مجله علوم پزشکی صدرا

اثربخشی درمان مبتنی بر پذیرش و تعهد بر کاهش رفتارهای پرخطر و آسیب‌زا در دانش‌آموزان دختر دوره دوم متوسطه شهرستان مبارکه

نوع مقاله : مقاله پژوهشی

نویسندگان

زهرا علیزاده 1
عباس روحانی 2

1 کارشناس ارشد، پرستاری اطفال، دانشکده پرستاری و مامایی حضرت فاطمه (س) شیراز، دانشگاه علوم پزشکی شیراز، ایران

2 استادیار، گروه روانشناسی تربیتی، واحد مبارکه، دانشگاه آزاد اسلامی، اصفهان، ایران

https://doi.org/10.30476/smsj.2023.97032.1373
چکیده
مقدمه: شیوع رفتارهای پرخطر در نوجوانان و جوانان از نگرانی‌های جوامع مختلف محسوب می‌شود. پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر کاهش رفتارهای پرخطر و آسیب‌زا در دانش‌آموزان دوره دوم متوسطه شهرستان مبارکه انجام شد.
مواد و روش‌ها: روش پژوهش از نوع نیمه تجربی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل بود. جامعه آماری شامل دانش‌آموزان ارجاعی با رفتارهای پرخطر مدارس دوره دوم متوسطه شهرستان مبارکه اصفهان به هسته مشاوره آموزش‌وپرورش شهرستان بود. شرکت‌کنندگان شامل ۳۰ دانش‌آموز بودند که به‌صورت تصادفی در دو گروه ۱۵ نفره آزمایشی و کنترل جایگزین شدند. از مقیاس خطرپذیری نوجوانان ایرانی به‌عنوان پیش‌آزمون و پس‌آزمون (دو هفته بعد از اجرای آزمایش) استفاده شد. گروه آزمایشی درمان مبتنی بر پذیرش و تعهد را طی ۶ جلسه ۹۰ الی ۱۰۰ دقیقه‌ای دریافت کرد و گروه کنترل مداخله‌ای دریافت نکرد.
یافته‌ها: برای تجزیه‌وتحلیل داده‌ها از تحلیل کوواریانس استفاده شد و نتایج به‌دست‌آمده بیانگر کاهش رفتارهای پرخطر (به‌استثنای مصرف الکل) در دانش‌آموزان شرکت‌کننده در مطالعه به میزان 56 درصد بود. (0/01>P). 
نتیجه‌گیری: با درمان مبتنی بر پذیرش و تعهد توانمندی دانش‌آموزان می‌توان با رفتارهای پرخطر آن‌ها مقابله کرد.

