مقايسه تاثير درمان نظريه انتخاب و درمان فعال ساز رفتاري با و بدون تصويرسازي ذهني هدايت شده بر تاب آوري در نوجوانان وابسته به مواد

The Comparison of the Effects of Choice Theory Therapy and Behavioral Activation Therapy with and without Guided Mental Imagery on Resilience in Substance-Dependent Adolescents

ﻫﺪف ﺗﺤﻘﯿﻖ ﺣﺎﺿﺮ ﻣﻘﺎﯾﺴﻪ ﺗﺎﺛﯿﺮ درﻣﺎن ﻧﻈﺮﯾﻪ اﻧﺘﺨﺎب و درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺎ و ﺑﺪون ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾﺖ ﺷﺪه ﺑﺮ ﺗﺎبآوري در ﻧﻮﺟﻮاﻧﺎن واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﺑﻮد. روش: روش ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﻧﻤﻮﻧﻪ ﺗﺤﻘﯿﻖ ﺷﺎﻣﻞ 60ﻧﻔﺮ از ﻧﻮﺟﻮاﻧﺎن واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﺑﻮدﮐﻪ ﺑﻪ ﺻﻮرت ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﻃﻮر ﺗﺼﺎدﻓﯽ در ﮔﺮوهﻫﺎي آزﻣﺎﯾﺶ اول )درﻣﺎن ﻧﻈﺮﯾﻪ اﻧﺘﺨﺎب، 15ﻧﻔﺮ(، آزﻣﺎﯾﺶ دوم )درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺪون ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾﺖ ﺷﺪه، 15ﻧﻔﺮ(، آزﻣﺎﯾﺶ ﺳﻮم )درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺎ ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾﺖ ﺷﺪه، 15ﻧﻔﺮ(، و ﮐﻨﺘﺮل ) 15ﻧﻔﺮ( ﮔﻤﺎﺷﺘﻪ ﺷﺪﻧﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﻫﺮ ﭼﻬﺎر ﮔﺮوه ﻣﻘﯿﺎس ﺗﺎب-آوري ﮐﻮﻧﻮر- دﯾﻮﯾﺪﺳﻮن را ﺗﮑﻤﯿﻞ ﮐﺮدﻧﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از روش ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ ﺑﺎ اﻧﺪازهﮔﯿﺮي ﻣﮑﺮر ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﻧﺘﺎﯾﺞ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﺑﯿﻦ ﺗﺎﺛﯿﺮ درﻣﺎن ﻧﻈﺮﯾﻪ اﻧﺘﺨﺎب و درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺎ و ﺑﺪون ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾ ﺖ ﺷﺪه ﺑﺮ اﻓﺰاﯾﺶ ﺗﺎب آوري در ﻧﻮﺟﻮاﻧﺎن واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﺗﻔﺎوت ﻣﻌﻨﺎداري وﺟﻮد داﺷﺖ، ﺑﻪ ﻃﻮري ﮐﻪ درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺎ ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾﺖ ﺷﺪه ﻧﺴﺒﺖ ﺑﻪ درﻣﺎن ﻧﻈﺮﯾﻪ اﻧﺘﺨﺎب و درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺪون ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ ﻫﺪاﯾﺖ ﺷﺪه ﺑﺮ اﻓﺰاﯾﺶ ﺗﺎبآوري در ﻧﻮﺟﻮاﻧﺎن واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد اﺛﺮﺑﺨﺸﯽ ﺑﯿﺸﺘﺮي داﺷﺖ. ﻧﺘﯿﺠﻪ ﮔﯿﺮي: در ﮐﻞ، ﻣﯽﺗﻮان ﮔﻔﺖ ﮐﻪ درﻣﺎن ﻓﻌﺎلﺳﺎز رﻓﺘﺎري ﺑﺎ ﺗﮑﻨﯿﮏ ﺗﺼﻮﯾﺮﺳﺎزي ذﻫﻨﯽ روش ﻣﻮﺛﺮﺗﺮي ﺑﺮ اﻓﺰاﯾﺶ ﺗﺎبآوري در ﻧﻮﺟﻮاﻧﺎن واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد اﺳﺖ

This study aimed to compare the effects of choice theory therapy and behavioral activation (BA) therapy with and without guided mental imagery on resilience in substance-dependent adolescents. Method: The present study was quasi-experimental with pretest-posttest design with a control group. The study sample included 60 substance-dependent adolescents who were selected by convenience sampling and randomly placed into the first (choice theory therapy, n=15), the second (behavioral activation therapy without guided mental imagery, n=15), and the third experimental groups (behavioral activation therapy with guided mental imagery, n=15) as well as control group (n=15). Participants in all four groups completed the Conner-Davidson resilience scale. The data were analyzed using the analysis of variance (ANOVA) with repeated measurement. Results: The results showed that there was a significant difference between the effectiveness of choice theory therapy and behavioral activation therapy with and without guided mental imagery on the increase of resilience in substance-dependent adolescents, so that behavioral activation therapy with guided mental imagery had a more effect on the increase of resilience in substance-dependent adolescents than choice theory therapy and behavioral activation therapy without guided mental imagery. Conclusion: In general, it can be said that behavioral activation therapy with mental imagery technique is a more effective method to increase resilience in substance-dependent adolescents