In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

2 Assistant Professor ,Department of Psychology, Karaj branch, Islamic Azad University, Karaj.Iran

3 Assistant professor, Department of internal medicine, Tehran branch, Islamic Azad University, Tehran, Iran


Objective: Dialectical Behavior Therapy (DBT) was originally developed to treat individuals with pervasive emotion dysregulation. Then it developed its approach in other disorders such as obesity. This research aims to found out the efficacy of DBT in the reduction of negative emotions (anxiety, depression, and anger) with weight loss in obese women with different reasons for obesity.Methods: The population of this quasi-experimental study consisted of 56 obese women with a body mass index more than 29.9 kg/m2. Descriptive statistics were computed for demographic information and self-report questionnaire. Anger, anxiety, and depression are three subscales of feelings that were tested by the 25 items of Emotional Eating Scale that was developed by Arnow, Kenardy and Agras in 1994.
Results: The results demonstrated that negative emotions such as anger, anxiety, and depression, significantly (ρ-value<0.001) decrease in obese women by weight loss during the time. Mixed-effect modeling ANOVA repeated measurements were performed to study changes in variables over time.
Conclusions: The results of the present study show that DBT-skills can be effective in decreasing emotion dysregulations and Body Mass Index (BMI).


Article Title [Persian]

اثربخشی رفتاردرمانی دیالکتیک در کاهش هیجانات منفی و کاهش وزن در زنان چاق

Authors [Persian]

  • پریسا همایون پور 1
  • محمدرضا صیرفی 2
  • سحر قره 3

1 گروه روانشناسی سلامت ، واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

2 استادیارگروه روانشناسی، واحدکرج، دانشگاه آزاد اسلامی، کرج، ایران

3 استادیار، واحد علوم پزشکی دانشگاه آزاد اسلامی تهران

Abstract [Persian]

هدف: رفتاردرمانی‌دیالکتیک که در اصل برای بیماران با خلق و خوی به شدت هیجانی مانند بیماران دوقطبی و اختلال شخصیت مرزی طراحی شده بود، بعدها کاربرد آن در سایر اختلالات مانند چاقی نیز دیده شد. این پژوهش با هدف پیدا کردن اثربخشی رفتاردرمانی‌دیالکتیک بر کاهش هیجانات منفی (مانند اضطراب، خشم و افسردگی) با کاهش وزن زنان چاق به دلایل متفاوت چاقی می‌پردازد.
روش: این پژوهش از نوع نیمه آزمایشی و به طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل اجرا شد. جامعه آماری این پژوهش شامل خانم‌های چاق با نمایه توده بدنی بیشتر از 9/29 (کیلوگرم/متر مربع) بودند که به بیمارستان امیرالمومنین شهر تهران و یک کلینیک خصوصی مراجعه و تحت 13 جلسه گروه درمانی قرار گرفتند. داده‌ها با استفاده از پرسش‌نامه مقیاس پرخوری هیجانی به صورت خودگزارشی توسط بیماران و اندازه‌گیری وزن و قد برای نمایه توده بدنی توسط پرسنل دوره‌دیده گردآوری شد.
یافته ها: نتایج تجزیه و تحلیل داده‌ها با آزمون تحلیل کوواریانس آمیخته با اندازه‌گیری مکرر نشان داد آموزش مهارت‌های رفتاردرمانی‌دیالکتیک منجر به کاهش وزن و همچنین کاهش هیجانات منفی در مقایسه با گروه کنترل می‌شود. (001/0>ρ)
نتیجه گیری: رفتاردرمانی‌ دیالکتیک بر کاهش هیجانات منفی مانند اضطراب، خشم و افسردگی با کاهش وزن زنان چاق اثربخش است.

Keywords [Persian]

  • نمایه توده بدنی
  • رفتاردرمانی‌دیالکتیک
  • چاقی
  • کاهش وزن
  • هیجان
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