fa تعیین اثربخشی درمان شناختی‌رفتاری بر سبک‌های تنظیم هیجان، منبع کنترل و عواطف خودآگاه شرم و گناه در افراد مبتلا به اختلال مصرف مواد خودمعرف به مراکز ترک اعتیاد روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">زمینه و هدف: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">افراد مبتلا به اختلال مصرف مواد در معرض پیامدهای تهدید‌کننده و جدی برای سلامت خود، خانواده و جامعه هستند، هدف پژوهش حاضر تعیین اثربخشی درمان شناختی‌رفتاری بر سبک‌های تنظیم هیجان، منبع کنترل و عواطف خودآگاه شرم و گناه در افراد مبتلا به اختلال مصرف مواد خودمعرف به مراکز ترک اعتیاد بود.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">روش‌بررسی:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:"> پژوهش نیمه‌آزمایشی (پیش‌آزمون </span></span><span lang="AR-SA" style="font-size:12.0pt">&ndash;</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:"> پس‌آزمون با گروه گواه) بود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">جامعۀ آماری پژوهش اشخاص تحت درمان در کلینیک ترک اعتیاد ثانیه‌های طلایی واقع در تهران در سه‌ماهۀ دوم سال 1402 بودند. نمونۀ آماری 30 نفر به‌صورت در دسترس از داوطلبین واجد شرایط وارد مطالعه و به‌شکل تصادفی در دو گروه آزمایش و گواه جایگزین شدند. جهت گردآوری اطلاعات از پرسش‌نامه‌های سبک‌های تنظیم هیجان </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">گارنفسکی و همکاران (۲۰۰۱)، </span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">منبع کنترل </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">راتر (1966)، </span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">عواطف خودآگاه شرم و گناه، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">تانگنی و همکاران (1989) استفاده شد. درمان شناختی‌رفتاری به شکل گروهی و در 12 جلسه 1 ساعته، طبق پروتکل درمانی پورنژدی و همکاران (1395) اجرا گردید. داده‌ها</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">با روش آماری کوواریانس و توسط نرم‌افزار </span></span><span dir="LTR" style="font-size:12.0pt">SPSS</span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:"> نسخه 24</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">مورد تحلیل قرار گرفت (۰</span></span><span lang="FA" style="font-size:12.0pt">٫</span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">۰۵ </span></span><span dir="LTR" style="font-size:12.0pt">&alpha; =</span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">).</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">یافته‌ها:</span></span></b><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">بین دو گروه پژوهش</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">از نظر میانگین مؤلفه‌های سبک‌های تنظیم هیجان (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">اندازه اثر مداخله برای ملامت‌خویش 54/0، پذیرش 18/0، نشخوارفکری 21/0، تمرکز مجدد مثبت 39/0، تمرکز مجدد بر برنامه‌ریزی 33/0، ارزیابی مجدد مثبت 15/0، دیدگاه ‌وسیع‌تر 23/0، فاجعه‌سازی 34/0، ملامت دیگران 21/0)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">، منبع کنترل (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">اندازه اثر مداخلۀ آزمایشی 74/0)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:"> و میانگین مؤلفه‌های عواطف خودآگاه شرم و گناه (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">اندازه اثر مداخلۀ مستعد گناه 76/0 و شرم 81/0 بود)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">تفاوت معناداری وجود داشت (001/0</span></span><span dir="LTR" style="font-size:12.0pt">P<</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">).</span></span><span dir="LTR" style="font-size:12.0pt"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">نتیجه‌گیری:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:"> نتایج نشان‌دهندۀ تأثیر درمان شناختی رفتاری بر افزایش توانمندی‌های سبک‌های تنظیم هیجان و منبع کنترل درونی و کاهش عواطف خودآگاه شرم و گناه در افراد مبتلا به اختلال مصرف مواد خودمعرف به مراکز ترک اعتیاد بود و می‌توان از این درمان برای بهبود وضعیت روان‌شناختی افراد مبتلا به اعتیاد استفاده کرد.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:12.0pt"><span style="background:white"><span style="color:black">Background & Objective</span></span></span></b><b><span lang="EN" style="font-size:12.0pt">:</span></b><span lang="EN" style="font-size:12.0pt"> Individuals diagnosed with substance use disorder (SUD) face significant and detrimental consequences that impact their mental health, physical health, familial relationships, and broader societal dynamic. This group of individuals may struggle with emotions, negative feelings, and a sense of lack of control in their lives, which can adversely affect their mental health and quality of life. Given the inherent psychological and social vulnerabilities associated with SUD, it is crucial to implement targeted and evidence-based interventions that address these challenges. Such interventions can facilitate the development of healthier coping strategies and improve emotional well-being. Previous research has shown that Cognitive Behavioral Therapy (CBT) has been effective in emotion regulation and reducing self-conscious emotions, as well as enhancing internal locus of control. Therefore, due to the presence of these multifaceted vulnerabilities in these individuals,</span> <span lang="EN" style="font-size:12.0pt">there is a need for appropriate and effective intervention to facilitate improvements in their circumstances. The aim of the current research was to examine the effectiveness of Cognitive Behavioral Therapy on emotion regulation styles, locus of control, and self-conscious emotions in individuals with substance use disorder self-referred to addiction rehabilitation centers.