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
2
1
gregorian
2024
5
1
23
1
online
1
fulltext
fa
اثربخشی درمان مبتنی بر پذیرش و تعهد بر سیستمهای مغزی رفتاری، خودکارآمدی و نشخوار فکری دختران
نوجوان با اختلال اضطراب اجتماعی: یک مطالعه نیمهتجربی
The Effectiveness of Acceptance and Commitment Therapy on Behavioral Brain Systems, Self-Efficacy, and Rumination of Adolescent Girls with Social Anxiety Disorder: A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:125%"><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:11.5pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><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:110%"><span style="font-family:"B Nazanin"">اضطراب اجتماعی به­عنوان یکی از اختلال­های اضطرابی شایع در نوجوانان مطرح شده است. هدف از پژوهش حاضر تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر سیستم­های مغزی، رفتاری، خودکارآمدی و نشخوار فکری دختران نوجوان با اختلال اضطراب اجتماعی بود. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> این پژوهش از نوع نیمه­تجربی با طرح پیشآزمون-پسآزمون با گروه آزمایش و کنترل است. جامعه تحقیق عبارت از کلیه نوجوانان دختر 12 تا 18 سال با اضطراب اجتماعی مراجعه کننده به مراکز مشاوره شهر تهران در سال 1402 بود که 30 نفر از بین آن­ها به روش نمونه­گیری در دسترس انتخاب و به صورت تصادفی در دو </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">گروه آزمایش (15 نفر) و کنترل (15 نفر)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">قرار گرفتند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">برای گروه آزمایش 8 جلسه درمان مبتنی بر پذیرش و تعهد، هفته­ای دوبار به مدت 90 دقیقه اجرا شد. گروه کنترل هیچگونه آموزشی را دریافت نکرد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ابزار</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">پژوهش شامل پرسشنامههای نشخوار فکری</span></span></span> Nolen<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و </span></span></span>Hoeksma<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، خودکارآمدی </span></span></span>Scherer<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و سیستمهای مغزی رفتاری </span></span></span>Carver<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و </span></span></span>Whait<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> بودند</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">. جهت تجزیه و تحلیل دادهها از تحلیل کوواریانس چندمتغیره استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> درمان مبتنی بر پذیرش و تعهد باعث کاهش نشخوار فکری (49/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"Cambria Math",serif">₌</span></span></span>Eta<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 91/26=</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">بهبود خودکارآمدی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(61/0=</span></span></span>Eta<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 56/43=</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">سیستم­های فعالساز رفتاری در شرکتکنندگان گروه آزمایش (32/0=</span></span></span>Eta<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 71/12=</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) شد. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> به نظر میرسد درمان مبتنی بر پذیرش و تعهد در کاهش نشخوار فکری و افزایش سلامت روان نوجوانان دختر با اختلال اضطراب اجتماعی اثربخش است. پیشنهاد می­شود در مراکز مشاوره از روش درمان پذیرش و تعهد برای بهبود سلامت نوجوانان با اختلال اضطراب اجتماعی استفاده شود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> درمان مبتنی بر پذیرش و تعهد، سیستمهای مغزی رفتاری، نشخوار فکری، خودکارآمدی، اضطراب اجتماعی، دختران نوجوان</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:13.0pt"><span style="line-height:130%">The Effectiveness of Acceptance and Commitment Therapy on Behavioral Brain Systems, Self-Efficacy, and Rumination of Adolescent Girls with Social Anxiety Disorder: A Quasi-Experimental Study</span></span></b><b> </b><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="line-height:130%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:6.0pt"><span style="line-height:130%"></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:326.05pt"><span style="font-family:"Times New Roman",serif"><b><u><span style="font-size:9.0pt"><span style="line-height:130%">Farangis Demehri</span></span></u></b><a href="#_ftn1" name="_ftnref1" title=""><b><sup><span style="font-size:9.0pt"><span style="line-height:130%"><b><sup><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[1]</span></span></span></sup></b></span></span></sup></b></a><b><span style="font-size:9.0pt"><span style="line-height:130%">, Somaye Moradi<a href="#_ftn2" name="_ftnref2" title=""><sup><b><sup><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[2]</span></span></span></sup></b></sup></a>, Reza Aghazadeh<a href="#_ftn3" name="_ftnref3" title=""><sup><b><sup><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[3]</span></span></span></sup></b></sup></a>, Mohsen Saeidmanesh<a href="#_ftn4" name="_ftnref4" title=""><sup><b><sup><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[4]</span></span></span></sup></b></sup></a></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:3.0cm 7.0cm 347.3pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:6.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:3.0cm 7.0cm 347.3pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">Received: 23/10/23 Sent for Revision: 31/12/23 Received Revised Manuscript: 09/04/24 Accepted: 13/04/24</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:4.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span><br>
