اثربخشی درمان مبتنی بر پذیرش و تعهد بر تحمل پریشانی و کیفیت زندگی زنان دارای همسر جانباز (با تاکید برفرهنگ)
محورهای موضوعی : روان شناسی
هادی پردل
1
(
دانشجوی دکتری، گروه روان شناسی بالینی، دانشکده علوم انسانی، دانشگاه شاهد، تهران، ایران
)
کلید واژه: کیفیت زندگی, درمان مبتنی بر پذیرش و تعهد, فرهنگ, تحمل پریشانی,
چکیده مقاله :
هدف پژوهش حاضر تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر تحمل پریشانی و کیفیت زندگی زنان دارای همسر جانباز با تاکید بر فرهنگ بود. جامعه آماری پژوهش تمامی زنان دارای همسر جانباز شهر قم در سال 1401 بود. نمونه پژوهش 32 زن دارای همسر جانباز بود که به روش نمونه‌گیری هدفمند انتخاب و در دوگروه آزمایش(16نفر) و کنترل (16نفر)جایگزین شدند. روش پژوهش نیمه آزمایشی از نوع پیش آزمون- پس آزمون با گروه کنترل و دوره پیگیری یک ماهه بود. جهت گردآوری داده ها از ابزار اندازه گیری مقیاس تحمل پریشانی سیمونز و گاهر(2005) و پرسشنامه کیفیت زندگی سازمان جهانی بهداشت- فرم کوتاه (2002) استفاده شد. گروه آزمایش درمان مبتنی بر پذیرش و تعهد را در 8 جلسه 90 دقیقه ای دریافت کردند. و گروه کنترل هیچگونه مداخله‌ای دریافت نکردند. پس از خاتمه روش مداخله ای پس آزمون انجام شد. مرحله پیگیری بعد از یک ماه صورت گرفت. برای تحلیل داده ها از تحلیل کوواریانس چند متغیره و یک متغیره استفاده شد. یافته ها نشان داد که درمان مبتنی بر پذیرش و تعهد بر تحمل پریشانی و کیفیت زندگی زندگی زنان دارای همسر جانباز اثربخش است. این نتیجه در مرحله پیگیری نیز تداوم داشت. هم چنین تأثیرات فرهنگی می‌توانند در چگونگی تفسیر و معنا دادن به تجربیات، حل مسائل و تصمیم‌گیری‌ها، و در واکنش‌های هیجانی و تنظیم آن‌ها در شرایط خاص مانند زمان جنگ و پس از آن برای سربازان و خانواده های آن‌ها نمایان شوند.فرهنگ یکی از مهم ترین عوامل تعیین کننده رفتارها به لحاظ فردی و خانوادگی است.
The current research was conducted with the aim of determining the effectiveness of acceptance and commitment based treatment on distress tolerance and life quality of veterans' spouses with emphasis on culture. The research statistical population subsumed all the wives of Qom veterans in 2022. The sample included 32 veterans’ wives which were selected through purposive sampling procedure and randomly assigned into two experimental and control groups 16 subjects each. The research was semi-experimental with a control group and was designed as a pre-test, post-test and after a month duration follow-up phase. To collect data Simmons and Gaher Distress Tolerance Questionnaire (2005) and World Health Organization Quality of Life Questionnaire - short form (2002) were implemented. The experimental group received 8 sessions of 90-minute treatment based on acceptance and commitment, and the control group did not receive any intervention. Then the subjects were post tested. The follow up was exerted after a month. The data were analyzed by Multivariate Analysis of Covariance and Univariate Analysis of Covariance. The results showed that the treatment based on acceptance and commitment significantly affected distress tolerance and increased the quality of life of veterans' wives (P<0/01) and the results were persistent after the follow up duration. Also, cultural influences could be exposed in how to interpret and give meaning to experiences, problems solving, decisions making and in emotional reactions and their regulation in special conditions such as during war and after it for soldiers and their families. Culture is one of the most important determinants of individual and family behavior.
