Razi Journal of Medical Sciences

fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت خواب، امیدتحصیلی، اضطراب دانش آموزان با اختلال بازی اینترنتی با و بدون همبودی اختلال ADHD Effectiveness of Acceptance and Commitment Therapy on Sleep Quality, Academic Hope Anxiety Students' with Online Gambling Disorder with/ without Comorbidity of ADHD Disorder روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: استفاده زیاد از بازی‌های اینترنتی منجر به اعتیاد و اختلالات روانی می‌گردد، لذا هدف این پژوهش بررسی اثر بخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت خواب، امید تحصیلی، اضطراب در دانش آموزان با اختلال بازی اینترنتی با و بدون همبودی اختلال کم توجهی/ بیش فعالی بود. روش کار: پژوهش حاضر یک مطالعه نیمه آزمایشی با طرح پیش آزمون و پس آزمون و پیگیری با گروه کنترل بود. جامعه آماری، دانش آموزان با اختلال بازی اینترنتی در شهرستان خرم آباد بود. تعداد نمونه 28 نفر بود که به دو گروه تجربی و کنترل تقسیم شدند. برای اندازه گیری متغیرهای پژوهش از پرسشنامههای آزمون اختلال بازی اینترنتی-۲۰ (پونتز،2014)، ارزیابی سلامت روان کودکان و نوجوانان (اسپرافکین، لانی، یونیتات و گادو، 1994)، امید به تحصیل (خرمائی و کمری، 1396)، اضطراب (بک، 1988) و کیفیت خواب پترزبورگ (بویس و همکاران، 1989) و مداخله درمان مبتنی پدیرش و تعهد هیز استفاده شد. مداخله درمان مبتنی پدیرش و تعهد هیز طی 9 جلسه دو ساعته و هر هفته یک جلسه اجرا شد. یافته‌ها: نتایج نشان داد درمان مبتنی بر پذیرش و تعهد بر کیفیت خواب، امید تحصیلی، اضطراب در دانش آموزان با اختلال بازی اینترنتی با و بدون همبودی اختلال کم توجهی/ بیش فعالی تأثیر دارد. نتیجه‌گیری: با توجه به نتایج پژوهش حاضر، میتوان گفت آموزش درمانی مبتنی بر پذیرش و تعهد میتواند در کاهش نشانههای اختلال بازی اینترنتی و کاهش شدت اختلالات روانی مؤثر باشد. بنابراین با آموزش این مهارتهای درمان مبتنی بر پذیرش و تعهد میتوان گامی مؤثر در جهت درمان دانشآموزان دارای اختلال بازی اینترنتی با و بدون همبود با اختلال کم توجهی بیش فعالی برداشت. Background & Aims: Throughout human history, there have been structured games among all cultures. Playing can be enjoyable, fun, and relaxing and can be used as a way to escape from everyday life (1). In addition to being a fun pastime, gaming is a social activity in which people with common interests interact with each other. With the popularity of computers, tablets, and smartphones and the use of the Internet in recent years, playing online and offline games has become a common activity, especially for young people, and increasingly, as an important part of recreational activities (3). Numerous studies show that in parallel with the spread of the Internet, overuse of it can lead to problems such as addiction and dependence, so that even Internet addiction is defined as a 21st-century epidemic (4, 5).Online games are a type of Internet games that have become widespread due to increasing people's familiarity with the Internet, especially the youth, increasing the speed of the Internet, as well as the existence of high-speed and wireless connections (6). Addiction to online games is considered obsessive, extreme, uncontrollable, and physically and mentally destructive. Therefore, addiction to these games can be defined as: Extreme and impulsive use of online games, in a way that leads to social and emotional problems, and despite these problems, a person can not control his extreme use of the game Slowly Internet addiction is an impulse control disorder characterized by overuse of the Internet, which is associated with significant functional impairment, anxiety, depression, and other symptoms of psychiatric pathology (7). Internet addiction is sometimes associated with suicide, even after modulating potentially disturbing variables such as depression. Attention-Deficit/Hyperactivity Disorder (ADHD) is a developmental neurological disorder that has three main characteristics: Attention Deficit Hyperactivity Disorder, Hyperactivity Disorder, and Impulsivity. People with ADHD have abnormalities in parts of themselves (9). Some psychologists report about the related between depression, anxiety and symptoms of ADHD with Addiction to online games (10). Also relation is between internet addiction with d reducing of academic hope and sleep quality (20, 21). Acceptance and Commitment Therapy: This follows a pattern of health, not illness, and assumes that human psychological problems are related to unhappiness and emotional disorders caused by language, thus helping human beings cope with Cognitive and emotional problems mainly work on language (26). The effectiveness of treatment based on acceptance and commitment on sleep quality, academic hope and anxiety in students with internet game disorder, with and without comorbidity of ADHD in Khorramabad in 2020 became necessary. Methods: The statistical population was