تازه های تحقیق

(Google Scholar) Zahra Alizade 

(Google Scholar) Abbas Rohani 

کلیدواژه‌ها

درمان مبتنی بر پذیرش و تعهد
درمان
رفتار پرخطر
  1. Slusky RI. Decreasing high-risk behavior in teens. A theater program empowers students to reach out to their peers. Healthc Exec. 2004; 19(1): 48-9. https://pubmed.ncbi.nlm.nih.gov/14716934/
  2. Michael K, Ben-Zur H. Risk-taking among adolescents: Associations with social and affective factors. Journal of Adolescence. 2007; 30(1): 17-31. https://www.sciencedirect.com/science/article/abs/pii/S0140197105000308
  3. Bergman MM, Scott J. Young adolescents’ wellbeing and health-risk behaviours: gender and socio-economic differences. J Adolesc. 2001; 24(2): 183-97. https://doi.org/10.1006/jado.2001.0378
  4. Bosch KR, De Guzman MR. High-risk behaviors among youth. Neb Guide: Division of the Institute of Agriculture and Natural Resources at the University of Nebraska-Lincoln; 2007.
  5. Thomas C. Health risk behaviours of high school learners and their perceptions of preventive services offered by general practitioners. South African Family Practice. 2009; 51(3): 216-223.
  6. Enyeart Smith TM, Wessel MT. Alcohol, drugs, and links to sexual risk behaviors among a sample of Virginia college students. J Drug Educ. 2011; 41(1): 1-16. https://doi.org/10.2190/DE.41.1.a
  7. Zadeh Mohammadi A, Ahmadabadi Z. Investigation of high-risk behaviors among adolescents. Research Family Quarterly. 2008; 20(1): 485-467. https://jfr.sbu.ac.ir/article_95586.html
  8. Mousavi F, Shahmohammadi D, Kaffashi A. Epidemiological Survey of Suicide in Rural Areas. Iranian Journal of Psychiatry and Clinical Psychology. 2000; 5(4): 4-11. http://ijpcp.iums.ac.ir/article-1-1783-en.html
  9. Barikani A. High Risk Behaviors in Adolescent Students in Tehran. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(2): 192-198. http://ijpcp.iums.ac.ir/article-1-471-en.html
  10. Rahimi S. The relationship between high risk behavior, personality and self- integration. MA Thesis in psychology, Tehran University; 2021.
  11. Esmaielzadeh H, Asadi M, Miri N, Keramatkar M. Prevalence of High Risk Behaviors Among High School Students of Qazvin in 2012. Iranian Journal of Epidemiology. 2014; 10(3): 75-82. http://irje.tums.ac.ir/article-1-5282-fa.html
  12. Alaee R, Kadivar P, Mohammadkhani S, Sarami G, Alaee S. The Prevalence of Tobacco, Hubble-Bubble, Alcoholic Drinks, Drugs, and Stimulants among High-School Students. Scientific Quarterly of Research on Addiction. 2011; 5(18): 99-114. http://etiadpajohi.ir/article-1-356-fa.html
  13. Soleymani nia L, Jazayeri A, Mohamad khani P. The Role of Positive and Negative Mental Health in Adolescent’s Health Risk Behaviors. Social Welfare Quarterly. 2006; 5(19): 75-90. http://refahj.uswr.ac.ir/article-1-1948-fa.html
  14. Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Delavari A, Heshmat R, Mokhtari MR, Razaghi EM, Motaghian M, Ahangar-Nazari I, Mahmood-Arabi MS, Barekati H. CASPIAN Study Group. Smoking behavior and its influencing factors in a national-representative sample of Iranian adolescents: CASPIAN study. Prev Med. 2006; 42(6): 423-6. https://doi.org/10.1016/j.ypmed.2006.03.001
  15. Westling E, Andrews JA, Hampson SE, Peterson M. Pubertal timing and substance use: the effects of gender, parental monitoring and deviant peers. J Adolesc Health. 2008. 42(6): 555-63. https://doi.org/10.1016/j.jadohealth.2007.11.002
  16. Izadi R. Abedi, M.R. Therapy based on acceptance and commitment, Isfahan, Jangal Publications; 2012.
  17. Izadi R, Ahmadi MR. The Effectiveness of Acceptance and Commitment Therapy on Improving the Mental Health Dimensions (Anxiety, High Risk Behavior) of Female High School Students. First Conference on Basic Beliefs and Behavioral Sciences; 2016.
  18. Aghaee H, Yavari H. [The effectiveness of commitment and acceptance therapy on social adjustment and compassion]. Journal of Islamic Azad University, Shahroud Branch 2017; 4(1): 39-50. (Persian)
  19. Kanter JW, Baruch DE, Gaynor ST. Acceptance and commitment therapy and behavioral activation for the treatment of depression: description and comparison. Behav Anal. 2006; 29(2): 161-85. https://doi.org/10.1007/BF03392129
  20. Bach P, Hayes SC. The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. J Consult Clin Psychol. 2002; 70(5): 1129-39. https://doi.org/10.1037//0022-006x.70.5.1129
  21. Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., RasmussenHall, M. L., & Palm, K. M. Acceptance-based treatment for smoking cessation. Behavior Therapy. 2004; 35(1):689-705. https://www.sciencedirect.com/science/article/abs/pii/S0005789404800157
  22. Bond FW, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol. 2003; 88(6): 1057-1067. https://doi.org/10.1037/0021-9010.88.6.1057
