اثربخشی درمان راه حل مدار کوتاه مدت بر سبک های مقابله ای و خودکارآمدی در ورزشکاران پارالمپیک دارای ضایعه نخاعی
محورهای موضوعی : پژوهشنامه جامعه شناختی ورزش
1 - کارشناسی ارشد روان‌شناسی بالینی، دانشکده علوم‌اجتماعی و روان‌شناسی،دانشگاه آزاد‌اسلامی،واحد تنکابن. ایران
کلید واژه: درمان راه حل مدار کوتاه مدت, سبک‌های مقابله‌ای, خودکارآمدی, ورزشکاران پارالمپیک, ضایعه نخاعی,
چکیده مقاله :
مقدمه: بازی‌های پارالمپیک بستری برای بروز توانمندی‌های ورزشکاران دارای معلولیت است؛ با این حال، ورزشکاران دارای ضایعه نخاعی، به‌ویژه در ناحیه کمری، اغلب با چالش‌های روانی نظیر کاهش خودکارآمدی و سبک‌های مقابله‌ای ناکارآمد مواجه‌اند. درمان راه‌حل‌مدار کوتاه‌مدت به‌عنوان رویکردی متمرکز بر منابع و راه‌حل‌ها می‌تواند در بهبود این مشکلات مؤثر باشد. روش: این پژوهش با طرح نیمه‌آزمایشی پیش‌آزمون–پس‌آزمون با گروه کنترل انجام شد. جامعه آماری شامل ورزشکاران پارالمپیکی دارای ضایعه نخاعی کمری بود که از بین آن‌ها 32 نفر به‌صورت هدفمند انتخاب و سپس به‌طور تصادفی در دو گروه آزمایش و کنترل (هر کدام 16 نفر) جای گرفتند. گروه آزمایش در 7 جلسه درمان راه‌حل‌مدار کوتاه‌مدت (هفته‌ای یک جلسه 60 دقیقه‌ای) شرکت کرد، درحالی‌که گروه کنترل مداخله‌ای دریافت نکرد. ابزار پژوهش شامل پرسشنامه سبک‌های مقابله‌ای (لازاروس و فولکمن) و پرسشنامه خودکارآمدی شرر بود. داده‌ها با استفاده از تحلیل‌های توصیفی، آزمون‌های نرمال بودن داده‌ها، آزمون لوین برای همگنی واریانس، و تحلیل کوواریانس (ANCOVA)تحلیل شد. یافته‌ها: نتایج نشان داد که درمان راه‌حل‌مدار کوتاه‌مدت تأثیر معناداری بر افزایش خودکارآمدی(01/0>P) و سبک مقابله‌ای مسئله‌مدار (05/0>P) و نیز کاهش سبک‌های مقابله‌ای هیجان‌مدار و اجتنابی (05/0>P) در گروه آزمایش نسبت به گروه کنترل داشت. نتیجه‌گیری:یافته‌ها تأیید می‌کند که درمان راه‌حل‌مدار کوتاه‌مدت می‌تواند در بهبود سبک‌های مقابله‌ای و افزایش خودکارآمدی ورزشکاران پارالمپیکی دارای ضایعه نخاعی مؤثر واقع شود. این تأثیر از لحاظ آماری معنادار است و اندازه اثر آن نیز نشان‌دهنده‌ی اهمیت کاربردی آن است. این مداخله می‌تواند به عنوان بخشی از برنامه‌های مشاوره‌ای و روان‌شناسی در ورزش پارالمپیکی استفاده شود.
Introduction: The Paralympic Games provide a platform for showcasing the capabilities of athletes with disabilities; however, athletes with spinal cord injuries, particularly in the lumbar region, often face psychological challenges such as reduced self-efficacy and maladaptive coping styles. Solution-Focused Brief Therapy (SFBT), as a resource-oriented and solution-centered approach, may be effective in addressing these issues. Methods: This study employed a quasi-experimental design with a pretest-posttest control group structure. The statistical population consisted of Paralympic athletes with lumbar spinal cord injuries. From this population, 32 participants were purposefully selected and then randomly assigned to either the experimental or control group (16 participants in each). The experimental group participated in seven sessions of Solution-Focused Brief Therapy (SFBT), conducted once weekly, each session lasting 60 minutes. In contrast, the control group received no intervention during the study period. Measurement tools included the Lazarus and Folkman’s Coping Styles Questionnaire and the Sherer General Self-Efficacy Scale. Data analysis involved descriptive statistics, tests for normality, Levene’s test for homogeneity of variance, and Analysis of Covariance (ANCOVA) to assess the effectiveness of the intervention Results: The results indicated that Solution-Focused Brief Therapy had a significant effect on increasing self-efficacy (p < 0.01) and problem-focused coping styles (p < 0.05), as well as reducing emotion-focused and avoidant coping styles (p < 0.05) in the experimental group compared to the control group Conclusion: This study employed a quasi-experimental design with a pretest-posttest control group structure. The statistical population consisted of Paralympic athletes with lumbar spinal cord injuries. From this population, 32 participants were purposefully selected and then randomly assigned to either the experimental or control group (16 participants in each). The experimental group participated in seven sessions of Solution-Focused Brief Therapy (SFBT), conducted once weekly, each session lasting 60 minutes. In contrast, the control group received no intervention during the study period. Measurement tools included the Lazarus and Folkman’s Coping Styles Questionnaire and the Sherer General Self-Efficacy Scale. Data analysis involved descriptive statistics, tests for normality, Levene’s test for homogeneity of variance, and Analysis of Covariance (ANCOVA) to assess the effectiveness of the intervention
References:
‘Abādiyān Chubar, S. (2018). Academic performance of deaf students in specialized and integrated schools. [Master’s thesis, Center for In Service Training of Education Staff].
