فهرست مطالب

Iranian Journal of Practice in Clinical Psychology
Volume:3 Issue: 2, Spring 2015

  • تاریخ انتشار: 1394/06/07
  • تعداد عناوین: 8
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  • پیوند جلیلی عاشق آبادی، احمد برج علی، فریده حسین ثابت صفحات 79-88
    نقش عزت نفس و شرم در شکل گیری و تداوم ویژگی های شخصیتی خودشیفته مورد بررسی قرار گرفته است. با این حال پژوهشها در این زمینه نتایج متفاوت و گاه متضاد به بار آورده است. پژوهش حاضر به منظور بررسی رابطه ی میان عزت نفس و شرم با جلوه های آشکار و پنهان خودشیفتگی در بین دانشجویان صورت گرفته است. شرکت کنندگان شامل 308 دانشجوی دختر و پسر دانشگاه های دولتی شهر تهران بودند که به روش هدفمند انتخاب شدند. خودشیفتگی آشکار با استفاده از پرسشنامه ی شخصیت خودشیفته (NPI)، خودشیفتگی پنهان با استفاده از مقیاس خودشیفتگی فوق حساس (HSNS)، عزت نفس با استفاده از مقیاس عزت نفس روزنبرگ (RSES)، و شرم با استفاده از آزمون عاطفه ی خودآگاه (TOSCA-3) اندازه گیری شد. بین عزت نفس و خودشیفتگی آشکار رابطه ی مثبت معنادار به دست آمد. رابطه ی بین عزت نفس و خودشیفتگی پنهان منفی و معنادار بود. بین شرم و خودشیفتگی آشکار رابطه ی منفی معنادار، و بین شرم و خودشیفتگی پنهان رابطه ی مثبت معنادار به دست آمد. نتایج تحقیق با توجه به ادبیات موجود مورد تحلیل قرار گرفته و اشارات نظری و کاربردی نتایج ارایه شده است.
    کلیدواژگان: خودشیفتگی آشکار، خودشیفتگی پنهان، عزت نفس، شرم
  • محمد عبدالهی، افسانه توحیدی، مسعود حسین چری صفحات 95-106
    مقدمه
    هدف پژوهش حاضر بررسی اثربخشی آموزش فراشناختی بر راهبردهای فراشناختی و کاهش گرایش به سوء مصرف مواد به علت آموختن راهبردهای مختلف فراشناختی بود.
    روش ها
    روش پژوهش آزمایشی از نوع پیش آزمون-پس آزمون بود. با به کارگیری روش ساده نمونه گیری و با استفاده از جدول کرجسی و مورگان، 36 مشارکت کننده مرد که اعضای مرکز اجتماع درمان مدار (STC) اداره بهزیستی شهر کرمان بودند، انتخاب شدند. برای اندازه گیری متغیرها، پرسشنامه راهبردهای فراشناختی (MCQ-30) و گرایش به سوء مصرف مواد (ADQ) مورد استفاده قرار گرفت. داده ها با استفاده از میانگین و انحراف معیار آمار توصیفی و تحلیل کوواریانس آمار استنباطی به کمک SPSS نسخه 19 مورد تحلیل قرار گرفتند.
    یافته ها
    نتایج تحلیل نشان می دهند که آموزش راهبردهای فراشناختی، راهبردهای فراشناختی را به شیوه مثبتی تغییر می دهد و در نتیجه گرایش به سوء مصرف مواد را کاهش می دهد. نتایج مورد بحث قرار گرفته اند، محدودیت ها، و پیشنهادهایی ارائه شده است.
