مقایسه اثربخشی درمان گروهی به روش متمرکز بر شفقت (CFT ) با درمان مبتنی بر پذیرش و تعهد (ACT) بر رضایتمندی زناشویی بیماران متاهل مولتیپل اسکلروزیس نوع عودکننده و بهبود یافته

محورهای موضوعی : روانشناسی زوجین

حسین براتی پور ¹ , نگار اصغری پور ^{2 *} , سعید تیموری ³ , محمدعلی نهایتی ⁴

1 - گروه مشاوره، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران، [e-mail]
2 - گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران ( نویسنده مسئول ) [e-mail], tell: 09155003977
3 - گروه روانشناسی، واحد تربیت جام، دانشگاه آزاد اسلامی، تربیت جام، ایران [e-mail]
4 - گروه پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران [e-mail]

تاریخ دریافت : 1403/04/11 تاریخ پذیرش : 1403/07/03 تاریخ انتشار : 1403/10/01

کلید واژه: بیماران متاهل, رضایتمندی زناشویی, درمان گروهی به روش متمرکز بر شفقت, درمان مبتنی بر پذیرش و تعهد, مولتیپل اسکلروزیس نوع عودکننده و بهبود یابنده,

چکیده مقاله :

چکیده مقدمه: هدف پژوهش حاضر مقایسه اثربخشی درمان گروهی به روش متمرکز بر شفقت (CFT ) با درمان مبتنی بر پذیرش و تعهد (ACT) بر رضایتمندی زناشویی بیماران متاهل مولتیپل اسکلروزیس نوع عودکننده و بهبود یابنده بود. روش پژوهش: پژوهش حاضر کاربردی و از نوع نیمه¬آزمایشی، به صورت پیش آزمون، پس آزمون، با گروه کنترل بود. جامعه آماري پژوهش شامل کلیه بیماران ام اس نوع عود کننده و بهبود یابنده¬ای هستند که در سال 1401 به مرکز جامع ام اس دانشگاه علوم پزشکی مشهد مراجعه کرده و دارای پرونده پزشکی می¬باشند. از میان جامعه آماری، با استفاده از روش نمونه¬گیری هدفمند و در دسترس و کسب یک انحراف استاندارد نمره پایین¬تر در پرسشنامه رضایت زناشویی انریچ در پیش¬آزمون 24 نفر از بیماران که دارای ملاک¬های ورود و خروج بودند، به عنوان انتخاب شده و به طور تصادفی در 3 گروه 8 نفری A، B و C جایگزین شدند که گروه A درمان گروهی به روش متمرکز بر شفقت، گروه B، درمان مبتنی بر پذیرش و تعهد را دریافت کردند و گروه C گروه کنترل بود که درمانی دریافت نکرد. به منظور تجزيه و تحليل داده¬های پژوهش از تحلیل واریانس با اندازه-گیری مکرر استفاده شد. یافته¬ها: نتایج نشان داد که بین میانگین هر دو درمان متمرکز بر شفقت و درمان مبتنی بر پذیرش و تعهد نسبت به گروه کنترل، تفاوت معناداری وجود دارد (01/0 >P). نتیجه¬گیری: نتایج نشان داد هر دو درمان، روش¬های موثری، در جهت افزایش رضایت زناشویی می¬باشند. لذا پیشنهاد می¬شود درمانگران و متخصصان زوج¬درمانی، این دو روش درمانی را به منزله رویکرد درمانی موثر در زمینه بهبود روابط زناشویی مدنظر قرار دهند.

چکیده انگلیسی:

 

© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.

Abstract Introduction: The primary aim of this study was to compare the effectiveness of group Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT) in marital satisfaction among married individuals with relapsing-remitting Multiple Sclerosis (RRMS). Research Methods: This study was an applied, quasi-experimental pre-test-post-test design with a control group. The population of the study included all patients with relapsing-remitting Multiple Sclerosis (RRMS) who referred to the Comprehensive MS Center of Mashhad University of Medical Sciences in 2023 and had a medical record. Using purposeful and convenience sampling, 24 patients who met the inclusion and exclusion criteria and had a one standard deviation lower score on the ENRICH Marital Satisfaction Questionnaire in the pre-test were selected from the population and randomly assigned to three groups of 8: Group A received group Compassion-Focused Therapy (CFT), Group B received Acceptance and Commitment Therapy (ACT), and Group C served as a control group and received no treatment. Repeated measures ANOVA was used to analyze the data. Findings: The results indicated that there was a significant difference between the mean scores of both Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT) groups compared to the control group (p < 0.01) Conclusion: The findings demonstrated that both therapeutic approaches, Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), were effective in enhancing marital satisfaction. Therefore, it is recommended that therapists and couples therapists consider these two therapeutic approaches as effective interventions for improving marital relationships. © 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.

منابع و مأخذ:

