بررسی بالینی درمان عقلانی هیجانی رفتاری (REBT)، دارودرمانی وپلاسیبو بر کاهش پریشانی روان‌شناختی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 نویسنده مسئول: استادیار گروه روان‌شناسی، دانشکده روان‌شناسی وعلوم اجتماعی واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران

2 دانشجوی دکتری روان‌شناسی بالینی، دانشکده روان‌شناسی وعلوم اجتماعی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران

چکیده

مقدمه: خانواده به‌عنوان نخستین واحد اجتماعی، وظایف و کارکردهای متفاوتی در ارتباط با سلامت افراد بر عهده دارد و مکان اصلی یادگیری ارزش‌ها، هنجارها و شکل‌گیری کنش و تعاملات بین فردی است که دراین میان باورهای منطقی و غیرمنطقی از مهم‌ترین عوامل انعطاف‌پذیری و آسیب‌پذیری در خانواده می‌داند .پژوهش حاضر با هدف بررسی بالینی درمان عقلانی هیجانی رفتاری (REBT)، دارودرمانی وپلاسیبو بر کاهش پریشانی روان‌شناختی خانواده صورت گرفت.
روش پژوهش: این پژوهش کاربردی و از نوع نیمه‌آزمایشی (به‌صورت پیش‌آزمون- پس‌آزمون با گروه کنترل) بود. جامعه پژوهش حاضر خانواده‌هایی با تشخیص اختلال اضطراب مراجعه‌کننده به بیمارستان لقمان شهر تهران بود. پس از انتخاب آزمودنی‌ها با رعایت ملاک‌های ورود و خروج، 40 نفر انتخاب‌شده، به‌طور تصادفی در چهار گروه (دارودرمانی، رفتاردرمانی عقلانی هیجانی، پلاسیبو، گروه کنترل) به‌طور مساوی (هرگروه 10 نفر) کاربندی شدند. برای اجرای این پژوهش، طرح آزمایشی پیش‌آزمون- پس‌آزمون با استفاده از مقیاس افسردگی اضطراب استرس (DASS) اجرا شد و و پس از 3 ماه نیز آزمون پیگیری به‌عمل آمد.
یافته ها: داده‌ها با استفاده از تحلیل واریانس با اندازه‌گیری مکرر (در سطح معناداری 05/0) و با بهره‌گیری از نرم‌افزار SPSS نسخه 26 تحلیل شدند. نتایج نشان داد مداخله رفتاردرمانی عقلانی هیجانی به‌طور معناداری در کاهش اضطراب بیماران مؤثر واقع شد.
نتیجه‌گیری: رفتاردرمانی عقلانی هیجانی با کمک به خانواده‌ها در جهت بازشناسی وسیع‌تر باورهای غیر‌منطقی خود و کاستن از اضطراب (سرزنش خود) و خصومت (سرزنش کردن دیگران و جهان) باعث کاهش مشکلات روان‌شناختی وافزایش سلامت خانواده می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Clinical Evaluation of Rational Behavioral Emotional Therapy (REBT), Medication and Placebo on Reducing Psychological Distress

نویسندگان [English]

  • Shahram Vaziri 1
  • kinosh kashef kivan 2
1 Assistant Professor, Department of Psychology, Faculty of Psychology and Social Sciences of Roudhen Branch, Islamic Azad University, Roudhen, Iran
2 PhD Candidate, Department of Clinical Psychology, Faculty of Psychology and Social Science, Islamic Azad University of Rouden, Roudhen. Iran
چکیده [English]

Introduction: The family as the first social unit, has different tasks and functions related to the health of individuals and the main place to learn values, norms and the formation of interpersonal actions and interactions, in which logical and irrational beliefs are the most important factors of flexibility and Vulnerability in the family. The aim of this study was to reduce the psychological distress of the family with the aim of clinical evaluation of emotional behavioral rational therapy (REBT), medication and placebo.
Research Method: This research was applied and quasi-experimental (pre-test-post-test with control group). The present study population was families with a diagnosis of anxiety disorder referred to Loghman Hospital in Tehran. After selecting the subjects according to the entry and exit criteria, 40 people were randomly assigned to four groups (medication, emotional rational behavior therapy, placebo, control group) equally (10 people in each group). To conduct this study, a pretest-posttest experimental design was performed using the Stress Anxiety Depression Scale (DASS) and after 3 months, a follow-up test was performed.
Results: Data were analyzed using repeated measures analysis of variance (at a significance level of 0.05) and using SPSS software version 26. The results showed that emotional rational behavioral therapy intervention was significant. It was effective in reducing patients' anxiety.
Conclusion: Emotional rational behavior therapy helps families to recognize their irrational beliefs more widely and reduces anxiety (self-blame) and hostility (blaming others and the world) to reduce psychological problems and increase family health.

