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26/6/66 پزیشش: 22/5/66دسیافت:
دهيچک
یيت ا لياست ک پتاس يذیجذ يا سش کشدایضاهل س ، تعذ ششیتش پز يدسهاى هثت اصجول يسفتاس يهج سم دسهاى ضاخت نه و هدف:يسم
يشیپ ز اعط اف تج ت ش يذ تش ري آگايکاتا ت تعذشش یتش پز يدسهاى هثت سسذ يهظش ت سءهصشف هاد داسد. ذيچيت هاسد پ يذگيسس يتشا
شش تع ذ دس یت ش پ ز يهثت يدسهاى گش يي اثشتخطييتع ذف تاپژص حاضش تاضذ. ثشه يهعتاداى تحت هتادى دسها يدس تاصتا ،يضاخت ساى
.اجام ضذ يهعتاداى تحت هتادى دسها يهصشف هاد، اضطشاب افسشدگ يعول يساس فکشکاص
. ت د 65ت ا 64 اي هتادى ض ش صج اى دس س ا تا هشداى هعتاد تحت دسهاى ي يکلضاهل يآهاس ي ، جاهعيضث تجشت ي ي هطالعیدس ا :يروش بزرس
ذذض ق شاس داد دس د گش هذاخل کت ش ي هسا ساد يصست تصادف دس دستشس اتخاب ت يشيگ فش تا سش و 30ت حجن يا و
هصشف يعول-ياس ساس فکشيهق يا اه شش تعذ ضشکت کشدذ. پشسصیکشد پزیتش س يهثت يدسها گش يا قيدق 60جلس 8گش هذاخل دس
ها دس د گش اجشا ضذ. س يشيگيک دس پیآصهى آصهى، پس صيدس قالة پ ياضطشاب افسشدگ هذ وکاساى، هاد
د ذ سا ک اص يهص شف ه اد، اض طشاب افس شدگ يعول يفک ش س اس تاست يثشطس ه شش تعذ تیتش پز يهثت يدسها گش ها: افتهي
(05/0P<)ه اد هصشف يعول يفکش ساسآصهى دس هسد سثت ت گش کتش دس هشحل پس شش تعذیتش پز يهثت يدسها اثش گش ي . اذاص
هاذذ. يثثات تاق ها تا س يشيگيک دس پیدس شاتيثاتي یا ؛ تضسگ تد( 6/1) ي افسشدگ (64/1) ، اضطشاب(04/1)
يهصشف هاد، اضطشاب افس شدگ يعول-يفکش ساس دس کاص يثشطس ه شش تعذ تیتش پز يپژص حاضش طاى داد دسهاى هثت :يزيگ جهينت
واساى يدس ت هاد سءهصشفهشتثط تا يضاخت ساى اختال ت يثش تشاهذاخل ه کی عاى ت تاى يهسا تعذ ششیتش پز يدسهاى هثت يی؛ تاتشاثش استه
کاس تشد. ت يتحت هتادى دسها
يمتادون درمان ،معتاد ،ي، اضطزاب، افسزدگيو عمل يزش و تعهد، وسواس فکزيبز پذ ي: درمان مبتنواژگان کليدي
ایران زنجان، دانشگاه علوم پسشکی زنجان، ی پسشکی، دانشکذه ی بالینی،شناس روانی بالینی، گروه شناس نارشذ روادانشجوی کارشناسی -1
ایران زنجان،دانشگاه علوم پسشکی زنجان، ی پسشکی، دانشکذه ی بالینی،شناس روانی بالینی، گروه شناس نی ارشذ رواکارشناس -2
ایران زنجان، دانشگاه علوم پسشکی زنجان، ی پسشکی، دانشکذه ن پسشکی،گروه رواپسشکی، استادیار متخصص روان -3
پسشکی، دانشگاه علوم پسشکی زنجان، زنجان، ایران ی استادیار گروه روان شناسی بالینی، دانشکذه شناسی بالینی، دکترای تخصصی روان -4
، دانشگاه علوم پسشکی زنجان، زنجان، ایرانبر سالمت اعی موثرمرکس تحقیقات عوامل اجتماستادیار شناسی بالینی، دکترای تخصصی روان -5
د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
(The Diagnostic and Statistical
Manual of Mental Disorders - 5th
Editions) DSM-V
CBT
ACT
ACT
...
