اثربخشی درمان شناختی رفتاری گروهی بر کیفیت زندگی و بهزیستی روان شناختی در بیماران مبتلا به اختلال اضطراب اجتماعی

ﻣﻘﺪﻣﻪ: ﻫﺪف اﯾﻦ ﭘﮋوﻫﺶ ﺗﺒﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎری ﮔﺮوﻫﯽ ﺑﺮ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺑﻬﺰﯾﺴﺘﯽ روان ﺷﻨﺎﺧﺘﯽ در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ ﺑﻮد. اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻧﯿﻤﻪ آزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶ آزﻣﻮن ﭘﺲ آزﻣﻮن و ﺟﺎﻣﻌﻪ آﻣﺎری آن ﺷﺎﻣﻞ داﻧﺸﺠﻮﯾﺎن داﻧﺸﮕﺎه دوﻟﺘﯽ ﺷﯿﺮاز و داﻧﺸﮕﺎه ﻓﺮﻫﻨﮕﯿﺎن اﺳﺘﺎن ﻓﺎرس ﺳﺎﮐﻦ ﺷﯿﺮاز در ﺳﺎل 1400 – 1399 ﻣﺸﻐﻮل ﺑﻪ ﺗﺤﺼﯿﻞ ﮐﻪ در آن از ﻧﻤﻮﻧﻪ ﮔﯿﺮی در دﺳﺘﺮس اﺳﺘﻔﺎده ﺷﺪه ﺑﻮد. روش ﺷﻨﺎﺳﯽ: 30 ﻧﻔﺮ از اﻓﺮاد ﺑﺎ ﺑﺎﻻﺗﺮﯾﻦ ﻣﯿﺰان اﺿﻄﺮاب از ﻣﯿﺎن ﭘﺎﺳﺦ دﻫﻨﺪﮔﺎن ﺷﻨﺎﺳﺎﯾﯽ و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ دو ﮔﺮوه ﮐﻨﺘﺮل و آزﻣﺎﯾﺶ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﺑﺰار ﭘﮋوﻫﺶ ﺷﺎﻣﻞ ﭘﺮﺳﺶﻧﺎﻣﻪ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺳﺎزﻣﺎن ﺑﻬﺪاﺷﺖ ﺟﻬﺎﻧﯽ ﻓﺮم ﮐﻮﺗﺎه، ﭘﺮﺳﺶﻧﺎﻣﻪ ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ رﯾﻒ ﻓﺮم 18 ﺳﻮاﻟﯽ، ﭘﺮﺳﺶﻧﺎﻣﻪ اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ واﺗﺴﻮن و ﻓﺮﻧﺪ ﺑﻮد ﮐﻪ در دو ﻣﺮﺣﻠﻪ ﭘﯿﺶ آزﻣﻮن و ﭘﺲ آزﻣﻮن ﺗﻮﺳﻂ ﺷﺮﮐﺖ ﮐﻨﻨﺪﮔﺎن ﺗﮑﻤﯿﻞ ﺷﺪ. ﮔﺮوه آزﻣﺎﯾﺶ 12 ﺟﻠﺴﻪ 60 دﻗﯿﻘﻪ ای ﻣﺪاﺧﻼت درﻣﺎﻧﯽ ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎری ﮔﺮوﻫﯽ درﯾﺎﻓﺖ ﮐﺮدﻧﺪ و ﮔﺮوه ﮐﻨﺘﺮل ﻫﯿﭻ درﻣﺎﻧﯽ درﯾﺎﻓﺖ ﻧﮑﺮدﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﭘﺲ از ﺗﺤﻠﯿﻞ داده ﻫﺎ ﺑﺎ ﻧﺮم اﻓﺰار 23-spss ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﻣﻘﺪار f در ﻧﻤﺮه ﭘﺲ ازآزﻣﻮن ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ f=37/554 ، p<0/001 ﻣﻌﻨﺎدار ﺷﺪه اﺳﺖ و ﮐﻪ ﻣﻘﺪار f در ﻧﻤﺮه ﭘﺲ ازآزﻣﻮن ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ f=34/446 ، p<0/001 ﻣﻌﻨﺎدار ﺷﺪه اﺳﺖ ﻟﺬا، ﻧﺘﺎﯾﺞ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮔﻮاه ﺗﻔﺎوت ﻣﻌﻨﺎدار و ﻣﺜﺒﺘﯽ در ﺳﻄﺢ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ ﻧﺸﺎن داد. ﺑﺤﺚ و ﻧﺘﯿﺠﻪﮔﯿﺮی: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎﯾﺞ ﺑﻪ دﺳﺖ آﻣﺪه ﻣﯽﺗﻮان اﯾﻦ ﮔﻮﻧﻪ ﻋﻨﻮان ﮐﺮد ﮐﻪ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎری ﺑﻪ ﺻﻮرت ﮔﺮوﻫﯽ ﻣﯽﺗﻮاﻧﺪ ﺳﻄﺢ ﮐﯿﻔﯽ ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ را در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ اﺿﻄﺮاب اﺟﺘﻤﺎﻋﯽ ﺗﺄﺛﯿﺮ ﻣﺜﺒﺖ و ﻣﻌﻨﺎداری داﺷﺘﻪ ﺑﺎﺷﺪ ﻟﺬا، ﺑﺎ ﺑﻬﺮه ﮔﯿﺮی از اﯾﻦ ﻧﻮع درﻣﺎن ﻣﯽﺗﻮان ﻣﯿﺰان اﺿﻄﺮاب را در داﻧﺸﺠﻮﯾﺎن ﺟﺪﯾﺪاﻟﻮرود ﺗﺤﺖ ﮐﻨﺘﺮل درآورد.

the effectiveness of group cognitive behavioral therapy on quality of life and psychological well-being in patients with social anxiety disorder

introduction: the aim of this study was to evaluate the effectiveness of group cognitive behavioral therapy on quality of life and psychological well being in patients with social anxiety disorder. this research is a quasi experimental study with a pre test post test design and its statistical population includes students of shiraz state university and farhangian university of fars province living in shiraz in 2020 2021 studying in which available sampling was used.methods: thirty subjects with the highest level of anxiety were identified among the respondents and randomly assigned to the control and experimental groups. the research instruments included the who quality of life questionnaire short form, reef form psychological welfare questionnaire 18 questions, watson and friend social anxiety questionnaire which were completed by participants in two stages of pre test and post test. the experimental group received 12 sessions of 60 minutes of group cognitive behavioral therapy interventions and the control group did not receive any treatment.results: after analyzing the data with spss 23 software, the results showed that the value of f in the score after the quality of life test] (p <0.001, f = 37.554 and that the value of f in the score after the psychological well being test] (001 p = 0.04, [446/34] was significant, so the results showed a significant and positive difference in quality of life and psychological well being between the experimental and control groups.