اثربخشی درمان شناختی-تحلیلی بر نشانگان اختلال استرس حاد و تجارب تجزیهای در مصدومین حوادث جادهای
محورهای موضوعی : فصلنامه تعالی مشاوره و روان درمانیآزاده رضایتی زاده 1 , سحر حیاتلو 2 , شکوه قلی پور 3
1 - دانشجوی دکترا، گروه روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران
2 - دانشجوی دکترا، گروه روانشناسی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران
3 - کارشناس ارشد مشاوره خانواده، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
کلید واژه: درمان شناختی-تحلیلی, استرس حاد, تجارب تجزیهای, حوادث جادهای,
چکیده مقاله :
هدف: این پژوهش با هدف بررسی اثربخشی درمان شناختی-تحلیلی بر نشانگان اختلال استرس حاد و تجارب تجزیهای مصدومین حوادث جاده ای انجام شد.روش: پژوهش نیمه آزمایشی با طرح پیش آزمون، پس آزمون و گروه گواه بود. تمامی مصدومین حوادث رانندگی مراجعه کننده به بخش های ارتوپدی و ترومای بیمارستان شهدای هفتم تیر جامعه پژوهش را تشکیل دادند. تعداد 30 بیمار واجد ملاک های ورود به پژوهش با روش در دسترس انتخاب و به شیوه تصادفی سازی در گروه های آزمایش و گواه گمارش شدند. گردآوری داده ها علاوه بر چک لیست اطلاعات دموگرافیک با مقیاس می سی سی پی (Norris & Reed, 1997) و مقیاس تجارب تجزیه ای (Bernstein & Putnam, 1986) انجام شد. گروه مداخله برنامه شناختی-تحلیلی را طی 16 جلسه به صورت جلسات هفتگی 1 ساعته دریافت نمودند اما گروه گواه این برنامه را دریافت نکرد. داده ها با آزمون های t (مستقل و زوجی) و تحلیل کوواریانس چندمتغیری تحلیل شدند.یافته‌ها: برنامه شناختی-تحلیلی بر کاهش نمره اختلال استرس حاد (02/36=F، 64/0=Eta و 05/0>P) و مؤلفه های آن (خاطرات رخنه کننده، مشکل در ارتباط بین فردی، ناتوانی در کنترل عاطفی و احساس افسردگی) در آزمودنی های گروه مداخله اثربخش بوده است. بین میانگین نمره تجارب تجزیه ای دو گروه نیز در دوره پس آزمون تفاوت معنی داری بود (12/23=F، 61/0=Eta و 05/0>P).نتیجه‌گیری: یافته های پژوهش حاکی از کارایی این شیوه درمانی نوظهور است. به نظر می رسد به علت تلفیقی بودن درمان و نقش فعال بیمار در آن برای مبتلایان به اختلالات مرتبط با آسیب و عوامل استرس زا مناسب تر است.
Purpose: The aim of this study was to evaluate the effectiveness of cognitive-analytical therapy on acute stress disorder syndrome and dissociative experiences of traffic-related injuries.Methodology: The research was quasi-experimental with pre-test, post-test and control group design. All the injured in traffic accidents referred to the orthopedic and trauma wards of Haft-e-Tir Hospital formed the research community. Thirty patients with inclusion criteria were selected by the available method and were randomly assigned to the experimental and control groups. Data were collected in addition to the Mississippi Traumatic Stress and Dissociative Experiences Scale. The intervention group received the treatment plan for 16 sessions in 1 hour weekly sessions but the control group did not receive this program. Data were analyzed by t-test (independent and paired) and multivariate analysis of covariance.Findings: Cognitive-analytical program has been effective in reducing the score of acute stress disorder and its dimensions in the subjects of the intervention group (P<0.05). There was a significant difference between the mean scores of dissociative experiences of the two groups in the post-test period (P<0.05).Conclusion: Research findings indicate the effectiveness of this emerging treatment method. It seems that due to the combination of treatment and the active role of the patient in it, it is more suitable for patients with trauma and stressor-related disorder.
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