    نتیجه گیری
    نتیجه گرفته می شود که آموزش فراشناختی در فرایند درمان روشی اثربخش در تغییر راهبردهای فراشناخت و کاهش گرایش به سوء مصرف مواد است
    کلیدواژگان: فراشناخت، راهبردهایفراشناخت، سوء مصرف مواد
  • زهرا دشت بزرگی، شعله امیری، علی مظاهری صفحات 113-120
    هدف از این پژوهش بررسی تاثیر مداخله مبتنی بر دلبستگی بر اختلالات ناشی از خوردن در دختران دارای اختلال پرخوری و چاق بود. این پژوهش آزمایشی از نوع پیش آزمون-پس آزمون-پیگیری با گروه کنترل بود. جامعه آماری این پژوهش شامل 32 دانش آموز دختر مقطع ابتدایی مبتلا به مشکلات دلبستگی و اختلال پرخوری و چاقی بودند. روش نمونه گیری هدفمند بود. ابزار پژوهش شامل پرسشنامه اختلال دلبستگی کودکان، پرسشنامه اختلالات ناشی از خوردن و پرسشنامه اختلال خوردن بود. پس از تشکیل گروه ها (آزمایش و کنترل) و اجرای پیش آزمون، مادران گروه آزمایش به مدت 10 جلسه در طول دو ماه و نیم در برنامه مداخله مبتنی بر دلبستگی شرکت نمودند و گروه کنترل مداخله ای دریافت ننمود. پس از پایان مداخله، بر روی دو گروه پس آزمون، و پس از 45 روز آزمون پیگیری انجام شد. نتایج تحلیل کوواریانس تک متغیره نشان داد که در مرحله پس آزمون و پیگیری در نمره اختلالات ناشی از خوردن بین گروه آزمایش و کنترل تفاوت معنی داری وجود دارد. با توجه به نتایج، درمان مبتنی بر دلبستگی می تواند به عنوان شیوه مداخله در جهت کاهش اختلالات ناشی از خوردن در کودکان دارای اختلال پرخوری و چاق به کار گرفته شود.
    کلیدواژگان: درمان مبتنی بر دلبستگی، اختلالات ناشی از خوردن، اختلال پرخوری و چاقی
  • الناز انصافی، رضا رستمی، یوسف مقدس تبریزی ترجمه: ا صفحات 121-128
    هدف
    هدف پژوهش حاضر بررسی اثربخشی درمان نوروفیدبک بر پتانسیل های وابسته به رویداد (ERP) در دو سطح رفتاری و فیزیولوژیکی در کودکان (7-12 ساله) مبتلا به اختلال کمبود توجه/ بیش فعالی (ADHD) می باشد.
    روش
    در این پژوهش آزمودنی هایی (12 نفر گروه آزمایشی و 12 نفر گروه کنترل) که پس از ارزیابی های اولیه، بر طبق DSM-IV-TR تشخیص اختلال نقص توجه/ بیش فعالی گرفته اند، انتخاب شدند. برای کنترل متغیر هوش، پس از انجام آزمون وکسلر، کودکانی که بهره هوشی آنها در دامنه نرمال قرار دارد، انتخاب شدند. آزمودنی ها از نظر سن، هوشبهر و نیز همبودی با اختلالات دیگر تا حد امکان همسان سازی شدند. آزمودنی ها در دو مرحله با فاصله ی زمانی دو ماه (ابتدا و انتهای طرح) آزمون VCPT انجام دادند. از روش تحلیل واریانس با اندازه گیری مکرر (RMANOVA) برای بررسی تاثیر نوروفیدبک بر ERP، از روش آنکوا برای بررسی تاثیر نوروفیدبک بر ویژگی های رفتاری (خطای حذف، خطای ارتکاب و زمان واکنش) استفاده شد.
    یافته ها
    هیچ تفاوت معناداری بین دو گروه آزمایشی و کنترل در خطای حذف، خطای ارتکاب و زمان واکنش مشاهده نشد (0.05˃p). بین دو گروه آزمایشی و کنترل، بعد از دریافت نوروفیدبک، در آمپلیتود P300 نقاط Fz، F3 و F4 در محرک های GO و NOGO، تفاوت آماری معناداری وجود ندارند (0.05˃p). با این وجود، درمان نوروفیدبک در گروه آزمایشی، اندازه اثر متوسطی (0.06˃) در افزایش آمپلیتود مولفه P300 در هر سه نقطه Fz، F3 و F4، در محرک GO به وجود آورده است.