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" style="position:absolute; left:0; text-align:left; margin-top:8px; width:494.75pt; height:401.15pt; z-index:-251656704; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><a name="_Hlk114425361"></a><b><span style="font-size:5.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><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:130%">Background and Objectives:</span></span></b> <span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Social anxiety is one of the </span></span><span style="font-size:9.0pt"><span style="line-height:130%">most common disorders in adolescents. The present study was conducted with the aim of determining the effectiveness of acceptance and commitment therapy (ACT) on behavioral brain systems, self-efficacy, and rumination of </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">adolescent</span></span><span style="font-size:9.0pt"><span style="line-height:130%"> girls with social anxiety disorder.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Materials and</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%"> <b>Methods:</b> This was a quasi-experimental study with a pre-test and post-test design with experimental and control groups. The statistical population included girls aged 12 to 18 years with social anxiety in Tehran City in academic year 2023. Using convenience sampling 30 people were selected and randomly assigned into experimental (n=15) and control (n=15) groups. The experimental group participated in ACT for 8 sessions twice a week for 90 minutes, but the control group received no training. In this research, Nolen and Hoeksma's Rumination Questionnaire, Scherer et al.'s Self-efficacy Questionnaire, and </span></span><span style="font-size:9.0pt"><span style="line-height:130%">Carver</span></span> <span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">and </span></span><span style="font-size:9.0pt"><span style="line-height:130%">Whait’s </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Brain-Behavioral Systems Questionnaire were used for pre-test and post-test evaluation. The collected data were analyzed using multivariate analysis of covariance (MANCOVA).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Results</span></span></b><b><span style="font-size:9.0pt"><span style="line-height:130%">:</span></span></b> <span style="font-size:9.0pt"><span style="line-height:130%">The results indicated that </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">ACT had a significant effect on the reduction of rumination</span></span><span style="font-size:9.0pt"><span style="line-height:130%"> (Eta=0.49, F=26.91, p<0.001),</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%"> and improvement of self-efficacy </span></span><span style="font-size:9.0pt"><span style="line-height:130%">(Eta=0.61, F=43.56, p<0.001)</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%"> and brain behavioral system </span></span><span style="font-size:9.0pt"><span style="line-height:130%">(Eta=0.32, F=12.71, p<0.001) </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">in adolescent girls of Tehran City.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Conclusion</span></span></b><b><span style="font-size:9.0pt"><span style="line-height:130%">:</span></span></b><span style="font-size:9.0pt"><span style="line-height:130%"> It seems that treatment based on ACT had a good effect on rumination, self-efficacy, and brain-behavioral systems of teenage girls suffering from social anxiety. It is recommended to use ACT method in counseling centers to improve the health of adolescents with social anxiety disorder.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%">Key words</span></span></b><b><span style="font-size:9.0pt"><span style="line-height:130%">:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:130%"> Acceptance and commitment therapy (ACT), Behavioral brain systems, Rumination, Self-efficacy, Social anxiety, Adolescent girls</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span lang="EN" style="font-size:1.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%">Funding</span></span></b><b><span style="font-size:8.0pt"><span style="line-height:130%">:</span></span></b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%">Conflict of interest</span></span></b><b><span style="font-size:8.0pt"><span style="line-height:130%">:</span></span></b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%">Ethical </span></span></b><b><span style="font-size:8.0pt"><span style="line-height:130%">Considerations (Code of Ethics): </span></span></b><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%">The Ethics Committee of </span></span><span style="font-size:8.0pt"><span style="line-height:130%">Tehran University of Science and Culture approved the study (IR.ACECR.JDM.REC.1401.005).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">Authors Contributions: </span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Conceptualization: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Somaye Moradi, Farangis Demehri</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Methodology: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Somaye Moradi, Farangis Demehri</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Data collection: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Somaye Moradi, Reza Aghazadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Formal analysis: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Reza Aghazadeh, Mohsen Saeidmanesh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Supervision: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Farangis Demehri</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Project administration: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Farangis Demehri</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Writing administration: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Farangis Demehri</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:130%">- Writing review and editing: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Farangis Demehri, Reza aghazadeh </span></span><span dir="RTL" lang="FA" style="font-size:8.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span><br>
