دوره 15؛ شماره 4: (1396):508-517

مقایسه اثربخشی آموزش مهارت تنظیم هیجان مبتنی بر مدل‌های Gross و Linehan بر راهبردهای تنظیم هیجان در نوجوانان دارای نشانگان بالینی اختلال شخصیت مرزی

سیده سامرا حسینی امام, محمود نجفی, شاهرخ مکوند حسینی, مژگان صلواتی, علی محمد رضایی

DOI: 10.22122/rbs.v15i4.1970

چکیده


زمینه و هدف: هدف از انجام پژوهش حاضر، مقایسه اثربخشی آموزش مهارت تنظیم هیجان مبتنی بر مدل‌های Gross و Linehan بر راهبردهای تنظیم هیجان در نوجوانان دارای نشانگان بالینی شخصیت مرزی بود.

مواد و روش‌ها: این مطالعه از نوع شبه آزمایشی با طرح پیش‌آزمون- پس‌آزمون و همراه با گروه شاهد بود. جامعه آماری شامل نوجوانانی بود که در سال 1396 به مراکز مشاوره و روان‌شناسی، خدمات روان‌پزشکی و مراکز مربوط به اورژانس‌های خودکشی در تهران مراجعه کرده بودند که از میان آن‌ها، 45 نفر به روش نمونه‌گیری هدفمند انتخاب شدند و به صورت تصادفی در دو گروه آزمایش و یک گروه شاهد قرار گرفتند. گروه‌های آزمایش طی 8 جلسه، هفته‌ای دو جلسه 90 دقیقه‌ای، به‌ صورت گروهی تحت درمان قرار گرفتند. پرسش‌نامه تنظیم شناختی هیجان (Cognitive Emotion Regulation Questionnaire یا CERQ) پیش از آغاز درمان و پایان جلسات درمان به طور گروهی اجرا گردید. گروه شاهد نیز هیچ مداخله‌ای دریافت نکرد.

یافته‌ها: مدل Linehan بر تمامی راهبردهای تنظیم هیجان تأثیر گذاشت. مدل Gross نیز بر برخی از راهبردهای تنظیم هیجان از جمله پذیرش، تمرکز مجدد مثبت، تمرکز مجدد به برنامه‌ریزی، اتخاذ دیدگاه، فاجعه‌آمیزپنداری و سرزنش دیگران به جز زیرمقیاس‌های سرزنش خود و نشخوار ذهنی مؤثر بود.

نتيجه‌گيري: دو مدل آموزش مهارت تنظیم هیجان به دلیل مؤلفه‌های مشترک درمان، بر راهبردهای تنظیم هیجان مؤثر بود. در مجموع، نتایج حاکی از اثربخشی بیشتر مدل Linehan بر راهبردهای تنظیم هیجان (کاهش راهبردهای کمتر سازش یافته) بود. بنابراین، می‌توان از این مدل در جهت بهبود راهبردهای تنظیم هیجان استفاده نمود.


واژگان کلیدی


هیجانات، مدل‌های آموزشی، اختلال شخصیت مرزی

تمام متن:

PDF

مراجع


Park S, Lee Y. Factors that affect suicide attempts of adolescents in multicultural families in Korea. Int J Environ Res Public Health 2016; 13(12).

Verona E, Javdani S. Dimensions of adolescent psychopathology and relationships to suicide risk indicators. J Youth Adolesc 2011; 40(8): 958-71.

Whitlock J, Wyman PA, Moore SR. Connectedness and suicide prevention in adolescents: Pathways and implications. Suicide Life Threat Behav 2014; 44(3): 246-72.

Zhao LD, Lo SH, Zhang Y, Sun H, Tan G, Uher C, et al. Ultralow thermal conductivity and high thermoelectric figure of merit in SnSe crystals. Nature 2014; 508(7496): 373-7.

Westen D, Betan E, Defife JA. Identity disturbance in adolescence: Associations with borderline personality disorder. Dev Psychopathol 2011; 23(1): 305-13.

