Tolooebehdasht
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Toloo-e behdasht
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http://tbj.ssu.ac.ir
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2026
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اثربخشی رواندرمانی پویشی کوتاه مدت فشرده بر دشواری در تنظیم هیجان بیماران مبتلا به اختلال شخصیت مرزی
روان شناسی
Psychology
پژوهشي
Research
<span style="font-size:12pt"><span style="tab-stops:right 9.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">مقدمه</span></span></b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">: </span></span><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">اختلال شخصیت مرزی یکی از شایع­ترین اختلالات در روان­پزشکی است. مطالعه حاضر با هدف بررسی اثربخشی </span></span></span><span b="" style="font-family:" zar="">روان­درمانی پویشی کوتاه مدت فشرده</span><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"> بر مولفه­های دشواری در تنظیم هیجان بیماران مبتلا به اختلال شخصیت مرزی انجام شد. </span></span></span><span b="" style="font-family:" zar=""><span style="color:#0d0d0d"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">روش بررسی</span></span></b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">: </span></span><span b="" style="font-family:" zar="">روش </span><span b="" style="font-family:" zar="">پژوهش از نوع نیمه­تجربی و طرح پیش­آزمون-پس­آزمون و گروه گواه با دوره پیگیری دوماهه بود. جامعه آماری شامل کلیه افراد مبتلا به اختلال شخصیت مرزی کلینیک «مهر ایران» واقع در شهر تهران در زمستان 1404 بود. از این میان تعداد 30 نفر (15نفر گروه آزمایش و 15نفر گروه گواه) به روش نمونه­گیری</span><span b="" style="font-family:" zar=""> در دسترس</span><span b="" style="font-family:" zar=""> انتخاب شدند.</span> <span b="" style="font-family:" zar="">ابزار گردآوری داده­ها پرسشنامه</span><span b="" style="font-family:" zar=""> دشواری در تنظیم</span><span b="" style="font-family:" zar=""> هیجان </span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:" timesnewromanpsmt=""><span style="color:black">Gra</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">tz</span></span><span dir="LTR" style="font-size:11.0pt"> & Roeme (2004)</span><span b="" style="font-family:" zar=""> بود. مداخله آموزشی </span><span b="" style="font-family:" zar="">در طی 11 جلسه به صورت هفته­ای دو جلسه 60 دقیقه­ای بر روی گروه­ آزمایش انجام شد. داده­ها از طریق </span><span b="" style="font-family:" zar="">نرم­افزار </span><span dir="LTR" style="font-size:11.0pt">SPSS</span><span b="" style="font-family:" zar=""> نسخه 26 </span><span b="" style="font-family:" zar="">با استفاده از آزمون تحلیل واریانس با اندازه­گیری مکرر و آزمون تعقیبی بون­فرونی تحلیل شدند.</span><span b="" style="font-family:" zar=""><span style="color:#0d0d0d"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">یافته‌ها</span></span></b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">: </span></span><span b="" style="font-family:" zar="">میانگین و انحراف­معیار نمره دشواری در تنظیم هیجان گروه آزمایش در پیش­آزمون 59/9</span><span cambria="" style="font-family:">±</span><span b="" style="font-family:" zar="">70/120 و پس­آزمون 73/7</span><span cambria="" style="font-family:">±</span><span b="" style="font-family:" zar="">50/97 تفاوت معنی­دار داشت(01/0></span><span dir="LTR" style="font-size:11.0pt">P</span><span b="" style="font-family:" zar="">)</span><span b="" style="font-family:" zar="">. اثر مداخله بر کاهش دشواری در تنظیم هیجان بیماران مبتلا به اختلال شخصیت مرزی معنی­دار بود (01/0></span><span dir="LTR" style="font-size:11.0pt">P</span><span b="" style="font-family:" zar="">، 34/17=</span><span dir="LTR" style="font-size:11.0pt">F</span><span b="" style="font-family:" zar="">، 63/0=</span><span lang="FA" style="font-size:11.0pt">ƞ</span><span b="" style="font-family:" zar="">) و این اثرات در دوره پیگیری پایدار ماند</span><span b="" style="font-family:" zar="">(01/0></span><span dir="LTR" style="font-size:11.0pt">P</span><span b="" style="font-family:" zar="">).</span><span b="" style="font-family:" zar=""><span style="color:#0d0d0d"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">نتیجه‌گیری</span></span></b><span b="" style="font-family:" zar=""><span style="color:#0d0d0d">: </span></span><span b="" style="font-family:" zar="">با توجه به این­که </span><span b="" style="font-family:" zar="">روان­درمانی پویشی کوتاه مدت فشرده</span> <span b="" style="font-family:" zar="">بر بهبود دشواری در تنظیم هیجان</span><span b="" style="font-family:" zar=""> بیماران اختلال شخصیت مرزی</span><span b="" style="font-family:" zar=""> موثر بود، این روش به عنوان یک شیوه موثر مورد توجه درمانگران و متخصصین حوزه سلامت قرار گیرد.</span><b><span style="font-family:"B Zar"" lang="FA"></span></b></span></span></span></span><br>
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<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar="">این مقاله برگرفته از رساله دکتری در دانشگاه آزاد اسلامی واحد دزفول است.</span></span><b><span style="font-family:"B Zar"" lang="FA"></span></b></span></span></span></span><br>
<span style="font-size:12pt"><span style="tab-stops:right 9.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" style="font-family:" zar=""><span style="color:#0d0d0d"></span></span></span></span></span></span></span><br>
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<pre style="text-align:justify">
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span dir="LTR" lang="EN" style="color:#1f1f1f">The Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Difficulty in Emotion Regulation in Patients with Borderline Personality Disorder</span></b><b><span style="font-size:10.0pt" lang="FA"></span></b></span></span></span></span>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span dir="LTR" style="font-size:10.0pt">Pegah Khoramnia</span></b><sup> </sup><b><span dir="LTR" style="font-size:10.0pt">(Ph.D.)<sup>1</sup>, Saeed Moshtaghi (Ph.D.)<sup>2</sup></span></b><b><span dir="LTR" style="font-size:10.0pt">, Homayoon HaroonRashidi </span></b><b><span dir="LTR" style="font-size:10.0pt">(Ph.D.)<sup>3</sup></span></b><b><sup><span dir="LTR" style="font-size:10.0pt"></span></sup></b></span></span></span></span>
<span style="font-size:12pt"><span style="tab-stops:334.35pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-size:10.0pt">1.Ph.D. Student of Psychology, Department of Psychology, Dez. C., Islamic Azad University, Dezful, Iran</span></span></span></span></span>
<span style="font-size:12pt"><span style="tab-stops:334.35pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-size:10.0pt">2.<span style="color:black">Corresponding author: Associate Professor</span>, Department of Psychology, Dez. C., Islamic Azad University, Dezful, Iran </span><span style="font-size:10.0pt"><span style="font-family:"BMitra","serif""><span style="color:black">Email: moshtaghisaeed@iau.ac.ir Tel: 09036871600</span></span></span><span style="font-size:10.0pt"></span></span></span></span></span>
<span style="font-size:12pt"><span style="tab-stops:334.35pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="font-size:10.0pt"><span style="font-family:"BMitra","serif""><span style="color:black">3.</span></span></span><span style="font-size:10.0pt"><span style="color:black">Associate Professor</span></span><span style="font-size:10.0pt">, Department of Psychology, Dez. C., Islamic Azad University, Dezful, Iran</span></span></span></span></span>
<span style="font-size:12pt"><span style="tab-stops:517.5pt 7.25in"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="color:black"><b><span style="font-size:11.0pt"></span></b></span></span></span></span></span>
<span style="font-size:12pt"><span style="tab-stops:517.5pt 7.25in"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span style="color:black"><b><span style="font-size:11.0pt">Abstract</span></b><b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="font-family:"B Zar""></span></span></b></span></span></span></span></span>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><b><span style="font-size:11.0pt">Introduction:</span></b> <span lang="EN" style="font-size:11.0pt">Borderline personality disorder is one of the most common disorders in psychiatry. The present study aimed to investigate the effectiveness of intensive short-term dynamic psychotherapy on components of difficulty in emotion regulation in patients with borderline personality disorder.</span></span></span></span>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:11.0pt">Methods:</span></b> <span lang="EN" style="font-size:11.0pt">The research method was a quasi-experimental type with a pre-test-post-test design and a control group with a two-month follow-up period. The statistical population included all people with borderline personality disorder at the "Mehr Iran" clinic in Tehran during the winter 2025. Of these, 30 people (15 in the experimental group and 15 in the control group) were selected by convenience sampling. The data collection tool was the Gratz & Roeme (2004) Difficulty in Emotion Regulation Questionnaire. The educational intervention was conducted on the experimental group during 11 sessions, two 60-minute sessions per week. The data were analyzed using SPSS version 26 software using repeated-measures analysis of variance and Bonferroni post hoc test.</span><b><span style="font-size:11.0pt"></span></b></span></span></span>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:11.0pt">Results:</span></b> <span style="font-size:11.0pt">The mean and standard deviation of the score of difficulty in regulating emotion in the experimental group in the pre-test was 120.70±9.593 and the post-test was 97.50±7.731, which was significantly different (P<0,01). The intervention had a significant effect on reducing emotion regulation difficulties in patients with borderline personality disorder (P<0,01, F=17,34, η=0,63), and these effects were sustained at the follow-up stage (P<0,01).</span><span dir="RTL" style="font-size:11.0pt" lang="AR-SA"></span></span></span></span>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:11.0pt">Conclusion:</span></b><span lang="EN" style="font-size:11.0pt">Given that intensive short-term dynamic psychotherapy was effective in improving the difficulty in regulating emotions in patients with borderline personality disorder, this method should be considered by therapists and health professionals as an effective method.</span><b><span style="font-size:11.0pt"></span></b></span></span></span>
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<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="EN-GB" style="font-size:11.0pt"><span style="font-family:"Calibri","sans-serif""></span></span></span></span></span>
</pre>
روانپویشی, تنظیم هیجان, اختلال شخصیت مرزی
Psychodynamic, Emotion Regulation, Borderline Personality Disorder.
110
128
http://tbj.ssu.ac.ir/browse.php?a_code=A-10-3476-1&slc_lang=fa&sid=1
Pegah
Khoramnia
پگاه
خرم نیا
1742192319@iau.ir