جستجوی مقالات مرتبط با کلیدواژه « سایکودراما » در نشریات گروه « پزشکی »

Objectives :

This study aims to assess the effects of cognitive-behavioral psychodrama group therapy (CBPGT) on self-focused attention and social anxiety disorder (SAD) in adolescent girls.

Methods:

 This is a randomized controlled clinical trial with a pre-test, post-test/follow-up design. The study population includes all 9th-grade girls referred to health centers in Sirjan, Iran, in 2022. After screening using Puklek’s social anxiety scale for adolescents, Woody and Chambless’ focus of attention questionnaire, and a clinical interview based on the DSM-5 criteria, 24 girls were selected and randomly divided into two intervention (n=12) and control (n=12) groups. After the pre-test assessments, the intervention group received CBPGT at nine sessions of 120 minutes. The data were analyzed using descriptive statistics and multivariate analysis of covariance in SPSS software, version 24.

Results :

CBPGT significantly reduced self-focused attention and SAD in adolescent girls at the post-test and one-month follow-up phases (P<0.05).

Conclusion:

 CBPGT is effective in the treatment of SAD and self-focused attention in female adolescents in Iran. Its effectiveness can be maintained for one month. It is recommended that CBPGT be used in the treatment of SAD due to its focus on both the theatrical and cognitive aspects of this disorder.

Separation anxiety disorder is one of the first and most common psychological disorders in children. Therefore, therapeutic interventions to reduce this disorder is important. The aim of this study was to evaluate the effectiveness of group therapy of psychodrama on reducing the symptoms of separation anxiety disorder in children 5 to 9 years.

Methods and Materials:

 The design of the present study was a quasi-experimental pre-test-post-test with follow-up, with experimental and control groups. The statistical population in this study was all children aged 5 to 9 years with separation anxiety disorder in Zahedan in the academic year of 2019-2020. For select the sample, 30 children were selected using the two-stage cluster sampling method and randomly assignment into experimental and control groups. Experimental group, seven 90 minute sessions, group therapy of psychodrama and no intervention was performed on the control group. At the end of the educational-therapeutic sessions, the post-test was administered and after one month, both groups were re-evaluated. The instrument used in this study was anxiety the Spence children's anxiety scale (SCAS-P) and Disease Symptoms Parental Questionnaire (CSI-4). The research data were analyzed using SPSS 22 measurement analysis software test.

The analysis of the results showed that the symptoms of separation anxiety in the experimental group compared to the control group showed a significant decrease (P≤0.01).

Group therapy of psychodrama can be used to reduce the symptoms of separation anxiety in children aged 5-9 years in Zahedan and this therapeutic approach can be used for this population.

The aim of this study was to determine the effectiveness of psychodrama on emotional expression and social competence in adolescents with social anxiety. The present study was a semiexperimental method with a pretest-posttest design with a twomonth follow-up. The study population includes all-female high school students in Isfahan with social anxiety. 30 adolescents with social anxiety were selected by the purposive sampling method. To collect data from adolescent social anxiety questionnaires Lajerka’s Emotional expression of King and Emmons and Social Competence Zhu and Ji were used. The treatment was Psychodrama with 10 sessions of treatment and each session. Repeated measure analysis of variance was used to analyze the obtained data. The results showed that psychodrama is effective on the components of emotional expression. Also, psychodrama treatment is effective on all components of social competence and this result was confirmed. This effect on positive and sincere emotional expression and social competence has been stable in the follow-up period. Psychodrama should be considered as one of the appropriate psychotherapies for expressing emotion and promoting social competence of socially anxious students with adequate time setting by educational and psychological administrators and agents

