اثربخشی واقعیت درمانی بر نشانگان افسردگی و احساس درد مزمن زنان دارای همسر جانباز و سلامت روان دختران 18 تا 20 سال آنها
محورهای موضوعی : خانواده
سید مجتبی عقیلی
1
(گروه علمی، دانشگاه پیام نور، تهران، ایران.)
آرزو اصغری
2
(استادیار گروه روانشناسی، دانشکده علوم انسانی، دانشگاه کوثر بجنورد، بجنورد، ایران.)
سیمین مخیری
3
(کارشناس ارشد روانشناسی، دانشگاه پیام نور، گرگان، ایران.)
میترا نمازی
4
(کارشناس ارشد روانشناسی بالینی، واحد شاهرود، دانشگاه علوم و تحقیقات، شاهرود، ایران)
کلید واژه: واقعیت‌درمانی, افسردگی, درد مزمن, زنان دارای همسر جانباز, سلامت عمومی,
چکیده مقاله :
این پژوهش با هدف بررسی اثربخشی واقعیت درمانی بر نشانگان افسردگی و احساس درد مزمن زنان دارای همسر جانباز و سلامت‌روان دختران 18 تا 20 سال آنها بود. پژوهش نیمه‌آزمایشی به صورت پیش آزمون-پس آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل تمامی زنان دارای همسر جانباز و فرزند دختر 18 تا 20 سال شهر گرگان در سال 1398 بود. که از میان همسران و فرزندان جانبازان مراجعه کننده به مرکز مشاوره شاهد گرگان به شیوه نمونه‌گیری در دسترس تعداد 60 نفر انتخاب شده و به صورت تصادفی در گروه آزمایش 1 (15 نفر مادران)، آزمایش 2 (15 نفر فرزندان)، کنترل 1 (15 نفر مادران)، کنترل 2 (15 نفر فرزندان) جایگذاری شدند. گروه های آزمایش تحت آموزش واقعیت‌درمانی (8 جلسه 90 دقیقه ای) قرار گرفته و گروه‌های کنترل تا پایان پژوهش مداخله ای دریافت نکردند. ابزار پژوهش عبارت از پرسشنامه افسردگی (Beck, 1988) پرسشنامه درد مزمن (McGill, 1997) و پرسشنامه سلامت‌عمومی (Goldberg & Hiller, 1979) بود. داده‌ها با استفاده از تحلیل کوواریانس تک‌متغیره در نرم افزار spss.22 تحلیل شدند. نتایج نشان داد که واقعیت‌درمانی بر کاهش افسردگی درد مزمن زنان و افزایش سلامت‌عمومی فرزندان تاثیر معناداری دارد (001/0>p). واقعیت‌درمانی می تواند به عنوان روش‌های مداخله‌ای موثری برای کاهش افسردگی و درد مزمن زنان دارای همسر
The aim of this study was to evaluate the the effect of reality therapy on depression symptoms and chronic pain in women with a veteran spouse and the mental health of girls aged 18 to 20 years. The quasi-experimental study was a pretest-posttest with a control group. The statistical population of the study includes all women with veteran spouses and daughters aged 18 to 20 years in Gorgan in 2019. Among the spouses and children of veterans referring to the Gorgan Shahed Counseling Center, 60 people were selected by available sampling method and randomly selected in experimental group 1 (15 mothers), experiment 2 (15 children), control 1 (15 mothers), control 2 (15 children) were placed. The experimental groups received reality therapy training (8 sessions of 90 minutes) and the control groups did not receive any intervention until the end of the study. The research instruments were Depression Inventory (Beck, 1988), Chronic Pain Questionnaire (McGill, 1997) and General Health Questionnaire (Goldberg & Hiller, 1979). Data were analyzed using univariate analysis of covariance in spss.22 software. The results showed that reality therapy has a significant effect on reducing depression, chronic pain in women and increasing the general health of children (p<0.001). Reality therapy can be used as an effective intervention method to reduce depression and chronic pain in women with a veteran spouse and increase the mental health of their children.
