اثربخشی مداخله مبتنی بر شفقت بر نگرانی و نشخوارفکری مصرف‌کنندگان مت‌آمفتامین در شهر کرمانشاه

محورهای موضوعی : تربیتی

زینب السادات حسینی ¹ (دانشجوی دکتری روانشناسی عمومی، واحد ایلام، دانشگاه ازاد اسلامی، ایلام، ایران.)
وحید احمدی ² (استادیار، گروه روانشناسی، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران.)
شهرام مامی ³ (استادیار، گروه روانشناسی، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران.)

تاریخ دریافت : 1398/12/12 تاریخ پذیرش : 1399/06/18 تاریخ انتشار : 1401/09/01

کلید واژه: مداخله مبتنی بر شفقت, مت‌آمفتامین, نگرانی, نشخوار فکری,

چکیده مقاله :

این پژوهش با هدف بررسی اثربخشی مداخله مبتنی بر شفقت بر نگرانی و نشخوار فکری مصرف کنندگان مت آمفتامین انجام شد. روش این پژوهش، نیمه آزمایشی از نوع پیش آزمون-پس‌آزمون همراه با گروه کنترل بود. جامعه آماری این پژوهش شامل همه معتادان مرد مصرف کننده مت آمفتامین مراجعه کننده به مراکز و کمپ های ترک اعتیاد شهر کرمانشاه در سال 1398 بودند. تعداد 30 نفر از این افراد به روش نمونه گیری هدفمند انتخاب و به صورت تصادفی در دو گروه آزمایش (15نفر) و گروه کنترل (15نفر) گمارده شدند. افراد گروه آزمایش، مداخله مبتنی بر شفقت را هفته‌ای یک بار در 8 جلسه 90 دقیقه‌ای به صورت گروهی، دریافت کردند. ابزرهای سنجش شامل پرسشنامه نگرانی (Borkovec Molin & Borkovoec, 1994) و پرسشنامه نشخوار فکری (Nolen-Hoeksema& Morrow, 1991) بود. یافته های حاصل از آزمون تحلیل کوواریانس چندمتغیره نشان داد که مداخله متمرکز بر شفقت بر کاهش نگرانی و نشخوار فکری، تأثیر معناداری داشت (001/0>p). با توجه به پیامدهای روان شناختی منفی مصرف مواد محرک و آسیب های روانی و جسمی همبودی که می توانند سلامت فرد معتاد و جامعه را به خطر بیندازند، لازم است تا در مراکز ترک اعتیاد با ارائه مداخلات روان شناختی کارآمد مانند مداخله مبتنی بر شفقت به کاهش نگرانی و نشخوارفکری این افراد توجه ویژه ای داشت.

چکیده انگلیسی:

This research was aimed to investigating the effectiveness of self- compassion therapy on worry and rumination among methamphetamine abusers. The research is a semi-experimental one with pretest-posttest design and control group. The research population includes all the male addicted consumers of methamphetamine who referred  to addiction treatment clinics in Kermanshah in year 2019. 30 people selected in the form of voluntary purposive method, were selected and randomly assigned to experimental and control groups each of which included 15people. The subjects of the experimental group received the self- compassion therapy program during eight 90-min sessions. Research assessment tools included Penn State Worry Questionnaire (Molina & Borkovec, 1994) and Cognitive Avoidance Questionnaire (Nolen-Hoeksema & Morrow, 1991). The results of the multivariate analysis of covariance showed that self- compassion therapy was significant effectived on reducing worry and rumination (p< 0/001). Based on the the negative psychological consequences of the use of stimulants and the accompanying psychological and physical harms that can endanger the health of the addict and society, it is necessary attention to provide effective psychological interventions in addiction treatment centers such as self- compassion therapy to reduceing worry and rumination.

منابع و مأخذ:

Adhami, M., Rayyani, A., Moosazadeh, M., Ehsani, H., & Zamanzadeh, M. (2018). Evaluation of oral and dental health in patients with history of drug abuse attending drug treatment centers in sari, iran. Journal Mazandaran University Medical Science, 28(161): 45-53 [Persian].

Ahmadpour Dizaji, J., Zahrakar, K., & Kiamanesh, A. (2017). Comparative efficacy of compassion _focused therapy  and well_being therapy on psychological capital in female college students with romantic failure. Scientific Research Quarterly of Woman and Culture, 9(31): 7-21 [Persian].

