مقاﯾﺴﻪ ﺍﺛﺮﺑﺨﺸﯽ هيبنوﺗﺮﺍﭘﯽ ﺷﻨﺎﺧﺘﯽ -ﺭﻓﺘﺎﺭي ﻭ دﺍﺭﻭ دﺭﻣﺎﻧﯽ ﺑﺮ ﺳﺮﺳﺨﺘﯽ ﺭﻭﺍﻧﺸﻨﺎﺧﺘﯽ، ﺍﺿﻄﺮﺍب ﺣﺎﻟﺖ ﻭ ﺻﻔﺖ ﺑﯿﻤﺎﺭﺍن ﻣﺒﺘﻼ ﺑﻪ ﺍﺧﺘﻼل ﻭﺣﺸﺘﺰدﮔﯽ

Comparison of the efficacy of Cognitive behavioral hypnotherapy and Drug therapy on Psychological Hardiness and State – Trait Anxiety in panic disorder

ﺧﻼﺻﻪ ﻣﻘﺪﻣﻪ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺗﻔﺎوت اﺛﺮﺑﺨﺸﯽ ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ ﺷﻨﺎﺧﺘﯽ -رﻓﺘﺎري و دارو درﻣﺎﻧﯽ ﺑﺮ ﺳﺮﺳﺨﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ، اﺿﻄﺮاب ﺣﺎﻟﺖ و ﺻﻔﺖ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل وﺣﺸﺘﺰدﮔﯽ ﺑﻮد. روش ﮐﺎر ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ ﮐﻠﯿﻪ اﻓﺮاد ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﺗﺨﺼﺼﯽ اﺑﻦﺳﯿﻨﺎ ﺷﻬﺮ ﺗﻬﺮان در ﺳﺎل 1397-98 ﺑﻮد. از ﻣﯿﺎن ﻣﺮاﺟﻊﮐﻨﻨﺪﮔﺎن ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﺗﺨﺼﺼﯽ اﺑﻦﺳﯿﻨﺎ، ﺑﻪ روش ﺗﺼﺎدﻓﯽ ﺳﺎده ﺗﻌﺪاد 45 ﻧﻔﺮ اﻧﺘﺨﺎب ﺷﺪه و در 3 ﮔﺮوه 15 ﻧﻔﺮه )دو ﮔﺮوه آزﻣﺎﯾﺶ و ﯾﮏ ﮔﺮوه ﮐﻨﺘﺮل( ﺟﺎﯾﮕﺰﯾﻦ ﺷﺪﻧﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﺑﺎ ﺳﺮﺳﺨﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ ﮐﯿﻮﻣﺮﺛﯽ، ﻧﺠﺎرﯾﺎن، و ﻣﻬﺮاﺑﯽزاده ﻫﻨﺮﻣﻨﺪ )1377( و اﺿﻄﺮاب ﺣﺎﻟﺖ- ﺻﻔﺖ اﺷﭙﯿﻠﺒﺮﮔﺮ )1970( ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﺳﭙﺲ ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ ﺷﻨﺎﺧﺘﯽ-رﻓﺘﺎري 5 ﺟﻠﺴﻪ ﻣﻮرد آﻣﻮزش ﻗﺮار ﮔﺮﻓﺘﻨﺪ، ﮔﺮوه دارو درﻣﺎﻧﯽ زﯾﺮ ﻧﻈﺮ ﻣﺘﺨﺼﺺ دارو ﻣﺼﺮف ﮐﺮدﻧﺪ و ﮔﺮوه ﮐﻨﺘﺮل ﻫﯿﭻ آﻣﻮزﺷﯽ را درﯾﺎﻓﺖ ﻧﮑﺮدﻧﺪ. ﻧﺘﺎﯾﺞ دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎس ﭼﻨﺪﻣﺘﻐﯿﺮي ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﮐﻪ در ﻣﺘﻐﯿﺮ ﺳﺮﺳﺨﺘﯽ روانﺷﻨﺎﺧﺘﯽ و اﺿﻄﺮاب ﺻﻔﺖ، ﭘﺲآزﻣﻮنِ ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ، ﺗﻔﺎوت ﻣﻌﻨﯽداري ﺑﺎ ﭘﺲآزﻣﻮن ﮔﺮوه ﮐﻨﺘﺮل و دارودرﻣﺎﻧﯽ داﺷﺖ. در ﻣﻮرد ﻣﺘﻐﯿﺮ اﺿﻄﺮاب ﺣﺎﻟﺖ، درﻣﺎن ﺗﺄﺛﯿﺮ ﻣﻌﻨﯽداري ﻧﺪاﺷﺘﻪ اﺳﺖ )P<0/001(. ﻧﺘﺎﯾﺞ آزﻣﻮن ﺗﻌﻘﯿﺒﯽ ﻧﺸﺎن داد ﮐﻪ ﻣﯿﺰان ﺳﺮﺳﺨﺘﯽ روانﺷﻨﺎﺧﺘﯽ در ﮔﺮوه ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ ﺑﻪ ﻃﻮر ﻣﻌﻨﯽداري ﺑﯿﺸﺘﺮ از ﮔﺮوه ﮐﻨﺘﺮل و دارودرﻣﺎﻧﯽ ﺑﻮد. ﻫﻤﭽﻨﯿﻦ، ﻣﯿﺰان اﺿﻄﺮاب ﺻﻔﺖ در ﮔﺮوه ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ ﺑﻪ ﻃﻮر ﻣﻌﻨﯽداري ﮐﻤﺘﺮ از ﮔﺮوه ﮐﻨﺘﺮل و دارودرﻣﺎﻧﯽ ﺑﻮد )P<0/01(. ﻧﺘﯿﺠﻪ ﮔﯿﺮي ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﺄﺛﯿﺮ ﻣﻌﻨﺎدار ﻫﯿﺒﻨﻮﺗﺮاﭘﯽ ﺷﻨﺎﺧﺘﯽ-رﻓﺘﺎري ﺳﺮﺳﺨﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ و اﺿﻄﺮاب ﺻﻔﺖ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل وﺣﺸﺘﺰدﮔﯽ، ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد از اﯾﻦ روش در ﺟﻬﺖ اﻓﺰاﯾﺶ ﺳﻼﻣﺖ روان اﯾﻦ ﺑﯿﻤﺎران ﺑﻬﺮه ﺑﺮده ﺷﻮد.

Introduction: The purpose of this study was to determine the cognitive-behavioral hypnotherapy, drug therapy on psychological Hardiness, and state-trait anxiety in panic disorder. Materials and Methods: The statistical population consisted of all persons referring to Ebnsina Specialty Hospital in Tehran in the year 2018-2019. Forty-five patients were selected by simple random sampling and were replaced in 3 groups of 15 persons (two experimental and one control group). Participants were assessed with Kiomarsi, Najarian, and Mehrabi Zadeh Honarmand Psychological Hardiness (1998), Spielberger State-Trait Anxiety (1970). Participants were then trained for five sessions, received drug therapy under the supervision of a drug specialist, and the control group received no training. Results: Data were analyzed using multivariate analysis of covariance. The results showed that there were significant differences between the variables of psychological hardiness and trait anxiety post-test hypnotherapy with a post-test control group and drug treatment group. In the case of state anxiety variable, treatment had no significant effect. The post-test showed that the level of psychological hardiness in the hypnotherapy group was significantly higher than the control and drug treatment groups. Also, trait anxiety in the hypnotherapy group was considerably lower than the control and drug treatment groups. Conclusion: Given the significant impact of cognitive-behavioral hypnotherapy on psychological hardiness and state-trait anxiety in panic disorder are suggested to be used to improve the mental health of these patients. Key words: Cognitive behavioral hypnotherapy, Drug therapy, Panic disorder, Psychological Hardiness, State – Trait Anxiety Acknowledgement: There is no conflict of interest.