Aghaeipour Guasraei, M., Tavoli, A., Kamal, A., & Ghafouri, GH., Z. (2020). Comparison of the effectiveness of three therapies based on schema, cognitive-behavioral and mindfulness on reducing anxiety and depression in veterans' spouses. Clinical Psychology and Personality, 17 (1): 123-134. [Persian]
Alirezaei, M., Fathi Aghdam, GH., Ghamari M., & Bazazian, S. (2020). Comparison of the effectiveness of reality therapy and schema therapy on stress syndrome in women with marital conflict. Psychiatric Nursing, 8(2): 1-13. [Persian]
Abyar, Z., Rahimi, E., Mardpour, A., Ahmadi Nasrabad Sofla, S., & Zamani, N. (2016). The effectiveness of emotion regulation training on the mental health of mothers with children with mental disorders. Journal of Health Research, 2 (1): 17-23. [Persian]
Beck, A., Epstein, N., Brown, G., & Steer, RA. (1988). An inventory for measuring clinical anxiety: psychometric properties. Consult Clin Psychol, 56: 893-897.
Beck, A., Ward, H., Mendelson, M., Mock, E., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychology, 4 (2): 561–571.
Besharat, M. (2009). Reliability and validity of the 28-item questionnaire of the Mental Health Scale in the Iranian population. Scientific Journal of Forensic Medicine, 15 (2): 78-91. [Persian]
Dekel, R., Levinstein, Y., Siegel, A., Fridkin, S., & Svetlitzky, V. (2016). Secondary traumatization of partners of war veterans: The role of boundary ambiguity. Journal of Family Psychology, 30(1): 63-71.
Delsouz Khaki, H., Kafi, M, Moazami, SH., & Tahmasebi, J. (2020). The effectiveness of communication skills training on reducing psychological and verbal violence in women victims of domestic violence in Karaj. Social and disciplinary research on women and the family, 8 (2): 315-333. [Persian]
Dworkin, H., Turk, C., Revicki, A., Harding, G., Coyne, S., Peirce-Sandner, S., & Farrar, T. (2009). Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2), 144(1-2): 35-42.
Farhangi, A., (2020). The effectiveness of meaning therapy on the level of happiness and loneliness of infertile spouses of veterans. Journal of Military Psychology, 11 (42): 65-55. [Persian]
Farshchi, N., Kiani, Q. (2018). Effectiveness of Group Therapy Reality in Reducing Depression, Anxiety and Increased Compliance to Treatment in Patients with Diabetic Type 1. J Adv Med Biomed Res. 26 (117):74-85. [Persian]
Ghotbi Nejad Bahr Asmani, U., Ahadi, H., Hatami, H., & Sarami Foroushani GH. (2018). Comparison of the effectiveness of group positive psychotherapy and group psychotherapy on spiritual attitude, distress tolerance and quality of life in women with chronic pain. Anesthesia and pain, 9 (4): 51-65. [Persian]
Ghorbani Vajani, M., Ejei, J., & Gholam Ali Lavasani, M. (2019). The Effectiveness of Documentary Retraining on the Mental Health of Children of Divorced High School Boys. Knowledge and Research in Applied Psychology, 20 (1): 26-34. [Persian]
Glaser, W. (2019). Reality therapy: in addition to an introduction to modern reality therapy based on selection theory. Translated by Ali Sahebi, Tehran: Sayeh Sokhan Publications. [Persian]
Goldberg, D., & Hillier, V. (1979). A scaled version of General Health Questionnaire. Psychological Medicine, 9(1): 131-145.
Holland, C., & Walker, M. (2018). The effectiveness of reality therapy on students' spiritual and general health. International Journal of Theory of Selection and Treatment of Reality, 37 (2): 17-23.
Isa Nejad, O., & Azadbakht, F. (2019). Comparison of the effectiveness of two approaches of acceptance, commitment and cognition, mind-based therapy, quality of life awareness and resilience of spouses of war veterans with post-traumatic stress disorder (PTSD). Journal of Military Psychology, 10 (38): 57-69. [Persian]
Johari Fard, R., Seifi Gandomani, M., Zare, H., & Kalantar, S. (2013). The effect of depressing and threatening music themes on reminding and estimating the frequency of emotional and neutral stimuli in students. Knowledge and Research in Applied Psychology, 13 (3): 12-24. [Persian]
Kudang, E., Mustaffa, B., Sabil, S., Khan, A., & Yahya, F. (2019). Coping Styles in Group Reality Therapy among Cardiac Women Patients with Depression. Indian Journal of Public Health Research & Development, 10(4): 1377-1381.
