اثربخشي درمان مبتني بر پذيرش و تعهد بر اختلال بدشكلي بدن و وزن زنان داراي اضافه وزن

The effect of of Acceptance Commitment Therapy On the Body Dysmorphic Disorder and Weight in Overweight Women

ﭼﮑﯿﺪه ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ، ﺑﺮ اﺧﺘﻼل ﺑﺪﺷﮑﻠﯽ ﺑﺪن و وزن زﻧﺎن داراي اﺿﺎﻓﻪوزن ﺑﻮد. روش اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن- ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮔﻮاه اﺳﺖ. ﻧﻤﻮﻧﻪ ﻣﻮردﭘﮋوﻫﺶ ﺷﺎﻣﻞ 40 ﻧﻔﺮ از زﻧﺎن داراي اﺿﺎﻓﻪوزن ﺑﺎ ﺷﺎﺧﺺ ﺗﻮده ﺑﺪﻧﯽ ﺑﺰرﮔﺘﺮ از 30 در ﺷﻬﺮ ﺗﻬﺮان ﮐﻪ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮔﻮاه ﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﺑﺰار اﻧﺪازهﮔﯿﺮي ﭘﮋوﻫﺶ ﭘﺮﺳﺶﻧﺎﻣﻪ ﻣﻘﯿﺎس ﺑﺪﺷﮑﻠﯽ ﺑﺪن ﯾﻞ و ﺑﺮاون ﺑﻮد. ﺟﻠﺴﺎت درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﻪﺻﻮرت ﮔﺮوﻫﯽ و در 8 ﺟﻠﺴﻪ 60 دﻗﯿﻘﻪاي و ﯾﮏ ﺟﻠﺴﻪ در ﻫﻔﺘﻪ ﺑﺮﮔﺰار ﺷﺪ. در اﯾﻦ ﻣﺪت ﮔﺮوه ﮔﻮاه ﻫﯿﭻﮔﻮﻧﻪ ﻣﺪاﺧﻠﻪ درﻣﺎﻧﯽ را درﯾﺎﻓﺖ ﻧﮑﺮدﻧﺪ. ﺑﺮاي ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ دادهﻫﺎ از روش ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ و از ﻧﺮماﻓﺰار 25.SPSS در ﺳﻄﺢ ﻣﻌﻨﺎداري 0/05 اﺳﺘﻔﺎده ﺷﺪ. ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﺮ اﺧﺘﻼل ﺑﺪﺷﮑﻠﯽ ﺑﺪن )0/001

The purpose of the present study was to evaluate the effectiveness of acceptance and commitment therapy on Body Dysmorphic Disorder and Weight of overweight women. The method of this study was quasi-experimental with pre-test and post-test with control group. The statistical population of the study consisted of all overweight women with BMI greater than 30 in Tehran who referred to psychiatric centers in order to receive psychological treatment. The sample consisted of 40 statistical Population who were selected by convenience sampling method and were randomly divided into experimental and control groups. The research instrument was Yale and add date body deformity scale questionnaire. Acceptance and commitment therapy sessions were conducted in a group in 8 sessions of 60 minutes and one session per week. The control group received no treatment during this period. Covariance analysis was used for data analysis and SPSS.25 software was used at the significant level of 0.05. Findings showed that acceptance and commitment therapy was effective on Body Dysmorphic Disorder (P<0.001) and Weight (P<0.001) in overweight women. In general, the results indicated a significant effect of a course of acceptance and commitment therapy on the variables of body deformity disorder and weight loss in overweight women, and this method can be used for the neurological treatment of overweight people.