مقایسه اثربخشی درمان شناختی-رفتاری با کوچینگ شناختی-رفتاری بر افکار خودآیند منفی زنان قربانی خشونت خانگی
محورهای موضوعی : روانشناسی زوجین
سمیرا حسینی راد
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مجید صفاری نیا
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الهه صادقی
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1 - کارشناس ارشد روانشناسی عمومی، گروه روانشناسی، دانشکده علوم انسانی، موسسه آموزش عالی غیرانتفاعی آیندگان، مازندران، ایران.
2 - (نویسنده مسئول)، استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران m.saffarinia@yahoo.com Tel: 09124931710
3 - استادیار، گروه روانشناسی، دانشکده علوم انسانی، موسسه آموزش عالی غیرانتفاعی آیندگان، مازندران، ایران، sadeghi@aihe.ac.ir
کلید واژه: افکار خودآیند منفی, خشونت خانگی, درمان شناختی-رفتاری, کوچینگ شناختی-رفتاری,
چکیده مقاله :
مقدمه: خشونت خانگی نوع خاصی از خشونت است که در سطح خانواده اعمال و منجر به آسیب یا رنج جسمی، روانی و جنسی در زنان میشود. هدف از پژوهش حاضر بررسی مقایسه اثربخشی درمان شناختی-رفتاری با کوچینگ شناختی-رفتاری بر افکار خودآیند منفی زنان قربانی خشونت خانگی بود.
روش پژوهش: روش پژوهش نیمه آزمایشی با طرح پیش آزمون، پسآزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. در این پژوهش جامعه آماری کلیه زنان قربانی خشونت خانگی شهر تهران در سال 1401 بودند. در مرحله اول با استفاده از روش نمونه‌گیری در دسترس تعداد 75 نفر انتخاب و سپس به شیوه تصادفی ساده در 2 گروه آزمایش(هر گروه 25 نفر) و یک گروه کنترل(25 نفر) جایگزین شدند. سپس گروه آزمایش اول تحت درمان شناختی-رفتاری و گروه آزمایش دوم تحت درمان کوچینگ قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخلهای دریافت نکرد و در لیست انتظار باقی ماند. از پرسشنامه همسرآزاری قهاری و پرسشنامه افکار خودآیند منفی هولون و کندال به منظور گردآوری اطلاعات استفاده شد. تجزیه و تحلیل اطلاعات به‌دست‌آمده از اجرای پرسشنامهها از طریق نرمافزار SPSS نسخه 28 در دو بخش توصیفی و استنباطی (تحلیل واریانس با اندازهگیری مکرر و آزمون تعقیبی بنفرونی) انجام پذیرفت.
یافته ها: یافتهها نشان داد هر دو مداخله مذکور در مرحله پسآزمون و پیگیری نسبت به گروه کنترل اثربخشی معناداری بر افکار خودآیند منفی زنان قربانی خشونت خانگی داشته است (05/0>P) و درمان شناختی-رفتاری اثربخشی بیشتری نسبت به کوچینگ شناختی-رفتاری بر افکار خودآیند منفی زنان قربانی خشونت خانگی دارد(05/0>P).
نتیجهگیری: بر اساس نتایج پژوهش حاضر، میتوان گفت که درمان شناختی-رفتاری و کوچینگ شناختی-رفتاری میتوانند به عنوان شیوههای درمانی مناسب برای افکار خودآیند منفی زنان قربانی خشونت خانگی به کار برده شوند و تقدم استفاده با درمان شناختی-رفتاری است.
Introduction: Domestic violence is a special type of violence that is applied at the family level and leads to physical, mental and sexual harm or suffering in women. The purpose of this study was to comparison of effectiveness of cognitive-behavioral therapy with cognitive-behavioral coaching on negative automatic thoughts of women victims of domestic violence.
