نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، مؤسسه آموزش عالی عطار، مشهد، ایران

2 استادیار، مؤسسه آموزش عالی خراسان، مشهد، ایران

3 دانشجوی گروه روانشناسی، دانشگاه ازاد اسلامی واحد نیشابور، نیشابور، ایران

4 دانشجوی کارشناسی، دانشگاه آزاد اسلامی واحد نیشابور، نیشابور، ایران

چکیده

پژوهش حاضر با هدف بررسی اثربخشی درمان شناختی رفتاری واحد پردازه ای بر سوگیری تعبیر چهره و ترس از ارزیابی ‏منفی در دانشجویان دارای خصیصه پارانوئید انجام شد. روش پژوهش نیمه آزمایشی با روش پیش آزمون- پس آزمون با گروه ‏کنترل بود. جامعه آماری پژوهش را کلیه دانشجویان مراجعه کننده به مرکز مشاوره دانشگاه آزاد اسلامی شهر کاشمر در سال ‏‏1398 که بر‎ ‎اساس‎ ‎پرسشنامه‎ ‎بالینی چندمحوری میلون -3 و ملاکهای ‏DSM-5‎‏ دارای خصیصه پارانوئید‎ ‎تشخیص داده شده‌اند، ‏تشکیل دادند (بر اساس آمار به دست آمده از این مرکز 60 نفر). از این تعداد، 20 دانشجو دارای خصیصه پارانوئید به روش ‏نمونه‌گیری هدفمند انتخاب و به تصادف در دو گروه آزمایش و کنترل جایگزین شدند (هر گروه 20 نفر). گروه آزمایش 16 ‏جلسه درمان شناختی رفتاری واحدپردازه‌ای چورپیتا را دریافت کردند. ابزار پژوهش پرسشنامه چندمحوری بالینی؛ سوگیری ‏تعبیر چهره‌های مبهم و مقیـاس تـرس از ارزیـابی منفـی بود که قبل و بعد از مداخله توسط هر دو گروه تکمیل گردید. داده-‏های جمع آوری شده توسط نرم افزار ‏SPSS-22‎‏ و آمار استنباطی تحلیل کواریانس تحلیل شد. نتایج تحلیل کواریانس نشان‎ ‎داد ‏با حذف اثر نمره‌های پیش آزمون سوگیری تعبیر چهره و ترس از ارزیابی منفی به عنوان متغیر همپراش اثر اصلی درمان ‏شناختی رفتاری واحد پردازه‌ای بر سوگیری تعبیر چهره و ترس از ارزیابی منفی در پس‌آزمون معنی دار است(05/0 ‏P <‎‏). لذا ‏می‌توان از درمان شناختی رفتاری واحدپردازه‌ای به عنوان یک روش موثر برای کاهش سوگیری تعبیر و ترس از ارزیابی منفی ‏افراد دارای خصیصه پارانوئید بهره گرفت. ‏

کلیدواژه‌ها

عنوان مقاله [English]

the effectiveness of cognitive-behavioral unit therapy on facial expression bias and fear of negative evaluation in paranoid students

نویسندگان [English]

  • mohsen doustkam 1
  • Sepideh Pour heydari 2
  • Faezeh Karimi Sadr 3
  • ABOLFAZL HOSSEINI 4

1 Assistant Professor, Faculty member, Attar Institude of Higher Education, Mashhad, Iran.

2 Assistant Professor, Department of Psychology, Khorasan Institude of Higher Education, Mashhad, Iran.

3 Student of Psychology, Neyshabur Branch, Islamic Azad University,Neyshabur, Iran

4 Student of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.

چکیده [English]

The purpose of this research was to investigate the effectiveness of Modular Cognitive-‎Behavioral Therapy on facial expression bias and fear of negative evaluation in paranoid ‎students. The research method was quasi-experimental with pre-test-post-test with control group.‎‏ ‏The research community was composed of all students referring to the counseling center of kashmar University of Medical Sciences in the year 2017-16, who were diagnosed according to ‎Multidimensional Clinical Questionnaire-3 and DSM-‎‏5‏‎ criteria with paranoid attribution disorder ‎‎(According to statistics obtained from the center 60 people)‎‏.‏‎ Of these, 20 students with paranoid ‎characteristics were selected through purposeful sampling and were randomly assigned to ‎experimental and control groups. The experimental group received 16 sessions of Modular ‎Cognitive-Behavioral Therapy (HRT), Chuppita and did not receive interventional ‎control.Multidimensional Clinical Questionnaire and Objective Fear Scale , were completed ‎before and after the intervention by both groups. The collected data were analyzed by SPSS-22 ‎software and inferential statistics of covariance analysis. The results of analysis of covariance ‎showed that by eliminating the effect of pre-test scores on facial expression bias and fear of ‎negative evaluation as a scattering variable, the main effect of Modular cognitive-behavioral ‎therapy on facial expression bias and fear of negative evaluation in post-test is significant ‎‎(P‎‏>‏‎0/05). Therefore, Modular cognitive behavioral therapy can be used as an effective method to ‎reduce interpretation bias and fear of negative evaluation of people with paranoid traits.‎

کلیدواژه‌ها [English]

  • : Cognitive-behavioral therapy
  • Process unit
  • Facial expression bias
  • Fear of negative evaluation
  • paranoid
Abbasi, Z., Amiri, S., & Talebi, H. (2015). In a study on the effectiveness of cognitive-behavioral therapy focused on a single unit on reducing the symptoms of separation anxiety in 6 and 7-year-old children. Clinical Psychology and Personality (Daneshvar Behavior), 13(2), 51-64. [Persian]
Adabi, F., Mashhadi, A., & Hassanabadi, H. (2013). The effectiveness of cognitive therapy- procedural unit behavior on reducing anxiety in adolescents. Fourth Regional Conference on Challenges and Strategies for Development in Disadvantaged Areas, Kerman, Iran. [Persian]
Amir, N., Beard, C., & Bower, E. (2005). Interpretation and social anxiety. Cognitive Therapy and Research, 29,433-443
Azad, H. (2014). Psychopathology. Tehran: Besat. [Persian]
Barta, P. (2013). Evaluation of the Hong Kong FRIENDS intervention program for childhood anxiety. In Partial Fulfilment of the Requirements of the Degree Doctor of Psychology, Alliant International University.
Becker, E. M., Becker, K. D., & Ginsburg, G. S. (2012). Modular cognitive behavioral therapy for youth with anxiety disorders: A closer look at the use of specific modules and their relation to treatment process and response. School Mental Health, 4(4), 243-253.
Beheshtian, E., Tozandeh Jani, H., & Safarian Tosi, M. (2019). Comparison of modular cognitive-behavioral therapy and behavioral activation on fear of negative evaluation in students with generalized anxiety disorder. Applied Psychological Research Quarterly, 10(4), 101-110. [Persian]
Borkovec, T. D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (77-108). The Guilford Press.
Chopita, B. F. (2016). Cognitive-behavioral therapy of anxiety in children: A single-trial approach. Translated by Katayun Helmi, Tehran: The Honorable Book. [Persian]
Chorpita, B., Taylor, A., Francis, S., Moffitt, C., & Austin, A. (2007). Efficacy of modular cognitive behavior therapy for childhood anxiety disorders. Behavior Therapy, 35(2), 263-287.
Dalir, M., Alipor, A., Zare, H. & Farzd, V. (2015). Comparing effectiveness of cognitive bias modification of interpretation and its combination with group cognictive behavior therapy on reducing obsessional signs, beliefs and behaviors. Journal of Psychological Achievements, 22(1), 1-24. [Persian]
Davidson, J. R., Foa, E. B., Huppert, J. D., Keefe, F. J., Franklin, M. E., Compton, J. S., ... & Gadde, K. M. (2004). Fluoxetine, comprehensive cognitive behavioral therapy, and placeboin generalized social phobia. Archives of General Psychiatry, 61(10), 1005-1013.
Donyavizade, F. (2012). Comparison of perceptual bias of ambiguous faces in people with a tendency to paranoid, avoidant and depressed personality disorder with normal people. Master Thesis in Clinical Psychology, Shiraz University, International Branch. [Persian]
Doustkam, M., Pourheydari, S., Heidari, M., & Shahidi, S. (2010). Induction of mood using sub-threshold emotional faces. Applied Psychology, 4(2), 7-19. [Persian]
Doustkam M., Pourheydari S., & Mansouri A. (2017). Interpretation bias towards vague faces in individuals with paranoid personality disorder traits. Journal of Fundamentals of Mental Health, 19(6), 441-450. [Persian]
Everett, J. A. C., Faber, N. S., & Crockett, M. (2015). Preferences and beliefs in ingroup favoritism. Frontiers in Behavioral Neuroscience, 9, 1-21.
Gotlib, I. H., Krasnoperova, E., Yue, D. N., & Joormann, J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology, 113(1), 121-35.
Gratz, K. L., Weiss, N. H., & Tull, M. T. (2015). Examining emotion regulation as an outcome, echanism, or target of psychological treatments. Current Opinion in Psychology, 3(1), 85-90.
Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York: Guilford Press.
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2014). A cognitive-behavioral model of social anxiety disorder. In Social Anxiety (705-728). Academic Press.
Khodayari Farad, M., & Abedini, Y. (2004). Understanding the therapeutic behavior of hysterical and paranoid personality disorders (Case Study). Journal of Psychological Science, 9(3), 1-9. [Persian]
Leary, R. M. (1983). A brief version of the fear of negative evaluation scale. Personality and Social Psychology Bulletin, 9, 371-375.
Lievaart, M., Van der Heiden, C., & Geraerts, E. (2013). Associations between depressive symptoms, rumination, overgeneral autobiographical memory and interpretation bias within a clinically depressed sample. Journal of Psychology and Psychotherapy, 27, 1-6.