</span><span style="font-size:12.0pt"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:12.0pt">Methodology</span></b><b><span lang="EN" style="font-size:12.0pt">:</span></b><span style="font-size:12.0pt"> The method of this research was semi-experimental (pre-test - post-test with a control group). The research population consisted of individuals undergoing treatment at the Golden Seconds Addiction Rehabilitation Clinic located in Tehran during the three months of 2023. </span><span style="font-size:12.0pt"><span style="background:white">The sample size comprised 30 individuals, selected through convenience sampling from eligible volunteers and randomly assigned to experimental and control groups. For data collection, the Garnefski, Kraaij, and Spinhoven Emotion Regulation Styles Questionnaire (2001), the Rotter Locus of Control Questionnaire (1966), and the Tangney, Wagner, and Gramzow Self-Conscious Emotions of Shame and Guilt Questionnaire (1989) were used. Cognitive Behavioral Therapy was conducted in group format, in 12 one-hour sessions according to the treatment protocol by </span></span><span style="font-size:12.0pt"><span style="color:black">Poornazhadi</span></span><span style="font-size:12.0pt"><span style="background:white">, Hassani, and Mohammadkhani (2016). The data was analyzed using the covariance statistical method and SPSS version 24 software )Significance level: &alpha; = 0.05).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:12.0pt"><span style="background:white"><span style="color:black">Results</span></span></span></b><b><span lang="EN" style="font-size:12.0pt">:</span></b> <span style="font-size:12.0pt">The results of the data analysis related to </span><span style="font-size:12.0pt">this </span><span style="font-size:12.0pt"><span style="background:white">investigation</span></span><span style="font-size:12.0pt"> showed that there </span><span style="font-size:12.0pt"><span style="background:white">existed</span></span><span style="font-size:12.0pt"> a significant </span><span style="font-size:12.0pt">difference between the two research groups in terms of the average components of emotion regulation styles (P<0.001), and the effect size of the intervention was 0.54 for self-blame, 0.18 for acceptance, 0.21 for rumination, 0.39 for positive refocusing, 0.33 for refocusing on planning, 0.15 for positive reappraisal, 0.23 for putting into perspective, 0.34 for catastrophizing</span> <span style="font-size:12.0pt">and 0.21 for blaming others. </span><span style="font-size:12.0pt"><span style="background:white">Additionally, there was a statistically significant difference in the mean locus of control between the two research groups (p< 0.001), with an effect size of 0.74 for the experimental intervention</span></span><span style="font-size:12.0pt">.</span><span style="font-size:12.0pt"> There </span><span style="font-size:12.0pt">existed </span><span style="font-size:12.0pt">significant difference between the two research groups in terms of the average components of self-conscious emotions of shame and guilt (P<0.001), with the effect size of the </span><span style="font-size:12.0pt">intervention </span><span style="font-size:12.0pt"><span style="background:white">was</span></span> <span style="font-size:12.0pt">0.76 for guilt-proneness and 0.81 for shame-proneness</span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" lotus="" style="font-family:">.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:12.0pt">Conclusion:</span></b><span lang="EN" style="font-size:12.0pt"> The results indicated the effectiveness of cognitive behavioral therapy on enhancing competencies on emotion regulation styles, locus of control, and reducing self-conscious emotions of shame and guilt in individuals with substance use disorders who self-referred to addiction treatment centers</span><span style="font-size:12.0pt">,</span><span style="font-size:12.0pt"> this therapy can be utilized to improve the psychological condition of individuals suffering from addiction.</span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> &nbsp; درمان شناختی‌رفتاری, سبک‌های تنظیم هیجان, منبع کنترل, عواطف خودآگاه شرم و گناه. Cognitive Behavioral Therapy, Emotion regulation styles, Locus of control, Self-conscious emotions of shame and guilt. 0 0 http://jdisabilstud.org/browse.php?a_code=A-12-3889-1&slc_lang=fa&sid=1 Helye Aslani حلیه اصلانی helye.aslani@gmail.com 100319475328460067740 100319475328460067740 No دانشکدۀ علوم پزشکی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران؛ Hakimeh Aghaei حکیمه آقایی H.aghaei@iau-shahrood.ac.ir 100319475328460067741 100319475328460067741 Yes واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران Mahboobe Taher محبوبه طاهر Mahboobe.taher@ac.ir 100319475328460067742 100319475328460067742 No واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران