مقایسه اثربخشی بسته تن انگاره سالم و درمان شناختی- رفتاری کش بر ترس از ارزیابی منفی نوجوانان ۱۲ تا ۱۵ سال با نارضایتی تن انگاره (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
هدف: نوجوانان با نارضایتی تن انگاره از زمره افرادی هستند که نیازمند توجه از طرف جامعه درمانی می باشند. از این رو پژوهش حاضر با هدف تعیین اثربخشی بسته تن انگاره سالم و درمان شناختی-رفتاری کش بر ترس از ارزیابی منفی نوجوانان ۱۲ تا ۱۵ ساله با نارضایتی تن انگاره انجام شد. روش: روش پژوهش نیمه تجربی در سه مرحله پیش آزمون، پس آزمون و پی گیری با گروه کنترل بود. 60 نفر از نوجوانان ۱۲ تا ۱۵ ساله مدارس متوسطه شهر اصفهان از طریق نمونه گیری هدفمند مبتنی بر ملاک های ورود انتخاب و به صورت تصادفی در دو گروه مداخله و کنترل (هر گروه 20 نفر) گمارده شدند. جهت سنجش نارضایتی تن انگاره از مقیاس ۹ گویه ای ارزیابی نگرش افراد به تصویر بدنی استفاده شد. برای سنجش متغیر وابسته، مقیاس ترس از ارزیابی منفی استفاده شد. به گروه آزمایشی اول، بسته تن انگاره سالم و به گروه آزمایشی دوم، درمان شناختی-رفتاری کش طی 8 جلسه آموزش داده شد و گروه کنترل هیچ گونه مداخله ای دریافت نکرد. تجزیه و تحلیل داده ها با استفاده از روش تحلیل واریانس اندازه گیری مکرر و آزمون تعقیبی بونفرونی با استفاده از نرم افزار SPSS نسخه 26 انجام گرفت. یافته ها: یافته های پژوهش نشان داد که در میزان ترس از ارزیابی منفی بین گروه تن انگاره سالم و درمان شناختی-رفتاری کش با گروه کنترل تفاوت معناداری وجود دارد (P<0/01). نتیجه گیری: بنابراین نتایج این پژوهش، تاثیر مثبت دو مداخله بسته تن انگاره سالم و درمان-شناختی رفتاری کش بر کاهش ترس از ارزیابی منفی نوجوانان با نارضایتی تن انگاره، را نشان داد.Comparing The Effectiveness of Healthy Body Image Package (HBIP) and Cash Cognitive-Behavioral Therapy (C-CBT) on Fear of Negative Evaluation in Dissatisfied Adolescents Aged 12 to 15
Introduction Adolescence represents a critical stage in psychosocial development, during which an individual seeks to form their social identity, a process accompanied by concerns regarding appearance and body perception. This period is characterized by widespread changes, including heightened exposure to peer pressure and the significance of social acceptance. Consequently, concerns such as body image dissatisfaction and the fear of negative evaluation become more prevalent during this phase, potentially exerting a considerable influence on adolescent mental health. Consequently, there is a need to assess the efficacy of psychological interventions targeting this target group. Addressing these issues can prevent the development of more severe disorders in the future. This underscores the importance of preventive interventions during this period to avert the establishment of deleterious thought and behavioral patterns. The objective of this study was to compare the effectiveness of the Healthy Body Image Package and Cognitive-Behavioral Therapy on the fear of negative evaluation in dissatisfied adolescents aged 12 to 15 years. The selection of adolescents allowed for the evaluation of the effectiveness of these interventions at a critical stage of development and the acquisition of results that can be useful in future clinical and educational interventions. Method The present study employed a quasi-experimental design, incorporating a pre-test, post-test, and follow-up, with a control group. The statistical population comprised 60 adolescents aged 12 to 15 from secondary schools in Isfahan, who were selected through purposive sampling method. Following the administration of a pre-test and the random assignment of participants to one of three groups, the Healthy Body Image Package (Akhtarian, Bahramipour Isfahani, & Manshaee, 2024), Cash Cognitive Behavioral Therapy (Cash, 2010) were implemented over the course of eight sessions, each spanning 90 to 120 minutes. The control group did not receive any intervention during this period. The 9-item subscale of the Body Area Segment Scale (BASS) (Cash, & et al., 1990) was utilized to measure body image dissatisfaction. The 12-item short form of the Larry (2021) questionnaire was employed to measure fear of negative evaluation. The resulting data were analyzed using repeated measures analysis of variance and Bonferroni post hoc test in SPSS-26. Findings The findings indicate that in the within-group effect, the time factor (F=251.871, df=1.130, p<0.01) and the interaction of time and group (F=72.41 8, df=2.260, p<0.01) indicate a statistically significant difference (p<0.01) in the fear of negative evaluation based on time and the interaction of time with group (across three research groups). The results suggest that for the time factor and the interaction of time and group, 84.3 and 75.5 percent of the variance in the fear of negative evaluation was associated with the independent variable, respectively. Due to the substantial interaction of time with the group, a Bonferroni post hoc test was conducted to examine the pairwise difference. The results indicated a statistically significant difference between the pre-test, post-test, and follow-up (p < 0.01). Additionally, a statistically significant difference was observed between the Healthy Body Image Package and the Cash’s Package (p < 0.05). Discussion The objective of this study was to ascertain the effectiveness of the healthy body image package and cognitive-behavioral therapy in reducing the fear of negative evaluation among adolescents with body image dissatisfaction. The findings indicated that the healthy body image package exhibited a more pronounced reduction in the scores of the fear of negative evaluation in adolescents when compared to the cognitive-behavioral therapy. This finding aligns with the outcomes of other studies that targeted the enhancement of self-esteem and the mitigation of perfectionism in adolescents (Akhtarian, Bahramipour Isfahani, & Manshaee, 2024). The present finding can be explained by the implementation of healthy body image education, which focuses on emotional techniques and skills. These techniques and skills include the teaching of self-compassion strategies in relation to the body and its functions, the teaching of strategies to deal with shame, and the strengthening of self-esteem. The implementation of these techniques and skills provides an opportunity for adolescents to improve their self-belief. The findings are also somewhat consistent with the research conducted by Rahmati and Barjali (2020) on the effectiveness of cognitive and behavioral group therapy on emotion regulation in women with eating disorders, and with the study by Yu and Jia (2023) on the relationship between the treatment of body image problems and fear of negative evaluation. The efficacy of cognitive-behavioral therapy in addressing fear of negative evaluation is attributable to its utilization of strategies and techniques aimed at the cessation of anxiety-intensifying thoughts and beliefs. In this treatment modality, the presence of negative thoughts, beliefs, and behaviors directed towards one's own body plays a pivotal role in the development of excessive sensitivity to the evaluations of others (Yue & Jia, 2023). It is recommended that education officials consider implementing measures to mitigate adolescents' fear of negative evaluation. This could be achieved by leveraging the expertise of specialists and engaging the services of psychologists specializing in body image. By doing so, educators can foster an environment conducive to enhancing not only individual performance but also learning outcomes.
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