با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت ایران

نوع مقاله : پژوهشی

نویسندگان

1 Ph.D. student, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

2 Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

3 Associate Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

چکیده

مقدمه: هدف این مطالعه مقایسه اثربخشی درمان فراتشخیص بارلو، هیجان مدار و ذهن آگاهی، بر تعدیل رفتار خوردن افراد بزرگسال مبتلا به چاقی بود. روش: طرح پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون- پس آزمون- پیگیری با گروه کنترل بود. جامعه آماری شامل کلیه افراد مبتلا به چاقی شهر تهران بود که با روش نمونه گیری دردسترس 60 نفر به صورت تصادفی انتخاب و در چهار گروه درمان فراتشخیص بارلو، درمان هیجان مدار، درمان مبتنی بر ذهن آگاهی و کنترل گمارده شدند. داده ها با استفاده از پرسشنامه رفتار خوردن داچ (DEBQ)، در سه مرحله پیش آزمون، پس آزمون و پیگیری اندازه گیری و با روش تحلیل واریانس آمیخته تجزیه و تحلیل شدند. یافته ها: یافته های پژوهش نشان داد اثرات درون گروهی درخصوص خوردن هیجانی، محیطی و بازداری شده معنادار بود (0.05 > P). در ارتباط با اثرات بین گروهی، گروه آزمایش هیجان مدار در زیرمقیاس خوردن هیجانی و بازداری شده و گروه درمان مبتنی بر ذهن آگاهی در زیر مقیاس خوردن محیطی دارای اثربخشی معنادار و پایدار بودند (0.05 > P). نتیجه گیری: براساس نتایج این مطالعه می توان گفت درمان هیجان مدار از طریق تجربه و معنا بخشی هیجانی، کمک به تعدیل خوردن هیجانی و بازداری شده و درمان ذهن آگاهی از طریق تمرکز در لحظه حال و شکست الگوهای تکراری منجر به تعدیل خوردن محیطی شود.

