مقایسه اثر بخشی مشاوره گروهی به شیوه معنا درمانی با شناختی- رفتاری گروهی بر احساس تنهایی و امید به زندگی دانشجویان مبتلا به اختلال افسردگی
محورهای موضوعی : تربیتی
طوبی ثقتی
1
(
دانشجوی دکتری، گروه مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
)
عبدالله شفیع آبادی
2
(
استاد مدعو گروه مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
)
منصور سودانی
3
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استاد گروه مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران.
)
مریم غلام زاده جفره
4
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استادیار گروه مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
)
کلید واژه: شناختی- رفتاری, دانشجویان, امید به زندگی, مشاوره گروهی معنادرمانی, احساس تنهایی,
چکیده مقاله :
پژوهش حاضر با هدف مقایسه اثربخشی مشاوره گروهی به شیوه معنادرمانی با شناختی- رفتاری بر احساس تنهایی و امید به زندگی دانشجویان مبتلا به اختلال افسردگی انجام پذیرفت. روش پژوهش نیمه‌تجربی با طرح پیش‌آزمون- پس‌آزمون با گروه گواه و آزمون پیگیری بود. جامعه آماری 75 نفر دانشجوی مراجعه کننده به مرکز مشاوره که اختلال افسردگی داشتند از بین آن ها 45 نفر که علاوه بر معیارهای ورود نمرات آن ها در آزمون احساس تنهایی (1980 Russell,) و افسردگی (Beck, 1996) بالاتر و در آزمون امید به زندگی (Miller, 1988) پایین تر بود به شیوه تصادفی در سه گروه 15 نفری تخصیص یافتند. گروه‌های آزمون مشاوره گروهی معنادرمانی و شناختی- رفتاری را دریافت نمودند. پس از اتمام دوره درمانی پس‌آزمون انجام و یک ماه پس آن، آزمون پیگیری اجرا گردید. نتایج نشان داد که بین میانگین نمرات پیش آزمون و پس آزمون گروه های آزمایش و گواه تفاوت معناداری وجود دارد (0001/0 >P). هر دو شیوه درمانی مؤثر بوده و این نتیجه تا مرحله پیگیری تداوم داشت. مقایسه گروه های درمانی بیانگر تاثیر یکسان مشاوره گروهی در کاهش احساس تنهایی و امید به زندگی می باشد. مشاوره گروهی به شیوه معنادرمانی و شناختی-رفتاری می تواند به عنوان یک روش روان شناختی مؤثر موجب کاهش احساس تنهایی و افزایش امید به زندگی مبتلایان به اختلال افسردگی باشد.
The purpose of this study was to compare the effectiveness group counseling through group therapy with group cognitive-behavioral therapy on the feeling of loneliness and life expectancy among students suffering from depression disorder. The research method was quasi-experimental with pre-test and post-test with control group and follow-up test. The statistical population consisted of 75 students referred to the counseling center who had depressive disorder, among them 45 who were in addition to their inclusion criteria in the Loneliness Scale of University of California at Los Angeles (1980) and Beck Depression Inventory (1996) Scale and lower Hope in Miller Hope Scale (1988) in a randomized design in three groups of 15 each. Allocated. The experimental group received Cognitive-Behavioral group counseling. After completion of the post-test, follow-up test was performed one month later. The results showed that there was a significant difference between the mean scores of pre-test and post-test in experimental and control groups (P <0.0001). Both treatments were effective and continued until follow-up. Comparison of treatment groups indicates the same effect of group counseling on reducing loneliness and life expectancy. Group counseling in a cognitive-behavioral and cognitive-behavioral way can be an effective psychological treatment to reduce feelings of loneliness and increase the life expectancy of people with depression.
Alavi, A., Sharp, B., & Ghoniz, A. (2013). Effectiveness of Cognitive-Behavioral Therapy in Decreasing Suicidal Ideation and Hopelessness of the Adolescents with Previous Suicidal Attempts. Original Article. 23(4): 467-472.
Asarnow L. D., & Manber R. (2019). Cognitive Behavioral Therapy for Insomnia in Depression. Sleep Medicine Clinics, 14(2): 177-184.
