fa مقایسۀ اثربخشی روان‌درمانی تحلیلی- کارکردی و درمان پذیرش و تعهد بر بهبود علائم بیماران مبتلا به اختلال اضطراب فراگیر روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article <div style="text-align: justify;"><strong>زمینه و هدف</strong>: اخیراً مداخله‌های رفتاری و شناختی &laquo;موج سوم&raquo;، توجه زیادی از پژوهشگران را به خودش جلب کرده است. پژوهش حاضر با هدف مقایسۀ اثربخشی روان‌درمانی تحلیلی- کارکردی (FAP) و درمان پذیرش و تعهد (ACT)، دو شیوه از مداخله‌های رفتاری و شناختی موج سوم در کاهش اضطرب، افسردگی و افزایش انعطاف‌پذیری روان‌شناختی و مهارت ارتباطی در اختلال اضطراب فراگیر انجام شده است.<br> <strong>روش‌بررسی</strong>: این مطالعه با طرح پژوهش شبه‌آزمایشی با پیش‌آزمون-پس‌آزمون و پیگیری بود. ۳۶ نفر به‌صورت تصادفی به سه گروه درمان مبتنی بر پذیرش و تعهد (۱۲=n)، روان‌درمانی تحلیلی- کارکردی (۱۲=n) و گروه کنترل (۱۲=n) تقسیم شدند. همۀ آزمودنی‌ها با استفاده از پرسش‌نامه‌های Gad-7، افسردگی &laquo;بک&raquo; (ویرایش-II)، پذیرش و عمل و مهارت ارتباطی ارزیابی شدند. داده‌ها با استفاده از آنالیز واریانس برای اندازه‌گیری‌های مکرر تحلیل شد.<br> <strong>یافته‌ها</strong>: نتایج تحلیل واریانس اندازه‌گیری مکرر، بیانگر اثربخشی هر دو مدل درمانی بر کاهش اضطراب، افسردگی و افزایش انعطاف‌پذیری روان‌شناختی و مهارت ارتباطی بود (۰٫۰۰۱><em>p</em>). همچنین، طبق نتایج آزمون تعقیبی، بین دو گروه درمانی در پس‌آزمون فقط در متغیر افسردگی تفاوت معنادار مشاهده شد (۰٫۰۰۱><em>p</em>).<br> <strong>نتیجه‌گیری</strong>: نتایج حاصل از این پژوهش، حمایتی تجربی برای روان‌درمانی تحلیلی-کارکردی در درمان اختلال اضطراب فراگیر فراهم کرد.</div> <div style="text-align: justify;"><strong>Background and Objective</strong>: General anxiety disorder (GAD) is the most prevalent chronic anxiety disorders in clinical centers and general population. There are several treatment methods for this disorder that have different challenges ,for example cognitive-behavior therapy is selective treatment for anxiety disorders but it is not improvement and has not patients efficiency in general anxiety disorder. Furthermore, study on the effectiveness of new treatment called third wave that include behavioral and cognitive interventions (known as post modernism), seem necessary in treatment of general anxiety disorder. Acceptance and commitment therapy and functional analytic psychotherapy are two method from third wave that include behavioral and cognitive interventions. Therefore, the purpose of this research was to comparison of the efficacy of acceptance and commitment therapy and functional analytic psychotherapy in decrease anxiety, depression and increase psychological flexibility and communication skill in patients with general anxiety disorder.<br> <strong>Methods</strong>: In this study, a quasi-experimental designed with pre-posttest and a four-month follow up was used. For this purpose, 36 subjects were selected via accessible sampling from the clientele who referred to psychological clinics. They were randomly divided into three groups. Two experimental groups were, acceptance and commitment therapy (n=12) and functional analytic psychotherapy (n=12). Both groups received 10 two-hour treatment sessions once a week. Control group had 12 patients participated (waiting list). In order to assess the severity of GAD, depression, communication skill and psychological flexibility different questionnaires included: anxiety disorder questionnaire (GAD-7) (a=87%, r=76%), Beck depression inventory (BDI) (a=87%, r=74%), communication skill questionnaire (CSQ) (r=69.8%) and acceptance and action questionnaire (AAQ) (a=87%, r=80%) were used. Statistical data were analyzed from repeated measures analysis of variance and paired comparison Bonferroni.<br> <strong>Results</strong>: Comparison of the treatment groups suggested that there was significant difference between acceptance and commitment therapy group with waiting list group in all scales except in depression variable, but in follow up was not significant (<em>p</em>=0.01). In addition, there was significant difference between functional analytic psychotherapy group and waiting list group in all scales and this difference maintains in follow up (<em>p</em>=0.01). Comparison between experimental groups (acceptance and commitment therapy with functional analytic psychotherapy) in posttest, indicates that there was not significant difference between two groups, except in depression variable, but in follow up was not significant different between acceptance and commitment therapy and functional analytic psychotherapy in anxiety, depression, communication skill and psychological flexibility variables (<em>p</em><0.01). Based on the results of this study, in posttest, functional analytic psychotherapy was more effective in decrease of depression. However, both acceptance and commitment therapy and functional analytic psychotherapy showed significant changes in general anxiety disorder symptoms.&nbsp;<br> <strong>Conclusion</strong>: Attention to efficacy of two approach (acceptance and commitment therapy, and functional analytic psychotherapy) on improvement of patients with general anxiety disorder under basic anxiety symptoms, this research not only provided an empirical support for functional analytic psychotherapy in treatment of general anxiety disorder but also can be useful for another anxiety disorders. This study propose to combine two approach in treatment of anxiety disorder.</div> درمان پذیرش و تعهد, روان‌درمانی تحلیلی- کارکردی, اختلال اضطراب فراگیر, افسردگی, انعطاف‌پذیری روان‌شناختی, مهارت ارتباطی. Acceptance and commitment therapy, Functional analytic psychotherapy, Generalized anxiety disorder, Depression, Psychological flexibility, Communication skills. 74 74 http://jdisabilstud.org/browse.php?a_code=A-10-795-2&slc_lang=fa&sid=1 Safoura Foroutan صفورا فروتن safoura.foroutan@gmail.com) 100319475328460030383 100319475328460030383 No Science and Research college Khozestan, Islamic Azad University پردیس علوم و تحقیقات خوزستان، دانشگاه آزاد اسلامی Alireza Heidari علیرضا حیدری arheidarie43@gmail.com) 100319475328460030384 100319475328460030384 Yes Ahwaz Branch, Islamic Azad University واحد اهواز ،دانشگاه آزاد اسلامی Parviz Asgari پرویز عسگری Askary47@yahoo.com 100319475328460030385 100319475328460030385 No Ahwaz Branch, Islamic Azad University گروه روان‌شناسی، واحد اهواز ،دانشگاه آزاد اسلامی Farah Naderi فرح نادری nmafrah@yahoo.com 100319475328460030386 100319475328460030386 No Ahwaz Branch, Islamic Azad University گروه روان‌شناسی، واحد اهواز ،دانشگاه آزاد اسلامی Hosein Ebrahimi Moghaddam حسین ابراهیمی مقدم hem_psy@yahoo.com 100319475328460030387 100319475328460030387 No Roudehen Branch, Islamic Azad University واحد رودهن، دانشگاه آزاد اسلامی