In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Author

Associate Professor, Department of Counseling,, Faculty of Psychology and Education,, University of Tehran , Tehran, Iran.

Abstract

Objective: Anxiety disorders require cost-effective and time-limited interventions. The present study aimed to design and validate a Paradoxical Group Therapy (PGT) protocol for anxiety disorders.
Method: This study employed a mixed-methods approach, conducted in two phases using a sequential qualitative (focus group) and quantitative (descriptive-survey) design for the purpose of designing and establishing the content validity of the Paradoxical Group Therapy protocol. The statistical population consisted of eight expert psychotherapists experienced in paradoxical therapy and group therapy. The protocol's validity was then  evaluated using the Content Validity Ratio (CVR) and the Content Validity Index (CVI).
Results: The protocol comprised five core stages: (1) the pre-group stage, (2) the initial stage, (3) the transition stage, (4) the working or therapeutic stage, and (5) the termination stage. Special paradoxical therapy techniques such as symptom prescription, exaggeration therapy, goal reversal, paradoxical role-playing, paradoxical intention, and focusing on the here and now were collected. The results indicated that the content validity of the protocol was confirmed at an acceptable level (CVI = 0.91; CVR = 0.97). Given that all session-level CVR values exceeded 0.85, and the overall mean CVR (0.97) was higher than the minimum acceptable value proposed by Lawshe (1975), it can be concluded that experts rated the paradoxical group therapy protocol for anxiety disorders as appropriate and valid.
Conclusion: This validated protocol can serve as a standardized and practical tool for psychotherapists and clinicians familiar with paradoxical psychotherapy, providing a structured approach to the treatment of anxiety disorders in group settings.

Keywords

Main Subjects

Article Title [Persian]

طراحی و روایابی پروتکل پارادوکس درمانی گروهی (PGT) برای اختلالات اضطرابی

Author [Persian]

  • محمدحسن آسایش

Associate Professor, Department of Counseling,, Faculty of Psychology and Education,, University of Tehran , Tehran, Iran.

Abstract [Persian]

هدف: اختلالات اضطرابی به مداخلاتی مقرون‌به‌صرفه و کوتاه مدت نیاز دارند. هدف پژوهش حاضر، طراحی و روایابی یک پروتکل گروه‌درمانی پارادوکسیکال برای اختلالات اضطرابی بود.
روش: این مطالعه از رویکرد آمیخته استفاده کرد که در دو مرحله و با طرح متوالی کیفی (گروه کانونی) و کمی (پیمایشی-توصیفی) به منظور طراحی و تعیین روایی محتوایی پروتکل گروه‌درمانی پارادوکسی اجرا شد. جامعه پژوهش شامل هشت روان‌درمانگر متخصص با تجربه در درمان پارادوکسی و گروه‌درمانی بود. سپس روایی آن با استفاده از نسبت روایی محتوا (CVR) و شاخص روایی محتوا (CVI) ارزیابی گردید.
یافته‌ها: پروتکل طراحی شده شامل پنج مرحله اصلی بود: (1) مرحله پیش‌گروهی، (2) مرحله آغازین، (3) مرحله گذار، (4) مرحله کاری یا درمانی و (5) مرحله پایان. فنون اختصاصی درمان پارادوکسیکال شامل تجویز زمان بندی شده نشانه، تشدید یا اغراق‌ در نشانه، وارونگی هدف، ایفای نقش پارادوکسیکال، قصد متناقض گردآوری شد. نتایج نشان داد روایی محتوای پروتکل در سطح مطلوبی تأیید شده است (CVI = 0.91؛ CVR = 0.97). با توجه به اینکه تمامی مقادیر CVR جلسات بالاتر از 0.85 بوده و میانگین کلی CVR (0.97) بیش از مقدار حداقلی پیشنهادی لاوشه (1975) بود، می‌توان نتیجه گرفت که متخصصان، پروتکل گروه‌درمانی پارادوکسیکال برای اختلالات اضطرابی را مناسب و معتبر ارزیابی کرده‌اند.
نتیجه‌گیری: این پروتکل اعتبارسنجی‌شده می‌تواند به‌عنوان ابزاری استاندارد و کاربردی برای روان‌درمانگران آشنا با رویکرد پارادوکسیکال مورد استفاده قرار گیرد و چارچوبی ساختاریافته برای درمان گروهی اختلالات اضطرابی فراهم آورد.

Keywords [Persian]

  • اختلالات اضطرابی
  • پارادوکس درمانی
  • گروه‌درمانی پارادوکسی
  • PTC
  • سلامت روان
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