Kiani, S., Sabahi, P., Makvand Hosseini, SH., Rafieinia, P., & Al-Bouyeh, M. (2020). Comparison of the effectiveness of acceptance and commitment based therapy and positive cognitive-behavioral therapy on psychological disorders in patients with chronic pain. Journal of Health Psychology, 9 (36): 133-150. [Persian]
Kamsari, F., Keshavarz Afshar H., Ghadami M., & Ahghar G. (2021). Comprehensive the effects of Adlerian group counseling and reality therapy on self-efficacy in students of middle school. Rooyesh, 10 (5) :107-118. [Persian]
Khosravi, M., Sadighi, S., Moradi, SH., & Zendehdel, K. (2011). [Persian-McGill pain questionnaire; translation, adaptation and reliability in cancer patients: a brief report (Persian)]. TUMJ, 71(1):53-58. [Persian]
Khodayari Fard, M., Shahabi, R., & Akbari Zardkhaneh, S. (2007). The relationship between religious attitude and marital satisfaction in married students. Family Studies, 3 (10): 611-620. [Persian]
Lin, X. (2019). Novel Mental Health Management and Therapy through Virtual Reality. Doctoral dissertation, Kent State.
Lahav, Y., Kanat-Maymon, Y., & Solomon, Z. (2017). Posttraumatic growth and dyadic adjustment among war veterans and their wives. Frontiers in psychology, 8, 1102.
Melzack, R. (1997). The McGill Pain Questionnaire: major properties and scoring methods. Pain, 1(3): 277-299.
Moin, L., Hosseini, A. (2020). The effectiveness of reality therapy on depression in women heads of households under the auspices of the Imam Khomeini Relief Committee in Shiraz. Women and Family Studies, 13 (49): 65-89. [Persian]
Nasrabad Sofla, S., Zarei, E., & Najarpourian, S. (2018). The Effectiveness of Reality Therapy on Quality of life, Mental Health and Happiness of Parents of Children with Disabilities. hrjbaq, 3 (2): 95-100. [Persian]
Oveyssi Fardavi, GH. (2017). Pathology of the families of spinal cord amputees: a study with an underlying theory approach. Anthropology Quarterly, 15 (22): 47-17. [Persian]
Pereira, G., Roios, E., & Pereira, M. (2017). Functional disability in patients with low back pain: the mediator role of suffering and beliefs about pain control in patients receiving physical and chiropractic treatment. Brazilian Journal of Physical Therapy, 58(2): 1- 8.
Polistico, K., Roll, D., Damiani, F., & Demesmin, D. (2018). Integrative virtual reality therapy produces lasting benefits for a young woman suffering from chronic pain and depression post cancer surgery: A case study. Journal of Alternative Medicine Research, 10(1): 99-109.
Shield, M. (2016). Stress and depression in the employed population. Health Reports. 17(4): 1- 20.
Schmeer, K. (2017). Family structure and child anemia in Mexico. Social Science Medicine, 95: 16–23.
Stutey, M., & Wubbolding, E. (2018). Reality play therapy: A case example. International. Journal of Play Therapy, 27(1): 1-13.
Sahebi, A. (2017). Invitation to take responsibility. Tehran: Sayeh Sokhan Publications.
Savadi, Z., Bahmani, B., & Zadeh Mohammadi, A. (2021). The effectiveness of teaching the concepts of unity-oriented approach on reducing depressive symptoms and increasing the spiritual well-being of bereaved mothers. Culture of Counseling and Psychotherapy, 12 (46): 259-280. [Persian]
Shafiee, S., & Mousavi Viyeh, F. (2021). An extended mother in the lived experience of veterans' wives. Cultural and Educational Quarterly of Women and Family, 15 (52): 107-128. [Persian]
Sedaghat, H., Sahebi, A., & Shahabi, M. (2016). The effectiveness of case therapy on people with major depression with a history of suicide. Journal of Forensic Medicine, 20: 378-371. [Persian]
Topcu, Y. (2018). Relations among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain. Pain Management Nursing. Original Article, 12(4): 1- 8.
Verdeli, H., Baily, C., Vousoura, E., Belser, A., Singla, D., & Manos, G. (2018). The case for treating depression in military spouses. Journal Family Psychology, 25: 488–96.
Yahya Zadeh, H., Masoomzadeh, N. (2016). Living Experiences of Veterans' Wives. Welfare Planning and Social Development, 28: 115-91. [Persian]
Zimering, R., Munroe, J., & Gulliver, S. (2017). Secondary traumatization in mental health care providers. Psychiatric Times, 20(4): 1-4.