    کلیدواژگان: اختلال نقص توجه، بیش فعالی (ADHD)، نوروفیدبک، پتانسیل های وابسته به رویداد (ERP)
  • زینب صالح، مرجان پشت مشهدی، بهروز دولت شاهی صفحات 129-136
  • حدیثه حیدری، بهروز دولت شاهی، علیرضا مهدویان، علیرضا اسلامی نژاد صفحات 137-143
    هدف از این پژوهش بررسی پبش بینی کنترل علائم آسم بر مبنای استرس ادراک شده،خودکارآمدی و کانون کنترل سلامت میباشد.این پژوهش از نوع بنیادی کاربردی است و از طرح همبستگی استفاده شده است.در این پژوهش 100 نفر از افراد مبتلا به آسم شرکت کردند،نتایج نشان داد،بین استرس ادراک شده،کانون کنترل بیرونی شانس با کنترل علائم آسم رابطه منفی معنادار وجود دارد و بین خودکارآمدی و کنترل علائم آسم رابطه مثبت معنادار وجود دارد.
    کلیدواژگان: کنترل علائم آسم، استرس ادراک شده، کانون کنترل سلامت، خودکاآمدی
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  • Payvand Jalali Asheghabadi *, Ahmad Borjali, Farideh Hosseinsabet Pages 79-88
    Objective
    For decades، both theory and research have focused on the role of self-esteem and shame in constructing narcissistic traits. However، studies on the exact relationship between these two and overt and covert facets of narcissism have been equivocal.
    Methods
    The current study is correlational. It examined these relationships among 308 Iranian college students (155 males، 153 females، mean age=23. 49 years، SD=2. 83). The target population was all students of national universities of Tehran، Iran. The sampling method was non-random multi-step clustering. Participants were asked to fill four self-report measures: Narcissistic Personality Inventory (NPD)، Rosenberg Self-esteem Scale (RSES)، Test of Selfconscious Affect (TOSCA-3)، and Hypersensitive Narcissism Scale (HSNS). The data were analyzed by SPSS 19. 0. 0 software، using Pearson’s Correlation، T-test and Multiple Regression Analysis methods.
    Results
    Surprisingly، there was no significant difference between men and women with respect to NPI scores. Findings also revealed that shame was negatively related to overt narcissism (r=-0. 22، P<0. 05) and positively related to covert narcissism (r=0. 23، P<0. 05). Self-esteem was found to be positively correlated with overt narcissism (r=0. 42، P<0. 01) and negatively correlated with covert narcissism (r=-0. 30، P<0. 01).
    Conclusion
    The results provide support for the models of overt narcissism in which the narcissistic self serves as a buffer against inner feelings of inferiority. It also supports the importance of shame and low self-esteem in shaping the covert narcissistic traits. However، shame could not differentiate between overt and covert narcissism. The empirical، cultural، and clinical implications of the findings are discussed.
    Keywords: Overt narcissism, Covert narcissism, Self, esteem, Shame
  • Fariba Kiani, Zahra Zadehgholam, Mohammad Reza Khodabakhsh * Pages 89-94
    Objective
    An important factor in the prevention of industrial accidents is the employees’ ability to maintain their awareness of the work situation، understand the information it holds، and predict the development of the situations. In this study، we examined the role of work stress and sleepiness in predicting work situation awareness among workers.
    Methods
    The present study was a cross-sectional study، conducted in 2014. The sample consisted of 180 employees in the National Petrochemical Company. They were selected according to the stratified random sampling method and responded to questionnaires about demographic characteristics، work situation awareness of Sneddon، Mearns، and Flin (2013)، work stress of Cohen et al. (1983)، and Epworth sleepiness scale. The data were analyzed by correlation coefficient and stepwise regression by using the SPSS 15.
    Results
    The results showed that there were internal correlation among work stress، sleepiness، and work situation awareness. Also، the results of stepwise regression analysis revealed that work stress and sleepiness significantly predicted، respectively، almost 23% and 26% of variances of work situation awareness among workers.
    Conclusion
    According to the findings of the present study، work stress and sleepiness can predict work situation awareness. Therefore، considering these variables can be important in promoting the awareness of work situation among workers.
    Keywords: Work stress, Sleepiness, Work situation awareness, Workers
  • Mahmoud Abdollahi *, Afsaneh Towhidi, Masoud Hossainchari Pages 95-106
    Objective
    The aim of the present research was to study the effect of the metacognition training on the metacognition approaches and the magnitude of disposition towards substance abuse as the result of learning various metacognition strategies.