Amin Esmaeili, M., Rahimi Movaghar, A., Sharifi, V., Hajebi, A., Radgoodarzi, R., Mojtabai. R., & et al. (2016). Epidemiology of illicit drug use disorders in Iran: prevalence, correlates, comorbidity and service utilization results from the Iranian Mental Health Survey. Journal of Addiction, 11(1): 1836-1847 [Persian].

Amini, A., & Shariatmadar, A. (2018). The effectiveness of group dialectic behavioral therapy on catastrophizing & ruminations of mothers with mental retarded children. Counseling Culture and Psycotherapy Journal, 9(34): 171-190 [Persian].

Ansarizadeh, M., Javaheri, M. H., & Moiniyan, D. (2018). Comparison of group cognitive-behavioral therapy, medicinal therapy, and placebo in reduceing anxiety in substance abuseers. Journal of Addiction, 11(44): 59-74 [Persian].

Babaei, K., Issazadegan, A., Pirnabikhah, N., & Tajoddini, E. (2016). On the role of brain-behavioral systems, novelty seeking, reward dependency, and pathological worry in predicting addiction tendency. Journal of Addiction, 10(37): 259-275 [Persian].

Bagherinezhad, M., Salehi Fadardi, J., & Tabatabayi, S. M. (2010). The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling, 11(1): 21-38 [Persian].

Bashar, M., Sardaripoor, M.,  & Ghomri, M. (2017). The effectiveness of mindfulness-based cognitive

 

therapy on early maladaptive psychotic structures and reducing negative emotions in depressed patients. Third International Conference on New Horizons in Educational Sciences, Psychology and Social Injuries in Iran, Tehran [Persian].

Borkovec, T., & Inz, J. (1990). The nature of worry in generalized anxiety disorder: A predominance of thought activity. Journal of Behaviour Research and Therapy, 28(2):153-158.

Dashtbozorgi, Z. (2018). Effectiveness of self- compassion therapy on loneliness and emotion regulation of damaged women from marital infidelity. Knowledge & Research in Applied Psychology, 18(4): 72-79 [Persian].

Dehshiri, G., Golzari, M., Borjali, A., & Sohrabi, F. (2009). Psychometrics particularity of farsi version of pennsylvania state worry questionnaire for college students. Journal of Clinical Psychology, 1(4): 67-75 [Persian].

Fatolaahzadeh, N., Majlesi, Z., Mazaheri, Z., Rostami, M., & Navabinejad, S. (2017). The effectiveness of compassion-focused therapy with internalized shame and self-criticism on emotionally abused women. Journal of Psychological Studies, 13(2): 151-168 [Persian].

Ghanavati, S., Bahrami, F., Godarzi, K., & Rouzbahani, M. (2018). Effectiveness of compassion-based therapy on rumination and concern of women with breast cancer. Quarterly Journal of Health Psychology, 7(27): 152-168 [Persian].

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1): 6-41.

Hadian, S., & Jabalameli, S. (2019). The effectiveness of  copassion-focused therapy on rumination of the students with sleep disorders. The Studies in Medical Sciences Journal, 30(2): 86-96 [Persian].

Heidarian, A., Zahrakar, K., & Mohsenzade, F. (2016). The effectiveness of mindfulness training on reducing rumination and enhancing resilience in female patients with breast cancer: A randomized trial. Iranian Journal of Breast Diseases, 9(2): 52-59 [Persian].

Holdaway, A. S., Luebbe, A. M., & Becker, S. P. (2018). Rumination in relation to suicide risk, ideation, and attempts: Exacerbation by poor sleep quality?. Journal of affective disorders, 23(6): 6-13.

Irons, C., & Lad, S. (2017). Using compassion focused therapy to Work with shame and self-criticism in complex trauma. Australion Clinical Psychologist Journal, 3(1): 47-54.aaaa

Jahangiri ,M .M. G. S. M., Golmohemdian, M., & Hojat Khah, M. (2019). Effectiveness of acceptance and commitment therapy in rumination and psychosocial flexibility in methadone-treated addicts. Journal of Addiction, 12(48): 169-184 [Persian].