Methods: This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up 2 month. In this research, the statistical population was all women who were victims of domestic violence (by their husbands) who referred to counseling centers and psychological services in Tehran in year 2022. In the first stage, using convenience sampling method, 75 people were selected and then randomly divided into 2 experimental groups (each group 25 people) and one control group (25 people) were replaced and experimental groups underwent cognitive-behavioral therapy and cognitive-behavioral coaching, but the control group received no training and remained in the waiting list. To collect data wife abuse questionnair (WAQ) of Ghahari and et al and psychological well-being scale (PWBS) of Ryff. Data analysis was performed using SPSS-28 software in two sections: descriptive and inferential (analysis of variance with repeated measures and Bonferroni).
Results: The results of the study showed that of cognitive-behavioral therapy and cognitive-behavioral coaching in post-test and follow up had a significant effect on negative automatic thoughts of women victims of domestic violence (P<0.05) and cognitive-behavioral coaching is more effective in negative automatic thoughts of women victims of domestic violence (P<0.05).
1. Bean RC, Ledermann T, Higginbotham BJ, Galliher RV. Associations between relationship maintenance behaviors and marital stability in remarriages. Journal of divorce & remarriage. 2020; 61(1): 62-82. https://doi.org/10.1080/10502556.2019.1619385
2. Vowels LM, Mark K P. Partners’ Daily Love and Desire as Predictors of Engagement in and Enjoyment of Sexual Activity. Journal of Sex & Marital Therapy, 2020; 1(1): 1-13. https://doi.org/10.1080/0092623X.2019.1711274
3. Dinmohaamadpour M, Tavanaei S, Kabiri E, Hajiyousefi E, Beki Ardekani E, Mohebian M. The Effectiveness of Systemic Family Therapy on Marital Conflicts and Marital Burnout of Couples. Iranian Evolutionary Educational Psychology Journal, 2024; 6(2): 157-169. http://ieepj.hormozgan.ac.ir/article-1-861-en.html
4. Kim B, Royle M. Domestic violence in the context of the COVID-19 pandemic: a synthesis of systematic reviews. Trauma, Violence, & Abuse, 2024; 25(1): 476-493. https://doi.org/10.1177/15248380231155530
5. MacRae A, Kertesz M, Gavron T. Therapeutic interventions with women and children in domestic violence shelters: A systematic scoping review. Children and Youth Services Review, 2024; 1(1): 1-10. https://cris.haifa.ac.il/en/publications/therapeutic-interventions-with-women-and-children-in-domestic-vio
6. Ojha M, Babbar K. Power to choose? Examining the link between contraceptive use decision and domestic violence. Economics & Human Biology, 2024; 55(1): 1-10. https://doi.org/10.1016/j.ehb.2024.101416
7. Postmus JL, Hoge GL, Breckenridge J, Sharp-Jeffs N, Chung D. Economic abuse as an invisible form of domestic violence: A multicounty review. Trauma, Violence, & Abuse, 2020; 21(2): 261-283. https://doi.org/10.1177/1524838018764160
8. Chernet AG, Cherie KT.. Prevalence of intimate partner violence against women and associated factors in Ethiopia. BMC women's health, 2020; 20(1): 1-7. https://doi.org/10.1186/s12905-020-0892-1
9. Amaral S, Dahl GB, Endl-Geyer V, Hener T, Rainer H. Deterrence or backlash? Arrests and the dynamics of domestic violence. 2023; 1-49. https://www.nber.org/system/files/working_papers/w30855/w30855.pdf
10. Stokes CM, Alonso J, Andrade LH, Atwoli L, Cardoso G, Chiu WT, Dinolova RV, Gureje O, Karam AN, Karam EG, Kessler RC. Pre-marital predictors of marital violence in the WHO World Mental Health (WMH) Surveys. Social psychiatry and psychiatric epidemiology. 2020; 55(1): 393-405. https://doi.org/10.1007/s00127-019-01703-z
