مقايسه اثربخشي درمان گروهي مبتني بر پذيرش و تعهد و رفتار درماني ديالكتيك بر راهبردهاي شناختي تنظيم هيجان در معتادان داراي اختلال شخصيت ضد اجتماعي

Compare the Effectiveness of Acceptance and Commitment Based Group Therapy and Dialectical Behavior Therapy on Cognitive Strategies of Emotional Regulation in Addicts with Antisocial Personality Disorder

درمان مبتني بر پذيرش و تعهد و رفتار درماني ديالكتيك از مدلهاي نوين موج سوم مبتني بر رويكرد شناختي رفتاري هستند. اين پژوهش با هدف مقايسه اثربخشي اين دو مدل درماني بر راهبردهاي شناختي تنظيم هيجان معتادان داراي اختلال شخصيت ضد اجتماعي انجام گرفت. روش كار نوع روش تحقيق پژوهش حاضر شبه آزمايشي نوع كاربست باليني توام باپيش آزمون–پس آزمون ميباشد. جامعه آماري شامل كليه افراد مقيم در مركز نگهداري معتادان ماده 16 شهرستان بجنورد ميباشند. آزمودنيها با روش نمونه گيري هدفمند و بر اساس پرسشنامه چند محوري باليني ميلون III-MCMI و مصاحبه باليني ساختار يافته بر اساس 5- -DSM نسخه باليني (PD- 5-SCID) انتخاب شدند. پس از غربالگري، آزمودنيها در دو گروه آزمايشي و يك گروه كنترل جايگذاري شدند. براي جمع آوري داده ها از پرسشنامه تنظيم شناختي هيجان گارنفسكي استفاده شد. براي تحليل داده ها از تحليل كوواريانس مانكووآ و آزمون تعقيبي بونفروني استفاده شد. يافته ها هر دو مدل درماني ACT و DBT در بهبود راهبردهاي شناختي تنظيم هيجان معتادان داراي اختلال شخصيت ضد اجتماعي موثرند و در افزايش نمره راهبردهاي مثبت شناختي تنظيم هيجان (تمركز مثبت مجدد و ارزيابي مجدد مثبت) و كاهش نمره راهبردهاي منفي تنظيم شناختي هيجان (سرزنش خود، سرزنش ديگران، نشخوار فكري و فاجعه آميز انگاري) تاثير مثبت و معناداري داشتند (0/05

Acceptance and commitment based therapy and dialectical behavior therapy are new models of the third wave based on cognitive-behavioral approach. This research with the purpose of compare the effectiveness of these two models on cognitive strategies of emotional regulation in addicts with antisocial personality disorder. Methods: The research method of the present study is quasi-experimental-clinical application with pre-test post-test. Participants by purposive sampling method were selected based on the MCMI-III questionnaire and the structured clinical interview based on the DSM-5 clinical version (SCID-5-PD). After screening and diagnosis, subjects were matched based on demographic variables in four control and experimental groups. To collect data Cognitive Emotion Regulation Questionnaire (CERQ) were used. To analyze the data, analysis of covariance Mancova and Bonferroni post hoc test was used to compare the mean of independent variables of therapeutic interventions in experimental groups. Results: The results of this study showed that both acceptance and commitment treatment and dialectical behavior therapy are effective in improving emotional regulation strategies of addicts with antisocial personality disorder. Both therapeutic approaches increased the score of positive cognitive emotional regulation strategies (positive reconcentration and positive re-evaluation) and reduce the score of negative cognitive emotional regulation strategies (self-blaming, blaming others, rumination and catastrophization). There was no significant difference between the effectiveness of the two treatment models and only this difference was significant in relation to the negative emotion regulation strategy of "acceptance". Conclusions: These findings indicate the helpfulness of both treatments on cognitive emotion regulation strategies of addicts with antisocial personality disorder. These findings can be promising in planning preventive interventions; however, more controlled studies are needed in this area.