مقایسۀ اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان متمرکز بر شفقت، بر تابآوری و بهزیستی روانشناختی مبتلایان به HIV
الموضوعات :شیوا رضائی 1 , جواد خلعتبری 2 , مریم کلهرنیا گار 3 , بیوک تاجری 4
1 - گروه روانشناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی
2 - گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
3 - گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
4 - گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
الکلمات المفتاحية: تابآوری, شفقتدرمانی, بهزیستی روانشناختی, HIV+, درمان پذیرش و تعهد,
ملخص المقالة :
پژوهش حاضر با هدف مقایسۀ اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان متمرکز بر شفقت بر تابآوری و بهزیستی روانشناختی مبتلایان به HIV صورت گرفت. این پژوهش نیمهآزمایشی و از جمله طرحهای پیش آزمون-پس آزمون با دو گروه آزمایش و یک گروه کنترل بود. جامعۀ آماری پژوهش کلیۀ مبتلایان به HIV+ بود که در بازۀ زمانی مهر تا بهمن ۱۳۹۷ به مرکز بیماریهای رفتاری تهران مراجعه کرده بودند. از جامعۀ مذکور ۴۵ نفر به شیوۀ نمونهگیری در دسترس انتخاب و به طور تصادفی در سه گروه (دو گروه آزمایش و یک گروه کنترل هر کدام ۱۵ نفر) جای گرفتند. یکی از گروههای آزمایش تحت ۸ جلسۀ درمان ۱۲۰ دقیقهای پذیرش و تعهد و گروه دیگر تحت ۸ جلسۀ درمان ۱۲۰ دقیقهای درمان متمرکز بر شفقت (CFT) قرار گرفتند. گروه گواه هیچ مداخلهای دریافت نکرد. برای سنجش داوطلبان از پرسشنامۀ تابآوری Conner & Davidson (2003) و بهزیستی روانشناختی Ryff (1989) استفاده شد. برای تجزیه و تحلیل دادهها، از آمار توصیفی و برای استنباط آنها از تحلیل کوواریانس و آزمون تعقیبی سیداک استفاده گردید. یافتهها حاکی از آن بود که هر دو درمان میتوانند بر تابآوری و بهزیستی روانشناختی مبتلایان به HIV+ تأثیر بگذارند (۰۵/۰>P)؛ با این حال در متغیر تابآوری درمان مبتنی بر پذیرش و تعهد تأثیر بیشتری داشته است که چنین تفاوتی در بهزیستی روانشناختی مشاهده نشد(۰۵/۰>P).
Arrivillaga, M., Arroyave, BE., Salcedo JP. (2014). Resilience processes in women leading community based organizations providing HIV prevention services. HIV AIDS Review, 13(3), 85-9.
Bayani, A A., Mohammad Koochekya, A., Bayani, A. (2008). Reliability and Validity of Ryff’s Psychological Well-being Scales . Iranian Journal of Psychiatry and Clinical Psychology. 14 (2) :146-151. [Persian]
Betancourt, T. S., Meyers-Ohki, S., Stulac, S. N., Elizabeth Barrera, A. E., Mushashi, C., & Beardslee, W. R. (2011). Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS. Social Science & Medicine, 73(5), 693-701.
Biddix, P., Martin, G., Kilgo, C. (2015). Exploring the Impact of Commuting to Campus on Psychological Well-Being. New Directions for Student Services, 150, 35-43.
Chapman, M., & Dammeyer, J. (2017). The Significance of Deaf Identity for Psychological Well-Being. Journal of Deaf Studies and Deaf Education, 22(2), 187-194.
Compton, WC. (2001). Towards a tripartite factor structure of mental health: subjective well-being, personal growth, and religiosity. Journal of Psychiatric Research, 135, 486–500.
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.
Davydov, DM., Stewart, R., Ritchie, K., Chaudieu, I. (2010). Resilience and mental health. Clinical Psychology Review, 30(5): 479-95.
Dousti, P., Ghodrati, G., Ebrahimi, ME. (2019). Guide of group psychotherapy Based on Acceptance and Commitment Therapy (ACT). Faragir hegmataneh: Hamedan.
Dousti, P., Gholami, S., Torabian, S. (2016). The Effectiveness of Acceptance and Commitment Therapy on Aggression among Students with Internet Addiction. Journal of Health and Care. Vol. 18, No. 1. P 63-72. [Persian]
Dousti, P., Hosseininia, N., Dousti, S., Dousti, P. (2021). Online group therapy based on acceptance and commitment on body dysmorphic and fear of body image in overweight people. Rooyesh-e-Ravanshenasi Journal, Vol. 10, No. 4. P 25-32. [Persian]
Dousti, P., Mohagheghi, H., & Jafari, D. (2015). The effect of Acceptance and Commitment Therapy on the reduction of anxious thoughts in students. Environment Conservation Journal, 327-333.
Frantz, R., Hansen, S., Squires, J., & Machalicek, W. (2018). Families as Partners: Supporting Family Resiliency through Early Intervention. Infants and Young Children, 31(1), P3-19.
Gilbert, P. (2009). Introduction Compassion Focused Therapy. Advance in psychiatric treatment. 15(3). P: 199-208.
Ghadampour, E. Mansouri, L. (2018). The Effectiveness of Compassion Focused Therapy on Increasing Optimism and Self-compassion in Female Students with Generalized Anxiety Disorder, Journal of Psychological Studies, 14(1). 59-74. [Persian]
Haglund, M. E., Nestadt, P. S., Cooper, N. S., Southwick, S. M., & Charney, D. S. (2007). Psychobiological mechanisms of resilience: Relevance to - prevention and treatment of stress-related psychopathology. Dev Psychopathol,19, 889-920.
