بررسی تأثیر درمان مبتنی بر پذیرش و تعهد (ACT)، بر تاب‌آوری و نگرش‌های ناکارآمد زنان مبتلا به ام‌اس شهر تهران
محورهای موضوعی : تربیتی
زینب کاویانی
1
(دانشجوی دکتری، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.)
سعید بختیارپور
2
(استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.)
علیرضا حیدرئی
3
(دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.)
پرویز عسکری
4
(دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.)
زهرا افتخارصعادی
5
(استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.)
کلید واژه: زنان, درمان مبتنی بر پذیرش و تعهد (ACT), نگرش‌های ناکارآمد, تاب‌آوری, مولتیپل اسکلروزیس (ام‌اس),
چکیده مقاله :
هدف پژوهش، بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد، بر تاب‌آوری و نگرش‌های ناکارآمد زنان مبتلا به ام‌اس شهر تهران بود. روش پژوهش آزمایشی با پیش‌آزمون و پس‌آزمون و جامعة آماری این پژوهش، همة زنان مبتلا به ام‌اس با نگرش ناکارآمد بالا و تاب‌آوری پایین که در سال 1396 به بخش بیماران سرپایی کهریزک مراجعه داشتند بود. روش نمونه‌گیری هدفمند بود. ابزارهای پژوهش شامل پرسشنامة تاب‌آوری (,2003 Cooner & Davidson) و پرسشنامة نگرش ناکارآمد داس، (Waisman & Beck, 1997) بود. آزمودنی‌ها به‌طور تصادفی به دو گروه آزمایش و کنترل تقسیم شدند. گروه آزمایش با 8 جلسة 90 دقیقه‌ای روان‌درمانی اکت قرار گرفت؛ اما گروه کنترل مداخله‌ای دریافت نکرد. داده‌ها با استفاده از تحلیل کوواریانس چند متغیری (مانکوآ) تجزیه‌وتحلیل شدند. یافته‌ها نشان‌دهندة تفاوت معنادار (000/0 p<) در گروه آزمایش بعد از اجرای روان‌درمانی بود. نتایج نشان‌دهندة تأثیر درمان مبتنی بر پذیرش و تعهد در افزایش تاب‌آوری 001/0>p) و کاهش نگرش‌های ناکارآمد (001/0>p) زنان مبتلا به ام‌اس بودند.
The aim of this study was to investigate the effectiveness of acceptance and commitment therapy on the resilience and dysfunctional attitudes of women with MS in Tehran. The research method was pre-test and post-test and the statistical population of this study was all women with MS with high dysfunctional attitude and low resiliency referred to the department of ambulatory patients in Kahrizak in 2017. The sampling method was purposive. Research tools included Conner and Davidson Resiliency Questionnaire (2003) and Dys, Weisman & Beck Dysfunctional Attitude Questionnaire (1997).Subjects were randomly divided into two experimental and control groups. the experimental group underwent 8 sessions of 90 minutes of psychotherapy. But the control group received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA). The results showed a significant difference (p <0.000) in the experimental group after the implementation of psychotherapy. The results showed the effect of acceptance and commitment therapy on increasing resilience and reducing inefficient attitudes of MS patients.
Amanda, E. Lee, D. (2015). Applications and adaptations of acceptance and commitment therapy (ACT) for adolescents. Journal of Contextual BehavioralScience, 4, 1–11.
A-tjak, J.G., Davis, M.L., Morina, N., Powers, M. B., AbdolahiPoor, M., Narimani, M., Ahadi, B., & Abolghasemi. (2014). The Effectiveness of the treatment - based cure and commitment to reduce symptoms of obsessive–compulsive disorder. Dissertatioons. University of Science and Research and Technology.
Abdollahipour, M., Narimani, M., Ahadi, B., & Abolghasemi, A. (2013). The effectiveness of acceptance-based therapy and commitment to reduction Symptoms of obsessive-compulsive disorder. Thesis: Ministry of Science, Research and Technology-Mohaghegh Ardabili University - Faculty of Educational Sciences and Psychology, M.Sc. [Persian].