Aghababaei, F., Baldi, Y., Sabetro, M., Bina, A., & Shahlaei, M. H. (2023). Comparison of the effectiveness of cognitive-behavioral therapy and acceptance and commitment-based therapy on emotion regulation and Psychological flexibility in depressed individuals. Family and Health, 12(4), 128-138. [Persian] DOR: https://dorl.net/dor/20.1001.1.23223065.1401.12.4.10.6
Ardalani Farsa, F., Shahabizadeh, F., Hashemi, M., & Payman, D. (2023). Designing a Conceptual Model of Mood and Anxiety Symptoms with Quality of Life and Pain Outcomes in Patients with Chronic Back Pain: The Mediating Role of Emotional Schemas and Self-Compassion. Journal of Health Promotion Management, 12(4), 40-56. [Persian] URL: http://jhpm.ir/article-1-1604-fa.html
Asgari, M., Alimohammadmalayeri, E., & Sharifi Daramadi, P. (2021). The Effectiveness of Acceptance and Commitment-Based Therapy on Distress Tolerance and Time Perspective in Mothers with a disabled child IQ. Clinical Psychology Studies, 11(42), 51-76. [Persian] DOI: 10.22054/jcps.2021.59616.2537
A-Tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and psychosomatics, 84(1), 30–36. URL: https://doi.org/10.1159/000365764
Babakhani, V. (2020). The effectiveness of Acceptance and Commitment Therapy (ACT) on enduring the distress and self-control of betrayed women. Journal of Family Psychology, 7(1), 121-132. [Persian] URL: https://doi.org/10.52547/ijfp.7.1.121
Basirifar, M., & Mosavinezhad, S. M. (2022). Effectiveness of Acceptance and Commitment Therapy in Distress Tolerance and Sense of Coherence in Infertile Women in Mashhad. Journal of health research in community, 8(1), 81-92. [Persian] URL: http://jhc.mazums.ac.ir/article-1-597-fa.html
Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013). Time doesn’t change everything: The longitudinal course of distress tolerance and its relationship with externalizing and internalizing symptoms during early adolescence. Journal of abnormal child psychology, 41, 735-748. DOI: https://doi.org/10.1007/s10802-012-9704-x
Dekel, R., Siegel, A., Fridkin, S., & Svetlitzky, V. (2018). Does it help? The contribution of wives' ways of giving support to their veteran husbands’ posttraumatic stress symptoms and functional impairment. Journal of Traumatic Stress, 31(6), 856-865. URL: https://doi.org/10.1002/jts.22343
Dourou, P., Gourounti, K., Lykeridou, A., Gaitanou, K., Petrogiannis, N., & Sarantaki, A. (2023). Quality of Life among Couples with a Fertility Related Diagnosis. Clinics and Practice, 13(1), 251–263. URL: https://doi.org/10.3390/clinpract13010023
Falavarjani, M. F., & Yeh, C. J. (2019). Optimism and distress tolerance in the social adjustment of nurses: Examining resilience as a mediator and gender as a moderator. Journal of Research in Nursing, 24(7), 500-512. DOI: https://doi.org/10.1177/1744987119839102
Figley, C. R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Levittown, PA: Brunner/Mazel. URL: https://www.researchgate.net/profile/Cr-Figley/publication
Firouzkouhi Berenjabadi, M., pourhosein, M., & Ghasemi Argene, M. (2021). The Effectiveness of Acceptance and Commitment Therapy (ACT) on Interpersonal Difficulties and Internet Addiction among High School Students. Journal of Applied Psychological Research12 (2), 283-301. [Persian] DOI: https://doi: 10.22059/japr.2021.310151.643639
Fisher, J. E., Zuleta, R. F., Hefner, K. R., & Cozza, S. J. (2023). Combat-Related Injuries and Bereavement: Effects on Military and Veteran Families and Suggested Interventions. In Veteran and Military Mental Health: A Clinical Manual (pp. 419-438). Cham: Springer International Publishing. DOI: https://doi.org/10.1002/da.23274
Ganjparvar, Z., Mousavi, B., Masumi, M., Soroush, M., & Montazeri, A. (2016). Determinants of Quality of Life in the Caregivers of Iranian War Survivors with Bilateral Lower-Limb Amputation after More than Two Decades. Iranian Journal of Medical Sciences, 41(4), 257-264. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912643/
