fa مقایسه اثربخشی رفتاردرمانی دیالکتیکی و شناخت درمانی مبتنی بر ذهن آگاهی بر ترس از ارزیابی منفی بیماران مبتلا به چاقی عمومى General پژوهشي Research <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بیماری چاقی همه&shy;گیر و جهانی شده و توجه به مولفه&shy;ها و متغیرهای درگیر آن، بسیار دارای اهمیت بررسی است. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">پژوهش حاضر با </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقایسه اثربخشی رفتاردرمانی دیالکتیکی و شناخت درمانی مبتنی بر ذهن آگاهی بر ترس از ارزیابی منفی بیماران مبتلا به چاقی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">انجام شد. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش&shy;ها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در این پژوهش از طرح شبه‌آزمایشی پیش‌آزمون-پس‌آزمون-پیگیری با گروه کنترل استفاده گردید. جامعه آماری شامل بیماران مبتلا به چاقی مراجعه‌کننده به مراکز درمانی تهران در سال 1403-1404 بود. با روش نمونه‌گیری هدفمند، 45 نفر انتخاب و به صورت تصادفی در سه گروه (15 نفره) &laquo;آزمایش 1 (دریافت‌کننده رفتاردرمانی دیالکتیکی)&raquo;، &laquo;آزمایش 2 (دریافت‌کننده شناخت درمانی مبتنی بر ذهن‌آگاهی)&raquo; و &laquo;کنترل&raquo; جایگزین شدند. ابزار</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">پژوهش شامل مقیاس ترس از ارزیابی منفی (</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">BFNES</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بود. داده‌ها با استفاده از تحلیل واریانس آمیخته و آزمون تعقیبی بونفرنی در نرم‌افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS-26</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تحلیل شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> هر دو بسته درمانی رفتاردرمانی دیالکتیکی و شناخت درمانی مبتنی بر ذهن‌آگاهی در مقایسه با گروه کنترل، به طور معناداری منجر به کاهش ترس از ارزیابی منفی در مراحل پس‌آزمون و پیگیری شدند و اثرات آنان پایدار بود (001/0></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). در متغیر ترس از ارزیابی منفی، رفتاردرمانی دیالکتیکی به طور معناداری اثربخشی بیشتری نسبت به شناخت درمانی مبتنی بر ذهن‌آگاهی نشان داد (05/0></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">&nbsp;</span></span></span></span></span></span></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">&nbsp;<a><span lang="FA" style="background:yellow">بر اساس </span></a></span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اثربخشی رفتاردرمانی دیالکتیکی و شناخت درمانی مبتنی بر ذهن آگاهی بر ترس از ارزیابی منفی</span></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">،</span></span></span></span><span lang="X-NONE" style="font-size:8.0pt"><span style="background:yellow"><span style="line-height:107%"><span calibri="" style="font-family:"><a class="msocomanchor" href="#_msocom_1" id="_anchor_1" language="JavaScript" name="_msoanchor_1" on="">mouseout=&quot;msoCommentHide(&#39;_com_1&#39;)&quot; on<illegal tag="">mouseover=&quot;msoCommentShow(&#39;_anchor_1&#39;,&#39;_com_1&#39;)&quot;>[N1]</illegal></a>&nbsp;</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">این یافته‌ها می‌تواند در طراحی مداخلات روانشناختی برای بیماران مبتلا به چاقی مورد استفاده قرار گیرد.</span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 14.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Abstract </span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background and Objective:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Obesity has become a global epidemic and attention to its components and variables are very important to study. The present study was conducted by comparing the effectiveness of dialectical behavior therapy and mindfulness-based cognitive therapy on fear of negative evaluation in obese patients. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In this study, a quasi-experimental pre-test-post-test-follow-up design with a control group was used. The statistical population included obese patients referring to Tehran medical centers in 2024. Using purposive sampling, 45 people were selected and randomly assigned to three groups (15 people): &quot;Experiment 1 (recipients of dialectical behavior therapy)&quot;, &quot;Experiment 2 (recipients of mindfulness-based cognitive therapy)&quot; and &quot;control&quot;. The research instrument included the Fear of Negative Evaluation Scale (BFNES). The data were analyzed using mixed variance analysis and Bonferroni post hoc test in SPSS-26 software. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Both dialectical behavior therapy and mindfulness-based cognitive therapy treatment packages significantly reduced fear of negative evaluation in the post-test and follow-up stages compared to the control group, and their effects were stable (p<0.001). In the variable of fear of negative evaluation, dialectical behavior therapy showed significantly greater effectiveness than mindfulness-based cognitive therapy (p<0.05). </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In general, both treatment packages were effective, but dialectical behavior therapy showed relative superiority in fear of negative evaluation. These findings can be used in designing psychological interventions for patients with obesity. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:right 28.55pt left 415.25pt"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Keywords: </span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">dialectical behavior therapy, mindfulness-based cognitive therapy, obesity, fear of negative evaluation.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span><br> &nbsp; کلید واژه­ها: رفتاردرمانی دیالکتیکی, شناخت درمانی مبتنی بر ذهن‌آگاهی, چاقی, ترس از ارزیابی منفی. Keywords: dialectical behavior therapy, mindfulness-based cognitive therapy, obesity, fear of negative evaluation. 0 0 http://feyz.kaums.ac.ir/browse.php?a_code=A-10-5036-2&slc_lang=fa&sid=1 Sahar Saeedi asl سحر سعیدی اصل m.tehrani@gmail.com 2900319475328460052617 2900319475328460052617 No mahtab moraveji مهتاب مروجی @iau.ac.ir 2900319475328460052618 2900319475328460052618 Yes Maesoomeh Moallem معصومه معلم moalemm@gmail.com 2900319475328460052619 2900319475328460052619 No Mohammad bagher Hobbi محمدباقر حبی hobbbbi@gmail.com 2900319475328460052620 2900319475328460052620 No Vahid Manzari Tavakoli وحید منظری توکلی manzari.v63@gmail.com 2900319475328460052621 2900319475328460052621 No