مقایسه اثربخشی آموزش راهبردهای خودنظم جویی فرآیندی هیجانی و معنادرمانی بر علائم سایکوسوماتیک زنان مبتلا به ناباروری

محورهای موضوعی : روانشناسی زوجین

هاجر آقایی ¹ , مرضیه علیوندی وفا ² , لعیا فرزدی ³ , علی نقی اقدسی ⁴

1 - - دانشجوی دکتری روانشناسي، گروه روانشناسي، دانشکده علوم انسانی، واحد تبريز، دانشگاه آزاد اسلامي، تبريز، ايران، [e-mail]
2 - دانشیار روانشناسي، گروه روانشناسي، دانشکده علوم انسانی، واحد تبريز، دانشگاه آزاد اسلامي، تبريز، ايران (نویسنده مسئول)، [e-mail] تلفن: [phone]
3 - استاد تمام، گروه زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران، [e-mail]
4 - استادیار، گروه مشاوره، واحد تبریز، دانشگاه آزاد اسلامی تبریز، ایران [e-mail]

تاریخ دریافت : 1403/09/01 تاریخ پذیرش : 1403/10/04 تاریخ انتشار : 1404/04/20

کلید واژه: آموزش راهبردهای خونظم جویی فرآیندی هیجان, علائم سایکوسوماتیک, معنادرمانی, ناباروری,

چکیده مقاله :

چکیده

مقدمه: علایم سایکوسوماتیک در جامعه ی ناباروری از حوزه های پرچالش دنیای روانشناسی و پزشکی است. هدف پژوهش حاضر، مقایسه ای آموزش راهبردهای خونظم جویی فرآیندی هیجان و معنادرمانی بر علائم سایکوسوماتیک زنان مبتلا به ناباروری بود.

روش پژوهش: از نظر روش شناسی از نوع نیمه آزمایشی با طرح پیش آزمون و پس آزمون با گروه کنترل بود. جامعه آماری این تحقیق، کلیه زنان مبتلا به ناباروری مراجعه کننده به دو بیمارستان دنا و زینبیه شهرستان شیراز در تابستان 1403 بودند. به منظور نمونه گیری، از روش نمونه گیری غیرتصادفی هدفمند استفاده شد. حجم نمونه 45 نفر بودند که بعد از انتخاب، به طور تصادقی در دو گروه آزمایش و یک گروه کنترل قرار داده شدند (هر گروه 15 نفر). گروه آزمایش دو مداخله را به طور جداگانه طی 8 جلسه 90 دقیقه ای آموزش دیدند؛ اما گروه کنترل هیچ گونه آموزشی دریافت نکردند. ابزارهای تحقیق عبارت بودند از پرسشنامه علائم سایکوسوماتیک، مداخله آموزش راهبردهای خودنظم جویی فرایندی هیجان، معنادرمانی. تجزیه و تحلیل داده ها با استفاده از آزمون تحلیل کوواریانس چندمتغیره با کمک نرم افزار SPSS نسخه 24 انجام شد.

یافته ها: یافته ها نشان دادند که تفاوت معناداری بین آموزش راهبردهای خودنظم جویی فرایندی هیجان و معنادرمانی بر علائم سایکوسوماتیک زنان مبتلا به ناباروری در مقایسه با گروه کنترل وجود دارد.

نتیجه گیری: بر اساس نتایج بدست آمده، هر دو مداخله به یک اندازه توانستند بر علایم سایکوسوماتیک زنان نابارور اثربخش باشند. در کل، چنین استنباط می شود که هر دو مداخله قدرت اثربخشی بر علایم سایکوسوماتیک در زنان نابارور را دارد. (01/0p<).

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: Psychosomatic symptoms in the infertility community are one of the most challenging areas in the world of psychology and medicine. The aim of the present study was to compare the training of emotion process self-regulation strategies and semantic therapy on psychosomatic symptoms of women with infertility.

Research method: In terms of methodology, it was a quasi-experimental design with a pre-test and post-test design with a control group. The statistical population of this study was all women with infertility who referred to Dena and Zeinbiyeh hospitals in Shiraz in the summer of 1403. For sampling, a purposive non-random sampling method was used. The sample size was 45 people who, after selection, were randomly placed in two experimental groups and a control group (15 people in each group). The experimental group received two interventions separately during 8 90-minute sessions; but the control group did not receive any training. The research tools were the psychosomatic symptoms questionnaire, the intervention of emotion process self-regulation strategies training, semantic therapy. Data analysis was performed using multivariate analysis of covariance using SPSS version 24.

Findings: The findings showed that there was a significant difference between training in emotion process self-regulation strategies and meaning therapy on psychosomatic symptoms of women with infertility compared to the control group.