11. Ali P, McGarry J, Bradbury-Jones C. Domestic Violence and Abuse: Theoretical Explanation and Perspectives. In Domestic Violence in Health Contexts: A Guide for Healthcare Professions (pp. 17-33). Springer, Cham. 2022. https://doi.org/10.1007/978-3-030-29361-1_2
12. Bilgin Z, Karaca S, Pasinlioğlu T. Investigation of relationship with automatic thoughts and the status of women's exposure to violence by adolescents children Kadınların ergen çocukları tarafından şiddete maruz bırakılma durumu ve otomatik düşünceler ile ilişkisinin incelenmesi. Journal of Human Sciences, 2014; 11(1): 965-978. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/2679
13. Buschmann T, Horn RA, Blankenship VR, Garcia YE, Bohan, KB. The relationship between automatic thoughts and irrational beliefs predicting anxiety and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 2018; 36(1): 137-162. https://link.springer.com/article/10.1007/s10942-017-0278-y
14. Yu M, Lv F, Liu Z, Gao D. How negative automatic thoughts trigger Chinese adolescents’ social anxiety: The mediation effect of meta-worry. Current Psychology, 2022; 1(1): 1-10. http://dx.doi.org/10.1007/s12144-022-03229-1
15. Beck AT, Brown G, Steer RA, Eidelson JI, Riskind JH. Differentiating anxiety and depression: a test of the cognitive content-specificity hypothesis. Journal of Abnormal Psychology, 1987; 96(3): 179-183. https://doi.org/10.1037//0021-843x.96.3.179
16. Zhang R, Xie R, Ding W, Wang X, Song S, Li W. Why is my world so dark? Effects of child physical and emotional abuse on child depression: The mediating role of self-compassion and negative automatic thoughts. Child Abuse & Neglect, 2022; 129(1): 1-10. https://doi.org/10.1016/j.chiabu.2022.105677
17. Bakker AB, Van Der Zee KI, Lewig KA, Dollard MF. The relationship between the big five personality factors and burnout: A study among volunteer counselors. The Journal of Social Psychology, 2006; 146(1): 31-50. https://doi.org/10.3200/socp.146.1.31-50
18. Tanaka M, Wekerle C, Schmuck, ML, Paglia-Boak A, MAP Research Team. The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child abuse & neglect, 2011; 35(10): 887-898. https://doi.org/10.1016/j.chiabu.2011.07.003
19. Hultmann O, Broberg AG, Axberg U. A randomized controlled study of trauma-focused cognitive behavioural therapy compared to enhanced treatment as usual with patients in child mental health care traumatized from family violence. Children and Youth Services Review, 2023; 144(2): 1-10. https://doi.org/10.1016/j.childyouth.2022.106716
20. Furukawa Y, Sakata M, Yamamoto R, Nakajima S, Kikuchi S, Inoue M, Perlis M. Components and delivery formats of cognitive behavioral therapy for chronic insomnia in adults: a systematic review and component network meta-analysis. JAMA psychiatry, 2024; 1(1): 1-10. https://doi.org/10.1001/jamapsychiatry.2023.5060
21. Johnco CJ, Zagic D, Rapee RM, Kangas M, Wuthrich VM. Long-term remission and relapse of anxiety and depression in older adults after Cognitive Behavioural Therapy (CBT): A 10-year follow-up of a randomised controlled trial. Journal of Affective Disorders, 2024; 358(1): 440-448. https://doi.org/10.1016/j.jad.2024.05.033
22. Marcotte-Beaumier G, Bouchard S, Gosselin P, Langlois F, Belleville G, Marchand A, Dugas MJ. The Role of Intolerance of Uncertainty and Working Alliance in the Outcome of Cognitive Behavioral Therapy for Generalized Anxiety Disorder Delivered by Videoconference: Mediation Analysis. JMIR Mental Health, 2021; 8(3): 25-36. https://doi.org/10.2196/24541
23. Mayhami K, Moradi O, Dadgar M, Ezatpour EE. Investigation of the educational effectiveness of the cognitive-behavioral approach (CBT) coupled with relaxation on migraine pain. Shenakht Journal of Psychology and Psychiatry 2019; 6 (2): 27-37. http://dx.doi.org/10.29252/shenakht.6.2.27