.
د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
ACT
ACT
ACT
ACT
ZUMS.REC.1395.34
IRCT2016062328603N1
ACT
ACT
test-retest
د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
:
X2
t
ACT
LSD
SPSS-22
ACT
د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
X2
P.value
M ± SDM ± SDT
TP.value
±±
P>
LEVENEP>
T
T=
P=T=P=
T=P=
P>
M± SD M ± SD P.valueEta
±±
± ±
±±
±±
± ±
±±
±±
± ±
±±
LSD
P<
ACT
ESsg ESsg ESsg M ±SD M ±SD M ±SD
± ± ±
± ± ±
± ± ±
د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
hedges'g
hedges'ghedges'g
P.value Eta
M ± SD M ± SD
±±
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د در کاهص وسواس فکزي و عمليدرمان گزوهي مبتني بز پذيزش و تعه 111
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The Effectiveness of Group Therapy Based on Acceptance and Commitment to Reduce Obsessive-
Compulsive Use of Substance, Anxiety and Depression of Addicts under Methadone Treatment
Hemmat A1, Mohammadi Bytamar J
1, Pirzeh R
2, Dadashi M
1,3
1Dept.of Clinical Psychology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan Iran.
2Dept.of Psychiatry, Faculty of Medicine ,Zanjan University of Medical Sciences, Zanjan, Iran.
3Social Detriments of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
Corresponding Author: Dadashi M, Dept.of Clinical Psychology, Faculty of Medicine, Zanjan University of Medical
Sciences, Zanjan Iran.
E-mail: [email protected]
Received: 13 Aug 2017 Accepted: 17 Dec 2017
Background and Objective: The third wave of cognitive behavioral therapy (CBT) including acceptance and
commitment therapy (ACT) embraces new approaches and methods potentially capable of addressing complex cases of
substance abuse. It seems that the third wave of (CBT) emphasizing mindfulness and psychological resilience are
effective in the rehabilitation of addicts undergoing methadone treatment.The present study intended to assess the
effectiveness of group therapy based on acceptance and commitment in reducing the obsessive-compulsive use of
substance, anxiety and depression of addicts under methadone treatment.
Materials and Methods: In this quasi-experimental study, the statistical population included all addicted men who
received methadone treatment in Zanjan in 1983-94. A sample of 30 patients was selected through convenience
sampling & randomly assigned into two groups, intervention and control. The intervention group participated in 8
sessions of 90-minute group therapy based on acceptance and commitment. Obsessive-compulsive use of substance and
anxiety/depression questionnaires were completed in the form of a pre-test, a post-test and a quarterly follow-up period
in both groups.
Results: Group therapy based on acceptance and commitment effectively reduced the obsessive-compulsive use of
substance, anxiety and depression (P <0.05).The effectiveness of this intervention in increasing physical health was not
statistically significant (P> 0.05). The effect of group therapy based on acceptance and commitment was substantial in
comparison to the control group in the post-test phase regarding the obsessive-compulsive use of substance (1.04),
anxiety (1.63) and depression (1.6), furthermore, these effects remained stable over a quarterly follow-up period.
Conclusion: The present study showed that acceptance and commitment therapy is effective in decreasing obsessive-
compulsive use of substance, anxiety and depression.Therefore, acceptance and commitment therapy can be used as an
effective intervention for psychological disorders associated with drug abuse in methadone-treated patients.
Keywords: Acceptance & Commitment Therapy, Obsessive-Compulsive, Anxiety, Depression, Addicted, Methadone
treatment