Conclusion: Based on the results obtained, both interventions were equally effective on psychosomatic symptoms of infertile women. Overall, it can be concluded that both interventions have the power to be effective on psychosomatic symptoms in infertile women. (p<0.01).

منابع و مأخذ:

1) Sargolzari MR, Moharii F, Arshadi HR, Javidi K, Karimi Sh, Fayazi Bordbar MR. Psychosexual disorders and depression in infertile women referring to Mashhad Infertility Treatment Center. Quarterly Journal of Fertility and Infertility, 2001: 46-51.
2)cBagade T, Thapaliya K, Breuer E, Kamath R, Li Z, Sullivan E.. Investigating the association between infertility and psychological distress using
Australian Longitudinal Study on Women’s Health (ALSWH). Sci Rep, 2022; 12(1):10808
3) Salma U, Sultana N, Rahman F, Farhin KK, Ishrat S. Sexual Dysfunction in Infertile Patients with Polycystic Ovarian Syndrome. Fertility & Reproduction. 2023; Jun 7:1-9.
4) El Osta R, Almont T, Diligent C, Hubert N, Eschwège P, Hubert J. Anabolic Steroids Abuse and Male Infertility. Basic Clinical Andrology, 2016; 26(1): 1-8
5) Hsu I, Hsu L, Dorjee S, Hsu CC. Bacterial colonization at caesarean section defects in women of secondary infertility: an observational study. BMC Pregnancy and Childbirth, 2022; 22(1):1-1
6) Shan-Ze Wang; Chao Yang; Hong-Fang Tian; Shi-Hao Du; Wen-Bin Fu; Ji-Ping Zhao. From the body-mind holism to psychosomatic medicine: theory and practice of acupuncture and moxibustion. National library of medicine, 2023; 43(4): Doi: 10.13703/j.0255-2930.20221130-k0005.
7) Margreet S H Wortman; Tim C Olde Hartman; Johannes C van der Wouden; Sarah Dankers; Bart Visser; Willem J J Assendelft. Perceived working mechanisms of psychosomatic therapy in patients with persistent somatic symptoms in primary care: a qualitative study, national library of medicine, 2022; 12(1): 435. http://orcid.org/0000-0003-4060-4354Henriëtte E van der Horst
8) Costa D, Mercieca-Bebber R, Rutherford C, Tait MA, King MT. How is
quality of life defend and assessed in published research? Qual Life Res; 2021;30(8):2109–21. https://doi.org/10.1007/s11136-021-02826-0. PubMed PMID: 33792834
9) Mahmoudi N, Malekshahifar M. Study of the prevalence and relationship between psychosomatic disorders with emotional intelligence and attachment style in boys' secondary schools in Zanjan province, Isfahan Azad University, Fourth International Psychosomatic Congress, 2012
10) Noorbala Ahmad A, Nomani F, Yahyavi Dizaj J, Anvari S, Mahmoudpour Azari M. Burden of Mental Disorders: A Study of Countries in the Middle East. Scientific and Research Journal of the Medical System Organization, 2019; 38(1): 19-26.
11) Badai A, Vaziri Sh, Lotfi Kashani F. The contribution of emotion regulation, defense mechanisms and attachment in predicting psychosomatic symptoms with the moderation of gender and distress level. Scientific-Research Journal of the Medical System Organization, 2019; 39(1): 30-38.
12) Giannotta F., Nilsson K.W., Åslund C., Larm P. Among the swedish generation of adolescents who experience an increased trend of psychosomatic symptoms. Do they develop depression and/or anxiety disorders as they grow older?. BMC psychiatry, 2022; 22(1): 779. https://doi.org/10.1186/s12888-022-04432-x
13) Shida B, Shayest A. The role of bioactive components in psychosomatic disorders. Editors: Takura, M; Balwal, T. Springer, Singapore; 2002
14) Gondivkar S.M., Gadbail A.R., Sarode S.C., Hedaoo A., Dasgupta S., Sharma B., Sharma A., Yuwanati M., Gondivkar R.S., Gaikwad R.N., Sarode G.S., Patil S. Oral psychosomatic disorders in family caregivers of oral squamous cell carcinoma patients. Asian Pacific journal of cancer prevention: APJCP, 2021; 22(2): 477–483. https://doi.org/10.31557/APJCP.2021.22.2.477
15) Riyahi MI. A comparative study of gender differences in the dietary habits of Iranian and Indian students. Women's Studies Quarterly, 2005; 8: 97-125.
16) Razhan C. The Relationship among Stressors, Stress Level, and Mental Symptoms for Infertile women: a systemic review. RBMO, 2023; 412(2): 326
17) Koert E, Takefman J, Boivin J. Fertility quality of life tool: update on research and practice considerations. Human Fertility, 2021; 24(4):236-48
