اثربخشی درمان مبتنی بر شفقت بر صمیمیت زناشویی، کیفیت زندگی و درد مزمن زنان آسیب دیده از خیانت زناشویی

الموضوعات :

سید مجتبی عقیلی ¹ ( استادیار، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه پیام نور، تهران، ایران. )
سمیرا نیازی ² ( کارشناس ارشد روان شناسی، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه پیام نور، گلستان، ایران. )
انسیه بابایی ³ ( استادیار، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه پیام نور، تهران، ایران. )

تاريخ الإرسال : 15 الأحد , جمادى الثانية, 1444 تاريخ التأكيد : 23 الثلاثاء , رجب, 1444 تاريخ الإصدار : 29 الثلاثاء , شعبان, 1444

الکلمات المفتاحية: کیفیت زندگی, درد مزمن, صمیمیت زناشویی, خیانت زناشویی, درمان مبتنی بر شفقت,

ملخص المقالة :

این پژوهش با هدف تعیین اثربخشی درمان مبتنی بر شفقت بر صمیمیت زناشویی، کیفیت‌زندگی و درد مزمن زنان آسیب دیده از خیانت زناشویی شهر مینودشت انجام شد. جامعه آماری پژوهش، کلیه زنان متاهل آسیب دیده از خیانت همسر مراجعه کننده مراکز مشاوره و کلینیک‌های خدمات روان‌شناختی اداره بهزیستی شهر مینودشت در بازه زمانی آبان ماه الی آذر سال 1401 بودند، از جامعه پژوهش تعداد 30 زن به صورت نمونه گیری هدفمند انتخاب شد و به صورت تصادفی در دو گروه آزمایش و گواه (هر گروه 15 نفر) جایگزین شدند. پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون -پس آزمون با گروه گواه و مرحله پیگیری بود. گروه آزمایش تحت 8 جلسه 60 دقیقه‌ای، درمان مبتنی بر شفقت بر اساس پروتکل تیرچ و همکاران (2014) قرار گرفت. دوره پیگیری پس از گذشت سه ماه از اتمام پس آزمون انجام شد. ابزار پژوهش شامل پرسشنامه‌های صمیمیت زناشویی تامپسون و واکر (1983)، کیفیت زندگی وار و همکاران (1993) و درد مزمن مک‌گیل (1975) بود. داده‌های پژوهش با آزمون تحلیل واریانس با اندازه‌گیری مکرر تجزیه و تحلیل شد. نتایج پژوهش نشان‌داد که درمان مبتنی بر شفقت بر صمیمیت زناشویی (763/14F=، 000/0P<)، کیفیت زندگی (852/13F=، 000/0>P) و درد مزمن (626/455F=، 000/0>P) زنان آسیب دیده از خیانت زناشویی موثر بود و این نتایج تا دوره پیگیری ماندگار بود. نتایج پژوهش حاکی از آن است که درمان مبتنی بر شفقت با ایجاد فضای همدلانه و مهربانی با خود بر افزایش صمیمیت زناشویی، کیفیت زندگی و کاهش درد مزمن زنان آسیب دیده از خیانت زناشویی تأثیر دارد.

المصادر:

Amer, Z. (2018). Examining the role of relationship satisfaction inthe association between rejection sensitivity and infidelity. PhD Thesis, University of Tennessee, Knoxville. URL: https://apsy.sbu.ac.ir/index.php

Alah Nouri, A., Karampour, R., & Ghasemi, Z. (2022). Investigating the lived experiences of family violence in the families of the old generation (couples over 50 years old) in Ilam city. Applied Family Therapy, 3(3), 322-338. [Persian] DOI: 10.22034/aftj.2022.336684.1514

Azari, V., Kazemian Moghadam, K., & Mehrabizadeh Honarmand, M. (2021). The effectiveness of compassion-based therapy on self-suppression and emotional intimacy of women seeking divorce. Journal of Family Psychology, 7(1), 81-92. [Persian] DOI: 10.52547/ijfp.7.1.81

Abutalebi, H., Yazdchi, N., & Ismakhani Akbarinejad, H. (2022). The effectiveness of compassion-focused therapy on death anxiety and quality of life in women with multiple sclerosis. Quarterly Journal of Medical Sciences of Tehran Islamic Azad University, 32(1), 92-101. [Persian] DOI:‎ 10.52547/iau.32.1.92