Beck A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the BDI-II. San Antonio, TX: The Psychological Corporation.
Breitbart, W., Poppito, S., Rosenfeld, B., Vickers, AJ., Li, Y., Abbey, J., & Cassileth BR. (2012) Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncolog, 30(12):1304-9.
Cohen-Manstield J., Hazan H., Lerman Y., Shalom V., Birkenfeld S., & Cohen, R. (2018). Efficacy of the I-SOCIAL intervention for loneliness in old age: Lessons from a randomized comtrolled tral. Journal of psychiatric research, 99, 69-75. DOI: 10.1016/j.j psychires. 2018.10.014.
Du H., Bernardo A. B. I., & Yeung S. S. (2015). Locus-of-hope and life satisfaction: The mediating roles of personal self-esteem and relational self-esteem. Personality and Individual Differences, 83, 228-233.
Eliss, A. (2007). Nothing can upset me, yes, nothing, translated by Mehrdad Firoz Bakht and Vahidah Erfani (2017); Tehran: Rasa. 17th edition. [Persian]
Fatty, L., Birshak, B., Atef-Vahid, MK and Dobson, K. 2012. Structures of meaning, emotional states, and cognitive processing of emotional information: comparison of two conceptual frameworks. Dissertation published for receiving a doctorate degree in clinical psychology, Tehran Institute of Psychiatry, Iran University of Medical Sciences and Health Services, Tehran, Iran. [Persian]
Feldman D. B., & Kubota M. (2015). Hope, self-efficacy, optimism, and academic achievement: Distinguishing constructs and levels of specificity in predicting college. Learning and Individual Differences, 37, 210-216.
Frankl V. (1988). The will to meaning foundations and applications of logo therapy. New York: Teachers college press.
Garcia-Alandete, J. (2015). Does meaning in life predict psychological well-Being? The European Journal of Counseling Psychology, 3(2), 89-98.
Gill A., Mavery B., Herman C., & Hart, D. (2011). Effectiveness of Cognitive- Behavioral Therapy on depression, anxiety symptoms and loneliness in divorced women. Journal of Applied Psychology. 61(4): 46-61.
Han S. D., Adeyemi O., & Wilson R. S. (2017). Loneliness in Older Black Adults with Human immunodeficiency Virus Is Associated with Poorer Cognition. Gerontology, 63(3), 253-2620
Haynes P. (2015). Application of Cognitive Behavioral Therapies for Comorbid Insomnia and Depression. Sleep Medicine Clinics, 10(1): 77-84.
Hutzell R. R. (2002). A general course if group logoanalysis. Journal: Victor Frankl Foundation of South Africa. (7): 15-26.
Kamarzarrin H. (2013). The effectiveness of the logo therapy-based group counseling on reducing anxiety and increasing the life expectancy among mothers of the children of divorce. Word of Sciences Journal, 1(8): 79-88.
Kaviani, H., Hatami, N. and Shafiabadi, A. (2017). The effect of cognitive-therapy based on mindfulness on the quality of life of depressed people (non-clinical). Cognitive Science News, 10th Year, Number 4, Winter, 48-39. [Persian]
Khaledian, M., Sohrabi Smroud, F., Asghari Ganji, A., Karmi Baghtifoni, Z. (2016). Comparing the effectiveness of cognitive-behavioral group therapy and group meaning therapy on reducing depression and increasing life expectancy in empty nest syndrome. Cultural Counseling and Psychotherapy Quarterly, Year 8, Number 29, Spring, 136-164. [Persian]
Kiang, L., Fuligni, M., & Andrew, J. (2009). Meaning in life as a mediator of ethnic identity and adjustment among adolescents from Latin, Asian, and European American backgrounds. Journal of Youth and Adolescence, v39(11), p. 1253-1262.
Lorenzo-Luaces L., Keefe J.R., & DeRubeis R.J. (2016). Cognitive-Behavioral Therapy: Nature and Relation to Non-Cognitive Behavioral Therapy. Behavior Therapy, 47(6): 785-803.