کلیدواژه‌ها

Abdolkarimi M.; Ghorban Shirudi S.; Khalatbari J.; Zarbakhsh M. (2018).       The Effectiveness of Diagnostics Educational Package Based on Acceptance and Commitment Therapy, Compassion Focused Therapy and Dialectical Behavior Therapy on the Eating Behavior and the Weight- Efficacy of lifestyle in the Overweight and Obese Woman. Mejds, 8, 3-3               URL: http://jdisabilstud.org/article   -1-963-fa.html
Barlow, D. H., Ellard, K. K., Fairholme, C.P., Farhione, T. J., Boisseau, C. L., Allen, L. B., & Ehrenreich-May. J. (2011). The unified protocol for transdiagnostic treatment of emotional disorders: Client workbook. New York: Oxford University Press.
Brennan, M. A., Emmerling, M. E. & whelton, W. J. (2015) Emotion focused group therapy:         Addressing self-criticsm in the treatment of eating disorders. Counseling and Psychotherapy Research, 15(1), 67-75.
Cebolla A, Barrada JR, van Strien T, Oliver E, Banos R. (2014). Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Spanish women. Appetite, 73, 58-64.
Compare, Angelo, Calugi, Simona, Marchesinib, Giulio. Molinari, Enrico. Grave, Riccardo Dalle. (2013). Emotion-Focused Therapy and Dietary Counseling, for Obese Patients with Binge Eating Disorder: A Propensity Score-Adjusted Study. Psychother Psychosom, 82, 193–194
Davis, L., Anderson, D., & Pobocik, R. (2014). The relationships between mindful eating, weight, and quality of life in college students. Journal of Nutrition Education and Behavior, 46(4), 171-179.
Dolhanty, J, Greenberg, L. S. (2007). Emotion- Focused therapy in the treatment of eating disorder. Clinical Psychology and Psychotherapy, 16, 336-382.      
Fairburn, C. G., Cooper. Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment. Behaviour Research and Therapy, 41(5), 509-28.
Farchoione, T. J., Fairholme, C. P., Ellard, K. K. Boisseau, C. L., Thompson-Hollands, J., Barlow, D. H. (2012). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial. Behavior therapy, 43(3), 666-678.
Forman, EM., Butryn ML. (2015). A new look at the science of weight control: how acceptance and commitment strategies can address the challenge of self-regulation. Appetite. 84, 171-80.
Glisenti, K., Strodl, E., & King, R. (2018). Emotion‐focused therapy for binge‐eating disorder: A review of six cases, Clinical psychology, 25 (6), 35-42.
Greenberg, L. (2011). Emotion-focused therapy. Washington, DC: American Psychological Association.
Griffiths, S., Angus, D., Murray, S. B., & Touyz, S. (2014). Unique associations between young adult men's emotional functioning and their body dissatisfaction and disordered eating. Body Image, 11(2), 175-178.
Hanson, P., Shttlewood, E., Halder, L., Shah, N., Lam., F. T. Barber, T. M. (2019). Application of Mindfulness in a Tier 3 Obesity Service Improves Eating Behavior and Facilitates Successful Weight Loss. The Journal of Endocrinology & Metabolism, 104 (3), 793-800.
Lasikiewicz, N., Myrissa K., Hoyland A., Lawton CL. (2014). Psychological benefits of weight loss following behavioural and/or dietary weight loss interventions: A systematic research review. Appetite, 72, 123-37.
Lotfi Kangarshahi, A.; Dehghani Arani, F.; Rostami, R.; Ashraf Talesh, S. H.;  Abolhasani. M. (2019). Comparing efficacy of cognitive behavioral therapy (CBT) and mindfulness- based cognitive therapy (MBCT) on activity increasing and weight decreasing in obese individuals with coronary artery stenosis. Biquarterly Iranian Journal of Health Psychology. vol. 8. No. 3, p. 53- 78.   
Palmeira, L., Pinto-Gouveia J., Cunha M. (2017). Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (Kg-Free): A randomized controlled trial. Appetite. 112, 107-16.
Rahmani,M.; Omidi, A.; Rahmani, F. (2018). The Effect of Unified Therapy on Quality of Life in Patients with Eating Disorder. International Journal of Body, Mind and Culture, 5(1), 39-45.
Rogby, A. (2018). Transdiagnostic Approach to Food Avoidance after Bariatric Surgery: A Case Study. Clinical Case Studies, 17(5), 280-295.
Ruffault, A., Czernichow, S., Hagger, MS., Ferrand, M., Erichot, N., Carette, C. (2017).The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 11(5), 90-111.
Sadock, Sadock and Ruiz. (2017). Kaplan and Sadock's Synopsis of Psychiatry: Behavioral     Sciences/Clinical Psychiatry. Translation by Ganji, Mehdi. Tehran: Savalan.
Sala, M., Heard, A., & Black, E. A. (2016). Emotion-focused treatments for anorexia nervosa: a systematic review of the literature. Eating and Weight Disorders, 21, 147-164.
Smith, V. M., Seimon, R. V., Harris, R. A., Sainsbury, A., & Da Luz, F. Q. (2020).  Less Binge Eating and Loss of Control over Eating Are Associated with Greater Levels of Mindfulness: Identifying Patterns in Postmenopausal Women with Obesity. Behavioral Sciences, 9(4), 36; https://doi.org/10.3390/bs9040036.
Suarez, L., Bennett, S., Goldstein, C., Barlow, DH. (2009). Understanding anxiety disorders from a triple vulnerability framework. In: Antony MM, Stein MB, Editors. Oxford Handbook of Anxiety and Related Disorders. Oxford, UK: Oxford University Press.
Van Strien, T. (2018). Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports, 18(35). https://doi.org/10.1007/s11892-018-1000-x
WHO.(2020)./https://www.who.int/nutritin/topics/obesity