Cohen JR, Asarnow RF, Sabb FW, Bilder RM, Bookheimer SY, Knowlton BJ, et al. A unique adolescent response to reward prediction errors. Nat Neurosci 2010; 13(6): 669-71.

Lyons-Ruth K, Bureau JF, Holmes B, Easterbrooks A, Brooks NH. Borderline symptoms and suicidality/self-injury in late adolescence: Prospectively observed relationship correlates in infancy and childhood. Psychiatry Res 2013; 206(2-3): 273-81.

Conwell Y, Duberstein PR, Hirsch JK, Conner KR, Eberly S, Caine ED. Health status and suicide in the second half of life. Int J Geriatr Psychiatry 2010; 25(4): 371-9.

Selby EA, Kranzler A, Fehling KB, Panza E. Nonsuicidal self-injury disorder: The path to diagnostic validity and final obstacles. Clin Psychol Rev 2015; 38: 79-91.

Selby EA, Joiner TE Jr. Emotional cascades as prospective predictors of dysregulated behaviors in borderline personality disorder. Personal Disord 2013; 4(2): 168-74.

Winsper C, Zanarini M, Wolke D. Prospective study of family adversity and maladaptive parenting in childhood and borderline personality disorder symptoms in a non-clinical population at 11 years. Psychol Med 2012; 42(11): 2405-20.

Gunderson JG, Zanarini MC, Choi-Kain LW, Mitchell KS, Jang KL, Hudson JI. Family study of borderline personality disorder and its sectors of psychopathology. Arch Gen Psychiatry 2011; 68(7): 753-62.

Linehan M. Skills training manual for treating borderline personality disorder. New York, NY: Guilford Publications; 1993. p. 839-1153.

Linehan M. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press; 1993.

Hunter EC, Katz LF, Shortt JW, Davis B, Leve C, Allen NB, et al. How do I feel about feelings? Emotion socialization in families of depressed and healthy adolescents. J Youth Adolesc 2011; 40(4): 428-41.

Bloch L, Moran EK, Kring AM. On the need for conceptual and definitional clarity in emotion regulation research on psychopathology. In: Kring AM, Sloan DM, Editors. Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. New York, NY: Guilford Press; 2010. p. 88-104.

Vohs KD, Baumeister RF. Handbook of self-regulation, third edition: Research, theory, and applications. New York, NY: Guilford Publications; 2016. p. 981-1035.

Gross JJ, Sheppes G, Urry HL. Cognition and emotion lecture at the 2010 SPSP emotion preconference. Cogn Emot 2011; 25(5): 765-81.

Links PS, Eynan R. The relationship between personality disorders and Axis I psychopathology: Deconstructing comorbidity. Annu Rev Clin Psychol 2013; 9: 529-54.

Garnefski N, Kraaij V. Bully victimization and emotional problems in adolescents: Moderation by specific cognitive coping strategies? J Adolesc 2014; 37(7): 1153-60.

Legerstee JS, Garnefski N, Verhulst FC, Utens EM. Cognitive coping in anxiety-disordered adolescents. J Adolesc 2011; 34(2): 319-26.

Linehan M. DBT? Skills training manual. New York, NY: Guilford Publications; 2014. p. 42-1283.

Gross JJ. Handbook of emotion regulation. New York, NY: Guilford Publications; 2013. p. 354-97.

Law KC, Chapman AL. Borderline personality features as a potential moderator of the effect of anger and depressive rumination on shame, self-blame, and self-forgiveness. J Behav Ther Exp Psychiatry 2015; 46: 27-34.

Gross JJ, Jazaieri H. Emotion, emotion regulation, and psychopathology. Clin Psychol Sci 2014; 2(4): 387-401.

Hulsheger UR, Lang JW, Schewe AF, Zijlstra FR. When regulating emotions at work pays off: A diary and an intervention study on emotion regulation and customer tips in service jobs. J Appl Psychol 2015; 100(2): 263-77.

