اثربخشی روان‌درمانی مبتنی بر کیفیت زندگی بر سلامت روان دختران نابینای شهر اصفهان
محورهای موضوعی : تربیتیمحمد جواد خادمی 1 , محمد رضا عابدی 2
1 - کارشناس ارشد، گروه روان‌شناسی بالینی، دانشکدۀ علوم انسانی، دانشگاه آزاد اسلامی واحد نجف‌آباد، اصفهان، ایران
2 - عضو هیأت علمی دانشگاه اصفهان، ایران
کلید واژه: سلامت روان, دختران نابینا, درمان مبتنی بر کیفیت زندگی,
چکیده مقاله :
هدف این پژوهش تعیین اثربخشی روان‌درمانی مبتنی بر کیفیت زندگی بر سلامت روان دختران نابینای شهر اصفهان بود. نوع پژوهش شبه‌تجربی و طرح آن پیش‌آزمون ـ پس‌آزمون باگروه گواه و پیگیری بود. جامعۀ پژوهش همۀ دختران نابینای 20 تا 40 ساله بودند که در سال 1393 در سازمان بهزیستی استان اصفهان پرونده داشتند. با نمونه‌گیری در دسترس 40 نفر از دختران نابینا انتخاب شدند و به‌طور تصادفی در دوگروه آزمایش و گواه قرار گرفتند. گروه آزمایش به مدت 8 جلسۀ90 دقیقه‌ای تحت آموزش کیفیت زندگی‌درمانی (پاداش و همکاران، 1389) قرار گرفتند و سپس هر دو گروه به پرسشنامه‌های سلامت روان SCL-90-R (دراگوتیس و همکاران، 1973) پاسخ دادند. داده‌ها با تحلیل کوواریانس تحلیل شد. نتایج نشان داد اثر زمان در متغیر افسردگی معنی‌دار بود. به‌عبارتی از جلسۀ پیش‌آزمون تا پیگیری میزان افسردگی در هر دو گروه به‌طور معناداری کاهش یافته بود (01/0P<). اثر تعامل زمان با گروه در شاخص‌های اضطراب، وسواس و خصومت معنادار بود (01/0P<). به‌عبارتی آموزش در کاهش این سه شاخص بین گروه آزمایشی و گواه در پس‌آزمون و پیگیری تفاوت معنی‌دار ایجاد کرده بود.
The aim of this study was to investigate the effectiveness of quality of life psychotherapy on blind girls’ mental health in Esfahan. The study was quasi-experimental with pretest, posttest, control group design and a follow up. The population consisted of all blind girls who had records in Isfahan Welfare Organization in 2014. Through convenience sampling, 40 blind girls were selected and randomly assigned into two groups, experimental and control. Experimental group received quality of life psychotherapy for 8 sessions (90 minutes each) and then, both groups completed SCL-90-R personality traits questionnaire (Dragotis et al, 1973). The data were analyzed by analysis of covariance. Time-varying effects of depression were significant, that is, the pre-test rate of depression in both groups decreased significantly (P<0.01). The interaction of time with the indicators of anxiety, obsession and hostility was significant (P<0.01). In other words, psychotherapy made a significant difference between experimental group and control group in the three indicators of anxiety, obsession and hostility in posttest and follow up.
Albert, M.M. (2005). Examination the social skills differences among at-risk youth diagnosed with blindness conduct and serious emotional disturbance. Unpolished Doctoral Dissertation. Boston University.
Bergger, S., Porell, F. (2008). The association between low vision and function. Journal of Aging & Health, 20(5): 504-525.
Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., and Coventry, P.A. (2014). Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis. Internashnal Journal of Chronic Obstructive Pulmonary Disease, 9: 501–512.
Datta ,S., Foss, A.J., Grainge, M.J., Gregson, R.M., Zaman A., & Masud, T. (2008). The importance of acuity, stereopsis, and contrast sensitivity for health-related quality of life in elderly women with cataracts. Invest Ophthalmol, 49(1): 1-6.
De Leo, D, Hickey P.A, Meneghel, G., Cantor, Ch.H, Franz, P., Blindness, L. (1999). Fear of sight loss, and suicide. Psychosomatics, 40(4): 339-344.
