Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1403
12
1
gregorian
2025
3
1
23
11
online
1
fulltext
fa
مقایسه اثربخشی طرحواره درمانی و درمان مبتنی بر پذیرش و تعهد بر مشکلات رفتاری نوجوانان پسر دوره دوم متوسطه: یک مطالعه نیمهتجربی
Comparison of the Effectiveness of Schema Therapy and Therapy Based on Acceptance and Commitment on the Behavioral Problems among the Senior High School Boys: A Quasi-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نوجوانی، از دورههای بسیار مهم رشد محسوب میشود که ممکن است با مسائل و مشکلاتی همراه باشد، لذا لازم است با انجام مداخلات بهموقع، پیشگیریهای لازم را انجام داد. لذا پژوهش حاضر با هدف مقایسه اثربخشی طرحواره درمانی و درمان مبتنی بر پذیرش و تعهد بر مشکلات رفتاری انجام شد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> روش این </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">پژوهش از نوع تحقیق نیمه­آزمایشی با طرح پیشآزمون-پسآزمون و گروه کنترل بود. جامعه آماری شامل کلیه دانشآموزان پسر دوره دوم متوسطه شهرستان </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">بستانآباد در سال 1401-1400 بود.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> از این بین تعداد 45 نفر به روش نمونهگیری هدفمند انتخاب و در دو گروه آزمایش و یک گروه کنترل گمارش تصادفی شدند. گروه آزمایش اول، طرحواره درمانی و گروه دوم آزمایش، درمان مبتنی بر پذیرش و تعهد را به صورت گروهی دریافت کردند و گروه کنترل مداخلهای را دریافت نکردند. ابزار مورد استفاده پژوهش پرسشنامه مشکلات رفتاری بود. دادهها با استفاده از تحلیل کوواریانس چند متغیره تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج آزمون تحلیل کوواریانس نشان داد</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">میزان اثربخشی مداخله پذیرش و تعهد بر سه مؤلفه اختلال سلوک، مشکلات توجه و اضطراب و گوشهگیری به طور معنیداری بیشتر از مداخله طرحواره درمانی بود (05/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد که تأثیر درمان مبتنی بر پذیرش و تعهد بر مشکلات رفتاری بیشتر از طرحواره درمانی است و از این رویکرد درمانی میتوان در راستای کاهش مشکلات رفتاری نوجوانان بهره برد. </span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> طرحواره درمانی، درمان مبتنی بر پذیرش و تعهد، مشکلات رفتاری، نوجوانان</span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives: </span></span></b></a><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Adolescence is one of the most important periods of development, which may be associated with issues and problems, so it is necessary to take necessary precautions by performing timely interventions. Therefore, the current research was conducted with the aim of comparing the effectiveness of schema therapy and therapy based on acceptance and commitment on behavioral problems.</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b> <span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">This study was a quasi-experimental research with a pretest-posttest design and a control group. The statistical population included all male students of senior high schools in Bostanabad City in 2021-2022. Among them, 45 people were selected by purposive sampling and randomly assigned into two experimental and one control groups. The first experimental group received schema therapy and the second experimental group received acceptance and commitment-based therapy as a group, and the control group did not receive any intervention. The research tool used was the Behavioral Problem Questionnaire. Data were analyzed using multivariate analysis of covariance.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b> <span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">The results of the analysis of covariance showed that the effectiveness of the acceptance and commitment intervention on the three components of conduct disorder, attention problems, anxiety, and withdrawal was significantly higher than the schema therapy intervention (p<0.05).</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The present research indicated that the effect of treatment based on acceptance and commitment on behavioral problems is more than schema therapy, and this treatment approach can be used in order to reduce the behavioral problems of adolescents.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Schema therapy, Therapy based on acceptance and commitment, Behavioral problems, Adolescents</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical considerations:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">The Ethics Committee of the Islamic Azad University of Tabriz Medical Sciences approved the study </span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%">)</span></span><span style="font-size:9.0pt"><span style="line-height:150%">IR.IAU.TABRIZ.REC.1401.017</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%">(</span></span><span style="font-size:9.0pt"><span style="line-height:150%">.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Samad Moharrami, Davoud Hoseini Nasab</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Davoud Hoseini Nasab</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Samad Moharrami</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Davoud Hoseini Nasab, Samad Moharrami</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Davoud Hoseini Nasab, Marzieh Alivandi Vafa</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Davoud Hoseini Nasab, Samad Moharrami</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Samad Moharrami, Davoud Hoseini Nasab, Marzieh Alivandi Vafa</span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation:</span></span></b><span style="font-size:8.0pt"><span style="line-height:150%"> Moharrami S, Hoseini Nasab D, Alivandi Vafa M. Comparison of the Effectiveness of Schema Therapy and Therapy Based on Acceptance and Commitment on the Behavioral Problems among the Senior High School Boys: A Quasi-Experimental Study. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2025; 23 (11): 948-59. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing – review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Samad Moharrami, Davoud Hoseini Nasab, Marzieh Alivandi Vafa</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt 68.75pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"> </span></span></span></span></span><br>
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<span style="line-height:115%"><span style="unicode-bidi:embed"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="background:lime"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span>
طرحواره درمانی, درمان مبتنی بر پذیرش و تعهد, مشکلات رفتاری, نوجوانان
Schema therapy, Therapy based on acceptance and commitment, Behavioral problems, Adolescents
948
959
http://journal.rums.ac.ir/browse.php?a_code=A-10-6364-1&slc_lang=fa&sid=1
Samad
Moharrami
صمد
محرمی
samadmoharrami30@gmail.com
6900319475328460059923
6900319475328460059923
No
Tabriz branch, Iran
دانشگاه آزاد واحد تبریز
Davoud
Hoseini nasab
داود
حسینی نسب
d.hosseininasab@gmail.com
6900319475328460059924
6900319475328460059924
Yes
Tabriz branch, Iran
دانشگاه آزاد واحد تبریز
Marzieh
Alivandi vafa
مرضیه
علیوندی وفا
dr.vafa.a@gmail.com
6900319475328460059925
6900319475328460059925
No
Tabriz branch, Iran
دانشگاه آزاد واحد تبریز