    Methods
    The research method was experimental with the pre-test، post-test design. The Statistical population included all of abusers male in TC، By applying the simple random sampling and using Krejcie and Morgan table، 36 male participants were recruited. They were the members of the Society of the Therapy-Oriented Community (TC) of the Mental Well- Being Office in the city of Kerman. To measure the variables، the Metacognition Questionnaire (MCQ-30) and the substance Abuse Disposition Questionnaire (ADQ) were used. The data were analyzed، through descriptive statistics، using the mean and the standard deviation of the; and through inferential statistics by MANCOVA analysis. All analyses were done using the SPSS version 19.
    Results
    The results of the analyses showed that the metacognition strategies and trainings significantly and positively changed the metacognition and accordingly reduce the disposition towards the substance abuse. The results limitations and are some suggestions discussed in the following sections.
    Conclusion
    Using metacognition trainings in the process of treatment is an effective technique in changing the metacognition approaches and reducing the disposition towards substance abuse.
    Keywords: Metacognition, Metacognition strategies, Substance abuse
  • Ramin Alavinezhad *, Masoumeh Mousavi, Sepideh Boojari Pages 107-112
    Objective
    Aggression is a disruptive behavior that limits children’s ability for a better adjustment. As commonly reported، sleep problems is associated with the presentation of aggression in ADHD children. In this study، we aimed to investigate the association between sleep problems and aggressive behavior in children with ADHD.
    Methods
    The study method is correlational and cross-sectional. The study population consists of children that were diagnosed with ADHD for the first time in Shiraz (south of Iran). Fifty eight children (41 boys، 17 girls) clinically diagnosed with Attention Deficit-Hyperactivity Disorder، by a child and adolescence psychiatrist، participated in this study. They were enrolled by accessible sampling. Their ages ranged from 6 to 13 years (mean age=8. 06 years، SD= 1. 59). None of The children were Medicaid recipients and participated in our study before beginning their medical treatment. Child Behavior Checklist (CBCL) and Children’s Sleep Habits Questionnaire (CSHQ) were used for data collection. For data analysis descriptive statistics، significance tests، Pearson correlation coefficient، independent samples t-test and regression analyses، were used.
    Results
    Children with ADHD showed a high prevalence of sleep problems، a significantly higher rate that reported before. Needing parent in room to sleep’ (56. 9%) was the most prevalent problem. With regard to Sleep habits، sleep duration was age-related (F=17. 58، P<0. 001). Correlations between sleep problems and aggression were significant. Parasomnias wake-up time، daytime sleepiness and sleep duration were main predictors of aggressive behavior in children with ADHD and accounted for 56% of variance of aggression. No significant gender differences in sleep habits were observed.
    Conclusions
    As aggressive behavior is a frequently reported problem in patients with ADHD، the results of the study may present a basis for effective diagnosis and treatment planning.
    Keywords: Sleep problems, Aggressive behavior, ADHD
  • Zahra Dashtbozorgi *, Shole Amiri, Ali Mazaheri, Hushang Taleni Pages 113-120
    Objective
    The purpose of this study was to evaluate the effect of attachment-based interventions on females suffering from eating related disorders. The study method was experimental with a pretest-posttest control group. The study sample included 32 elementary school female students with eating disorders، obesity problems، and attachment disorders. Sampling method was purposive.
    Methods
    After assigning groups (experimental and control)، the experimental group’s mothers participated in 10 sessions of attachment-based intervention program over 2. 5 months and control groups did not receive any intervention. By the end of intervention، the posttest and then follow-up test were done after 45 days. Instruments comprised ‘child attachment disorder،’ ‘disorders caused by eating،’ and ‘eating disorder’ questionnaires.
    Results
    The results of univariate analysis of covariance showed that in the posttest and followup test of the disorders caused by eating، there were significant differences between control and experimental groups.
    Conclusion
    According to the results، the attachment-based treatment can be used as the method of intervention to reduce disorders caused by eating in children with eating disorders and obesity.