Derogates, L.R., Lipman, R.S., & Covi, L. (1973). SCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacology Bulleti, 9, 13-28.
Derogates, L.R., Rickels, K., Rock, A.F. (1976). The SCL-90: and MMPI: a step in the validation of a new seif-report scale. British Journal of Psychiatry, 129, 280-289.
Fooladvand K. (2006). Organizational climate relationship with mental health staff Islam city\'s public hospitals. Journal of Islam University of Medical Sciences, 15(1): 44-45.
Frisch, M.B. (2006). Finding happiness with Quality of Life Therapy: Appositive psychology approach. Wood way, TX: Quality of Life Press.
Grant, G.M., Salced, V., Hynan L.S., et al. (1995). Effectiveness of quality of life therapy for depression. Psychological Report, 76, 1203-8.
Haggstrom, E., Mbusa, E., & Wadensten, B. (2008). Nurses workplace distress and etical dilemmas in Tanzanian health care. Nurs Ethics, 15(4): 478-91.
Hallahan, D.P., & Kauffman, J. (2003). Exceptional learners: Introduction to special education. Allyu Dacon Press. 6 edition, 26.
Hayeems, R.Z, Geller, G., Finkelstein, D,. Faden, R.R. (2005). How patients experience progressive loss of visual function: A model of adjustment using qualitative method. British Journal of Ophthalmology, 89: 615-620.
Heire, Ch., & Browning C.J. (2004). The communication and psychosocial perceptions of older adults with sensory loss. Cambridge University Press, Aging & Society, 24(1):113-130.
King, C.R., Hinds, P.S. (2003). Quality of life from nursing and pationt perspective. Massachusettes: Jones and Bartlett Publishers.
Kuyk ,T., Liu ,L., Elliott, J.L., Grubbs, H.E., Owsley, C,& Griffin, R.L.(2008). Health-related quality of life following blind rehabilitation. Quality of Life Research , 17(4):497-507.
Lamoureux ,E.L., Pallant, J.F., Pesudovs, K., Tennant. A, Rees, G., & O\'Connor, P.M.(2008). Assessing participation in daily living and the effectiveness of rehabilitation in age related macular degeneration patients using the impact of vision impairment scale. Ophthalmic Epidemiol, 15(2): 105-13.
Mauro, V., Mendlowicz, M.D., Murray, B., & Stein, M.D. (2000). Quality of Life in Individuals With Anxiety Disorders. The American Journal of Psychiatre, 15(5): 105-13.
Mirzababaie, J.(2004). Evaluation the effect of group teaching in cognitive behavior method on mental health in boarding high school in boys student, Yazd city. [Thesis]. Isfahan: Khorasgan Branch, Islamic Azad University.1 (2). 45-66.
Mohammadi, A. (2011). Survey the Effects of Life Skills Training on Tabriz High School Student’s Satisfaction of Life. Journal of Procedia - Social and Behavioral Sciences, 30, 1843 – 1845
Norberg, M.M., Diefenbach, G.J., & Tolin, D.F. (2005). Quality of life and anxiety and depressive disorder co morbidity. Journal of Anxiety Disorder. Article in press.
Rosenblum, L.P. (2000). Perception of the impact of visual impairment on the lives of adolescents. Journal of visual impairment & Blindness, 94(7). 434-447.
Stanbook, I. Holzmann, I. (1995). Quality of life and health: concept, methods and application. Oxford: Black well science.
Stelmack, J., Szlyk, J., Joslin, C. (2000). Pilot study: Use of the NEI VFQ-25 to measure outcomes of low vision rehabilitation services in the Department of Veterans Affairs. Journal of Vision Rehabilitation, Assessment, Intervention, And Outcomes, 774–776.
World health organization. (2001). Mental health: New understanding, new hope. The world health report. Geneva: World Health Organization, 15, 15-25.
World health organization. (2008). The world health report: primary health care-now more than ever. Geneva. Switzerland.
World health organization. (2014). Intarnational statistical classification of diseases. ICD. 103.