Hayes, S. C. (2004) “Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavioral and cognitive therapies”, Behavior Therapy, 35, 639-665.
Hayes, S. C., & Strosahl, K. D. (2004). A practical guide to acceptance and commitment therapy. Springer Science & Business Media.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change. New York: Guilford Press.
Hosein Abadi, S., Pourshahryari, M., Zandipour, T. (2017). Effectiveness of positive psychology on psychological well-being of mothers of autistic children. Journal of Exceptional Child Empowerment. 8(1). 54-60. [Persian]
Joe, J., Heard, N., & Yurcisin, K. (2019). Entering the Discomfort Zone: Counseling Trainees' Perspectives on Counseling Clients with HIV/AIDS. International Journal for the Advancement of Counselling, 41(1), 1-14.
Karademas, E. (2007). Positive and negative aspects of well-being: Common and specific predictors. Personality and Individual Differences, 43, 277- 287.
Keung Wong, D., Kwok, A., Kwan, J. (2007). Cognitive – Behavioral Treatment Groups for People with Chronic Physical Illness in Hong Kong: Reflections on a Culturally Attuned Model. International Journal of Group Psychotherapy, 57(3).
Kordestani, D., Ghamari, A. (2018). Comparing the Resilience, Life Style and Life Quality Among Cardiovascular Patients and Normal Peopel. Journal of Yafte. 19 (5) :71-80. [Persian]
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in Acceptance and Commitment Therapy. Third Wave Behavioural Therapies, 2, 97-101.
Mohammadi, M. (2005). Investigating the factors affecting resilience in people at risk of substance abuse. PhD Thesis University of Social Welfare and Rehabilitation Sciences, Tehran.
Mohammadkhani, S., Haddadi Kuhsar, A., Soleymani, H., Eatemadi, A., Seyd Ali Naghei, S. (2017). Prediction of resilience from cognitive emotion regulation in individuals with HIV infection. Journal of Health Psychology. 6(21). 104-115. [Persian]
Mohagheghi, H., Dousti, P., Jafari, D. (2016). The effectiveness of acceptance and commitment therapy on reduction, generalized anxiety disorder, social phobia and health anxiety in students. CLINICAL PSYCHOLOGY STUDIES, 6(23): p 81-94. [Persian]
Mirzaei, M. (2018). The effect of acceptance and commitment therapy on resilience and psychological well-being of HIV + patients. Master Thesis. Islamic Azad University of Hamadan Branch. [Persian]
Murrell, A., Wilson, K. (2002). Acceptance and Commitment Therapy Adapted for Children Working Version. University of Mississippi.
Neff, K. (2003). Self-Compassion: an alternative conceptualization of a healthy attitude toward one self. Self and identity. 2(2): p 85-101.
Neff, K., Rude, S. S., & Kirkpatrick, K. L. (2007). An examination of self-compassion in relation to positive psychological functioning & personality traits. Journal of Research in Personality, 41(4), 908-916.
Neff, K. D., & Germer, C. K. (2013). A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program. Journal of Clinical Psychology, 69, 28-44.
Orsillo, S. M., & Batten, S. V. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior Modification, 29(1), 95-129.
Pasandideh, M., Zare, L. (2016). An Analysis of well-being psychiatric aspects of tolerance and sense of humour between patients who suffer from coronary artery disease and healthy individuals. . Journal of Health Psychology. 5(20). 88-108. [Persian]
Rigles, B. (2017). The Relationship between Adverse Childhood Events, Resiliency and Health among Children with Autism. Journal of Autism and Developmental Disorders, 47(1), 187-202.
Ryff, C. D. (1989). Happiness is everything, or is it? Exploration on the meaning of psychological wellbeing. Journal of Personality and Social Psychology, 57, 1069-1081.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 716-727.
Rutter, M. (2008). Developing concepts in developmental psychopathology in Hudziak JJ, editor. Developmental psychopathology and wellness: Genetic and environmental influences. Washington, DC: American Psychiatric Association.
Seyyedjafari, J., Motamedi, A., Mehradsadr, M., Olamaie Kopaei, M., Hashemian. (2017). The Effectiveness of Acceptance and Commitment Therapy (ACT) on Resilience in Elderlies, Journal of Aging Psychology, 3(1). 21-29. [Persian]
Shatté, A., Perlman, A., Smith, B., Lynch, W. (2016). The Positive Effect of Resilience on Stress and Business Outcomes in Difficult Work Environments. Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, 59(2).
Smith, BW., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., Bernard J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15, 194-200.
Skinta, M., Lezama, M., Wells, G., Dilley, J. (2015). Acceptance and Compassion-Based Group Therapy to Reduce HIV Stigma, Cognitive and Behavioral Practice, 22 (4), 481-490.
Suyanti, T., Keliat, B., Daulima, N. (2018). Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS, Enfermería Clínica, 28(1), 98-101.
Taghvaeenia, A., Delavarizadeh, S. (2017). The Effectiveness of Group Logotherapy on the increase of Psychological Well-Being of The Elderly Retired Women, Journal of Aging Psychology. 2(2), 115-124. [Persian]
Virginia F, Catherine. O'Hayer, Kevin Mitchell. Sama, Ashwin. (2018). Acceptance and Commitment Therapy with Pancreatic Cancer: An Integrative Model of Palliative Care—A Case Report. Journal of Pancreatic Cancer, 4(1).
Xu, T., Yan, Z., Duan, S., Wang, C., Rou, K., & Wu, Z. (2009). Psychosocial Well-Being of Children in HIV/AIDS-Affected Families in Southwest China: A Qualitative Study. Journal of Child and Family Studies, 18(1), 21-30.
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