Ghahramani, S., Ghaedrahmat, M., Saberi, N., Ghanei-Gheshlagh, R., Dalvand, P., & Barzgaran, R. (2022). Systematic Review and Meta-Analysis on the Quality of Life of Iranian Veterans' Wives. Journal of Military Medicine, 24(4), 1260-1269. [Persian] URL: https://doi.org/10.30491/JMM.24.4.1260
Hamidizadeh, S., Ahmadi, F., Aslani, Y., Etemadifar, S., Salehi, K., & Kordeyazdi, R. (2008). Study effect of a group-based exercise program on the quality of life in older men and women in 2006-2007. SSU_Journals, 16(1), 167-167. URL: http://jssu.ssu.ac.ir/article-1-553-en.html
Hasan Alam, F., I. EL Berry, K., Kamal Mohamed Sweelam, R., Mostafa Arrab, M., & Sh. Shehata, H. (2023). Effectiveness of acceptance and commitment based intervention on stress, future anxiety and quality of life among mothers of children with cerebral palsy. International Egyptian Journal of Nursing Sciences and Research, 3(2), 281-306. URL: https ://doi: 10.21608/ejnsr.2023.277922
Hatamian, P., Tabatabaei, K., Azadfallah, P., & hasani, J. (2023). Historical and cultural context affecting of emotion regulation in Iranian society: A qualitative study. Cultural Psychology, 6(2), 208-224. URL: https://doi.org/10.30487/jcp.2023.320041.1353
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior therapy, 35(4), 639-665. DOI: https://doi.org/10.1016/S0005-7894(04)80013-3.
Holmberg Bergman, T., Renhorn, E., Berg, B., Lappalainen, P., Ghaderi, A., & Hirvikoski, T. (2023). Acceptance and Commitment Therapy Group intervention for parents of children with disabilities (navigator ACT): An open feasibility trial. Journal of autism and developmental disorders, 53(5), 1834-1849. DOI: https://doi.org/10.1007/s10803-022-05490-6
Hyes, S., Luoma, B., & Bond, F. (2006). Acceptance and commitment therapy: Model, process and outcomes. Behavior Research and Therapy, 44, 1-25. DOI: https://doi.org/10.1016/j.brat.2005.06.006
Jukić, M., Malenica, L., Đuričić, V., Talapko, J., Lukinac, J., Jukić, M., & Škrlec, I. (2023). Long-Term Consequences of War Captivity in Military Veterans. Healthcare, 11(14), 1993. DOI: https://doi.org/10.3390/healthcare11141993
Kaiser, A. P., Moye, J., Baird, L., Sager, Z., & Wachterman, M. (2023). Factors associated with distress related to posttraumatic stress disorder at the end of life among US veterans. Journal of Pain and Symptom Management, 23(2), 12-24. DOI: https://doi.org/10.1016/j.jpainsymman.2023.04.011.
Kashefizadeh, M., Taher, M., Hossein Khanzadeh, A., & Haj Abutalebi, N. (2023). Th effectiveness of treatment based on acceptance and commitment on voluntary self-regulation, distress tolerance and psychological flexibility in people with substance abuse disorder undergoing maintenance treatment. Military Psychology, 13(52), 33-55. [Persian] DOR: https://dorl.net/dor/20.1001.1.25885162.1401.13.52.2.2
Majani, A. F., Ghazali, S. R., Yoke Yong, C., Pauzi, N., Adenan, F., & Manogaran, K. (2023). Marital conflict, trauma exposure, posttraumatic stress disorder, and depressive symptoms among malaysian firefighters. Psychological Reports, 126(4), 1605–1619. DOI: https://doi.org/10.1177/00332941221075246
Mohammadi, Z., Borjali, A., & Sohrabi, F. (2018). Effectiveness based on acceptance and commitment therapy on quality of life women heads of household conducted in Tehran welfare Organization. Shenakht Journal of Psychology and Psychiatry, 5(5), 81-91. [Persian] URL: http://shenakht.muk.ac.ir/article-1-538-fa.html
Mozaffari, V., Ghorban Shiroudi, S., & Shafiabadi, A. (2023). Efficacy of schema therapy on emotion cognitive regulation and psychological resilience in the veterans’ wives. Journal of Modern Psychological Researches, 17(68), 245-254. [Persian] URL: https://dorl.net/dor/20.1001.1.27173852.1401.17.68.28.2
