اثربخشی درمان شفقت به خود مبتنی بر ذهن‌آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی- جبری دارای افکار خودکشی

الموضوعات :

سمیرا رحمانی ¹ ( دانشجوی دکتری، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران، )
سودابه بساک نژاد ² ( استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران. )
نسرین ارشدی ³ ( استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران )
ادوارد سلبی ⁴ ( دانشیار، گروه روان‌شناسی بالینی، دانشگاه روتگرز آمریکا )

تاريخ الإرسال : 15 الأحد , ربيع الأول, 1442 تاريخ التأكيد : 24 الأربعاء , ربيع الثاني, 1442 تاريخ الإصدار : 25 الثلاثاء , محرم, 1444

الکلمات المفتاحية: مبتلایان به اختلال وسواسی-جبری, شفقت به خود مبتنی بر ذهن‌آگاهی, افکارخودکشی, نیازهای بین‌فردی,

ملخص المقالة :

اختلال وسواسی-جبری یک بیماری روان شناختی شدید و ناتوان کننده است که با تاثیر بر کیفیت زندگی و عملکرد کلی بیماران و اعضای خانواده آن ها منجر به بروز مشکلات بین فردی، احساس درماندگی و ناامیدی در بیماران می شود. هدف این پژوهش تعیین اثربخشی درمان شفقت به خود مبتنی بر ذهن آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی-جبری دارای افکار خودکشی بود. طرح پژوهش طرح آزمایشی تک موردی از نوع خط پایه چندگانه ناهمزمان بود و نمونه پژوهش شامل 3 بیمار زن مبتلا به اختلال وسواسی- جبری شهر اهواز در سال 1398 بود. از پرسشنامه های وسواسی-جبری (Yale-Brown obsessive-compulsive, 1989)، افکار خودکشی گرایانه (Rudd, 1989) و نیازهای بین فردی (Van Orden, Cukrowicz, Witte & Joiner, 2012) استفاده شد. پروتکل درمان در 8 جلسه 90 تا 120 دقیقه انجام شد و آزمون ها در سه مرحله خط پایه، پس آزمون و پیگیری 3 ماهه اجرا شد و داده ها به روش ترسیم دیداری، شاخص تغییر پایه و فرمول درصد بهبودی تحلیل شدند. داده ها نشان داد که درمان شفقت به خود مبتنی بر ذهن آگاهی بر کاهش تعلق پذیری ازمیان رونده و ادراک سرباربودن تاثیرگذار است و پیگیری سه ماهه نیز حاکی از پایداری تغییرات درمانی برای تعلق پذیری ازمیان‌رونده و ادراک سربار بودن بود. این رویکرد به وسیله ممانعت از اجتناب از افکار و هیجانات دردناک ناشی از اختلال و رشد احساس تعلق به دیگران و پیوند اجتماعی، منجر به تاب آوری می شود و از بروز تعلق پذیری از میان رونده و ادراک سرباربودن در زمان های پریشانی روان شناختی جلوگیری می نماید.

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