فهرست مطالب پریا سادات صیادی

Emotional problems and it’s following stress can be a starter for binge eating and binge eating is considerd as a a maladaptive emotion regulation mechanism in overweight or obese people. The present study was conducted with the aim of investigating the effectiveness of schema therapy mode model on emotional eating and BMI of obese women with binge eating disorder.

The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study included all the obese women with binge eating who referred to counseling clinics in Tehran’s district 2 in 1402. Among these people, 30 people were selected by available sampling and according to the entry and exit criteria; And they were randomly placed in the experimental group and the control group (15 people in each group). The participants completed the Emotional Eating Scale (EES) and the Body Mass Index (BMI) in the pre-test and post-test stages. The experimental group received the Psychotherapy sessions based on Schema therapy mode model in 20 sessions of 60 minutes. Data analysis was done using SPSS-24 software and multivariate analysis of covariance test in compliance with statistical assumptions.

The results of the multivariate covariance test showed that there is a significant difference between the schema therapy mode model group and the control group in a combination of variables of emotional eating and body mass index (F=41.22 and P<0.5). Also, the results of Bonferoni's post hoc test showed that the average of the group receiving the schema therapy mode model program is significantly less than the average of the control group in both the variable of emotional eating and the variable of body mass index (P<0/05).

According to the results of the research, it can be said that the Schema therapy mode model can be an effective treatment for overweightness and emotional eating of obese women with binge eating disorder.

 Borderline personality disorder is one of the most common personality disorders. One of the problems associated with this personality disorder is nightmares. Also, the main feature of borderline personality disorder is emotional instability, including severe mood swings. Problems such as the lower age of the disorder onset, the growing trend of suicidal ideation, and other issues that these people experience in their lives have made the treatment of this disorder a research priority. Mentalization–based therapy is a special type of psychiatric psychotherapy developed by Batman and Funagi for treating patients with borderline personality disorder. The main hypothesis of mentalization–based therapy is that lack of mentalization capacity leads to the development of borderline personality disorder. Therefore, this study aimed to determine the effectiveness of mentalization–based therapy on nightmares and emotional instability in women with borderline personality disorder.

 The present study was quasi–experimental and employed a pretest–posttest design with a control group. The statistical population of this study comprised all women with borderline personality disorder referred to a Neurology Clinic in Yazd City, Iran, in 2021. Using the available sampling method, 30 eligible volunteers were recruited and divided into the experimental (15 people) and the control groups (15 people). The inclusion criteria were as follows: having the diagnostic criteria of borderline personality disorder in the assessment by a psychiatrist and obtaining the required score (at least 12 points) to diagnose borderline personality disorder via Schizotypal Trait Questionnaire–B form (STB) (Jackson & Claridge, 1991); completing the consent form to participate in the study; lacking drug poisoning and obstructive medical problems; holding minimum education of a diploma. The exclusion criteria included unwillingness to undergo treatment and absence of more than two sessions during treatment intervention. Mentalization–based therapy was performed on the experimental group in twenty 75–minute sessions. No intervention was performed on the control group. Pretest and posttest were performed using the Disturbing Dream and Nightmare Index (DDNSI) (Krakow et al., 2002) and the Difficulty in Emotional Regulation Sale (DERS) (Gratz & Roemer, 2004). To analyze the data, in the descriptive statistics section of the test, the mean and standard deviation and the inferential statistics section, the t test comparing the means of two independent groups, the Chi–square test and univariate analysis of covariance (ANCOA) at the significance level of α=0.05 were used. Data analysis was done in SPSS version 23.

 By adjusting the effect of the pretest on the variables of emotional instability and nightmares, a significant statistical difference was observed in the posttest between the experimental and control groups (p<0.001). The effect size revealed that the treatment based on mentalization was 87.2% effective in reducing emotional instability and 52.5% in reducing nightmares.

 Based on the research findings, mentalization–based therapy reduces nightmares and emotional instability in women with borderline personality disorder. Therefore, this treatment can be used as an effective intervention to improve nightmares and emotional instability in women with borderline personality disorder.

The aim of the present study was to determine the effectiveness of emotionally focused therapy (eft) on nightmares and emotional instability in people with borderline personality disorder. The research method was quasi-experimental with a pre-test-post-test design and a control group. The statistical population of the research was all patients with borderline personality disorder who were referred to a neuropsychiatric clinic in Yazd in 1401. Among them, 40 qualified volunteers were included in the study by Purposive sampling based on the entry and exit criteria of the research and then the people were randomly replaced into two experimental (20 people) and control (20 people) groups. The experimental group received 12 sessions of emotionally focused therapy, while the control group remained on the waiting list. The research tools included Schizotypal Trait questionnaire-Bform(STB) (Jackson & Claridge, 1991), Disturbing Dreams and Nightmares Severity Index (DDNSI) (Krakow, 2002), and the Difficulties in Emotion Regulation Scale (DERS) (Gratz & Roemer, 2004). The results of multivariate covariance analysis showed that after controlling for the pre-test effect, there is a significant difference between the two experimental and control groups in the variables of nightmares and emotional instability in the post-test stage (P <0.001, F=53). based on the findings of this research, it is concluded that emotionally focused therapy is effective in improving nightmares and emotional instability of people with a borderline personality disorder.