24. Kaplan V, Düken ME, Kaya R, Almazan J. Investigating the effects of cognitive-behavioral-therapy-based psychoeducation program on university students’ automatic thoughts, perceived stress, and self-efficacy levels. Journal of Research and Health, 2023; 13(2): 87-98. http://dx.doi.org/10.32598/JRH.13.2.2125.1
25. Demir S, Ercan F. The effectiveness of cognitive behavioral therapy‐based group counseling on depressive symptomatology, anxiety levels, automatic thoughts, and coping ways among Turkish nursing students: A randomized controlled trial. Perspectives in Psychiatric Care, 2022; 58(4): 2394-2406. https://onlinelibrary.wiley.com/doi/abs/10.1111/ppc.13073
26. Lungu A, Boone MS, Chen SY, Chen CE, Walser RD. Effectiveness of a cognitive behavioral coaching program delivered via video in real-world settings. Telemedicine and e-Health, 2021; 27(1): 47-54. https://doi.org/10.1089/tmj.2019.0313
27. Tomoiagă C, David O. Is cognitive-behavioral coaching an empirically supported approach to coaching? A meta-analysis to investigate its outcomes and moderators. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 2023; 41(2): 489-510. https://doi.org/10.1007/s10942-023-00498-y
28. Neenan M. From cognitive behavior therapy (CBT) to cognitive behavior coaching (CBC). Journal of Rational-Emotive & Cognitive-Behavior Therapy, 2008; 26(1): 3-15. https://doi.org/10.1007/s10942-007-0073-2
29. Jones JK, Turner MJ, Barker JB. The effects of a cognitive–behavioral stress intervention on the motivation and psychological well-being of senior UK police personnel. International Journal of Stress Management. 2021; 28(1): 46-56. https://psycnet.apa.org/doi/10.1037/str0000218
30. Ringin L, Robinson M, Greville H, Papertalk L, Thompson S. Men against Violence: Engaging men and boys in prevention of family violence. Health Promotion Journal of Australia, 2021; 32(2): 322-325. https://doi.org/10.1002/hpja.343
31. Peterman A, Potts A, O'Donnell M, Thompson K, Shah N, Oertelt-Prigione S, Van Gelder N. Pandemics and violence against women and children (Vol. 528). Washington, DC: Center for Global Development. 2020. https://www.cgdev.org/sites/default/files/pandemics-and-vawg-april2.pdf
32. Lowenstein A, Naim SP. Coping with Elder Abuse in Israel: The Multi-systemic Model. In International Handbook of Elder Abuse and Mistreatment (pp. 335-347). Springer, Singapore. 2020. https://doi.org/10.1007/978-981-13-8610-7_19
33. Valido S, Do Carmo Caldeira E, Mendes F. Burnout Among Formal Caregivers and Risk of Violence Against Institutionalized Elderly. In Handbook of Research on Health Systems and Organizations for an Aging Society (pp. 247-262). IGI Global. 2020. https://dspace.uevora.pt/rdpc/bitstream/10174/33286/1/Burnout%20Among%20Formal%20Caregivers%20and%20Risk%20of%20Violence.pdf
34. McIlwaine C, Evans Y. Urban Violence against Women and Girls (VAWG) in transnational perspective: reflections from Brazilian women in London. International Development Planning Review, 2020; 42(1): 93-112. https://doi.org/10.3828/idpr.2018.31
35. Porzoor P, Abbasi M, Shojaei A. The Effectiveness of Spiritual Intervention on Personal and Social Resiliency of Women Victims of Domestic Violence. Journal of Clinical Psychology, 2018; 10(2): 95-105. https://doi.org/10.22075/jcp.2018.12744.1250
36. Ghahari S, Âtefvahid M, Yousefi H. The prevalence of Spouse Abuse among Married Students of Islamic Azad University of Tonekabon in 1383. J Mazandaran Univ Med Sci 2006; 15 (50): 83-89. http://jmums.mazums.ac.ir/article-1-717-fa.html
