive-Behavioral approach in reducing the severity of symptoms in students with general anxiety; the Adlerian treatment was indicated to be more stable.