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" style="position:absolute; left:0; text-align:left; margin-top:8px; width:494.75pt; height:42.55pt; z-index:-251654656; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:6.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><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:130%">Citation:</span></span></b><span style="font-size:8.0pt"><span style="line-height:130%"> Demehri Farangis, Moradi Somaye, Aghazadeh Reza, Saeidmanesh Mohsen</span></span><span lang="EN" style="font-size:8.0pt"><span style="line-height:130%">. The Effectiveness of Acceptance and Commitment Therapy on Behavioral Brain Systems, Self-Efficacy, and Rumination of Adolescent Girls with Social Anxiety Disorder: A Quasi-Experimental Study. </span></span><i><span style="font-size:8.0pt"><span style="line-height:130%">J Rafsanjan</span></span></i><span style="font-size:8.0pt"><span style="line-height:130%"> <i>Univ Med Sci</i> 2024; 23 (1): 17-30. [Farsi]</span></span> <span style="font-size:8.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span>
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<div style="border-bottom:solid windowtext 1.0pt; padding:0cm 0cm 1.0pt 0cm; margin-right:438px"><span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><i><span style="font-size:1.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></b></span></span></span></div>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span class="MsoFootnoteReference" style="vertical-align:super"><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"><span class="MsoFootnoteReference" style="vertical-align:super"><b><span style="font-size:8.5pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[1]</span></span></span></b></span></span></span></i></b></span><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif">- Assistant Prof., Dept. of Psychology, Faculty of Psychology, Science and Arts University, Yazd, Iran, ORCID: 0002-000-0867-1451</span></span></i></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"> (Corresponding Author) Tel: 035-38264077, E-mail:</span></span></i></b><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"> demehri @ sau.ac.ir</span></span></i></b></span></span></span></div>
<div id="ftn2"><span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><a href="#_ftnref2" name="_ftn2" title=""><span class="MsoFootnoteReference" style="vertical-align:super"><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"><span class="MsoFootnoteReference" style="vertical-align:super"><b><span style="font-size:8.5pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[2]</span></span></span></b></span></span></span></i></b></span></a><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif">-MSc in Psychology, Dept.of Psychology, Faculty of Psychology, Science and Arts University, Yazd, Iran</span></span></i></b></span></span></span></div>
<div id="ftn3"><span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><a href="#_ftnref3" name="_ftn3" title=""><span class="MsoFootnoteReference" style="vertical-align:super"><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"><span class="MsoFootnoteReference" style="vertical-align:super"><b><span style="font-size:8.5pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[3]</span></span></span></b></span></span></span></i></b></span></a><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif">-PhD Student in Psychology, Dept. of Psychology, Faculty of Psychology, Science and Arts University, Yazd, Iran</span></span></i></b></span></span></span></div>
<div id="ftn4"><span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><a href="#_ftnref4" name="_ftn4" title=""><span class="MsoFootnoteReference" style="vertical-align:super"><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif"><span class="MsoFootnoteReference" style="vertical-align:super"><b><span style="font-size:8.5pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">[4]</span></span></span></b></span></span></span></i></b></span></a><b><i><span style="font-size:8.5pt"><span style="font-family:"Times New Roman",serif">-Associate Prof., Dept.of Psychology, Faculty of Psychology, Science and Arts University, Yazd, Iran</span></span></i></b></span></span></span></div>
</div>
درمان مبتنی بر پذیرش و تعهد, سیستمهای مغزی رفتاری, نشخوار فکری, خودکارآمدی, اضطراب اجتماعی, دختران نوجوان
Acceptance and commitment therapy (ACT), Behavioral brain systems, Rumination, Self-efficacy, Social anxiety, Adolescent girls
17
30
http://journal.rums.ac.ir/browse.php?a_code=A-10-6546-1&slc_lang=fa&sid=1
Somayeh
Moradi
سمیه
مرادی
s.moradi6004@gmail.com
6900319475328460057036
6900319475328460057036
No
science and arts university
دانشگاه علم و هنر یزد
Farangis
Demehri
فرنگیس
دمهری
farangis_demehri@yahoo.com
6900319475328460057037
6900319475328460057037
Yes
science and arts university
دانشگاه علم و هنر یزد
Reza
Aghazadeh
رضا
آقازاده
Aghazadehreza37@gmail.com
6900319475328460057038
6900319475328460057038
No
science and arts university
دانشگاه علم و هنر یزد
Mohsen
Saeidmanesh
محسن
سعیدمنش
saeidmanesh@sau.ac.ir
6900319475328460057039
6900319475328460057039
No
science and arts university
دانشگاه علم و هنر یزد