37. Sotode Navarodi S, ZainAli S, Khasteganan N. The relationship between spousal abuse, social support, and perceived stress in women with addicted and non-addicted husbands in Rasht. Jame Nagar Nursing and Midwifery, 2011; 22(68), 25-32. https://www.sid.ir/journal/285/fa
38. Karami H, Khakbaz H, Sohrabi F, Barati-Sedeh F, Farhadi M H. Effectiveness of Cognitive-Behavioral Group Therapy for Anger Management in Reducing Wife Abuse and Increasing Marital Satisfaction in Patients with Substance Abuse. jrehab 2014; 14 (1): 91-99. http://rehabilitationj.uswr.ac.ir/article-1-1465-fa.html
39. Panaghi L, Pirozi D, Maleki G, Shirin Bayan M, Bagheri F. A Study on the Relationship between Romantic Attachment Styles. Journal of Family Research, 2012; 8(1): 19-31. https://jfr.sbu.ac.ir/article_96085_f2b18214c29d99136b47ced9bac4e1f2.pdf?lang=en
40. Hollon S, Kendall P. Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 1980; 4(4): 383–395. https://doi.org/10.1007/BF01178214
41. BaBamiri M, Vatankhah M, Masumi Jahandizi H, Nemati M, Darvishi M. The Relationship between Coping Styles, Negative Automatic Thoughts, and Hope with Happiness in Addicts of Ahvaz Drug Abuse Rehabilitation Clinics in 2011. J Adv Med Biomed Res 2013; 21 (84): 82-91. https://journal.zums.ac.ir/article-1-2075-fa.html
42. Rana M, Sthapit S, Sharma VD. Assessment of Automatic Thoughts in Patients with Depressive Illness at a Tertiary Hospital in Nepal. JNMA; Journal of the Nepal Medical Association, 2017; 56(206): 248-258. https://pubmed.ncbi.nlm.nih.gov/28746324/
43. Popa CO, Rus AV, Lee WC, Cojocaru C, Schenk A, Văcăraș V, Bredicean C. The Relation between Negative Automatic Thoughts and Psychological Inflexibility in Schizophrenia. Journal of Clinical Medicine, 2022; 11(3): 871-888. https://doi.org/10.3390/jcm11030871
44. Kendall PC. Child and adolescent therapy: Cognitive-behavioral procedures. Guilford Press. 2011. https://books.google.com/books?
45. Neenan M, Palmer S, editors. Cognitive behavioral coaching in practice: An evidence-based approach. Routledge; 2021. https://www.routledge.com
46. Torabi A A, Afrooz, G A, Hassani, F, Golshani, F. Designing a Family-Centered Behavioral Management Program (FBMP) and Evaluating its Effectiveness in Marital Satisfaction of Parents of Children with ADHD. Quarterly Journal of Family and Research, 2021; 18 (3): 25-42. (In Persian) http://dorl.net/dor/20.1001.1.26766728.1400.18.3.2.5
47. Kazemi Khoban S, Poursharifi H, Kakavand A, Xian Bagheri M. The effectiveness of the revised protocol of trauma-focused cognitive-behavioral therapy (TF-CBT) on the quality of life and psychological distress in female victims of domestic violence. Armaghanj, 2022; 9(2): 62-75. file:///C:/Users/saeed%20veisi/Downloads/10005214010205.pdf
48. Şahin H, Türk F. The impact of cognitive-behavioral group psycho-education program on psychological resilience, irrational beliefs, and well-being. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 2021; 39(4): 672-694. https://doi.org/10.1007/s10942-021-00392-5
49. Kranke D, Weiss EL, Gin J, Der-Martirosian C, Brown C, Saia JL, Dobalian, AA. A “culture of compassionate bad asses”: A qualitative study of combat veterans engaging in peer-led disaster relief and utilizing cognitive restructuring to mitigate mental health stigma. Best Practices in Mental Health, 2017; 13(1): 20-33. https://www.ingentaconnect.com/content/follmer/bpmh/2017/00000013/00000001/art00004
50. Fisher HM, Taub CJ, Lechner SC, Heller AS, Lee, D J, Antoni, M H. Does the Broaden-and-Build Theory Explain Reduction in Social Disruption After a Brief Relaxation Intervention for Women With Breast Cancer Undergoing Treatment?. Behavior therapy, 2022; 53(5): 995-1008. https://doi.org/10.1016/j.beth.2022.04.002