Jangi, P., Ramak, N., & Sangani, A. (2019). Comparative study of self-destructive behaviors, irrational beliefs, and emotional distress tolerance in wto male groups of recovering from addiction to narcotics and stimulants. Scientific Journal of Forensic Medicine, 25(1): 17-22 [Persian].

Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Journal of Psychology Medical, 45(5): 927-945.

Moberly, N. J., & Dickson, J. M. (2016). Rumination on personal goals: Unique contributions of organismic and cybernetic factors. Personality and Individual Differences, 99(16): 352-357.

Molina, S., & Borkovec, T.D. (1994). The Penn State Worry Questionnaire: Psychometric properties and associated characteristic. Journal of Nervous and Mental Disease, 185(5): 314-319.

Neff, K. D. (2016). The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Journal of Mindfulness, 7(1): 264-274.

Neff, K. D. (2019). Setting the record straight about the Self-Compassion Scale. Journal of Mindfulness, 10(1): 200-202.

 Nolen, S., & Morrow, J. (1991). A preospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 loma prietaearthquake, Journal of Personality and Social Psychology, 6(1): 115-121.

 Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1): 115-121.

Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed \ mood following loss. Journal of personality and social psychology, 67(1): 92-104.

Nuori, H. R., & Naghavi, M. (2018). Investigating the effectiveness of ompassionate mind training in the adjustment of early maladaptive schemas in opiate addicts under methadone maintenance treatment. Research on Addiction, 11(44): 187-208 [Persian].

Phelps, C. L., Paniagua, S. M., Willcockson, I. U., & Potter, J. S. (2018). The relationship between self-compassion and the risk for substance use disor­der. Drug and Alcohol Dependence, 18(3): 78-81.

Pirnia, B., Rezayi, A., & Rahimian Bogar, E. (2016). On the effectiveness of well-being therapy in mental health, psychopathology, and happiness in methamphetamine-dependent men. Journal of Addiction, 10(37): 227-240 [Persian].

Raines, A. M., Vidaurri, D. N., Portero, A. K., & Schmidt, N. B. (2017). Associations between rumination and obsessivecompulsive symptom dimensions. Personality and Individual Differences Journal, 113(9): 63-67.

Ranjbari, T., Hafezi, E., Mohamadi, A., Ranjbar Shirazi, F., & Ghafari, F. (2018). Comparison of the anxiety, worry and intolerance of uncertainty among individuals with obsessive-compulsive and substance use disorders. Journal of Research in Psychological Health, 12(1): 75-88 [Persian].

Rosenthal, M. D., Kamel, A. Y., Rosenthal, C. M., Brakenridge, S., Croft, C. A., & Moore, F. A. (2018). Chronic critical illness: application of what we know. Journal of Nutrition in Clinical Practice, 33(1): 39-45.

Ros-Morente, A., Mora, C. A., Nadal, C. T., Belled, A. B., & Berenguer, N. J. (2017). An examination of trelationship between emotional intelligence, positive affect and character strengths and virtues. Journal of Analesde Psicología /Annals of Psycholog, 34(1): 63-67.

Sadock, B., &  Sadock. V. A. (2016). Synapses of psychiatry. Philadelphia: Lippincott the William and Willkins.

Salimi, A., Arsalandeh, F., Zahrakar, K., Davarniya, R., & Shakarami, M. (2018). The effectiveness of compassion-focused therapy on mental health of women with multiple sclerosis. Horizon Medical Science, 24(2): 125-131[Persian].

Shiralinia,, K., Cheldavi,, R., & Amanelahi,, A. (2018). The effectiveness of compassion-focused psychotherapy on depression and anxiety of divorced women.  Journal of Clinical Psychology, 10(1): 9-20 [Persian].

Stumper, A., Danzig, A.P., Dyson, M.W., Olino, T.M., Carlson, G.A., & Klein, D.N. (2017). Parents’ behavioral inhibition moderates association of preschoolers’ BI with risk for age 9 anxiety disorders. Journal of Affective Disorders, 2(10): 35-42.

Tosifian, N., Ghaderi Begeh-Jan, K., Khaledian, M., & Farrokhi, N. (2018). Structural modeling of family function and drug craving in addicted people under methadone maintenance treatment with an emphasis on the mediating role of self-compassion. Journal of Addiction, 11(44): 209-226 [Persian].