اثربخشی روان درمانی پویشی فشرده و کوتاه مدت بر کاهش علائم و مکانیسم های دفاعی اختلال شخصیت مرزی در بیماران مرکز سراج

ملخص المقالة :

هدف از پژوهش حاضر تعیین اثر بخشی روان درمانی پویشی فشرده و کوتاه- مدت (ISTDP) بر کاهش علایم و مکانیسم های دفاعی اختلال شخصیت مرزی انجام شد. این پژوهش در زمره پژوهش های شبه- آزمایشی با طرح تک آزمودنی A-B-A )) بود. جامعه آماری این پژوهش را کلیه افراد مبتلا به اختلال شخصیت مرزی که به مرکز سلامت روان جامعه نگر(سراج) میاندوآب در طی سه ماهه اول  1403  مراجعه  نمودند تشکیل میدادند . از میان جامعه آماری فوق، 3 نفر که تشخیص اختلال شخصیت مرزی بر اساس سیاهه چند محوری بالینی میلون3- (III-MCMI ) و مصاحبه روانپزشکی بر اساس ملاکهای 5-DSM  دریافت میکردند به روش نمونه گیری هدفمند انتخاب شدند. ابزار مورد استفاده در این پژوهش عبارت بودند: سیاهه چند محوری بالیني میلون3 (- (III-MCMI پرسشنامه سازوکارهای دفاعي-40 و مصاحبه بالیني ساختاریافته برای اختلالات  ( SCID) DSM همچنین، پروتكل رواندرماني پویشي فشرده و کوتاه مدت مطابق با رویكرد دوانلو (1995،  2000) روی نمونه ی پژوهش اجرا شد. سنجش آزمودني ها ابتدا به صورت ارزیابي خط پایه، هر 3 جلسه یكبار انجام شد و پس از اتمام جلسات درماني، 3 ارزیابي پیگیری با فواصل یک ماهه صورت گردید. داده ها با استفاده از نسخه 24 نرم افزار SPSS تحلیل شدند. یافته های حاصل نشان داد که درمان روانپویشي فشرده و کوتاه مدت سبب کاهش نشانه- های اختلالات شخصیت مرزی ميشود( 05/0 >p ) همچنین، این درمان بر کاهش مكانیسم های دفاعي پخته، ناپخته و نوروتیک در افراد با اختلالات شخصیت مرزی معنادار بود ( 05/0 >p ) .  

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