بررسی اثربخشی درمان مبتنی بر هیجان بر فاجعهپنداری و بهزیستی ذهنی در افراد بهبودیافته از بیماری ویروس کرونا
محورهای موضوعی : سلامت
معصومه حجار کارگر
1
,
حسین اکبری امرغان
2
,
حمید نجات
3
,
احسان ارمز
4
1 - دانشجوی دکتری مشاوره، گروه علوم تربیتی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران، dr.akbari@iauq.ac.ir
2 - استادیار گروه علوم تربیتی، واحد قوچان، دانشگاه آزاد اسلامی، قوچان، ایران. (نویسنده مسئول) dr.akbari@iauq.ac.ir, tell: 09338169589
3 - گروه روانشناسی، واحد قوچان، دانشگاه آزاد اسلامی، قوچان، ایران
4 - گروه ریاضی و آمار ، واحد مشهد ، دانشگاه آزاد اسلامی، مشهد، ایران
کلید واژه: بهزیستی ذهنی, بهزیستی روانی, درمان هیجانمدار, فاجعهپنداری, ویروس کرونا ,
چکیده مقاله :
چکیده مقدمه: بیماری همهگیر ویروس کرونا یک رویداد ناگهانی و مخرب بود که منجر به مرگ و میر متعددی شد. پژوهش حاضر با هدف اثربخشی درمان مبتنی بر هیجان بر فاجعهپنداری و بهزیستی ذهنی در افراد بهبودیافته از بیماری ویروس کرونا انجام شد. روش پژوهش: روش پژوهش از نوع پژوهشهای نیمهتجربی دوگروهی (آزمایش و کنترل) همراه با سه مرحله (پیشآزمون، پسآزمون و پیگیری سهماهه) بود. جامعه آماری شامل کلیه بهبودیافتگان از ویروس ویروس کرونا بود که سهماهه نخست سال 1400 از بیمارستان امام رضا (ع) در مشهد مرخص شده بودند. از این جامعه 30 نفر با روش نمونهگیری دردسترس مبتنی بر هدف و با استفاده از ملاکهای ورود انتخاب و به صورت تصادفی در دو گروه 15 نفری (آزمایش و کنترل) جایگزین شدند. گروه آموزش ده جلسه 90 دقیقهای درمان مبتنی بر هیجان گرینبرگ دریافت کردند، درحالیکه گروه کنترل آموزشی دریافت نکردند. ابزار پژوهش شامل پرسشنامه فاجعهپنداری سولیوان و پرسشنامه بهزیستی ذهنی کییز و ماگیارمو بود که در هر دو گروه در مراحل پیشآزمون، پسآزمون و پیگیری بر روی شرکتکنندگان اجرا شد. تجزیه و تحلیل دادهها با استفاده از تحلیل واریانس اندازههای مکرر به کمک نرمافزار SPSS نسخه 22 انجام گردید. یافتهها: یافتههای پژوهش نشان داد میانگین نمرات فاجعهپنداری گروه آزمایش نسبت به گروه کنترل، در مرحله پسآزمون کاهش معناداری پیدا کرد (001/0>P). همچنین میانگین نمرات بهزیستی ذهنی گروه آزمایش نسبت به گروه کنترل، در مرحله پسآزمون افزایش معناداری پیدا کرد (001/0>P). این نتایج در مرحله پیگیری نیز پایدار ماند. نتیجهگیری: بنابراین درمان مبتنی بر هیجان میتواند بهعنوان یک روش مداخلهای مؤثر در کاهش فاجعهپنداری و ارتقاء بهزیستی ذهنی در افراد بهبودیافته از بیماری ویروس کرونا مورد توجه قرار گیرد.