‘Ālī, ‘A., Mozaffari, N., Iranpour, S., Alizadeh Mirashrafi, H., & Dadkhāh, B. (2020). Self efficacy of mothers in caring for children with asthma: A study at the Bu Ali Ardabil Clinic. Journal of Health and Care, 22(2), 114–122.
Abubakri Maku’i, S., Kaboli, K., Ghasemi, S., Chaghousaz, M., Safa, S., & Karami, S. (2021). Effect of a brief solution focused approach on coping strategies and psychological hardiness of top performing students. Exceptional Children Quarterly, 21(1), 115–126.
Adib, M., Jadidi, M., & Aghajani Hashtjin, T. (2020). Explaining students’ hope based on coping styles and meaning in life. Pazhuhesh Parastari, 15(5), 1–8.
Ahuja CS, Schroeder GD, Vaccaro AR, Fehlings MG. (2021). Spinal Cord Injury-What Are the Controversies? Journal of orthopaedic trauma;1: 7-S.
Asghari, M., Karami, S., Baradran Khaniyani, L., Elyasi, M., & Ghanbari Hashim Abadi, M. R. (2023). Effect of a brief solution focused approach on coping styles and mental vitality of gifted students. Ruyesh-e Ravanshenasi, 12(3), 209–218.
Badkhoshian, S. A., & Samiee, F. (2022). Effectiveness of vocational rehabilitation program based on social cognitive theory on self efficacy of individuals with spinal cord injury. Counseling Research, 21(83), 193–210.
Bannink FP. Solution-FocusedBrief Therapy. J Contemp Psychotherapy;
Baratian, A., Shakeri, M., Moghīm, F., Bakhtiar, S., & Davarnia, R. (2016). Effect of brief solution focused therapy on self efficacy and life satisfaction of female students. Prevention and Health Quarterly, 2(3), 50.
Blalock Jiebert & Joiner, Meyer. (2020). Interaction of cognitive avoidance coping and stress in predicting depression/anxiety. Cogn Ther Res; 24(1): 47-65.
Bradbury, E. J., & Burnside, E. R. (2019). Moving beyond the glial scar for spinal cord repair. Nature communications, 10(1), 1-15.
Byers ES. Beyond the Birds and the Bees and Was it Good for you?: ThirtyYearsof Research on Sexual Communication. Canadian Psychology;
Chulay M; Burns M. (2020). AACN essentials of critical care nursing (packet handbook). McGraw – Hill Companies. Inc. second edition
Correy s. New N. Y. law protects assessing divorce. . Boston : Lawyers USA.P .
Dastbāz, A., Younesi, S. J., Moradi, O., & Ebrahimi, M. (2014). Effectiveness of group “solution focused” counseling on adjustment and self efficacy of male first year high school students in Shahriar. Knowledge and Research in Applied Psychology, 15(1), 90–98.
Eakes G, Walsh S, Markowski M, Cain H, Swanson M. (2020) Family-centered brief soluteon-focused therapy with chronic schizophrenia: A pilot study. J Fam Therap;
Ebrahimi, M., Sharifi Rahnama, S., Fathi, A., & Sharifi Rahnama, M. (2019). Effectiveness of brief solution focused therapy on problem solving ability and interpersonal relationships of students. Teacher Professional Development, 4(3), 67–79.
Farnām, A., Akbarizadeh, A., & Erfani, M. (2018). Effectiveness of brief solution focused therapy on body image, self efficacy, and well being in women with obesity. Journal of Faculty of Medicine, Mashhad University of Medical Sciences, 61(6.1), 344–353.
Finkelstein EA; Corso PS; Miller TR. (2018). The Incidence and economic burden of injuries in the United States. New York: Oxford University Press.
