اثربخشی درمان پذیرش و تعهد بر سلامت روانی و نشخوارفکری مادران کودکان با فرزندان دارای اختلالات عصبی رشدی
محورهای موضوعی : روانشناسیاعظم شاه محمدی قهساره 1 , زهرا مسیبی 2
1 - دکتری روان شناسی، گروه روان شناسی ، دانشکده روان شناسی و علوم تربیتی ، واحد اصفهان ( خوراسگان ) ، دانشگاه آزاد اسلامی ، اصفهان، ایران az.shahmohammadi@gmail.com
2 - (نویسنده مسئول) دکتری مدیریت آموزشی دانشکده علوم انسانی، دانشگاه آزاد اسلامی قم، ایران Z.mosayyebi@gmail.com
کلید واژه: اضطراب, افسردگی, پذیرش و تعهد, سلامت روانی, نشخوارفکری, نیازهای ویژه,
چکیده مقاله :
چکیده مقدمه: درمان پذیرش و تعهد، یکی از درمانهای رفتاری نسل سوم در زمینه سلامت روانی است. هدف مطالعه حاضر، بررسی اثربخشی درمان پذیرش و تعهد بر سلامت روانی و نشخوار فکری مادران کودکان با فرزندان دارای اختلالات عصبی رشدی بود. روش پژوهش: روش این پژوهش نیمه آزمایشی از نوع پیش آزمون- پس آزمون با گروه گواه و پیگیری 1 ماهه بود. جامعه آماری شامل همه مادران با فرزندان دارای نیازهای خاص در شهر همدان بودند که از این تعداد، 14 شرکت کننده بصورت در دسترس انتخاب شدند و به طور تصادفی به 2 گروه مداخله و گواه تقسیم شدند. ارزیابی روانی شامل مصاحبه با روانشناس بالینی و تکمیل پرسشنامه‌های اضطراب و افسردگی بک و مقیاس پاسخ نشخوارگونه بود. شاخص‌های اضطراب و افسردگی و نشخوار فکری در سه مقطع قبل از جلسات مداخله، بعد از مداخله و پیگیری 1 ماهه بعد از پایان جلسات گرداوری شدند. داده ها با استفاده از روش تحلیل واریانس آمیخته و نرم افزار SPSS نسخه 23 مورد تجزیه و تحلیل قرار گرفتند. یافته‌ها: یافته‌ها نشان دادند که شاخص‌های اضطراب، افسردگی و نشخوار فکری پس از مداخله به شیوه‌ی پذیرش و تعهد و در دوره پیگیری به طور معناداری کاهش یافتند. بنابراین درمان پذیرش و تعهد بر درمان اضطراب، افسردگی و نشخوار فکری مادران کودکان مادران کودکان با فرزندان دارای اختلالات عصبی رشدی موثر بوده است. به علاوه اثرات درمان پذیرش و تعهد با توجه به دوره پیگیری در همه شاخص های اضطراب، افسردگی و نشخوار فکری پایدارتر بود. نتیجه‌گیری: نتایج بر اهمیت کاربرد این مداخلات در سلامت روانی و نشخوار فکری مادران کودکان با فرزندان دارای اختلالات عصبی رشدی موثر و ارائه افق جدید در مداخلات بالینی تاکید دارد.
Abstract Introduction: Acceptance and commitment therapy is one of the third-generation behavioral therapies in the field of mental health. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy on mental health and rumination of mothers of children with neurodevelopmental disorders. Method: The method of this research was a semi-experimental pre-test-post-test type with a control group and a 1-month follow-up. The statistical population included all mothers with children with special needs in Hamedan city, of which 14 participants were randomly selected and randomly divided into 2 intervention and control groups. Psychological evaluation included an interview with a clinical psychologist and the completion of Beck's anxiety and depression questionnaires and rumination response scale. The indicators of anxiety, depression and rumination were collected at three points before the intervention sessions, after the intervention and 1 month follow-up after the end of the sessions. The data were analyzed using mixed variance analysis method and SPSS version 23 software. Findings: The findings showed that the indices of anxiety, depression and rumination decreased significantly after the intervention in the way of acceptance and commitment and during the follow-up period. Therefore, acceptance and commitment therapy has been effective in treating anxiety, depression and rumination in mothers of children with children with neurodevelopmental disorders. In addition, the effects of acceptance and commitment therapy were more stable according to the follow-up period in all indicators of anxiety, depression and rumination. Conclusion: The results emphasize the importance of using these interventions in the mental health and rumination of mothers of children with effective neurodevelopmental disorders and providing a new horizon in the clinical interventions.
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