基于力量的治疗对青少年暴食症患者冲动和自我控制的效果

Sabah Abazar fard, Lale Javidan, Alireza Meftahi, Taraneh Dabiri, Z. Solgi
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引用次数: 0

摘要

背景:有各种基于暴食症理论框架的教育项目。然而,没有证据表明基于优势的方法针对低抑制性控制和冲动性患者。目的:探讨基于优势的临床教学课程对青少年暴食症患者冲动与自我控制能力的影响。材料与方法:本研究采用准实验设计,对克尔曼沙地区青少年暴食症患者的临床心理学进行前测和后测评价。共有26名患有暴食症的青少年被随机分为实验组(n=13)和对照组(n=13)。然后,他们被要求填写一份关于Barrat冲动量表和Tangney自我控制量表的问卷。实验组接受了8次90分钟的优势策略训练,随后进行了为期2个月的优势技能训练,每周1次。而对照组在此期间没有接受任何心理训练。在这些测试之后,两组都进行了测试后的评估。数据比较采用多变量和单变量方差分析。结果:参与者年龄在14 ~ 18岁之间。后测平均分显示,实验组的冲动性显著降低,自我控制能力显著提高。单因素方差分析结果显示,两组在冲动性(F=15.91, P=0.001,ηp2=0.59)和自制力(F=17.25, P=0.001,ηp2= 0.62)上存在显著差异。结论:力量法对青少年暴食症患者的自我控制和冲动性有较好的效果。
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The Effectiveness of Strengths-Based Treatments for Impulsivity and Self-control in Adolescents with Binge-Eating Disorders
Background: There are various educational programs based on theoretical frameworks for binge-eating disorders. However, there is no evidence for Strengths-Based approach targeting low inhibitory control and impulsivity of the patients. Objectives: This experimental study explored the effect of a Strengths-Based clinical teaching course on impulsivity and self-control of adolescents with binge-eating disorder. Materials & Methods: The study was a quasi-experimental design with pre-test and posttest evaluations on adolescents with binge-eating disorders in clinical psychology in Kermanshah. A total of 26 adolescents with binge-eating disorders were randomly assigned to the experimental (n=13) and control (n=13) groups. Then, they were asked to fill out a questionnaire about Barrat’s impulsivity scale and Tangney’s Self-Control Scale. The experimental group was taught methods and techniques of strengths-based strategies for eight 90-minute sessions followed by training sessions of strengths-based skills once a week for 2 months, whereas the control group received no psychological training during this time. After these sessions, both groups were given post-test evaluations. Data were compared using multivariate and univariate analysis of variance. Results: The age range of participants was 14-18 years. The mean post-test score showed that impulsivity was significantly decreased and self-control was significantly increased in the experimental group. The result of univariate analysis of variance indicate that the two groups differed significantly on impulsivity (F=15.91, P=0.001,ηp2=0.59) and self-control (F=17.25, P=0.001, ηp2=0.62). Conclusion: Using a strength approach offers effective self-control and impulsivity to adolescents with binge-eating disorders.
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