Millon, T., Davis, R. D., & Millon, C. M. (1997). Diagnostic validity of MCMI-III. Journal of Personality Assessment, 68, 62-68.
Mojtaba, M., & Lashkari, A. (2008). The relationship between fear of negative assessment and anxiety veil with students' shyness. Thought and Behavior, 5(2), 1-12. [Persian]
Myhr, G. (2004). Reasoning with psychosis patients: why should a general psychiatrist care about cognitive – behavioral therapy for schizophrenia? England: Bulletin archives.
Narimani, M., Ghasem pour, A., Abolghasemi, A., & Hassan Zadeh, S. (2010). Comparing emotional facial expression recognition and cognitive processing in schizophrenia patient and normal population. Journal of Psychological Achievements, 17(2), 143-164. [Persian]
Nazarzadeh, F., Mami, S., & Nazarzadeh, M. (2014). The relationship between personality type and self-esteem among female students of Zeinab dormitory of Lorestan University. Journal of Ilam University of Medical Sciences, 2(3), 149-154. [Persian]
Nelson, H. E. (2005). Cognitive–behavioral therapy with delusions and hallucinations: A practice manual. London: Nelson Thornes Ltd.
Ordaz, D. L. Lewin, A. B. & Storch, E. A. (2018). Modular cognitive-behavioral therapy for a young adult with autism spectrum disorder, comorbid obsessive compulsive disorder, and social anxiety disorder. Clinical Case Studies. 17(3), 136- 149.
Pinkham, A. E., Harvey, P. D., & Penne, D. L. (2016). Paranoid individuals with schizophrenia show greater social cognitive bias and worse social functioning than non-paranoid individuals with schizophrenia. Schizophr Res Cogn, 3(1), 33-38.
Piotrowski, C., & Zalewski, C. (1993). Training in psychodiagnostic testing in APA-approved PsyD and PhD clinical training programs. Journal of Personality Assessment, 61, 394-405.
Pollak, S. D., Messner, M., Kistler, D. J., & Cohn, J. F. (2009). Development of perceptual expertise in emotion recognition. Cognition, 110(2), 242-247.
Pozza, A., & Dèttore, D. (2020). Modular cognitive‐behavioral therapy for affective symptoms in young individuals at ultra‐high risk of first episode of psychosis: Randomized controlled trial. Journal of Clinical Psychology, 76(3), 392-405.
Rahimzadeh, R. (2015). Effectiveness of cognitive behavioral therapy unit on positive and negative affect, interpretation bias, fear of negative and avoidance evaluation in adolescents with social anxiety disorder. Masters Degree in Clinical Psychology, Ferdowsi University of Mashhad, Iran. [Persian]
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741-756.
Rheingold, A. A., Herbert, J. D., & Franklin, M. E. (2003). Cognitive bias in adolescents with social anxiety disorder. Cognitive Therapy and Research, 6, 639-655.
Sadock, B. J., & Sadock, V. A. (2007). Kaplan & Sadock's synopsis of psychiatry, (10th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Clarke, S. C., Cooper, N. R., Rana, M., & Mackintosh, B. (2018). Cognitive interpretation bias: The effect of a single session moderate exercise protocol on anxiety and depression. Frontiers in psychology, 9, 1-11.
Shafi'i, H., Zare, H., Alipour, A., & Hatami, J. (2014). Fear of adolescent negative evaluation and their selective attention to socially threatening words. Quarterly Journal of Cognitive Science, 16(3), 41-52. [Persian]
Sharma, D., Albery, I. P., & Cook, C. (2001). Selective attentional bias to alcohol related stimuli in problem drinkers and non‐problem drinkers. Addiction, 96(2), 285-295.
Shokri, O., Geravand, F., Naghsh, Z., Tarkhan, R. A., & Paeezi, M. (2008). The psychometric properties of the brief fear of negative evaluation scale. Iranian Journal of Psychiatry and Clinical Psychology, 14(3), 316-325. [Persian]
Tavakoli, N., Republic, F., & Farrokhi, N. (2014). The relationship between attachment styles and fear of negative evaluation with internet addiction in students. Journal of Information and Communication Technology in Educational Sciences, 5(2), 61-77. [Persian]
Topper, M., Emmelkamp, P. M., Watkins, E., & Ehring, T. (2017). Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: A randomized controlled trial. Behaviour Research and Therapy, 90(23), 123-136.
Vahidi, Z. (2012). Comparison of alexithymia, impulsivity, and behavioral activation and inhibition in students with obsessive-compulsive and paranoid symptoms. Master's Degree in Public Psychology, University of Mohaghegh Ardabili, Ardabil. [Persian]
Watson, D., & Friend, R. (1969). Measurement of social evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.