fa مقایسه اثربخشی طرحواره درمانی با درمان بازسازی شناختی بر نشخوار فکری زنان قربانی پیمان شکنی زناشویی تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مقدمه</span></span></span></b><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نشخوار فکری به‌عنوان یک فرآیند شناختی محوری، در تداوم آشفتگی‌های پس از سانحه، به‌ویژه در پی خیانت زناشویی، نقشی اساسی ایفا می‌کند. این گسست عاطفی</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span arial="" style="font-family:">&ndash;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روابطی در زنان اغلب به اختلالات هیجانی و شناختی پایدار می‌انجامد. با این حال، شواهد مقایسه‌ای در خصوص اثربخشی نسبی مداخلات شناخت‌محور در کاهش نشخوار فکری پس از خیانت زناشویی، هنوز محدود است</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش کار</span></span></span></b><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پژوهش حاضر با هدف مقایسه اثربخشی درمان مبتنی بر طرحواره و درمان بازسازی شناختی در کاهش نشخوار فکری ناسازگار در زنان مواجه‌شده با خیانت زناشویی انجام شد. این پژوهش از نوع نیمه‌تجربی با طرح پیش‌آزمون</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span arial="" style="font-family:">&ndash;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پس‌آزمون و گروه کنترل می‌باشد. </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">۷۵</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> نمونه به‌طور تصادفی در سه گروه</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ST</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">n=25</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)،</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">CRT</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">n=25</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و کنترل</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">n=25</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تخصیص یافتند. سنجش نشخوار فکری در دو مقطع، پیش از مداخله و پس از گذشت </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">۸</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> هفته، از طریق پرسش‌نامه نشخوار فکری ناشی از آشفتگی بین‌فردی صورت گرفت</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافته‌ها</span></span></span></b><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتایج حاصل از این مطالعه‌ نشان می‌دهد، هر دو گروه</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ST</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">CRT</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کاهش معناداری در نشخوار فکری نشان دادند</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">p < .001</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">).</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتایج تحلیل واریانس اندازه‌گیری مکرر حاکی از تعامل معنادار زمان &times; گروه بود</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">F</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">2,72</span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)=</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">18.46, p<.001. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تحلیل‌های پس‌آزمون نشان داد که اثربخشی درمان طرحواره نسبت به بازسازی شناختی</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">p = .014</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و گروه کنترل</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">p < .001</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">به‌طور معناداری بیشتر بود</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">.</span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری</span></span></span></b><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان مبتنی بر طرحواره با تمرکز عمیق بر طرحواره‌های ناسازگار اولیه، در کاهش نشخوار فکری ناشی از تروماهای خیانت‌محور اثربخشی بالینی برتری دارد</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Abstract</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Rumination, as a transdiagnostic cognitive process, plays a pivotal role in the maintenance of post-traumatic distress, particularly in the context of marital infidelity a profound relational rupture that frequently precipitates enduring emotional and cognitive dysregulation in women. Despite its clinical relevance, comparative evidence on the relative efficacy of cognitive-based interventions in ameliorating post-infidelity rumination remains scarce.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Method:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This quasi-experimental study aimed to evaluate and compare the effectiveness of Schema Therapy (ST) and Cognitive Restructuring Therapy (CRT) in reducing maladaptive rumination among women exposed to spousal infidelity. Seventy-five participants were randomly assigned to three conditions: ST (n = 25), CRT (n = 25), and a no-treatment control group (n = 25). Rumination was assessed using the Interpersonal Distress Rumination Questionnaire at two time points pre-intervention and following an 8-week treatment period.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Findings revealed that both ST and CRT significantly reduced rumination levels (p < .001). Repeated measures ANOVA demonstrated a statistically significant Time &times; Group interaction [F(2, 72) = 18.46, p < .001], indicating differential treatment efficacy across groups. Post hoc analyses (Tukey HSD) further confirmed that ST yielded significantly greater reductions in rumination compared to CRT (p = .014) and the control condition (p < .001).</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Schema Therapy, with its deep focus on early maladaptive schemas, demonstrates superior clinical efficacy in reducing trauma-induced rumination associated with betrayal-related experiences.</span></span></span></span></span><br> &nbsp; درمان مبتنی بر طرحواره, بازسازی شناختی, نشخوار فکری, خیانت زناشویی, تروماهای روابطی. Schema Therapy, Cognitive Restructuring, Rumination, Marital Infidelity, Relational Trauma. 14 21 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-4767-1&slc_lang=fa&sid=1 Vida Farzalizadeh ویدا فرضعلی‌زاده vida.alizadeh82@gmail.com 10031947532846007511 10031947532846007511 No PhD Student, General Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran دانشجوی دکتری، روان‌شناسی عمومی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران Mahnaz Askarian مهناز عسکریان askarian.mahnaz@gmail.com 10031947532846007512 10031947532846007512 Yes Assistant Professor, Department of Psychology, Ashtian Branch, Islamic Azad University, Ashtian, Iran استادیار، گروه روان‌شناسی، واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران Mehrnaz Azadyekta مهرناز آزادیکتا m.azadyekta@yahoo.com 10031947532846007513 10031947532846007513 No Associate Professor, Department of Psychology, Islamshahr Branch, Islamic Azad University, Islamshahr, Iran دانشیار، گروه روان‌شناسی، واحد اسلامشهر، دانشگاه آزاد اسلامی، اسلامشهر، ایران