Asadi Majreh, S., Sepahrian Azar, F., Isazadegan, A., & Poursharifi, H. (2020). Evaluation of the emotional regulation model of generalized anxiety disorder in explaining pain perception. Clinical Psychology and Personality, 15(1), 27-38. [Persian] DOI: 10.22070/cpap.2017.15.1.27

Ahromian, A., Sudani, M., & Gholamzadeh Jafra, M. (2021). The effectiveness of solution-oriented and emotion-oriented therapy on the marital intimacy of couples with an attitude towards marital infidelity. Cognitive Analytical Psychology Quarterly, 12(45), 17-35. [Persian] URL: https://psy.garmsar.iau.ir/article_684704.html

Barlow, M. R., Goldsmith, T., & Gerhart, J. (2017). Trauma appraisals, emotion regulation difficulties, and self-compassion predict posttraumatic stress. Journal of Social Sciences, 14(2), 19-31. DOI: 10.1016/j.chiabu.2017.01.006

Dworkin, R., Turk, D., Revicki, D., Harding, G., Coyne, K., & Peirce-Sandner, S. (2009). Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain, 144(1), 35-42. DOI: 10.1016/j.pain.2009.02.007

Ejtehadi, M., & Vahedi, G. (2016). Sociological investigation of the potential of infidelity in marital relations and the factors affecting it among the employees of public and private offices. Iranian Journal of Sociology, 17(4), 105-138. [Persian] URL: http://www.jsi-isa.ir/article_26747.html

Esfandiari Bayat, D., Asadpour, I., Mohsenzadeh, F., & Kesai, A. (2021). Comparing the effectiveness of group counseling with rational-emotional-behavioral approach and treatment based on acceptance and commitment on the level of forgiveness of women affected by marital infidelity. Scientific Research Quarterly Journal of Psychological Sciences, 20(97), 148-139. [Persian] DOI: 20.1001.1.17357462.1400.20.97.13.0

Filimon, D., Huza, G., & Turliuc, M.N. (2021). Self-internet infidelity and partner internet infidelity. The only romanian psychological instruments assessing the online extra dyadic behavior. Journal of Social Sciences, 9(8), 120-140. DOI: 10.4236/jss.2021.98010

Farshchian Yazdi, M., Bagherzadeh Gol Makani, Z., & Mansouri, A. (2021). Comparing the effectiveness of training skills based on emotion-oriented approach and self-compassion on marital conflicts and self-differentiation of women affected by marital infidelity. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 64(4), 1-16. [Persian] DOI: 10.22038/mjms.2021.19340

Ghafari Jahed, Z., Amini, N., Deira, E., & Mirzaei, K. (2020). The effectiveness of compassion-based therapy on pain perception and perfectionism in men with irritable bowel syndrome. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 63(4), 1-11. [Persian] DOI: 10.22038/mjms.2020.17479

Goli, Z., & Mirsafi Fard, L. (2021). The role of metacognitive beliefs and resilience in predicting marital adjustment in two groups of patients with chronic and normal pain. Assessment and research in counseling and applied psychology, 3(3), 55-63. [Persian] ‎ DOI: 10.52547/jarcp.3.3.55

Haeyen, S., & Heijman, J. (2020). Compassion focused art therapy for people diagnosed with a cluster B/C personality disorder: An intervention mapping study. The Arts in Psychotherapy, 69(7), 16-26. URL: https://doi.org/10.1016/j.aip.2020.101663

Hasani, F., Rezazadeh, M., Ghanbari Panah, A., & Khoshkhabar, A. (2021). The effectiveness of compassion-focused therapy on sexual satisfaction, emotional regulation and resilience in nurses with marital burnout syndrome. Journal of rehabilitation research in nursing, 7(3), 52-64. [Persian] URL: http://ijrn.ir/article-1-596-fa.html

Irons, C., & Ladd, S. (2019). Using compassion focused therapy to work with shame and self-criticism in complex trauma. Australian Clinical Psychologist, 3(1), 47–54. DOI: 10.1007/s10879-014-9286-8