Conner, K.M. Davidson, J.R.T. (2003). Development of a new resilience scale: The conner davidson resilience scale (cd –Risc). Depression and Anxiety, 18, 76 – 82.
Dehghani Najvani, B. (2013). Assessing the impact of acceptance and commitment-based therapy (ACT) on experiential avoidance, anxiety and depression .in women with breast cancer. Thesis. University of Esfahan. Unpublished master's thesis. [Persian].
Feeney, J. (2012). Physical disability and psychological distress in (MS): The role of illness representations and experiential avoidance (Doctoral dissertation, Cardiff: Cardiff University).
Fletcher, L., & Hayes, S.C. (2005). Relational Frame Theory, Acceptance and Commitment Therapy, and a functional analytic definition of mindfulness. Journal of Rational-Emotive and Cognitive-BehavioralTherapy, 23(4), 315-336.
Friedman, M.J., (2013). Finalizing PTSD in DSM-5: getting here from there and where to go next. Journal ofTraumatic Stress, 26, 548–556.
Forbes, D., Lockwood, E., Elhai, J.D. Creamer, M., O’Donnell, M., Bryant, R., McFarlane, A., & Silove, D. (2011). An examination of the structure of posttrau matic stress disorder in relation to the anxiety and depressive disorders. Journal of Affect Disordesr, 132, 165 172.
Farahani, M., & Heidari, H. (2018). The effectiveness of treatment based on acceptance and commitment on resilience of people with MS. Journal of Psychological Development, 7 (27), 149-162. [Persian].
Ghadmapour, A., Radmehr, P., & Yousef Vand, L. (2016). The impact of treatment based on acceptance and commitment on social quality and hope Life of patients with multiple sclerosis. Armaghan Danesh Scientific Research Journal, 21 (11), 1114-1100.[Persian].
Hayes, S.C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes, and outcomes. Behavior Research andTherapy, 44(1), 1-25.
Hayes. S., Strosahl. K.D., Wilson, K. (2012). Acceptance and commitment therapy: secondaddition. The process and practice of Mindful change. The Guilford Press.
Hosseini, A., Ahadi, H., Fani, L., Heydari, A., & Mazaheri, M. (2013). The effect of group training based on acceptance treatment commitment (ACT) on job stress and burnout. Iranian Journal of Psychiatry and Clinical Psychology, 19 (2), 120 -109. [Persian].
Janssens, A.C.J. W., Van Doorn, P.A., De Boer, J.B., Van der Meche, F.G., Passchier, J., & Hintzen, R.Q. (2003). Impact of recently diagnosed multiple sclerosis on quality of life, anxiety, depression and distress of patients and partners. Acta Neurological Scandinavica, 108(6), 389-395.
Lin, J., Lüking. M., Ebert, D.D., Buhrman,M., Andersson, J., & Baumeister, H. (2015). Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a three-armed randomised controlled trial. Internet Interventions, 2(1), 7–16.
Khakbaz, H. (2014). The effectiveness of acceptance and commitment-based group therapy (ACT) on the emotional regulation of dependent individuals
revitalized amphetamines. University of Social Welfare and Rehabilitation Sciences, Faculty of Psychology and Educational Sciences, Thesis Masters.Unpublished. [Persian].
Kaviani, H., Javaheri, F., & Bahiraei, H. (2005). The effectiveness of mindfulness-based cognitive therapy (MBCT) in reducing Negative self-reported thoughts, dysfunctional attitude, depression and anxiety: 60-day follow-up. Cognitive Science News, 7 (1), 59-49. [Persian].
Kaviani, Z., Najmeh, H., & Enayati, M. (2013). The effect of religious-based cognitive-behavioral therapy on dysfunctional attitudes and resilience Couples. New Psychological Research, 32, 43-25. [Persian].
Meyers, A.D.S.W. (2001). Understanding developmental consequences through object relations, family systems, and resiliency theories. City University of New York, 256.
Karunaratne, M. (2010). ACT in treatment of phobias. Complementary Therapies, 16(4), 203–207.
