مقایسه اثربخشی معنویت گرایی مبتنی بر خود آگاهی و درمان هیجان مدار بر پریشانی جنسی و حساسیت بین¬فردی در مادران دارای اختلال افسردگی پس از زایمان شهر اصفهان
محورهای موضوعی : روانشناسیراضیه طایی 1 * , سمیه پورمیدانی 2
1 - کارشناس ارشد مشاوره خانواده، دانشگاه غیرانتقاعی شهید اشرفی اصفهانی، اصفهان، ایران.
2 - گروه روانشناسی، دانشگاه آزاد اسلامی اصفهان(خوراسگان)، اصفهان، ایران.
کلید واژه: اختلال افسردگی پس از زایمان, پریشانی جنسی, حساسیت بین¬فردی, معنویت گرایی مبتنی بر خود آگاهی, درمان هیجان¬مدار ,
چکیده مقاله :
یکی از رایج ترین اثرات روان شناختی پس از زایمان، افسردگی پس از زایمان است و در صورت عدم درمان، ضمن تاثیرگذاری منفی بر رشد عاطفی، ذهنی و ذهنی کودک در بلندمدت میتواند پیامدهای جبرانناپذیری بر کیفیت زندگی زناشویی مادر نیز داشته باشد. پژوهش حاضر با هدف بررسی مقایسه اثربخشی معنویتگرایی مبتنی بر خود آگاهی و درمان هیجانمدار بر پریشانی جنسی و حساسیت بینفردی در مادران دارای اختلال افسردگی پس از زایمان شهر اصفهان انجام شد. این پژوهش نیمهآزمایشی از نوع پیش‌آزمون- پس‌آزمون و دوره پیگیری با گروه کنترل بود. جامعه پژوهش را کلیه مادران دارای اختلال افسردگی پس از زایمان مراجعه کننده به مرکز بهداشت در شهر اصفهان در سال 1403 تشکیل میدادند. نمونه آماری شامل 45 نفر بود که با استفاده از نمونه‌گیری در دسترس و بر اساس ملاک های ورود به پژوهش انتخاب و به صورت تصادفی در دو گروه آزمایش و یک کنترل (هر گروه 15 نفر) جایگزین شدند. به منظور جمع آوری دادهها از پرسشنامه های پریشانی جنسی (Derogatis et al, 2008) و حساسیت فردی (Boyce & Parker, 1989) استفاده شد. گروههای آزمایش تحت درمان گروهی درمان هیجان مدار (جانسون، 2008) و معنویت گرایی مبتنی بر خود آگاهی قرار گرفتند و گروه کنترل هیچ گونه مداخله درمانی دریافت نکرد. جهت تجزیه و تحلیل از آزمون تحلیل کوواریانس چند متغیری استفاده شد. نتایج نشان داد که هر دو درمان معنویتگرایی مبتنی بر خودآگاهی و درمان هیجانمدار در کاهش میزان پریشانی جنسی اثربخش بودهاند که در این بین درمان هیجانمدار نسبت به معنویتگرایی مبتنی بر خودآگاهی بر کاهش پریشانی جنسی تاثیر بیشتری داشته است. در زمینه حساسیت بینفردی نیز هر دو درمان به یک اندازه اثربخشی داشته اند (05/0P<) و این اثرات نیز در دوران پیگیری پایدار بودند. یافته های پژوهش حاضر می تواند به متخصصان در اتخاذ رویکرد مناسب در درمان افسردگی پس از زایمان یاری رسانده و مادران را آماده مقابله با معضلات بعد از زایمان کند.
One of the most common psychological effects after childbirth is postpartum depression, which, if untreated, can negatively impact the emotional and mental development of the child in the long term and can also have irreparable consequences on the quality of the mother's marital life. The present study aimed to compare the effectiveness of self-awareness-based spirituality and emotion-focused therapy on sexual distress and interpersonal sensitivity in mothers with postpartum depression in Isfahan city. This quasi -experimental research employed a pre-test-post-test design with a follow-up period and a control group. The research population comprised all mothers with postpartum depression in Isfahan city in 2024. The sample included 45 individuals selected through convenient sampling and based on the inclusion criteria, who were randomly assigned to two experimental groups and one control group (15 individuals in each group). To collect data, the Sexual Distress Questionnaire (Derogatis et al., 2008) and the Personal Sensitivity Questionnaire (Boys & Papaker, 1989) were utilized. The experimental groups received group therapy based on emotion-focused therapy (Johnson, 2008) and self-awareness-based spirituality, while the control group received no therapeutic intervention. For data analysis, multivariate analysis of covariance test was used. The results indicated that both self-awareness-based spirituality and emotion-focused therapy were effective in reducing sexual distress, with emotion-focused therapy having a more significant impact compared to self-awareness-based spirituality on reducing sexual distress. Regarding interpersonal sensitivity, both therapies showed equal effectiveness (P<0.05), and this effect remained stable during the follow-up period. The findings of the present study can assist specialists in adopting appropriate approaches in the treatment of postpartum depression and prepare mothers to cope with challenges after childbirth.
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