تاثیر روان‌درمانی کوتاه‌مدت راه‌حل‌محور بر تحمل پریشانی، سبک‌های تصمیم‌گیری و سازگاری اجتماعی در بیماران ام.اس شهر ساری
محورهای موضوعی : فصلنامه تعالی مشاوره و روان درمانی
فرهنگ فریدونی
1
(دانشجوی دکتری تخصصی روانشناسی دانشگاه آزاد اسلامی واحد بین الملل کیش.)
مهرداد ثابت
2
(دکتری تخصصی روانسنجی هیات علمی گروه روانشناسی دانشگاه آزاد اسلامی واحد رودهن، ایران)
کلید واژه: سازگاری اجتماعی, مالتیپل اسکلروزیس, سبک‌های تصمیم‌گیری, تحمل پریشانی, روان‌درمانی کوتاه‌مدت راه‌حل‌محور,
چکیده مقاله :
هدف: مالتیپل اسکلروزیس یا ام.اس باعث افت ویژگی‌های مثبت روانشناختی می‌شود و یکی از روش‌های درمانی در بهبود ویژگی‌های روانشناختی، روان‌درمانی کوتاه‌مدت راه‌حل‌محور است. در نتیجه، پژوهش حاضر با هدف تعیین تاثیر روان‌درمانی کوتاه‌مدت راه‌حل‌محور بر تحمل پریشانی، سبک‌های تصمیم‌گیری و سازگاری اجتماعی در بیماران ام.اس شهر ساری انجام شد.روش: مطالعه حاضر نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون همراه با گروه کنترل بود. جامعه پژوهش بیماران ام.اس عضو انجمن مالتیپل اسکلروزیس شهر ساری در سال 1399 بودند. تعداد 30 نفر از آنان با روش نمونه‌گیری تصادفی طبقه‌ای با رعایت نسبت جنسیت انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 15 نفر) گمارده شدند. گروه آزمایش 5 جلسه 40 دقیقه‌ای روان‌درمانی کوتاه‌مدت راه‌حل‌محور دریافت کرد و گروه کنترل آموزشی ندید. داده‌ها با استفاده از مقیاس تحمل پریشانی (سیمونز و گاهر، 2005)، پرسشنامه سبک‌های تصمیم‌گیری (اسکات و بروس، 1995) و پرسشنامه سازگاری اجتماعی (ویسمن و بوسول، 1976) گردآوری و با روش‌های تحلیل کوواریانس تک‌متغیری و چندمتغیری در نرم‌افزار SPSS-19 تحلیل شدند.یافته‌ها: یافته‌ها نشان داد که روان‌درمانی کوتاه‌مدت راه حل‌محور باعث ارتقای تحمل پریشانی، افزایش سبک تصمیم‌گیری عقلانی و کاهش سبک‌های تصمیم‌گیری شهودی، آنی، اجتنابی و وابستگی و بهبود سازگاری اجتماعی در بیماران ام.اس شد (01/0˂P).نتیجه‌گیری: نتایج نشان‌دهنده تاثیر روان‌درمانی کوتاه‌مدت راه‌حل‌محور بر بهبود تحمل پریشانی، سبک‌های تصمیم‌گیری و سازگاری اجتماعی در بیماران ام.اس بود. بنابراین، استفاده از این روش درمانی جهت بهبود ویژگی‌های روانشناختی به‌ویژه بهبود تحمل پریشانی، سبک‌های تصمیم‌گیری و سازگاری اجتماعی ضروری به نظر می‌رسد.
Purpose: Multiple sclerosis or MS causes a decrease in positive psychological characteristics, and one of the treatment methods to improve psychological characteristics is solution-focused brief psychotherapy. As a result, the present study was conducted with the aim of determine the effect of solution-focused brief psychotherapy on distress tolerance, decision-making styles and social adjustment in M.S patients of Sari city.Methodology: The present study was a semi-experimental with pre-test and post-test design with a control group. The research population was M.S patients of member of the Multiple Sclerosis Association of Sari city in 2020 year. Number of 30 people of them were selected by stratified random sampling with using gender ratio and randomly assigned to two experimental and control groups (15 people in each group). The experimental group received 5 sessions of 40 minutes the solution-focused brief psychotherapy and the control group did not receive any training. Data were collected with using the distress tolerance scale (Simons and Gaher, 2005), decision-making styles questionnaire (Scott and Bruce, 1995) and social adjustment questionnaire (Weissman and Bothwell, 1976) and were analyzed by univariate and multivariate analysis of covariance methods in SPSS-19 software.Findings: The results showed that solution-focused brief psychotherapy led to promoted distress tolerance, increased rational decision-making style and decreased intuitive, spontaneous, avoidant and dependent decision-making styles and improved social adjustment in M.S patients (P˂0.01).Conclusion: The results indicated the effect of solution-focused brief psychotherapy on improving distress tolerance, decision-making styles and social adjustment in M.S patients. Therefore, the use of this treatment method seems necessary to improve psychological characteristics, especially distress tolerance, decision-making styles and social adjustment.
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