Monfared, A., Seifolahi, M., & Mohtashami, J. (2015). The effectiveness of treatment -based treatment and commitment (ACT) on reducing anxiety, depression and enhancing the quality of life and self–efficacy of patiants with MS. Thesis, Islamic Azad University Rasht. [Persian].
Mohammadi, Kh. (2005). Investigating the risk factors for people at risk for drugs. PhD Thesis, University of Social Welfare.
Mir Hashemi, M., & Najafi, F. (2014). The effectiveness of circuit therapy on resilience and coherence of multiple patients Sclerosis (MS). Journal of Medical Sciences, Islamic Azad University, 24(3), 59-49. [Persian].
Nejat, S., Montazeri, A., Mohammadi, K., Majdzadeh, R., Nejat, F., & Navabi, zsM. (2006). Quality of life patients with multiple MS compare with healthy people in Tehran. Iranian Journal of Epidemiology, 1(4), 19-24. [Persian].
Nordin, L., & Rorsman, I. (2012). Cognitive behavioral therapy in multiple sclerosis: a randomized controlled pilot study of acceptance and commitment therapy. Journal of Rehabilitation Medicine, 44, 87–90.
Rajabi, S., & Yazdkhasti, F. (2014). Effectiveness of group therapy Acceptance and commitment to anxiety and depression in women with MS disease. Journal of Clinical Psychology, (21), 38-29. [Persian].
Siegert, R.J., & Abernethy, D.A. (2005). Depression in multiple sclerosis: A review. Journal of Neurology, Neurosurgery & Psychiatry, 76(4), 469-475.
Samani, S., Jokar, B., & Sahragard, N. (2007). Resilience, Mental Health and Life Satisfaction, Iranian Medicine and Clinical Psychology, 13 (3), 295-290. [Persian].
Soleimani, A., & Taj al-Dini, A. (2016). The effectiveness of cognitive-behavioral therapy based on fatigue on the dimensions of psychological fatigue patients with multiple sclerosis (MS) A case study. Journal of Clinical Psychology, 8 (2), 21-13. [Persian].
Seyed Jafari, J., Sadr, M.M., Motamedi, A., Alaei, M., & Hashemian, S. (2017). The effectiveness of training based on acceptance and commitment Resilience of the elderly. Journal of Aging Psychology, 3 (1), 29- 21. [Persian].
Shaidayi Aghdam, Sh., Shams al-Dini Lori, S., Abbasi, S., Yousefi, S., Abdullahi, P., & Moradi Joo, M. (2014). Effectiveness Acceptance-based therapy and commitment to reducing anxiety and dysfunctional attitudes in patients with MS. Quarterly Journal of Thought and Behavior, 9 (34), 57-66. [Persian].
Ziaian, T., de Anstiss, H., Antoniou, G., Baghurst, P., & Sawyer, M. (2012). Resilience and its association with depression, emotional and behavioral problems, and mental health service utilization among refugee adolescents living in South Australia. International Journal of Population Research, 22, 9- 17.
Zarei, P., & Visani, M. (2017). The effectiveness of acceptance and commitment-based therapy (ACT) on increasing resilience in patients with Infection (HIV). National Conference on New Research in Economics and Humanities Management. Civilica. [Persian].
Zavari Zare, P., Zavari Zare, A., & Ebrahimi Pakizeh, A. (2016). The effectiveness of acceptance-based therapy and commitment to emotions negative patients with MS. 4th National Conference on Sustainable Development in Educational Sciences and Psychology, Social Studies and Farhangi, Tehran, Mehr Arvand Higher Education Institute, Center for Strategies for Achieving Sustainable Development. [Persian].
Zinati, P., & FaleKar, A. (2017). The effectiveness of acceptance-based therapy and commitment to uncertainty, anxiety, and dysfunctional thinking Negative people with generalized anxiety disorder. Quarterly Journal of Psychological Studies and Educational Sciences, 26 (3), 139-125. [Persian].
Weissman, A. N., & Beck, A. T. (1978). Development and validation of the dysfunctional attitude scale. Paper presented at the annual meeting of the association for the advancement of behavior therapy. Chicago: IL.
_||_