Fiske H. Applications of solutionfocused Brief Therapy In Suicide Prevention., SuicidePrevention
Flāmarzi, N., & Seif, D. (2020). Predicting social anxiety based on social support and social self efficacy in adolescents with physical disabilities. Exceptional Individuals Psychology, 10(37), 91–112.
Gan C. Solution-Focused Brief Therapy (SFBT) with individuals with brain injury and their families. NeuroRehabilitation. 2020;46(2):143-155. doi: 10.3233/NRE-192967. PMID: 32083598.
Gholami Renāni, F. (2015). Effectiveness of group self efficacy training on social self efficacy and social anxiety of female students. [Master’s thesis, University of Isfahan].
Goraczko, A., Zurek, A., Lachowicz, M., Kujawa, K., & Zurek, G. (2021). Is self-efficacy related to the quality of life in elite athletes after spinal cord injury?. International journal of environmental research and public health, 18(20), 10866.
Greef, A. P. Characteristice of families theat function well. Journal of Familly Jssues,
Haghighat Faghih, S. A., Ghasemi, N., Neshat Dust, H. T., Kajbaf, M. B., & Khanbāni, M. (2010). Reliability and validity of the Diabetes Management Self Efficacy Scale. Iranian Journal of Endocrinology and Metabolism, 12(2), 111–115.
Haji Zadeh Farkoush, M., Mousavi, M., & Darzi, Z. (2021). Effectiveness of brief solution focused therapy training on self efficacy of female high school students in Islamshahr. In Proceedings of the First International Conference on Innovative Ideas in Jurisprudence, Law, and Psychology, Tehran, Iran.
Hashemian, F. (2019). Relationship between self efficacy and job stress among employees of the Qom Agricultural Jihad Organization. [Master’s thesis, Qom University Campus].
Hoseyn Nezhad, A., Javaheri Vishkasoghi, A., & Asghari, M. (2022). Effectiveness of self compassion training on self efficacy and spiritual health in mothers of children with autism spectrum disorder. In Eighth National Conference on Novel Studies in Educational Sciences, Psychology, and Counseling of Iran, Tehran, Iran.
Hosseini, S. M. (2021). Effectiveness of life skills training on assertiveness and self efficacy of male high school students in Gachsaran. Journal of Contemporary Research in Sciences, 3(21), 11–22.
Hotlist CS, Miller B. Perceptions of attachment style and marital quality in midlife marriage. Fam Relat
International Paralympic Committee. (2018). World Para Athletics Classification & Categories.
Jam‘iyān, D., Sabt, H., & Mo‘tammadi, A. (2018). Effectiveness of brief group solution focused therapy on self efficacy and quality of life of women with multiple sclerosis. Clinical Psychology, 10(3), 13–22.
Jaras, M., Abedipour, M., Karimi, M., & Ebrahimi, N. (2022). Relationship between parenting styles and stress coping styles in adolescent girls. Pediatric Nursing, 8(3), 69–77.
Jeffries ER, McLeish AC, Kraemer KM, Avallone KM, Fleming JB. The role of distress tolerance in the use of specific emotion regulation strategies. Behavior modification. 2018 May;40(3):439-51.
Johnson, C. C., Li, D., Epping, J., lytle, L. A., cribb, P. W., Williston, B. J Yang, M. A transactional model of social support, selfefficacy and physical activity of children in the child and adolescent trial for cardiovascular health. Health Education
Kai-ShyangHsu,RayEads,Mo YeeLee&ZheminWenc Solution-focused brief therapy for behavior problems in children and adolescents: A meta-analysis of treatment effectiveness and family involvement. January .
Kara kaya D, Özgür G(2019) Effect of a Solution-Focused Approach on Self-Efficacy and Self-Esteem in Turkish Adolescents With Attention-Deficit/Hyperactivity Disorder. J Psychosoc Nurs Ment Health Serv. 2019 Nov 1;57(11):45-55.
Karsy, M., & Hawryluk, G. (2019). Modern medical management of spinal cord injury. Current neurology and neuroscience reports, 19(9), 65.
Keyvāni, M. (2018). Effect of organizational planning strategies on academic performance of students with disabilities. [Master’s thesis, Allameh Tabataba’i University].
Khosravi, N., Koushki, S., Orki, M., & Tavousi, N. N. (2019). Structural model of personality traits and cognitive emotional regulation with distress tolerance in mothers of children with cancer: Mediating role of coping strategies. Nurse and Physician in Combat Quarterly, 7(24), 72–80.
Kurbanoglu, S. S, Akkoyunlu, B. & Umay, A Developing the information literacy self-efficacy scale. Journal of Documentation
Kvarme LG, Helseth S, Sørum R, Luth-Hansen V, Haugland S, Natvig GK(2023). The effect of a solution-focused approach to improve self-efficacy in socially withdrawn school children: a non-randomized controlled trial. Int J Nurs Stud. 2023 Nov;47(11):1389-96.
