ﻣﻘﺎﯾﺴﻪ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري و ﺧﻮدﺷﻔﺎﺑﺨﺸﯽ ﺑﺮ ﺗﺤﻤﻞ ﭘﺮﯾﺸﺎﻧﯽ زﻧـﺎن ﻣﺒـﺘﻼ ﺑـﻪ اﺧﺘﻼل ﭘﺮﺧﻮري ﻋﺼﺒﯽ

Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Self-Healing Therapy on the Distress Tolerance of Women with Bulimia Nervosa

زﻣﯿﻨﻪ و ﻫﺪف: اﺧﺘﻼل ﭘﺮﺧﻮري ﺑﻪﻋﻨﻮان ﯾﮏ اﺧﺘﻼل ﺷﺎﯾﻊ روانﺷﻨﺎﺧﺘﯽ ﻣﻨﺠﺮ ﺑﻪ آﺷﻔﺘﮕﯽ و ﻣﺸﮑﻼت ﻣﺘﻌﺪدي ﺑﺮاي ﻓﺮد ﻣﯽﺷﻮد. ﯾﮑﯽ از ﻣﺸﮑﻼت در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل ﭘﺮﺧﻮري ﻇﺮﻓﯿﺖ ﺗﺤﻤﻞ ﭘﺮﯾﺸﺎﻧﯽ ﭘﺎﯾﯿﻦ اﺳﺖ ﮐﻪ اﯾﻦ ﻣﺴﺌﻠﻪ ﺑﺎﻋﺚ اﻓﺰاﯾﺶ ﺗﻤﺎﯾﻞ ﻓﺮد ﺑﻪ ﭘﺮﺧﻮري ﻣﯽﮔﺮدد؛ ﺑﻨﺎﺑﺮاﯾﻦ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﻣﻘﺎﯾﺴﻪ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري و درﻣﺎن ﺧﻮدﺷﻔﺎﺑﺨﺸﯽ ﺑﺮ ﺗﺤﻤﻞ ﭘﺮﯾﺸﺎﻧﯽ زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل ﭘﺮﺧﻮري ﻋﺼﺒﯽ اﻧﺠﺎم ﮔﺮﻓﺖ. ﻣﻮاد و روشﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ ﮐﻤﯽ و ﻧﯿﻤﻪ آزﻣﺎﯾﺸﯽ )ﭘﯿﺶآزﻣﻮن، ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮔﻮاه( ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ ﺗﻤﺎﻣﯽ زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﭘﺮﺧﻮري ﻋﺼﺒﯽ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﻣﺘﺨﺼﺼﺎن و ﻣﺮاﮐﺰ درﻣﺎﻧﯽ ﺷﻬﺮ اﺻﻔﻬﺎن در ﺳﺎل 1398 اﺳﺖ ﮐﻪ 45 ﻧﻔﺮ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪﺻﻮرت ﺗﺼﺎدﻓﯽ در ﮔﺮوهﻫﺎي آزﻣﺎﯾﺶ و ﮔﻮاه ﻗﺮار داده ﺷﺪﻧﺪ. اﺑﺰار ﮔﺮدآوري دادهﻫﺎ ﭘﺮﺳﺶﻧﺎﻣﻪ ﺗﺤﻤﻞ ﭘﺮﯾﺸﺎﻧﯽ ﺳﯿﻤﻮﻧﺰ و ﮔﺎﻫﺮ )2005( ﺑﻮد. ﻫﺮ ﯾﮏ از ﮔﺮوهﻫﺎي آزﻣـﺎﯾﺶ 12 ﺟﻠﺴﻪ ﺗﺤﺖ درﻣﺎن ﮔﺮوﻫﯽ ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﯿﺸﻞ و درﻣﺎن ﺧﻮدﺷﻔﺎﺑﺨﺸﯽ ﻣﺮوي و ﻟﻄﯿﻔﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ وﻟﯽ ﮔﺮوه ﮔﻮاه آﻣﻮزﺷﯽ درﯾﺎﻓـﺖ ﻧﮑـﺮد. ﺑـﺮاي ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ دادهﻫﺎ از آزﻣﻮن ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪ ﻣﺘﻐﯿﺮي و ﻣﺠﺬور ﮐﺎي اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﺮ اﺳﺎس آزﻣﻮن ﻣﺠﺬور ﮐﺎي ﺗﻔﺎوت ﻣﻌﻨﺎداري از ﻟﺤﺎظ ﺳﻦ، ﺗﺤﺼﯿﻼت و ﻣﺪت ﺑﯿﻤﺎري ﺑﯿﻦ ﺳﻪ ﮔﺮوه ﻣﺸﺎﻫﺪه ﻧﺸﺪ )0/05>P(. ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ درﻣﺎن ﺧﻮدﺷﻔﺎﺑﺨﺸﯽ در ﺗﻤﺎﻣﯽ اﺑﻌﺎد ﺗﺤﻤﻞ ﭘﺮﯾﺸﺎﻧﯽ و درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري در ﺗﻤﺎﻣﯽ اﺑﻌﺎد ﺑﻪﺟﺰ ﺑﻌﺪ ﺗﺤﻤﻞ در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﮔﺮوه ﮔﻮاه ﺗﻔﺎوت ﻣﻌﻨﺎداري داﺷﺘﻨﺪ )0/05

Aim and Background: Binge eating disorder as a psychological disorder commonly leads to confusion and problems for people. A problem People with binge eating disorder is low capacity of distress tolerance, and this increases the tendency of an individual to Binge eating. This study aimed to compare the effectiveness of cognitive-behavioral therapy and self-healing therapy on Distress tolerance in women with bulimia nervosa. Methods and Materials: This study was quasi-experimental (pre-test post-test with the control group). The statistical population of the present study included all women with bulimia nervosa who were referred to specialists and medical centers in Isfahan in 1398. 45 women were selected by purposive sampling and randomly placed in experimental and control groups. Data collection tools were Distress tolerance Simon and Gaher's (2005) questionnaires. Each of the experimental groups underwent 12 sessions of Michelle's cognitive-behavioral group therapy, and Marvi and Latifi's self-healing therapy, but the control group did not receive an educational certificate. Research data were analyzed using MANCOVA and chi-square test. Findings: Based on the chi-square test, no significant difference was observed in terms of age, education, and disease duration between the three groups (P <0.05). The results showed that the cognitive-behavioral and self-healing experimental groups were significantly different from the control group in the Distress tolerance variable (P <0.05). Also, self-healing therapy has increased the Tolerance and absorption dimensions and Distress tolerance more than cognitive-behavioral therapy (P < 0.05). Conclusions: According to this study, cognitive-behavioral therapy and self-healing can be used to increase the Distress tolerance of women with bulimia nervosa. However, self-healing treatment seems to be more than effective cognitive-behavioral therapy in this case