18) Sater AC, Nisihara R, Miyague DM, Schuffner A, Miyague AH. Evaluation of Sexual Dysfunction in Brazilian Women with Infertility Undergoing Assisted Reproduction Treatment. Archives of Obstetrics and Gynaecology, 2023; Mar 6;4(1):12-7.
19) Leeners B, Tschudin S, Wischmann T, Kalaitzopoulos DR. Sexual dysfunction and disorders as a consequence of infertility: a systematic review and meta-analysis. Human reproduction update. 2024; Jan 29(1):95-125
20) Ahmed MA, Mohammed AA, Ilesanmi AO, Aimakhu CO, Bakhiet AO, Hamad SB. Female Genital Tuberculosis Among Infertile Women and Its Contributions to Primary and Secondary Infertility: A systematic review and meta-analysis. Sultan Qaboos University Medical Journal [SQUMJ], 2021
21) Hosseini F., Aghaei H., Nouhi S., Tabatabaei S. The effectiveness of a mindfulness-based stress reduction program on sexual function in women with primary infertility. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences, 2014; 67 (2): 546-557.
22) McRae K., Gross J.J.. Emotion regulation. Emotion, 2020; 20(1): 1–9.
23) Gross James J. Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 2002; 39(3): 281-291. https://doi.org/10.1017/S0048577201393198
24) Thompson R.A. Emotionl regulation a theme in search for definitionIn. The Developmental of Emotion Regulation Behavioral and Biological Considerations Monographs of the society for research in chield Development, 1994; 59: 25-52. https://doi.org/10.1111/j.1540-5834.1994.tb01276.x
25) Keleynikov M., Benatov J., Cohen N. Emotion Regulation among Parents Raising a Child with Disability: A Systematic Review and Conceptual Model. Journal of Child and Family Studies, 2023: 1-18. https://doi.org/10.1007/s10826-022-02530-8
26) Qaderi M., Dokaneifard F., Jahangir P., Vosough Taghi-Dizaj A. A predictive model of psychological distress based on emotional regulation mediated by adjustment to infertility in infertile women. Psychological Achievements, 2023; 4(30): 223-244.
27) Idugboe MI, Nneka Josephine Umeh O, Adewara A, Jarjusey S, Edwards Okobi O, Adetifa O. The Psychological Impact of Infertility on Couples: Exploring the Role of Support Systems and Coping Mechanisms. International Journal of Research and Reports in Gynecology, 2024; 7(1):88-98. https://journalijrrgy.com/index.php/IJRRGY/article/view/103
28) Vatankhah M., Kafi S.M., Abolghasemi A., Shakerinia I.. The effectiveness of self-regulation training with the interaction of body mass index on weight control, executive function and emotional regulation in overweight and obese adolescents. Journal of Psychological Advances, 2019; 27(2): 89-110.
29) Li D., Li D., Wu N., Wang Z. Intergenerational transmission of emotion regulation through parents' reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects. Children and Youth Services Review, 2019; 101: 113-122.
30) Eisenberg N. Emotion regulation and moral development. Annu Rev Psychol, 2000; 51: 665-97.
31) Glaser M., Green G., Barak S., Bord S, Levi S, Jakobovich R., Dunsky A, Zigdon A, Zwilling M, Tesler R. The effects of the Friendship Online Intervention Program on physical activity, substance abuse, psychosomatic symptoms, and well-being among at-risk youth. National library of medicine, 2023; 10.
32) Mohammad N, Hatami M, Niknam M. Comparing the effectiveness of cognitive behavioral therapy and emotion regulation process on anxiety sensitivity in patients with multiple sclerosis. Health Psychology, 2021; 10(37): 109-126.
33) Kulthum M, Hanifa B. Depression, anxiety, psychosomatic symptoms and perceived social support in type D and non-type D individuals. Iranian Journal of Psychiatry and Clinical Psychology (Thought and Behavior), 2021; 27(1): 92-103.
34) Rahnama Sh, Amiri M, Karami Moghaddam P. The search for meaning in life; a psychological perspective or a philosophical inquiry. Journal of Biological Ethics, 2023; 13(38): 3-9.
35) Ghasemi N, Fathi-Aghdam Q, Qamari M, Pooyamanesh J. A comparison of the effectiveness of group semantic therapy and group metacognitive therapy on resilience of female students. Sports Psychology Studies, 2022; 9(34):197-214.
