اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﺒﺘﻨﯽ ﺑﺮ ﻋﺪم ﺗﺤﻤﻞ ﺑﻼﺗﮑﻠﯿﻔﯽ ﺑﺮ ﻧﮕﺮاﻧﯽ و اﺿــﻄﺮاب زﻧــﺎن ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﮐﺮوﻧﺎ )ﮔﺰارش ﻣﻮردي(

Effectiveness of Cognitive Behavioral Therapy based on Intolerance of Uncertainty on Worry and Anxiety in Women with Corona Anxiety (case study)

زﻣﯿﻨﻪ و ﻫﺪف : ﺷﯿﻮع و دﻧﯿﺎﮔﯿﺮي ﮐﻮوﯾﺪ- 19ﻋﻼوه ﺑﺮ ﺗﻌﺪاد زﯾﺎد اﺑﺘﻼ و ﻣﺮگوﻣﯿﺮ ﻓﺮاوان، ﻣﻨﺠﺮ ﺑﻪ ﻣﺸﮑﻼت روانﺷﻨﺎﺧﺘﯽ ازﺟﻤﻠﻪ اﺿﻄﺮاب ﮐﺮوﻧﺎ ﺷﺪه ﮐﻪ زﻧﺎن ﺑﯿﺶ از ﻣﺮدان در ﻣﻌﺮض اﯾﻦ اﺿﻄﺮاب ﻗﺮار دارﻧﺪ. ﻫﺪف از اﯾﻦ ﭘﮋوﻫﺶ ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﺒﺘﻨﯽ ﺑﺮ ﻋﺪم ﺗﺤﻤﻞ ﺑﻼﺗﮑﻠﯿﻔﯽ ﺑﺮ ﻧﮕﺮاﻧﯽ و اﺿﻄﺮاب زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﮐﺮوﻧﺎ ﺑﻮد. ﻣﻮاد و روشﻫﺎ : اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﮔﺰارش ﻣﻮردي ﺑﺎ ﺧﻂ ﭘﺎﯾﻪ ﭼﻨﺪﮔﺎﻧﻪ و ﭘﯿﮕﯿﺮي دوﻣﺎﻫﻪ ﺑﻮد. ﺳﻪ ﺑﯿﻤﺎر زن ﺑــﻪ روش ﻧﻤﻮﻧــﻪﮔﯿﺮي در دﺳــﺘﺮس و ﺑــﺮ اﺳﺎس ﻣﻼكﻫﺎي ﺗﻌﯿﯿﻦﺷﺪه ﺑﺮاي ورود ﺑﻪ ﭘﮋوﻫﺶ از ﺟﺎﻣﻌﻪ آﻣﺎري ﻣﻮردﻧﻈﺮ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﻣﺪت 15 ﺟﻠﺴﻪ ﺑﺮ اﺳﺎس ﭘﺮوﺗﮑﻞ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﺒﺘﻨﯽ ﺑﺮ ﻋﺪم ﺗﺤﻤﻞ ﺑﻼﺗﮑﻠﯿﻔﯽ ﺗﺤﺖ درﻣﺎن ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﺳﻪ ﺑــﺎر در ﻣﺮﺣﻠــﻪ ﺧــﻂ ﭘﺎﯾــﻪ و در ﺟﻠﺴــﺎت 12 ،9 ،6 ،3 و 15 و ﻫﻤﭽﻨــﯿﻦ در ﺟﻠﺴﺎت ﭘﯿﮕﯿﺮي ﻣﺎﻫﯿﺎﻧﻪ ﺑﻪ ﻣﺪت دو ﻣﺎه ﺑﺎ ﺗﮑﻤﯿﻞ ﻣﻘﯿﺎس اﺿﻄﺮاب ﺑﯿﻤﺎري ﮐﺮوﻧﺎ، ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﮕﺮاﻧﯽ ﭘﻨﺴﯿﻠﻮاﻧﯿﺎ و ﭘﺮﺳﺸﻨﺎﻣﻪ اﺑﻌﺎد ﻧﮕﺮاﻧﯽ ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. دادهﻫﺎ ﺑﻪ روش ﺗﺮﺳﯿﻢ دﯾﺪاري، درﺻﺪ ﺑﻬﺒﻮدي و ﺷﺎﺧﺺ ﺗﻐﯿﯿﺮ ﭘﺎﯾﺎ ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﺑﯿﺎﻧﮕﺮ اﯾﻦ ﺑﻮد ﮐﻪ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﺒﺘﻨﯽ ﺑﺮ ﻣﺪل ﻋﺪم ﺗﺤﻤﻞ ﺑﻼﺗﮑﻠﯿﻔﯽ ﺑﺮ ﻧﮕﺮاﻧﯽ و اﺿﻄﺮاب ﮐﺮوﻧﺎي زﻧــﺎن از ﻧﻈــﺮ ﺑــﺎﻟﯿﻨﯽ و ﺑــﻪ ﻟﺤﺎظ آﻣﺎري ﻣﺆﺛﺮ ﺑﻮده اﺳﺖ )0/05>p(. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﻣﯽﺗﻮان ﮔﻔﺖ ﮐﻪ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﻣﺒﺘﻨﯽ ﺑﺮ ﻋﺪم ﺗﺤﻤﻞ ﺑﻼﺗﮑﻠﯿﻔﯽ ﻣﯽﺗﻮاﻧﺪ ﯾﮏ ﻣﺪاﺧﻠﻪ ﻣﺆﺛﺮ ﺑــﺮاي ﮐﺎﻫﺶ ﻧﮕﺮاﻧﯽ و اﺿﻄﺮاب زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب ﮐﺮوﻧﺎ ﺑﺎﺷﺪ.

Aim and Background: In addition to high morbidity and mortality due to Prevalence of Covid-19, it has led to psychological problems including Corona anxiety, that Women are more prone to this anxiety than men. The aim of this study was to investigate the effectiveness of cognitive behavioral therapy based on intolerance of uncertainty on worry and anxiety in women with corona anxiety. Methods and Materials: This study was a case study with multiple baseline and two-month follow-up. Three female patients who had completed criteria set for entering the study, were selected from the statistical population by available sampling method. Then they were treated for 15 sessions upon the protocol of cognitive-behavioral therapy based on intolerance of uncertainty. Participants were assessed three times on the baseline stage and in sessions 3, 6, 9, 12, 15 as well as in monthly follow-up sessions for two months by completing the Corona Disease Anxiety Scale, Penn State Worry Questionnaire, and Worry Domain Questionnaire. Data were analyzed using visual inspection, improvement percentage and reliable change index. Findings: The results showed that cognitive-behavioral therapy based on intolerance of uncertainty model was clinically and statistically effective on worry and anxiety in Women with Corona anxiety (p<0.05). Conclusions: Based on the results of the present study, it can be said that the cognitive-behavioral therapy based on intolerance of uncertainty can be an effective intervention to reduce worry and anxiety in women with Corona anxiety.