Nejat, S., Montazeri, A., Holakouie Naieni, K., Mohammad, K., & Majdzadeh, S. R. (2006). The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of school of public health and institute of public health research, 4(4), 1-12. URL: https://doi.org/10.1186/1472-6963-8-61
Oudi, D., Vagharseyyedin, S. A., Nakhaei, M., Esmaeili, A., & Mohtasham, S. (2023). Experiences of Wives of Veterans with Post-Traumatic Stress Disorder: A Qualitative Study. Ethiopian Journal of Health Sciences, 33(2),337-350. URL: https://doi.org/10.4314/ejhs.v33i2.19
Rahimi, N. (2022). Effect of positivity training on distress emotion tolerance, sleep quality, and resilience in elderly women in Kermanshah. Quarterly Journal of Caspian Health and Aging, 7(1), 32-43. [Persian] URL: http://cjhaa.mubabol.ac.ir/article-1-170-fa.html
Patel, A., Daros, A. R., Irwin, S. H., Lau, P., Hope, I. M., Perkovic, S. J. & Quilty, L. C. (2023). Associations between rumination, depression, and distress tolerance during CBT treatment for depression in a tertiary care setting. Journal of Affective Disorders, 339, 74-81. DOI: https://doi.org/10.1016/j.jad.2023.06.063
Ryff, C. D. (2014). Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychosom, 83(1), 10-28. DOI: https://doi.org/10.1159/000353263
Sarabadani, A., Hasanzadeh, R., & Ghanadzadegan, H. A. (2023). The effectiveness of acceptance and commitment therapy on distress tolerance and cognitive emotion regulation in women with generalized anxiety disorder. Journal of Applied Family Therapy, 4(2), 96-114. DOI: http://dx.doi.org/10.52547/jspnay.2.2.164
Shoja, R., Firoozi, M., Shakri, M. T., & Amiri, M. (2020). Investigating the impact of counseling with an approach based on acceptance and commitment therapy on self-efficacy of choosing vaginal delivery in primigravid women. Journal Title, 8(3), 13-22. [Persian] URL: http://jms.thums.ac.ir/article-1-796-fa.html
Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self report measure. Motivation andEmotion, 20(9), 83-102. DOI: https://doi.org/10.1007/s11031-005-7955-3
Taherkhani, M., Mohammadi, F., Rashvand, F., & Motalebi, S. A. (2022). Predictors of perceived caregiving burden among caregivers of elderly dialysis patients. Iranian Journal of Ageing, 16(4), 482-497. [Persian] URL: http://salmandj.uswr.ac.ir/article-1-2173-fa.html
Vahedi, H., & Eghbali, A. (2023). Predicting marital satisfaction based on attitude towards spirituality and resilience in the spouses of veterans with post-traumatic stress disorder. Military Psychology, 14(1), 173-191. [Persian] URL: https://dorl.net/dor/20.1001.1.25885162.1402.14.53.8.7
Valizadeh, H., & Parandin, S. (2022). Comparison of the effectiveness of mindfulness-based cognitive therapy with acceptance and commitment-based therapy on quality of life and emotion regulation of women victims of domestic violence. Journal of Modern Psychological Researches, 17(67), 297-308. [Persian] URL: https://dorl.net/dor/20.1001.1.27173852.1401.17.67.6.8
Vujanovic, A. A., & Zegel, M. (2020). Distress tolerance in PTSD. In Emotion in posttraumatic stress disorder (pp. 343-376). Academic Press. DOI: https://psycnet.apa.org/doi/10.1016/B978-0-12-816022-0.00012-0
Whoqol Group. (2012). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological medicine, 28(1), 551-558. URL: https://doi.org/10.1017/s0033291798006667
Zhang, X., Ma, H., Lam, C.,Grace , W., ,& Yim Wah Mak, Y. (2023). Effectiveness of Acceptance and Commitment Therapy on self-care, psychological symptoms, and quality of life in patients with cardiovascular disease: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 29(10), 46-58. URL: https://doi.org/10.1016/j.jcbs.2023.05.007
Zerach, G., & Gordon-Shalev, T. (2023). Distress tolerance, family cohesion and adaptability, and posttraumatic stress symptoms among combat veterans and their parents. Family Relations, 29(9), 1–22. URL: https://doi.org/10.1111/fare.12861
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