John OP, Gross JJ. Healthy and unhealthy emotion regulation: Personality processes, individual differences, and life span development. J Pers 2004; 72(6): 1301-33.

Rathus J, Campbell B, Miller A, Smith H. Treatment acceptability study of walking the middle path, a new DBT skills module for adolescents and their families. Am J Psychother 2015; 69(2): 163-78.

Cooney E, Davis K, Thompson P, Wharewera-Mika J, Stewart J, Miller AL. Feasibility of comparing dialectical behavior therapy with treatment as usual for suicidal and self-injuring adolescents: Follow-up data from a small randomized controlled trial. Proceedings of the Annual Meeting of the Association of Behavioral and Cognitive Therapies; 2012 Nov. 21-24; National Harbor, MD. 2012. p. 736-815.

Kim HY, Page T. Emotional bonds with parents, emotion regulation, and school-related behavior problems among elementary school truants. J Child Fam Stud 2013; 22(6): 869-78.

Otto B, Misra S, Prasad A, McRae K. Functional overlap of top-down emotion regulation and generation: An fMRI study identifying common neural substrates between cognitive reappraisal and cognitively generated emotions. Cogn Affect Behav Neurosci 2014; 14(3): 923-38.

Kuo JR, Linehan MM. Disentangling emotion processes in borderline personality disorder: Physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. J Abnorm Psychol 2009; 118(3): 531-44.

Kring AM, Sloan DM. Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. New York, NY: Guilford Press p. 1103-40; 2009.

Aldao A, Sheppes G, Gross JJ. Emotion regulation flexibility. Cognit Ther Res 2015; 39(3): 263-78.

Ritschel LA, Miller AL, Taylor V. Dialectical behavior therapy for multi-problem adolescents. In: Ehrenreich-May J, Chu B, Editors. Transdiagnostic mechanisms and treatment for youth psychopathology. New York, NY: Guilford Press; 2013. p. 431-562.

Neacsiu AD, Eberle JW, Kramer R, Wiesmann T, Linehan MM. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behav Res Ther 2014; 59: 40-51.

Steinberg L, Dahl R, Keating D, Kupfer DJ, Masten AS, Pine DS. The study of developmental psychopathology in adolescence: Integrating affective neuroscience with the study of context. In: Cicchetti D, Cohen DJ. Editors. Developmental psychopathology: Developmental neuroscience. Hoboken, NJ: John Wiley & Sons Inc; 2006. p. 710-41.

Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Pers Individ Dif 2001; 30(8): 1311-27.

Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire development of a short 18-item version (CERQ-short). Pers Individ Dif 2006; 41(6): 1045-53.

Yousefi F. Casual pattern of emotional intelligence, cognitive development, cognitive regulation and general health [PhD Thesis]. School of Educational Sciences and Psychology, Shiraz University; 2003. [In Persian].

Hasani J. The reliability and validity of the short form of the cognitive emotion regulation questionnaire. J Res Behav Sci 2011; 9(4): 229-40. [In Persian].

Cicchetti D. Developmental psychopathology, maladaptation and psychopathology. Hoboken, NJ: John Wiley & Sons; 2016. p. 203-457.

McCarthy DE, Curtin JJ, Piper ME, Baker TB. Negative reinforcement: Possible clinical implications of an integrative model. In: Kassel JD, Editor. Substance abuse and emotion. Washington, DC: American Psychological Association; 2010.

Klonsky ED. Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychol Med 2011; 41(9): 1981-6.

Matusiewicz A, Weaverling G, Lejuez CW. Emotion dysregulation among adolescents with borderline personality disorder. In: Sharp C, Tackett JL, Editors. Handbook of Borderline Personality Disorder in Children and Adolescents. Berlin, Germany: Springer Science & Business; 2014. p. 177-94.

Leyro TM, Zvolensky MJ, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychol Bull 2010; 136(4): 576-600.




Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.