مقایسه اثربخشی درمان گروهی به روش متمرکز بر شفقت (CFT ) با درمان مبتنی بر پذیرش و تعهد (ACT) بر رضایتمندی زناشویی بیماران متاهل مولتیپل اسکلروزیس نوع عودکننده و بهبود یافته
محورهای موضوعی : روانشناسی زوجین
1 - گروه مشاوره، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران، hosainbp55@gmail.com
کلید واژه: بیماران متاهل, رضایتمندی زناشویی, درمان گروهی به روش متمرکز بر شفقت, درمان مبتنی بر پذیرش و تعهد, مولتیپل اسکلروزیس نوع عودکننده و بهبود یابنده,
چکیده مقاله :
چکیده مقدمه: هدف پژوهش حاضر مقایسه اثربخشی درمان گروهی به روش متمرکز بر شفقت (CFT ) با درمان مبتنی بر پذیرش و تعهد (ACT) بر رضایتمندی زناشویی بیماران متاهل مولتیپل اسکلروزیس نوع عودکننده و بهبود یابنده بود. روش پژوهش: پژوهش حاضر کاربردی و از نوع نیمه¬آزمایشی، به صورت پیش آزمون، پس آزمون، با گروه کنترل بود. جامعه آماري پژوهش شامل کلیه بیماران ام اس نوع عود کننده و بهبود یابنده¬ای هستند که در سال 1401 به مرکز جامع ام اس دانشگاه علوم پزشکی مشهد مراجعه کرده و دارای پرونده پزشکی می¬باشند. از میان جامعه آماری، با استفاده از روش نمونه¬گیری هدفمند و در دسترس و کسب یک انحراف استاندارد نمره پایین¬تر در پرسشنامه رضایت زناشویی انریچ در پیش¬آزمون 24 نفر از بیماران که دارای ملاک¬های ورود و خروج بودند، به عنوان انتخاب شده و به طور تصادفی در 3 گروه 8 نفری A، B و C جایگزین شدند که گروه A درمان گروهی به روش متمرکز بر شفقت، گروه B، درمان مبتنی بر پذیرش و تعهد را دریافت کردند و گروه C گروه کنترل بود که درمانی دریافت نکرد. به منظور تجزيه و تحليل داده¬های پژوهش از تحلیل واریانس با اندازه-گیری مکرر استفاده شد. یافته¬ها: نتایج نشان داد که بین میانگین هر دو درمان متمرکز بر شفقت و درمان مبتنی بر پذیرش و تعهد نسبت به گروه کنترل، تفاوت معناداری وجود دارد (01/0 >P). نتیجه¬گیری: نتایج نشان داد هر دو درمان، روش¬های موثری، در جهت افزایش رضایت زناشویی می¬باشند. لذا پیشنهاد می¬شود درمانگران و متخصصان زوج¬درمانی، این دو روش درمانی را به منزله رویکرد درمانی موثر در زمینه بهبود روابط زناشویی مدنظر قرار دهند.
Abstract Introduction: The primary aim of this study was to compare the effectiveness of group Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT) in marital satisfaction among married individuals with relapsing-remitting Multiple Sclerosis (RRMS). Research Methods: This study was an applied, quasi-experimental pre-test-post-test design with a control group. The population of the study included all patients with relapsing-remitting Multiple Sclerosis (RRMS) who referred to the Comprehensive MS Center of Mashhad University of Medical Sciences in 2023 and had a medical record. Using purposeful and convenience sampling, 24 patients who met the inclusion and exclusion criteria and had a one standard deviation lower score on the ENRICH Marital Satisfaction Questionnaire in the pre-test were selected from the population and randomly assigned to three groups of 8: Group A received group Compassion-Focused Therapy (CFT), Group B received Acceptance and Commitment Therapy (ACT), and Group C served as a control group and received no treatment. Repeated measures ANOVA was used to analyze the data. Findings: The results indicated that there was a significant difference between the mean scores of both Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT) groups compared to the control group (p < 0.01) Conclusion: The findings demonstrated that both therapeutic approaches, Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), were effective in enhancing marital satisfaction. Therefore, it is recommended that therapists and couples therapists consider these two therapeutic approaches as effective interventions for improving marital relationships. © 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
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