کلیدواژه‌ها [English]

  • Behavioral Emotional Rational Therapy (REBT)
  • Psychological Distress

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Alabi, Yahaya Lasiele; Lami, Mustapha Mulikat.(2015).  Efficacy of Client-Centred and Rational-Emotive Behaviour Therapies in Reducing Bullying Behaviour among in-School Adolescents in Ilorin, Nigeria . International Journal of Instruction January 2015 ● Vol.8, No.1 e-ISSN: 1308-1470 ● www.e-iji.net p-ISSN: 1694-609X
American Psychiatric Association .Diagnostic and statistical manual of mental disorders.5th edition.Wshington D.C: Author ;2013
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological assessment10(2), 176.
Balkıs, M., & Duru, E. (2018). The Protective Role of Rational Beliefs on the Relationship Between Irrational Beliefs, Emotional States of Stress, Depression and Anxiety. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 1-17.
Bandelow, B., Zohar, J., Hollander, E., Kasper, S., & Möller, H. J. (2008). WFSBP Task Force on Treatment Guidelines for Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders. World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the pharmacological treatment of anxiety, obsessive-compulsive and post-traumatic stress disorders—first revision. World J Biol Psychiatry9(4),
Bandelow, B., Zohar, J., Hollander, E., Kasper, S., & Möller, H. J. (2008). WFSBP Task Force on Treatment Guidelines for Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders. World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the pharmacological treatment of anxiety, obsessive-compulsive and post-traumatic stress disorders—first revision. World J Biol Psychiatry9(4), 248-312.
Bayat Z. (2013). Improvement with Placebo?! Book of the Mouth about Science & Technology; 6(72): 64-68. (Persian).
Beck, A.T.(2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry 165, 969–977.
Besharat MA (2005). [Psychometric properties of Depression Anxiety Stress Scale (DASS-21) in clinical and general population]. Research Report. University of Tehran. (Persian).
Besharat, M. A. (2005). Investigation of the psychometrics features of depression, anxiety, stress scale (DASS-21) in clinical sample and general population. Research Report.  University of Tehran. (Persian).
Buschmann, T., Horn, R. A., Blankenship, V. R., Garcia, Y. E., & Bohan, K. B. (2018). The Relationship Between Automatic Thoughts and Irrational Beliefs Predicting Anxiety and Depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy36(2), 137-162.
Ciff, S., Rus, A. V., Butterfield, M. E., & Parris, S. R. (2015). Effects of Rational-Emotive Behavior Therapy on Romanian Foster Parents' Psychological Functioning and their Perceived ParentingRevista de Cercetare si Interventie Sociala50.
Daza, P., Novy, D. M., Stanley, M. A., & Averill, P. (2002). The Depression Anxiety Stress Scale-21: Spanish translation and validation with a Hispanic sample. Journal of Psychopathology and Behavioral Assessment, 24, 195–205.
Dryden, W. (2007). Resilience and rationality. J. Ration. Emot. Cogn. Behav. Ther. 25, 213–226.
Effati Dariani, Fatemeh (2014). The effect of lavender cream with or without foot wash on sleep quality and anxiety in pregnant women: a randomized controlled clinical trial, Master Thesis, School of Nursing and Midwifery, Tabriz University of Medical Sciences. (Persian).
Ellis, D. J., & Rovira, M. (2015). Rational Emotive Behavioural Therapy: The Evolution of a Revolution: Interview With Dr. Debbie Joffe Ellis, Work Partner and Wife of Dr. Albert Ellis, the Creator of REBT. Europe's journal of psychology11(1), 7.
Goldenberg, Irene and Goldenberg, Herbert. (2016). Family therapy, translated by Hamid Reza Hossein Shahi Barvati and Siamak Naqshbandi and Elham Arjmand. Tehran: Ravan Publications. (Persian).
Huang CL, Wang YM, Li XW, Ren LL, Zhao JP, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
Jasmine, E., & Kumar, G. V. (2017). Relationship between irrational beliefs and depression in late adolescence. Artha-Journal of Social Sciences9(1).
Lindheimer, J. B., O’Connor, P. J., & Dishman, R. K. (2015). Quantifying the placebo effect in psychological outcomes of exercise training: a meta-analysis of randomized trials. Sports Medicine, 45(5), 693-711.‏
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy33(3), 335-343.
Norton, P. J. (2007). Depression Anxiety and Stress Scales (DASS-21): psychometric analysis across four racial groups. Anxiety, Stress & Coping, 20, 253–265.
Oltean, H. R., Hyland, P., Vallières, F., & David, D. O. (2017). An empirical assessment of REBT models of psychopathology and psychological health in the prediction of anxiety and depression symptoms. Behavioural and cognitive psychotherapy45(6), 600-615.
Sava, F. A., Yates, B. T., Lupu, V., Szentagotai, A., & David, D. (2009). Cost-effectiveness and cost-utility of cognitive therapy, rational emotive behavioral therapy, and fluoxetine (prozac) in treating depression: A randomized clinical trial. Journal of Clinical Psychology, 65(1), 36–52
Shahandeh, Maryam and Safarzadeh, Sahar (2010). Evaluation of the effectiveness of rational-emotional therapy on reducing anxiety. Journal of Isfahan Medical School. 28 (108), 310-315. (Persian).
Turner, M. J., and Barker, J. B. (2013). Examining the efficacy of RationalEmotive Behavior Therapy (REBT) on irrational beliefs and anxiety in elite youth cricketers. J. Appl. Sport Psychol. 25, 131–147.
Turner, M. J., and Barker, J. B. (2014). Using Rational Emotive Behavior Therapy with Athletes. Sport Psychol. 28, 75–90.