Obsessive–Compulsive Disorder (OCD) is a common psychiatric ailment. Although Pharmacotherapy combined with psychotherapy (cognitive–behavioral therapy, exposure and response prevention therapy) are the mainstays of OCD treatment, still a lot of patients do not respond adequately to these treatments. One reason is that the above mentioned treatments do not focus on emotions, interpersonal relationships and intimacy that play important role in psychiatric ailments. The role of emotions in psychiatric ailments has been noticed by researchers in previous studies. Guilt feeling is a very important emotion that has always been considered in the etiology and treatment of OCD. Psychodrama is a form of group psychotherapy which emphasizes on emotions, catharsis and interpersonal relationships. Previous studies have shown the effectiveness of psychodrama in improving psychiatric conditions such as anxiety and mood disorders as well as excoriation (skin picking) as a comorbid disorder with OCD. The purpose of this study was to investigate the effectiveness of psychodrama on improvement of feeling of guilt in patients with obsessive–compulsive disorder.

This research was implemented via a quasi–experimental method with pretest–posttest design with contro group. Statistical population were all OCD patients referred to NikAvin psychology and counseling clinic in Isfahan, Iran. 24 OCD patients (16 females and eight males) who were diagnosed with OCD by a psychiatrist and according to the Maudsley Obsessive–Compulsive Inventory (MOCI), were selected by convenience sampling and randomly divided into equal–sized experimental and control groups (n=12). Data were collected before and after the intervention using Guilt Inventory (Asgari, 2009) extracted from revised version of Eysenck Personality Inventory (1985). The experimental group attended in 12 group sessions of psychodrama therapy. Three sessions were held each week for four weeks. The content of the treatment sessions in this study was created and designed by the first author of the article (Shirani) in 2020 in accordance with Moreno's therapeutic techniques and based on the manual of Karp et al. (2005). To evaluate the validity of the psychodrama package, the content validity index (CVI) and the opinion of five university experts were used and its value was 0.8 for all sessions, which indicates the desired CVI according to the cutting points of this index for the package. To analyze the data from descriptive statistics indicators (mean and standard deviation) and from inferential statistics including statistical method of analysis of covariance was used in SPSS software version 23 at a significance level of p<0.05.

The results showed that after eliminating the effect of pretest, a significant difference was observed in the variable score of feeling of guilt in the posttest between the experimental group and the control group (p<0.001).

It is cocluded that psychodrama therapy has a significant effect on reducing the feeling of guilt in OCD patients. Therefore, it is recommended that this treatment, along with medication or exposure and response prevention therapy be provided to help OCD patients.

Depression is one of the most common psychiatric disorders that will become the world's second largest by 2020. To compare the effects of psychodrama and cognitive group therapy and their combination on depression and purpose of seeking admission among patients with major depression. The study was a quasi-experimental study with pre-test and post-test and with control and experimental group. The statistical population of the study was major depressive patients (Razi and Lavasani Hospitals in Tehran). 40 patients were selected randomly and were randomly assigned into three groups. Twelve sessions of intervention were held according to the classical psycho-pacific protocol and Frei's cognitive therapy group. Beck Depression Inventory (2007) and Cohen Coaching Inventory Questionnaire (2012) were applied to them. In the analysis of data, one-variable covariance analysis and Tukey's post hoc test were used. There were significant differences between the three groups in depression scores and amortization intention (sig < 0.001). The findings showed that all three interventions were effective in decreasing the rate of depression and increasing the level of intention seeking, but cognitive group therapy was more effective in decreasing depression and psychodrama.

Children and adolescents with autism spectrum disorder are a group of children who suffer from odd and strange problems in the interpersonal relationship, social interaction with peer groups and others, verbal skills and daily living interests, and behaviors and movements. These problems can lead to several psychological and emotional disturbances in their family. Beside the rehabilitation, education and therapeutic interventions as well as art and music therapy, several investigations have shown that psychodrama or theatre therapy is a beneficial approach for the children with autism spectrum disorder associated with cognitive, perceptual and verbal function difficulties. The studies have shown that theatre therapy improves the symptoms of autism spectrum disorder in children. The present article discusses the importance of theatre and psychodrama in the treatment of children with autism spectrum disorder.