fa بررسی اثربخشی درمان پذیرش و تعهد بر تکانشگری، نشخوار فکری و خودسرزنش‌گری در افراد مبتلا به اختلال وسواس موکنی 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="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> هدف پژوهش حاضر تبیین اثربخشی درمان پذیرش و تعهد بر تکانشگری، نشخوار فکری و خودسرزنش‌</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&shy;</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">گری </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در افراد مبتلابه اختلال وسواس موکنی بود.</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="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش پژوهش حاضر نیمه</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">&shy;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کداخلاق پژوهش حاضر </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">IR.IAU.SARI.REC.1401.240</span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> بود. </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">جامعه آماری این پژوهش، کلیه مبتلایان به اختلال وسواس موکنی در مناطق 2 و 4 شهر تهران در سال 1401 بودند که از بین آن‌ها 18 نفر برای هر گروه با استفاده از روش نمونه</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">‌</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">گیری غیرتصادفی هدفمند انتخاب شدند و در دو گروه آزمایش و کنترل به‌صورت تصادفی ساده قرارگرفتند. </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ابزار این پژوهش شامل پرسشنامه تکانشگری بارات و همکاران (1990)، نشخوار فکری نولن هوکسما و همکاران (1991) و خودسرزنشگری گیلبرت و همکاران (2004) بود. گروه آزمایش هشت جلسه یک‌ساعته درمان مبتنی بر پذیرش و تعهد دریافت کردند، درحالی‌که گروه کنترل هیچ مداخله‌ای دریافت نکردند. داده‌ها با استفاده از آزمون تحلیل واریانس مختلط (با اندازه‌گیری‌ مکرر) و آزمون تعقیبی بونفرونی در نرم‌افزار </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">SPSS</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> نسخه 26 مورد تجزیه‌وتحلیل قرار گرفت.</span></span></span></span></span></span></span></span> <div><b style="font-family: Calibri, sans-serif; font-size: 11pt;"><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافته&shy;‌ها</span></span></span></b><span lang="AR-SA" style="font-family: Calibri, sans-serif; font-size: 14pt;"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">: </span></span></span><span lang="FA" style="font-family: Calibri, sans-serif; font-size: 14pt;"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان مبتنی بر پذیرش و تعهد بر تکانشگری، نشخوار فکری و خودسرزنش</span></span></span><span lang="FA" style="font-family: Calibri, sans-serif; font-size: 14pt;"><span style="line-height:107%"><span cambria="" style="font-family:">&shy;</span></span></span><span lang="FA" style="font-family: Calibri, sans-serif; font-size: 14pt;"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">گری تأثیرگذار است واین تأثیر در مرحله پیگیری نیز ادامه دارد.</span></span></span></div> <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> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان مبتنی بر پذیرش و تعهد </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">به‌طور موثری</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> تکانشگری،</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> نشخوار فکری و سرزنش خود را در افراد مبتلا به </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اختلال وسواس موکنی </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کاهش می‌دهد که پتانسیل آن را به‌عنوان یک روش درمانی ارزشمند برای پرداختن به پریشانی روانی مرتبط با این بیماری نشان می‌دهد.</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The present research was conducted with the aim of explaining the effectiveness of acceptance and commitment therapy on impulsivity, rumination and self-blame individuals with trichotillomania.</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methods</span></span></span></b><b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The method of the current research was semi-experimental with a pre-test, post-test and follow-up plan with a control group with its ethical code IR.IAU.SARI.REC.1401.240.</span></span></span> <span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The statistical population of this research was all those suffering from trichotillomania in districts 2 and 4 of Tehran city in 2022, among whom 18 participants were selected for each group using a non-random sampling method and were placed in two experimental and control groups in a simple random manner. The tools of this research included Barat impulsivity questionnaire by Barrat et al. (1990), Ruminative Responses Scale by Nolen Hoeksma et al. (1991) and Self-Blame Inventory by Gilbert et al. (2004).</span></span></span> <span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The experimental group received eight one-hour sessions of acceptance and commitment therapy, while the control group received no intervention. Data were analyzed using mixed analysis of variance (with repeated measures) and Bonferroni&#39;s post hoc test in SPSS version 26.</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Acceptance and commitment therapy</span></span></span> <span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">has an effect on impulsivity, rumination and self-blame and this effect continues in the follow-up phase.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Acceptance and commitment therapy</span></span></span> <span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">effectively reduces impulsivity, rumination and self-blame in individuals with trichotillomania, suggesting its potential as a valuable treatment modality for addressing psychological distress associated with this condition.</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> &nbsp; درمان مبتنی بر پذیرش و تعهد, تکانشگری, نشخوار فکری, خودسرزنش‌گری, اختلال وسواس موکنی Acceptance and Commitment Therapy, Impulsivity, Rumination, Self-blame, Trichotillomania 14 21 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-4518-2&slc_lang=fa&sid=1 shahrbanoo Karimi Emamverdikhan شهربانو کریمی امام وردیخان karimimaryam294@gmail.com 10031947532846006544 10031947532846006544 No Islamic Azad University دانشگاه آزاد اسلامی Ramezan Hassanzadeh رمضان حسن زاده hasanzadehramzan@gmail.com 10031947532846006545 10031947532846006545 Yes Islamic Azad University دانشگاه آزاد اسلامی Seyedeh Olia Emadian سیده علیا عمادیان emadian@iausari.ac.ir 10031947532846006546 10031947532846006546 No Islamic Azad University دانشگاه آزاد اسلامی