36) Bakhshi F, Yektaei T, Hajimiri K. The effectiveness of group semantic therapy on life expectancy of HIV patients in northern Iran. Caspian Health Research Quarterly, 2018; 4(1):16-20.
37) Maqhfirah D., Ginting D.A.B. The Relationship between Social Support and the Meaning of Life in Patients Undergoing Hemodialysis at the Special Kidney Hospital Medan. International Research Journal of Advanced Engineering and Science, 2021; 6(1): 301–305
38) Jundiah R.S., Dirgahayu I., Rahmadina F.N. Hubungan Lamanya Menjalani Hemodialisis Dengan Depresi Pada Klien Gagal Ginjal Kronik. Jurnal Keperawatan ’Aisyiyah, 2020; 6(2): 17. https://doi.org/10.33867/jka.v6i2.132
39) Kakavand F, Yousefvand M. The effectiveness of group-based semantic therapy on tolerance of ambiguity and concern about body image and metacognitive beliefs in women with depressive symptoms. Journal of Medical Ethics, 2012;16(47): 3-12.
40) Barakova E.I., Bajracharya P., Willemsen M., Lourens T., Huskens B.. Long‐ term LEGO therapy with humanoid robot for children with ASD. Expert Systems, 2015; 32(6): 698-709.
41) Hosseinigolafshani S.Z., Taheri S., Mafi M., Mafi M.H., Kasirlou L. The Effect of Group Logo Therapy on The Burden of Hemodialysis Patients’ Caregivers. Journal of Renal Injury Prevention, 2020; 9(4): 1-8. https://doi.org/10.34172/JRIP.2020.33
42) Gul F.A., Chen C.J.P Tsui, J.S.L. Discretionary accounting accruals, managers incentives, and audit fees’, Contemporary Accounting Research, 2003; 20: 441-464.
43) Qaedinia Jahromi A., Hassani J., Nouri R., Farmani Shahreza Sh. The effectiveness of group training in emotion regulation strategies in cognitive coping of individuals with substance abuse. Quarterly Journal of Addiction Research and Substance Abuse, 2014; 8(31): 216.
44) Frankel V.E. The Unheard Cry for Meaning: Psychotherapy and Humanism.
New York, NY: Touchstone; 1979
45) Mohr G. The changing significance of different stressors after the announcement of bankruptcy: A longitudinal investigation with special emphasis on job insecurity. Journal of Organizational Behavior, 2000; 21(3): 337- 359.
46) Babamiri M., Nisi A., Arshadi N., Mehrabizadeh Honarmand M., Bashlideh K. Investigating occupational stress and personality traits as predictors of psychosomatic symptoms in employees of a company in Ahvaz. Journal of Psychological Achievements, 2015
47) Damiri H, Nisi A, Arshadi N, Naami A. The effectiveness of comprehensive stress management training on reducing job stress, burnout, depressive symptoms, and general symptoms of psychosomatic disorders in employees of the National Iranian Drilling Company. PhD thesis in Psychology, Shahid Chamran University of Ahvaz, 2015
48) Tajlifar M., Hayati M, Ghodrati M, Mirkouhi A. The effectiveness of group semantic therapy on self-esteem and feelings of worthlessness in elderly people with type 2 diabetes. Psychology of Aging, 2010; 6(4): 383-399.
49) Nelis D., Quoidbach J., Hansenne M, Mikolajczak M. Measuring individual differences in emotion regulation: The Emotion Regulation Profile-Revised (ERP R). Psychologica Belgica, 2011
50) Slivnick J., Lampert B.C. Hypertension and Heart Failure. Heart failure clinics, 2019
51) Qaraei Ardakan, Sh., Azadfallah P., Tolai SA. The effectiveness of the acceptance and commitment therapy approach in reducing the intensity of pain experience in women with chronic headache disorder. Clinical Psychology, 2012; 4(2): 39-50.
52) Rezaian M., Ebrahimi A., Zargham M.. Acceptance and commitment therapy on catastrophizing and pain disability in women with chronic pelvic pain, Journal of Cognitive and Behavioral Sciences Research, 2019; 4(2): 17-30.
53) Dezutter J, Casalin S, Wachholtz A, Luyckx K, Hekking J, Vandewiele W. Meaning in life: an important factor for the psychological well-being of chronically ill patients?, 2013
54) Normann N, Morina N. The efficacy of metacognitive therapy: A systematic review and metaanalysis. Frontiers in Psychology, 2018; 9: 2211.
55) Mostarac I, Brajkovic L. Life after Facing Cancer: Posttraumatic Growth, Meaning in Life and Life Satisfaction. Journal of clinical psychology in medical settings, 2022; 29(1):92-102.