Johannsen, M., Schlander, C., & Vestergaard, I. (2022). Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial. Psychiatry Research, 314(9), 46-53. URL: https://doi.org/10.1016/j.psychres.2022.114683

Kiaresi, Z., Emadian, A., & Hassanzadeh, R. (2021). Comparison of compassion-focused therapy and meaning therapy on death anxiety in women with breast cancer. Development of Psychology, 10(8), 185-196. [Persian] DOI: 20.1001.1.2383353.1400.10.8.16.0

Kiani, S., Sabahi, P., Makund Hosseini, Sh., Rafiinia, P., & Al Boyeh, M.. (2020). Comparing the effectiveness of treatment based on acceptance and commitment and positive cognitive-behavioral therapy on psychological disorders of patients with chronic pain. Scientific-Research Quarterly Journal of Health Psychology, 9(36), 133-150. [Persian] DOI:‎ 10.30473/hpj.2021.52200.4767

Kazemi Khoban, Z., Pour Sharifi, H., Kakavand, A., & Gian Bagheri, M. (2022). Effectiveness of revised trauma-focused cognitive-behavioral therapy protocol on quality of life and psychological distress of women victims of domestic violence. Journal of Cognitive Psychology and Psychiatry, 9(2), 62-75. [Persian] DOI:‎ 10.32598/shenakht.9.2.62

Labrecque, T., & Whisman, M. (2019). Extramarital Sex and Marital Dissoltion: Does Identity of the Extramarital Partner Matter?. Journal of Family Process, 59(3), 1308-1318. DOI: 10.1111/famp.12472

Lee, A., Wang, S., Cai, M., Sun, R., Liu, X. (2021). Self-compassion and life-satisfaction among Chineseself-quarantined residents during COVID-19 pandemic: A moderated mediation model of positive coping and gender. Personality and individual differences, 170(10, 110-124. DOI: 10.1016/j.paid.2020.110457

Moon, K., Chung, M., & Hwang, S. (2021). The perceived marital intimacy of spouses directly influences the Rehabilitation Motivation of Hospitalized Stroke Survivors. Clinical Nursing Research, 30(4), 502-510. URL: https://doi.org/10.1177/1054773820924573

Moshiree, B., & Talley, N. J. (2021). Functional dyspepsia: A critical appraisal of the European consensus from a global perspective. Neurogastroenterol Motil, 33(9), 1-9. DOI: 10.1111/nmo.14216

Melzack, R. (1973). The puzzle of pain. New York: Basic Books. URL: https://www.amazon.com/Puzzle-Pain-Ronald-Melzack/

Nejat, S., Montazeri, A., Halakui Nayini, K., & Majdzadeh, S. (2006). Standardization of World Health Organization quality of life questionnaire, translation and psychometrics of the Iranian version. Journal of Health Faculty and Health Research Institute, 4(4), 1-12. [Persian] URL: http://sjsph.tums.ac.ir/article-1-187-fa.html

O'Loughlin, I., & Newton-John, T. R. (2019). ‘Dis-comfort eating’: An investigation into the use of food as a coping strategy for the management of chronic pain. Appetite, 140(1), 288-297. DOI: 10.1016/j.appet.2019.05.027

Peters, K., Killinger, K., Jaeger, C., & Chen, C. (2018). Pilot study exploring chronic pudendal neuromodulation as a tTreatment option for pain associated with pudendal neuralgia. Low Urin Tract Symptoms, 7(3), 138-42. DOI: 10.1111/luts.12066 PMID: 26663728.

Parlak, S., & Canel, A. (2021). Children and families: Health and wellness instances of intimate partner violence (IPV) among the young in Turkey. International Journal of the Whole Child, 6(1), 57-75. URL: https://libjournals.mtsu.edu/index.php/ijwc/article/view/2046

Pirzadeh, M., Banisee, P., & Watankhah, H. (2019). Prediction of attitude towards marital infidelity based on sexual satisfaction, quality of marital relationships and marital satisfaction of young married women. Recent Advances in Behavioral Sciences, 4(39), 16-32. [Persian] URL: http://ijndibs.com/article-1-384-fa.html

Peters, K., Killinger, K., Jaeger, C., & Chen, C. (2015). Pilot Study Exploring Chronic Pudendal Neuromodulation as a Treatment Option for Pain Associated with Pudendal Neuralgia. Low Urin Tract Symptoms, 7(3), 138-142. DOI: 10.1111/luts.12066 PMID: 26663728.