  23. Dindo L, Van Liew JR, Arch JJ. Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. Neurotherapeutics. 2017; 14(3): 546-553. https://doi.org/10.1007/s13311-017-0521-3
  24. Tighe J, Nicholas J, Shand F, Christensen H. Efficacy of Acceptance and Commitment Therapy in Reducing Suicidal Ideation and Deliberate Self-Harm: Systematic Review. JMIR Ment Health. 2018; 5(2): e10732. https://doi.org/10.2196/10732
  25. Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment therapy, An Experintial Approoach to Behavior Chsnge, New York: Guilford; 2016.
  26. Kristjansson AL, James JE, Allegrante JP, Sigfusdottir ID, Helgason AR. Adolescent substance use, parental monitoring, and leisure-time activities: 12-year outcomes of primary prevention in Iceland. Prev Med. 2010; 51(2): 168-171. https://doi.org/10.1016/j.ypmed.2010.05.001
  27. Zadeh Mohammadi A, Ahmadabadi Z, Heidari M. Construction and Assessment of Psychometric Features of Iranian Adolescents Risk-Taking Scale. Iranian Journal of Psychiatry and Clinical Psychology. 2011; 17(3): 218-225. http://ijpcp.iums.ac.ir/article-1-1417-fa.html
  28. Fleming JE, Kocovski NL. Mindfulness and Acceptance-based Group Therapy for Social Anxiety Disorder: A Treatment Manual Second Edition; 2014.
  29. Jourdain RL, Dulin PL. “Giving It Space” A case study examining acceptance and commitment therapy for health anxiety in an older male previously exposed to nuclear testing. Clin Case Stud. 2009; 8: 25-210. https://doi.org/10.1177/1534650109334631
  30. Eifert GH, Heffner MT. he effects of acceptance versus control contexts on avoidance of panic-related symptoms. J Behav Ther Exp Psychiatr. 2003; 34: 293-312. https://doi.org/10.1016/j.jbtep.2003.11.001 [PMID]
  31. Melchior M, Chastang JF, Goldberg P, Fombonne E. High prevalence rates of tobacco, alcohol and drug use in adolescents and young adults in France: results from the GAZEL Youth study. Addict Behav. 2008; 33(1): 122-33. https://doi.org/10.1016/j.addbeh.2007.09.009
  32. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a persian-language version of the beck depression Inventory--Second edition: BDI-II-PERSIAN. Depress Anxiety. 2005; 21: 185-92. https://doi.org/10.1002/da.20070 [PMID]
  33. Gaudiano BA, Herbert JD, Hayes SC. Is it the symptom or the relation to it? Investigating potential mediators of change in acceptance and commitment therapy for psychosis. Behav Ther. 2010; 41(4): 543-54. https://doi.org/10.1016/j.beth.2010.03.001
  34. Rew L, Carver T, Li CC. Early and risky sexual behavior in a sample of rural adolescents. Issues Compr Pediatr Nurs. 2011; 34(4): 189-204. https://doi.org/10.3109/01460862.2011.619861
  35. Shafei Z, Nejat H. The Effectiveness of Acceptance and Commitment Therapy on High-Risk Behaviors and Self-Efficacy of Taxi Drivers, The First Comprehensive International Conference on Psychology, Educational Sciences and Social Sciences, Tehran, Koosha Gostar Conference Center in collaboration withUniversities; 2015.
  36. Dousti P, Gholami S, Torabian S. The Effectiveness of Acceptance and Commitment Therapy on Aggression among Students with Internet Addiction. Journal of health & care. 2016; 18(1): 63-72. http://hcjournal.arums.ac.ir/article-1-438-en.html
  37. Gómez MJ, Luciano C, Páez-Blarrina M, España Ruiz FJ, Valdivia-Salas S. Gil-Luciano B. Brief ACT protocol in at-risk adolescents with conduct disorder and impulsivity. International Journal of Psychology and Psychological Therapy. 2014; 14(3): 307-332. https://psycnet.apa.org/record/2014-47636-001
  38. Mahdiyanfar F, Kimiaei SA, Ghanbari-Hashemabadi B. Examining the effectiveness of psycho-social empowerment based on choice theory on reducing depression and aggression in women with husbands in prison in 2014. Forensic Medicine. 2015; 21(3): 167-77. [Persian]
  39. García-Sancho E, Salguero JM, Fernández-Berrocal P. Angry rumination as a mediator of the relationship between ability emotional intelligence and various types of aggression. Personality and Individual Differences 2016; 89: 143–7.
  40. Akbari B, Saghafi T, Mohammadzade M. The effect of cognitive behavioral group training on aggression and sensation seeking rates among female martial artists in the city of Amol. Knowledge and research in applied psychology. 2015; 16(2): 69-76. [Persian]
  41. Forman EM, Herbert JD. New directions in cognitive behavior therapy: acceptance based therapies, chapter to appear in w. o’donohue, je. fisher, (eds), cognitive behavior therapy: Applying empirically supported treatments in your practice, 2nd ed. Hoboken, NJ: Wiley; 2008.
مجله علوم پزشکی صدرا
دوره 11، شماره 4
پاییز 1402
صفحه 388-400

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