    Keywords: Attachment, based therapy, Disorders caused by eating, Eating disorders, Obesity
  • Elnaz Ensafi, Reza Rostami *, Yousef Moghadas Tabrizi Pages 121-128
    Objective
    The aim of this study was to investigate the effectiveness of neurofeedback therapy on event-related potential (EPR) at both behavioral and physiological level in children (7-12 years) with Attention Deficit/Hyperactivity Disorder (ADHD).
    Methods
    The current study is a quasi-experimental project whit pre-test and post-test control group. In this study، the subjects (12 patients in the experimental group and 12 patients in the control group) were selected after initial evaluation، according to DSM-IV criteria for attention deficit/hyperactivity disorder and the type of sampling is purposeful. Due to control of intelligence variable، the children with normal range of IQ were selected. Subjects were matched as much as possible with respect to age، IQ، and comorbidity with other disorders. Subjects performed visual continuous performance task VCPT at two time points by two months interval (at the start and end of the program). Analysis of variance with repeated measures ANOVA and ANCOVA methods were used respectively for the evolution of neurofeedback effects on EPR and behavioral characteristics (omission error، commission error، and reaction time). For statistical processing SPSS software version 21 was used.
    Results
    No significant differences were observed between experimental and control groups in event-related potentials of both behavioral and physiological level.
    Conclusion
    Application of neurofeedback is a useful approach in improving performance of patients with ADHD through the normalization of patient’s brain waves، especially in the prefrontal area.
    Keywords: Attention deficit, hyperactivity disorder (ADHD), Neurofeedback, Event, related potentials (ERP)
  • Zeynab Saleh, Marjan Posht Mashhadi *, Behrooz Dolatshahi Pages 129-136
    Objective
    This study aimed to investigate the verbal memory and working memory impairment in healthy siblings of patients with schizophrenia.
    Methods
    The purpose of this study was to compare cognitive deficits in siblings of the patients with schizophrenia and control group. A total of 35 unaffected siblings of patients with schizophrenia were selected from the relatives of the patients referred to Shoosh clinic and 35 matched healthy controls were selected from the staff of the same clinic. This sample was chosen accessible. Then, the subjects completed Verbal Paired Association Test, Logical Memory Test, Wechsler Memory Scale-Revised, and N-back working memory Test. Data were analyzed by Chi-square, t test, and Multivariate analyses of variance (MANOVA). Statistical analysis was performed using SPSS version 20.
    Results
    The results indicated that there were significant differences between the siblings of the patients with schizophrenia and control group with respect to the cognitive functions (P<0.05). Siblings of the patients with schizophrenia performed low in both verbal and working memory compared to the control group.
    Conclusion
    In this study, our results supported this hypothesis that verbal and working memory impairment could be considered endophenotype of schizophrenia.
    Keywords: Schizophrenia, Endophenotypes, Verbal memory, Working memory
  • Hadise Heydari, Behrooz Dolatshahi *, Alireza Mahdaviani, Alireza Eslaminejad Pages 137-143
    Objective
    This study aimed to investigate the prediction of asthma control on the basis of perceived stress، locus of control، and self-efficacy in adult patients with asthma.
    Methods
    This was a descriptive-correlative and cross-sectional study. The solecty of this study is all asthmatic patients in Tehran. our sample consisted of 100 participants who were selected by purposeful sampling method. A total of 100 patients with asthma were selected among outpatients of Masih Daneshvari Hospital. Participants included 52 women and 48 men. Their mean (±SD) age was 36. 12 (±9. 82) years. Sociodemographic data were collected and Perceived Stress Scale (PSS)، Multidimensional Health Locus of Control (MHLC)، Asthma Self-efficacy Scale (ASES)، and Asthma Control Test (ACT) were applied. Data were analyzed by Pearson correlation and multiple regression analysis. Statistical analysis was performed using the SPSS ver. 16. 0.
    Results
    The results indicated that there were negative significant relationships between perceived stress، dimension of external control (chance) and asthma control، but positive significant relationships between self-efficacy and asthma control. In regression analysis، the perceived stress was the predictor of asthma control.
    Conclusion
    In this study، our findings suggest that perceived stress has an important role in the development and maintenance of asthma symptoms. In addition، self-efficacy and a tendency to externally attribute the locus of control (chance) are significantly associated with asthma control.
    Keywords: Perceived stress, Locus of control, Self, efficacy, Asthma control