Leahy-Warren P, McCarthy G. Maternal parental self-efficacy in the postpartum period. Midwifery.
Lisa Saunders A Solution Focused Narrative Therapeutic Approach to Restoring Couple Relationships After Infidelity. A Dissertation Proposal Presented to The School of Health Professions Texas Wesleyan University.
Machida, M., Irwin, B., & Feltz, D. (2013). Resilience in competitive athletes with spinal cord injury: The role of sport participation. Qualitative health research, 23(8), 1054-1065
Mahmoudi, S. (2015). Effectiveness of solution focused approach training on adjustment and self efficacy of divorced women referred to Mahshahr Welfare Organization. [Master’s thesis, Shahid Chamran University of Ahvaz].
Mohammadiyari, A., & Hosseinian, S. (2018). Meta analysis of the effectiveness of group solution focused counseling in Iranian schools. Journal of Education, 4(34), 65–80.
Moradi, A. (2019). Impact of self esteem, self efficacy, and achievement motivation on quality of life and entrepreneurial behavior of young women with physical disabilities [Doctoral dissertation, University of Isfahan].
Nancy M C; James S K. (2019). Medical, Psychosocial and Vocational Aspects of Disability Third Edition, Chapter 21, Published and distributed by: Elliott & Fitzpatrick, Inc. 289-300.
Pajoohian, P. (2019). Relationship between identity formation styles and coping styles with marital intimacy. [Master’s thesis, Hakim Razavi Institute of Higher Education].
Pishahang, F. (2021). Role of self control and coping styles in predicting psychological well being of university students [Master’s thesis, Islamic Azad University, Arsanjan Branch].
Ranjbari, S., Neshāṭi, A., Abdi, K., & Salehian, M. (2022). Relationship of coping styles and job stress with emotional maturity in student athletes. Psychology and Cognitive Psychiatry, 9(3), 74–84.
Roeden JM, Maaskant MA, Curfs LM(2022) Processes and effects of solution-focused brief therapy in people with intellectual disabilities: a controlled study. J Intellect Disabil Res. 2022 Apr;58(4):307-20.
Russell M. Equine Facilitated Couples Therapy and Solution- FocusedCouples Therapy: AComparison Study;
Sanāguyi Moharrer, G., Raeisi, M., & Soltan Ahmadi Moqaddam, F. (2017). Relationship of religious coping styles with quality of life in HIV positive individuals. Religion and Health, 5(2), 58–67.
Sarkhil, S. (2021). Effectiveness of brief solution focused therapy on conflict resolution styles, emotional divorce, and divorce intent among couples attending counseling centers in Babol. [Master’s thesis, Islamic Azad University, Sari Branch].
Schultz, K. R., Mona, L. R., & Cameron, R. P. (2022). Mental health and spinal cord injury: clinical considerations for rehabilitation providers. Current physical medicine and rehabilitation reports, 10(3), 131-139.
Shams Pārsābād, M. (2020). Comparison of basic psychological needs, life goals, and meaning in life in women with and without physical disabilities. [Master’s thesis, Islamic Azad University, Ardabil Branch].
Shokri, S. (2020). Comparison of emotional behavioral problems, obsessive compulsive disorders, and academic performance in students with physical disabilities and typically developing peers. [Master’s thesis, Mohaghegh Ardabili University].
Tavakkoli Zahra, Z., & Kazemi Zahrani, H. (2019). Effect of mindfulness based stress reduction intervention on distress and self regulation in patients with type 2 diabetes. Iranian Nursing Research Journal, 13(2), 41–49.
Tolā’i, M., Fallah, M. H., Eshqi, R., & Afshani, S. A. (2018). Coping styles of women affected by spousal infidelity: A qualitative study. Knowledge and Research in Applied Psychology, 19(4), 66–81.
van Hof, K. S., Hoesseini, A., Verdonck-de Leeuw, I. M., Jansen, F., Leemans, C. R., Takes, R. P., ... & Offerman, M. P. (2023). Self-efficacy and coping style in relation to psychological distress and quality of life in informal caregivers of patients with head and neck cancer: a longitudinal study. Supportive Care in Cancer, 31(2), 104.
Vorensky, M., Murray, T., McGovern, A. F., Patel, Y. Y., Rao, S., & Batavia, M. (2023). Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review. Journal of Psychosomatic Research, 165, 111126.
Yār Mohammadī, Y., Jadidi, H., Ahmadyān, H., & Asadi, B. (2019). Comparison of self efficacy beliefs and academic achievement among students with secure, avoidant, and ambivalent attachment styles. [Master’s thesis, Islamic Azad University].