McHugh R.K., Hearon B.A., & Otto M.W. (2010). Cognitive Behavior Therapy for Substance Use Disorders. Psychiatric Clinics of North America, 33(3), 511-525.
Miller J. F., & Powers M. J. (1988). Development of an instrument to measure hope: Nursing research, 37, 6-10.
Mirdrikund, F. A. (2018). Investigating the feeling of loneliness with academic performance, anxiety, depression and self-esteem in male students of middle school in Poldakhter city. Master's thesis in educational psychology, Shahid Chamran University, Ahvaz. [Persian]
Oar E. L., Johnco C., & Ollendick T. H. (2017). Cognitive Behavioral Therapy for Anxiety and Depression in Children and Adolescents. Psychiatric Clinics of North America, 40(4): 661-674.
Ormont , L., and Yalom, I.D. (2012). The theory and Practice of group psychotherapy. 5Ed. New Yotk: Basic Books.
Powers M. B., De Kleine R. A., & Smits J. A. J. (2017). Core Mechanisms of Cognitive Behavioral Therapy for Anxiety and Depression: A Review. Psychiatric Clinics of North America, 40(4): 611-623.
Routasalo P.E., Savikko N., Tilvis R.S., Strandberg T.E., & Pitkala K.H. (2006). Social contacts and their Based study. Gerontology (52): 1 81-7.
Russell D., Peplau L.A. & Curtona C.E. (1980). The revised UCLA loneliness scale: concurrent and discriminated validity. Journal of Personality and social Psychology 39(3):472-480.
Russell D., Peplau L.A. & Ferguson M.L. (1998). Developing a measure of loneliness. Journal of Personality Assessment (42):290-294.
Seghati T., Shafiabady A., & Soodany M. (2014). Effectiveness of Group Training Based On Transactional Analysis In Reducing Loneliness Girl Students Of Highschool First Grade In Rasht. Journal of Ondian J. Sci. Res. 4(3): 422-429.
Shafiabadi, A. (2018). Group dynamics and group counseling, first edition, 20th edition, Tehran, Rushd Publishing House. [Persian]
Shafiabadi, A. and Naseri, G. (2018). Theories of Counseling and Psychotherapy, 15th edition, Tehran, Academic Publishing Center. [Persian]
Sharf Richard S. (2000). Theories of psychotherapy and counseling. (Translated by M. Firouzbakht, 2017). Tehran: rasa. Second edition. (Persian).
Sharf, R. S. (2000). Theories of psychotherapy and counseling. (Translated by Mehrdad Firozbakht). Tehran: Rasa: 14th edition. [Persian]
Snyder C. R., Ritschel L.A., Ravid L. K., & Berg C. J. (2007). Balancing Psychological Assessments: Including Strengths and Hope in Client Reports. Journal of Clinical Psychology. 62(1), 33-46.
Snyder, C. R., & Lopez, S.J. (2007). Positive psychology: the scientific and practical explorations of human strengths. New York, Sage publication Inc.
Stickley, A., & Koyanagi, A. (2016). Loneliness, common mental disordes and suicidal behavior: Findings from a general population survey. J affect Disord, 197, 81-7.
Sudak, D.M. (2012). Cognitive Behavioral Therapy for Depression. Psychiatric Clinics of North America, 35(1): 99-110.
Sudani, M. and Shojayan, M. (2013). The effectiveness of group meaning therapy on increasing life expectancy among retired men of Mamsani Retirees Center. Armaghane Danesh, Scientific-Research Journal of Yasouj University of Medical Sciences, Volume 19, Number 6, 497-506. [Persian]
Sudani, M. and Shojayan, M. (2013). The effectiveness of group meaning therapy on the loneliness of retired men. Cognitive and Behavioral Sciences Research Journal. Second year, first issue, spring and summer; Serial (2), 43-54. [Persian]
Udo C., Melin-Johansson C. H., & Danielson E. (2011). Existential Issues Among Health Care Staff in Surgical Cancer Care Discussions in Supervision Sessions. European Journal of Oncology Nursing 15: 447-453.
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