Abstract Introduction: The corona virus epidemic was a sudden and destructive event that led to many deaths. This study aimed to investigate the effectiveness of emotion-focused therapy on catastrophizing and mental well-being in people who have recovered from COVID-19. Research Method: The research was a two-group semi-experimental research (experimental and control) with three stages (pre-test, post-test and three-month follow-up). The statistical population included all those who recovered from COVID-19 and were discharged from Imam Reza hospital in Mashhad in the first quarter of 2021. Out of this population, 30 people were selected using the convenient sampling method based on the purpose and using the inclusion criteria, and were randomly placed in two groups of 15 (experimental and control). The experimental group received ten 90-minute sessions of emotion-focused therapy, while the control group did not receive training. The research tools included Sullivan’s Pain Catastrophizing Scale and Keyes and Magyar-Moe’s Subjective Well-Being Questionnaire, which were administered to the participants in both groups in the pre-test, post-test and follow-up phases. Data analysis was done using repeated measure ANOVA using SPSS-22. Findings: Results showed that the mean catastrophizing scores of the experimental group compared to that of control group decreased significantly in the post-test phase (P<0.001). Also, the average mental well-being scores of the experimental group compared to that of the control group increased significantly in the post-test phase (P<0.001). These results remained stable in the follow-up phase. Conclusion: Based on the results, it can be concluded that emotion-focused therapy can be considered an effective intervention method in reducing catastrophizing and improving mental well-being in people who have recovered from COVID-19.
© 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.
1. Palomera R, González-Yubero S, Mojsa-Kaja J, Szklarczyk-Smolana K. Differences in psychological distress, resilience and cognitive emotional regulation strategies in adults during the Coronavirus pandemic: A cross-cultural study of Poland and Spain. Anales de Psicología/Annals of Psychology. 2022;38(2):201-208. Doi:10.6018/analesps.462421
2. Vallejo-Slocker L, Fresneda J, Vallejo MA. Psychological Wellbeing of Vulnerable Children During the COVID-19 Pandemic. Psicothema. 2020; 32(4): 501-507. doi:10.7334/psicothema2020.218
3. Pino O, Cunegatti F, D’Angelo M. The Role of Life Meaning in Psychological Distress and Post-traumatic Growth among Italian First-Aid Volunteers during the COVID-19 Outbreak. Trends in Psychology. 2022; 1-23. doi: 10.1007/s43076-022-00182-7
4. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A system atic review and meta-analysis. Brain, Behavior and Immunity. 2020; 88: 901-907. Doi:10.1016/j.bbi.2020.05.026
5. Cheah WL, Law LS, Samy AL, Chua BS, Siau CS, Fitriana M, Low WY. Influence of mental health on the well-being status among Malaysian adults before and during COVID-19 pandemic. Psychology, Health & Medicine. 2023; 28(1): 189-199. doi:10.1080/13548506.2022.2063351
6. Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España. [Levels of stress, anxiety and depression in the first phase of the COVID-19 outbreak in a sample collected in northern] Cadernos de Saúde Pública. 2020; 36(4): 1-10. Doi:10.1590/0102- 311X00054020
7. Verma S, Mishra A. Depression, anxiety, and stress and sociodemographic correlates among general Indian public during COVID19. International Journal of Social Psychiatry. 2020; 66(8): 756-762. doi:10.1177/0020764020934508
8. Meyers L, Gamst G, Guarino J. Applied multivariate research: Design and Interpretation. Third edition. London: Sage publication, 2016.
9. Ziadni MS, Sturgeon JA, Darnall BD. The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain. European Journal of Pain. 2018; 22(4): 756-762. doi:10.1002/ejp.1160
10. Dousti P, hosseininia N, Ghodrati G, Ebrahimi ME. Comparison of rumination, Sense of helplessness, and magnification at different ages and their relation to stress coping styles in visitors of a mental health monitoring website during the first week of coronavirus outbreaks. Knowledge & Research in Applied Psychology. 2020; 21(2):105-114. (In Persian)
11. Bridges LJ, Margie NG, Zaff JF. Background for community level work on emotional well-being in Adolescence: Reviewing the literature on contributing factors. New York: Child Trends, 2002. Available from: http://www.chilrends.org/files/Kemotional.pdf
12. Keyes CLM, Magyar-Moe JL. The measurment and utility of adult subjective well-being in positive psychological assessment: Handbook of models and measures, edited by Lopez SJ and Snyder R. Washington DC: American Psychological Association, 2003: 411-425
13. Savadjan S, Mohaqeqi Kamal S H, Hasan Moradi N, Ghaedamini Harouni G. The Relationship between Subjective Well-being and Quality of Educational Life among Students of the University of Social Welfare and Rehabilitation Sciences in Tehran, Refahj. 2018; 18(69): 247-229. (In Persian)
14. Golestani Bakht, T Presenting the model of mental health and happiness in the population of Tehran. PhD. Thesis in clinical psychology, Al-Zahra University, 2007. (In Persian)
15. Greenberg LS. Emotion-focused therapy: coaching clients to work through their feelings. Translate by Ramezani M, Bagheri Z, Hematyar I. Tehran: Ravan Publication, 2018. (In Persian)
16. Zarieh S, Naderi F, Asgari P, Bakhtiarpoor S. The effectiveness of emotion-focused therapy in psychological flexibility and internal cohesion among cardiovascular patients with obesity. The Medical Journal of Mashhad University of Medical Sciences. 2021; 64(3): 3363-3374. (In Persian)
17. Delkosh A, Movahedi Y. The Effectiveness of Emotion-focused Couple Therapy on Resilience and Cognitive Fusion in Couples Seeking Divorce. Paramedical Sciences and Military Health. 2021; 16(1): 24-31. (In Persian)
18. Mirlohian M, Alizadeh Z, Zareh Hoseinzadeghan Z, Ashekar Z, Bazgouneh A, Samkhaniani E. Comparison of the Effectiveness of Emotionally-Focused Couples Therapy (EFCT) and Reality Therapy in Reducing the Symptoms of Depression and Resilience of Couples with Marital Problems. Applied Family Therapy Journal. 2021; 2(2): 250-269. (In Persian)
19. Sanagavi Moharrar Gh, Shirazi M, Mohammadi R, Maghsoodloo F. Effectiveness of Emotional Therapy on Reducing Anxiety and Depression in Patients with Multiple Sclerosis. The Medical Journal of Mashhad University of Medical Sciences. 2019; 61(1): 190-200. (In Persian)
20. Sullivan MJ, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychological assessment. 1995; 7(4):524-532. doi:10.1037/1040-3590.7.4.524
21. Mohammadi S, Dehghani M, Heidari M, Sedaghat M, Khatibi A. The evaluation of pain-related psychological similarities among patients with musculoskeletal chronic pain and their spouses. 2013; 7: 57-66. (In Persian)
22. Merati A, Merati M, Barzagar Bafroee M. Comparison of Students' Subjective Well-Being and Interpersonal Relationship from the Perspective of Superiority (Left and Right). Journal of New Approaches in Educational Sciences. 2022; 4(2): 58-68. (In Persian)
23. Tabachnick BG, Fidell LS. Using Multivariate Statistics (4th ed.). boston: allyn & bacon, 2001.
24. Amin S. The psychology of coronavirus fear: Are healthcare professionals suffering from corona-phobia?. International Journal of Healthcare Management. 2020; 13(3): 249-256. doi:10.1080/20479700.2020.1765119
25. Lee H, McAuley JH, Hübscher M, Kamper SJ, Traeger AC, Moseley GL. Does changing pain-related knowledge reduce pain and improve function through changes in catastrophizing?. Pain. 2016;157(4):922-930. doi:10.1097/j.pain.0000000000000472
26. Gallegos M, Zalaquett C, Sanchez SEL, Mazo-Zea R, Ortiz-Torres B, Penagos-Corzo JC, ... & Miranda RL. Coping with the Coronavirus (Covid-19) pandemic in the Americas: recommendations and guidelines for mental health. Interamerican Journal of Psychology. 2020; 54(1): [e1304]. https://doi.org/10.30849/ripijp.v54i1.1304
27. Karimi, E, Tajaddini, M. Prevalence of Anxiety Disorders in Kerman Families in Corona Crisis and Its Relationship with Demographic Characteristics. . 2022; 12(1): 46-56. (In Persian)
28. Berner GH, Boush DH, & Moses J. Creating spiritual and psychological resilience: integrating care in disaster relief work. Translate by Lotfi A, & Derakhshehs A. Tehran: Defense Industries Educational and Research Institute, 2018. (In Persian)