References:
1- Maghsoodi S, Mohammadi N. Qualitative analysis of the process of restoring social esteem by the women with multiple sclerosis. Quality & Quantity. 2018; 52(6):2557-75. https://doi.org/10.1007/s11135-017-0677-2.
2- Lex H, Weisenbach S, Sloane J, Syed S, Rasky E, Freidl W. Social-emotional aspects of quality of life in multiple sclerosis. Psychology, health & medicine. 2018;23(4):411-23. https://doi.org/10.1080/13548506.2017.1385818.
3- Reynolds F, Prior S. “Sticking jewels in your life”: Exploring women's strategies for negotiating an acceptable quality of life with multiple sclerosis. Qualitative health research. 2003;13(9):1225-51. https://doi.org/10.1177/1049732303257108
4- Özen Ş, Karataş T, Polat Ü. Perceived social support, mental health, and marital satisfaction in multiple sclerosis patients. Perspectives in Psychiatric Care. 2021;57(4):1862-75. https://doi.org/10.1111/ppc.12760
5- Ajilchi B, Oskoei AS, Kargar FR. Marital satisfaction and mental health in multiple sclerosis patients’ and healthy individuals’ accordance to sex. Psychology. 2013;4(11):845. http://dx.doi.org/10.4236/psych.2013.411121.
6- Sabanagic-Hajric S, Suljic E, Memic-Serdarevic A, Sulejmanpasic G, Mahmutbegovic N. Quality of life in multiple sclerosis patients: influence of gender, age and marital status. Materia Socio-medica. 2022;34(1):19. doi: 10.5455/msm.2022.33.19-24
7- Namvar H. The relationship between marital satisfaction of patients with multiple sclerosis (the patients’ spouses) with the interpersonal dependency and personality type. The American J of Family Therapy. 2023;51(3):267-82. https://doi.org/10.1080/01926187.2021.1967221.
8- Dahmardeh H, Sadooghiasl A, Mohammadi E, Kazemnejad A. Correlation between self-esteem and self-compassion in patients with multiple sclerosis–a cross-sectional study. Česká a Slovenská Neurologie a Neurochirurgie. 2021;84 (2).doi: 10.48095/cccsnn2021169
9- Germer CK, Neff KD. Self‐compassion in clinical practice. Journal of clinical psychology. 2013;69(8):856-67. https://doi.org/10.1002/jclp.22021
10- Shafiei M, Akbari S, Heidarirad H. The Effectiveness of Self-Compassion Training on the Loneliness and resilience destitute women. Shenakht J Psychol Psychiatry. 2019;5:71-84. DOI: 10.29252.
11- Van Dam NT, Sheppard SC, Forsyth JP, Earleywine M. Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of anxiety disorders. 2011;25(1):123-30. https://doi.org/10.1016/j.janxdis.2010.08.011
12- Neff KD. The role of self-compassion in development: A healthier way to relate to oneself. Human development. 2009;52(4):211-4. https://doi.org/10.1159/000215071
13- Neff KD, Kirkpatrick KL, Rude SS. Self-compassion and adaptive psychological functioning. Journal of research in personality. 2007;41(1):139-54. https://doi.org/10.1016/j.jrp.2006.03.004
14- Mahmoudpour A, Farahbakhsh K, Balochzadeh E. Prediction of women’s marital commitment based on their attachment styles, self-compassion and distress tolerance. Family Counseling and Psychotherapy. 2018;8(1):65-84. doi:10.22034/fcp.2018.60857
15- Yarnell LM, Neff KD. Self-compassion, interpersonal conflict resolutions, and well-being. Self and identity. 2013;12(2):146-59. https://doi.org/10.1080/15298868.2011.649545
16- Fahimdanesh F, Noferesti A, Tavakol K. Self-compassion and forgiveness: major predictors of marital satisfaction in young couples. The American Journal of Family Therapy. 2020;48(3):221-34. doi.org/10.1080/01926187.2019.1708832.
17- Bibi S, Masood S, Ahmad M, Bukhari S. Effect of self-compassion on the marital adjustment of Pakistani adults. Foundation University Journal of Psychology. 2017;2(2):52-66. https://doi.org/10.33897/fujp.v1i2.52
18- Breines JG, Chen S. Self-compassion increases self-improvement motivation. Personality and social psychology bulletin. 2012;38(9):1133-43. https://doi.org/10.1177/0146167212445599
19- Breines JG, Chen S. Activating the inner caregiver: The role of support-giving schemas in increasing state self-compassion. Journal of Experimental Social Psychology. 2013;49(1):58-64. https://doi.org/10.1016/j.jesp.2012.07.015
20- Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change: Guilford press; 2011.
21- Kamali M, Mahdian H. The Effectiveness of Therapy Based on Acceptance and Realistic Commitment on Marital Adjustment and Marital Satisfaction of Couples on The Verge of Divorce. Journal of Psychological Dynamics in Mood Disorders (PDMD). 2023;2(2):10-20.doi: 10.22034/pdmd.2023.177546
22- Heidari A, Heidari H, Davoudi H. Effectiveness of acceptance and commitment-based therapy on the physical and psychological marital intimacy of women. Int J Educ Psychol Res. 2017;3:163. doi: 10.4103/jepr.jepr_62_16
23- Mirmoeini P, Bayazi MH, Khalatbari J. Comparing the effectiveness of acceptance and commitment therapy and compassion focused therapy on worry severity and loneliness among the patients with multiple sclerosis. Internal Medicine Today. 2021;27(4):534-49. doi: 10.32598/hms.27.4.3426.1
24- Huynh T, Phillips E, Brock RL. Self‐compassion mediates the link between attachment security and intimate relationship quality for couples navigating pregnancy. Family process. 2022;61(1):294-311. https://doi.org/10.1111/famp.12692
25- Daneshvar S, Shafiei M, Basharpoor S. Compassion-focused therapy: Proof of concept trial on suicidal ideation and cognitive distortions in female survivors of intimate partner violence with PTSD. Journal of interpersonal violence. 2022;37(11-12). https://doi.org/10.1177/0886260520984265
26- Pasyar S, Baghuli H, Barzgar M, Sohrabi N. The effectiveness of treatment based on acceptance and commitment on health anxiety, body image and psychological well-being in women with mastectomy breast cancer. Family and health Quarterly. 2023; 13 (1): 2322-3065.doi: 20.1001.1.23223065.1402.13.1.4.1
27- Neff KD. Self‐compassion, self‐esteem, and well‐being. Social and personality psychology compass. 2011;5(1):1-12. doi: 20.1001.1.23223065.1402.13.1.4.1.