Rezaei, A., Sharifi, T., Ghazanfari, A., Aflaki, E., & Behradar, M. (2020). The effectiveness of treatment based on acceptance and commitment and therapy based on compassion on depression, anxiety, quality of life of patients with lupus. Scientific-Research Quarterly of Health Psychology, 9(33), 127-144. [Persian]. DOI: 10.30473/hpj.2020.48753.4576

Rissanen, R., Berg, H., & Hasselberg, M. (2017). Quality of life following road traffic injury: a systematic literature review. Accident; Analysis and Prevention, 108(1), 308-320. DOI: 10.1016/j.aap.2017.09.013

Sabzichi, S., Behari, F., & Hamidipour, R. (2017). The effect of group forgiveness education on the feeling of loneliness and intimacy of the elderly living in nursing homes. Journal of Positive Psychology, 3(1), 77-91. [Persian] DOI: 10.22108/ppls.2017.96471.0

Sharifi, N., Rabat Milli, S., Shahidi, Sh., & Gurban Jahormi, R. (2021). Comparison of primary maladaptive schemas and parenting style in betrayed and betrayed women. Quarterly Journal of Applied Psychological Research, 12(2), 357-377. [Persian] DOI: 10.22059/japr.2021.324580.643854

Sanai, B., Homan, A., & Alagmand, S. (2009). Family and marriage measurement scales. Tehran: Ba'ath Publications. [Persian] URL: https://www.gisoom.com/book/11341131/

Sehat, N., Shafiabadi, A., & Aghaei, A. (2021). The effectiveness of combined emotion-oriented and solution-oriented therapy on marital intimacy and couples' compatibility. Cognitive Analytical Psychology Quarterly, 12(46), 51-64. [Persian] URL: https://psy.garmsar.iau.ir/article_686279.html

Sadeghi, M., Mohib, N., & Alivand Wafa, M. (2021). The effectiveness of treatment based on acceptance and commitment on marital burnout, dyslexia and quality of life of women affected by marital infidelity. Applied Family Therapy, 2(3), 73-91. [Persian] DOI: 10.22034/aftj.2021.296762.

Thirch, D., Benjamin S., Laura, R., & Silerb, S. (2013). Compassion-focused therapy for ACT therapists. Translated by Saeeda Daneshmandi, Razia Izadi and Mohammad Reza Abedi. (2015). Isfahan: Kavoshyar. URL: https://www.gisoom.com/book/11309282/

Tandler, P., Krüger, M., & Petersen, L. (2021). Better Battles by a Self-Compassionate Partner? The Mediating Role of Personal Conflict Resolution Styles in the Association Between Self-Compassion and Satisfaction in Romantic Relationships. Journal of Individual Differences, 42(10, 91-98. DOI: 10.1027/1614-0001/a000333

Wróblewska-Skrzek, J. (2021). Infidelity in relation to sex and gender: The perspective of sociobiology versus the perspective of sociology of emotions. Sexuality & Culture, 25(5), 1885-1894. DOI: 10.1007/s12119-021-09845-6

Vesal, M., & Taher Neshat Dost, H. (2019). Meta-analysis of the effectiveness of psychological treatments for chronic pain on pain reduction (articles from 1997 to 1985). Anesthesia and Pain, 10(3), 21-38. [Persian] URL: http://jap.iums.ac.ir/article-1-5443-fa.html

Walker, A., & Thompson, L. (1983). Intimacy and intergenerational aid and contact among mothers and daughters. Journal of Marriage and the Family, 45(1), 841-849. DOI: 1655362766

Ware, J. E., & Gandek, B. (1993). Overview of the SF-36 health survey and the International Quality of Life Assessment (IQOLA) project. Clinical Epidemiology, 51(11), 903-912. DOI:  10.1016/s0895-4356(98)00081-x

Yousefi, Z., & Karimnejad, R. (2018). The effectiveness of compassion-based husbandry training on improving family relationships, marital conflicts, forgiveness and intimacy of deaf and hard of hearing couples in Isfahan city. Women and Family Studies, 6(2), 199-223. [Persian] DOI: 10.22051/jwfs.2017.15408.1452