students with internet game disorder in Khorramabad city. The sample size was 42 people (14 people for each of the experimental and control groups) so that each group consisted of an equal number of students with internet game disorder with and without comorbidity of attention-deficit/hyperactivity disorder. Therapeutic intervention sessions were performed in 9 sessions of two hours and one session per week. To measure the research variables, questionnaires of Internet Gambling Disorder -20 test, mental health assessment of children and adolescents aged 6 to 14 years (CSI-4), Petersburg quality of sleep (PSQI), academic hope scale (date and waist), and Beck anxiety (1988) and an acceptance and commitment-based treatment package were used. Data analysis was performed using analysis of covariance in SPSS22 and Smart PLS. Results: The results show that the univariate test is significant for each of the dependent variables in both post-test and follow-up stages (P <0.01). Also, the univariate test is significant only for dependent variables of academic achievement (P <0.05). And is not significant for other variables (P <0.05). Conclusion: The effectiveness of acceptance and commitment-based therapy on sleep quality, academic hope and anxiety of students with internet gambling disorder has an effect and this effect persists over time. In explaining the present study, it can be said that the results of this study are consistent with the mentioned studies, meaning that the ACT treatment approach has an effect on the dependent variables and this effectiveness has continued and shows that the treatment is based It is an effective treatment approach for acceptance and commitment for different types of behavioral, psychological, mental, mood disorders, etc. Obviously, it is moderated by the individual's relationship to these experiences. Therefore, these people are taught that to the extent that they can accept and tolerate their experiences, they can act independently of the experiences. According to the results of the present study, it can be said that acceptance and commitment-based therapeutic education can reduce the symptoms of Internet gambling disorder and reduce the severity of dependence and thus the desire for treatment in a positive way. , Be effective. Therefore, by teaching these ACT skills, an effective step can be taken to treat students with internet game disorder with and without co-occurrence with ADHD. Acceptance and commitment therapy affect the quality of sleep and this effect persists over time. In the explanation of the present study, it should be said that according to Table 4-12, the treatment based on acceptance and commitment on the quality of sleep of students with internet game disorder is effective and this effectiveness has continued in a one-month follow-up period. Explaining the results of the present study, it should be said that the therapeutic approach based on acceptance and commitment of ACT is effective on students' academic achievement with internet gambling disorder and this effectiveness has continued in a one-month follow-up period. Acceptance and commitment therapy has an effect on anxiety and this effect has persisted over time. According to the results of the present study, it can be said that therapeutic training based on acceptance and commitment can be effective in reducing the symptoms of internet gaming disorder and reducing the severity of mental disorders. Therefore, by teaching these treatment skills based on acceptance and commitment, an effective step can be taken in the direction of treating students with internet gaming disorder with and without comorbidity with attention deficit hyperactivity disorder. درمان مبتنی بر پذیرش و تعهد, اختلال اینترنتی, اختلال کم توجهی/ بیش فعالی, کیفیت خواب, اضطراب Acceptance and Commitment Therapy, Internet Disorder, Attention-Deficit/Hyperactivity Disorder, Sleep Quality, Anxiety 146 157 http://rjms.iums.ac.ir/browse.php?a_code=A-10-6426-1&slc_lang=fa&sid=1 Hojatollah Najafi Khorramabad حجت اله نجفی خرم آباد 3900319475328460070994 3900319475328460070994 No PhD Student in Psychology, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran دانشجوی دکترای روانشناسی، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران Hamdollah Jaervand حمدله جایروند Hamj6137@gmail.com 3900319475328460070995 3900319475328460070995 Yes Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran استادیار، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران Fatemah Sadat Marashian فاطمه سادات مرعشیان 3900319475328460070996 3900319475328460070996 No Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran استادیار، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران