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
1405
8
1
gregorian
2026
11
1
25
5
online
1
fulltext
fa
مقایسه اثربخشی درمان‌های ذهنی سازی و حل مسئله بین‌فردی بر حل مسئله اجتماعی و بهزیستی ذهنی نوجوانان در معرض خطر اضطراب: یک مطالعه نیمه‌تجربی
Comparing the Effectiveness of Mentalization and Interpersonal Problem-Solving Therapies on Social Problem-Solving and Subjective Well-Being of Adolescents at Risk for Anxiety: 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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> ارتقاء حل مسئله اجتماعی و بهزیستی ذهنی افراد جامعه، به‌ویژه نوجوانان از اهداف مهم هر کشور است. هدف از این پژوهش مقایسه اثربخشی درمان‌های ذهنی سازی و حل مسئله بین‌فردی بر حل مسئله اجتماعی و بهزیستی ذهنی نوجوانان در معرض خطر اضطراب بود. </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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">مواد و روش ­ها:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> مطالعه حاضر، نیمه‌تجربی با طرح پیش‌آزمون-پس‌آزمون و پیگیری با گروه گواه بود. تعداد 60 نفر از نوجوانان در معرض خطر اضطراب مراجعه‌کننده به مراکز مشاوره شهر کرمانشاه در سال 1403 به‌صورت نمونه‌گیری در دسترس انتخاب و در سه گروه 20 نفری (دو گروه آزمایش و یک گروه </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">گواه) به‌روش همتاسازی به لحاظ سن و جنسیت گنجانده شدند. گروه‌های مداخله</span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> 12 </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">جلسه گروهی درمان مبتنی بر ذهنی سازی و درمان</span></span></span> <span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">حل مسئله بین‌فردی را دریافت کردند و گروه کنترل مداخله‌ای دریافت نکرد. جهت جمع‌آوری اطلاعات از پرسش</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">­</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">نامه اضطراب </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">Beck</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">، حل مسئله اجتماعی </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">D’Zurilla</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> و </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">Nezu</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> و بهزیستی ذهنی </span></span></span><span dir="LTR" lang="EN" style="font-size:9.5pt"><span style="line-height:120%">Diener</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> استفاده شد. تجزیه‌وتحلیل داده‌ها با آنالیز واریانس دوطرفه با اندازه‌گیری‌های مکرر انجام شد.</span></span></span><span lang="FA" style="font-size:11.5pt"><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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">یافته ­ها:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> اثربخشی درمان‌های ذهنی سازی و حل مسئله بین‌فردی بر حل مسئله اجتماعی و بهزیستی ذهنی در نوجوانان در معرض خطر اضطراب معنی‌دار بود </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">(05/0</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">P<</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"> و بین اثربخشی درمان‌ها تفاوت معنی‌داری بود </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">(05/0</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">P<</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">. درمان حل مسئله بین‌فردی بر حل مسئله اجتماعی و درمان ذهنی سازی بر بهزیستی ذهنی نوجوانان اثر بیشتری داشت </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">(05/0</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">P<</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">.</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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">نتیجه ­گیری: </span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:">با توجه به مطالعه حاضر، درمان‌های مبتنی بر ذهنی سازی و حل مسئله بین‌فردی بر بهبود حل مسئله اجتماعی و بهزیستی ذهنی نوجوانان در معرض خطر اضطراب اثر داشت و توجه بیشتر به انجام آموزش­ براساس این مداخلات پیشنهاد می‌شود. </span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واژه‌های کلیدی:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> درمان</span></span></span><b><span style="font-size:9.5pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">­</span></span></span></b><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> مبتنی بر ذهنی سازی، حل مسئله بین‌فردی، حل مسئله اجتماعی، بهزیستی ذهنی، اضطراب</span></span></span>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:8.5pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Improving social problem solving and mental well-being of individuals, especially teenagers, is one of the important goals of every country. The purpose of this research was to compare the effectiveness of mentalizing and interpersonal problem-solving treatments on social problem solving and mental well-being of adolescents at risk of developing anxiety. </span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Materials and Methods:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">This isa semi-experimental study with a pre-test-post-test design and follow-up with a control group.</span></span> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Sixty adolescents at risk of anxiety referring to the counseling centers of Kermanshah city in 2024 were selected using available sampling and included in three groups of 20 people (two experimental groups and one control group) by the age and gender matching method. The intervention groups received 12 sessions of group therapy based on mentalization and interpersonal problem-solving therapy, and the control group did not receive any intervention.</span></span> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Beck's anxiety questionnaire, D'Zurilla and Nezu's social problem solving and Diener's subjective well-being were used to gather the data.</span></span> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Data analysis was performed using two-way repeated measures analysis of variance (ANOVA).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Results:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">The effectiveness of mentalizing and interpersonal problem-solving treatments on social problem solving and mental well-being in adolescents at risk of anxiety was significant (P<0.05); also there was a significant difference between the effectiveness of treatments (P<0.05).</span></span> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Interpersonal problem-solving therapy had a greater effect on social problem solving and mentalization therapy on the mental well-being of adolescents (P<0.05). </span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Conclusion:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Treatments based on mentalization and interpersonal problem solving affected the improvement of social problem solving and mental well-being of adolescents at risk of anxiety; further attention to educational measures based on these interventions is recommended.</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Keywords:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mentalization-based therapy, Interpersonal problem-solving therapy, Social problem solving, Mental well-being, Anxiety</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Funding:</span></span></b><span style="font-size:8.5pt"><span style="line-height:140%"> This study did not receive any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Conflict of interest:</span></span></b><span style="font-size:8.5pt"><span style="line-height:140%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Ethical Considerations (Code of Ethics):</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">The Ethics Committee of Islamic Azad University, Kermanshah Branch, approved the study </span></span><span style="font-size:8.5pt"><span style="line-height:140%">(IR.SHAHED.MED.REC.1404.026).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">Authors’ contributions</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Conceptualization:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mohammad Reza Rasouli Tabar, Keivan Kakabraee</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Methodology:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mohammad Reza Rasouli Tabar</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Data collection:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mohammad Reza Rasouli Tabar</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Formal analysis:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mohammad Reza Rasouli Tabar</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Supervision:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Keivan Kakabraee, Karim Afsharinia</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Project administration:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Keivan Kakabraee</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:140%">-Writing – original draft:</span></span></b> <span lang="EN" style="font-size:8.5pt"><span style="line-height:140%">Mohammad Reza Rasouli Tabar</span></span><span style="font-size:8.5pt"><span style="line-height:140%"></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="tab-stops:326.05pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Citation: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Rasoulitabar MR, Kakabraee K, Hosseini SS, Afsharinia K.Comparing the Effectiveness of Mentalization and Interpersonal Problem-Solving Therapies on Social Problem-Solving and Subjective Well-Being of Adolescents at Risk for Anxiety: A Quasi-Experimental Study. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2026; 25 (5): 479-498.</span></span><span style="font-size:9.0pt"><span style="line-height:150%"> doi: 10.66224/jrums.25.5.479. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">[Farsi]. </span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span dir="LTR" style="font-size:9.0pt"><span style="line-height:135%">-Writing – review & editing:</span></span></b> <span dir="LTR" lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Mohammad Reza Rasouli Tabar</span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:135%">, </span></span><span dir="LTR" lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Keivan Kakabraee, Karim Afsharinia</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span></span></span><br>
درمان مبتنی بر ذهنی سازی, حل مسئله بین‌فردی, حل مسئله اجتماعی, بهزیستی ذهنی, اضطراب
Mentalization-based therapy, Interpersonal problem-solving therapy, Social problem solving, Mental well-being, Anxiety
479
498
http://journal.rums.ac.ir/browse.php?a_code=A-10-7270-1&slc_lang=fa&sid=1
Mohammadreza
Rasoulitabar
محمدرضا
رسولی تبار
m.rasoulitabar@iau.ir