مقایسۀ اثربخشی مدل بومی‌شده پذیرش و تعهد درمانی متمرکز بر شفقت با مدل غیربومی این درمان بر علائم اختلال استرس پس از سانحه در زنان

محورهای موضوعی : تربیتی

پیمان دوستی ¹ , جواد خلعتبری ² , احمد باصری ³ , بهران پروین گنابادی ⁴

1 - گروه روان شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد تهران شمال، تهران، ایران.
2 - گروه روان‌شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد تنکابن، تنکابن، ایران.
3 - عضو هیات علمی دانشگاه جامع امام حسین علیه السلام، تهران، ایران.
4 - گروه ادبیات فارسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد تهران شمال، تهران، ایران.

تاریخ دریافت : 1398/02/02 تاریخ پذیرش : 1398/04/26 تاریخ انتشار : 1400/03/01

کلید واژه: اختلال استرس پس از سانحه, درمان‌های روان‌شناختی بومی‌شده, درمان مبتنی بر پذیرش و تعهد (ACT), درمان متمرکز بر شفقت (CFT), زنان,

چکیده مقاله :

این پژوهش با هدف مقایسۀ اثربخشی مدل بومی‌شدۀ پذیرش و تعهد درمانی متمرکز بر شفقت با مدل غیربومی این درمان بر علائم اختلال استرس پس از سانحه در زنان صورت گرفت. روش این پژوهش آزمایشی و ازجمله طرح‌های پیش‌آزمون-پس‌آزمون با دو گروه آزمایش و یک گروه کنترل بود. جامعۀ آماری پژوهش همۀ زنان داوطلب مراجعه‌کننده به کلینیک آوای دوستی در بازۀ زمانی مهر تا دی ماه 1397 به تعداد 200 نفر بود که از طریق فراخوان به این پژوهش دعوت شدند. نمونۀ تحقیق شامل 42 نفر از بین داوطلبین ذکر شده بود که به روش هدفمند انتخاب و به‌طور تصادفی به سه گروه تقسیم گردیدند. یکی از گروه‌های آزمایش تحت 8 جلسه درمان 120 دقیقه‌ای مدل بومی‌شدۀ پذیرش و تعهد درمانی متمرکز بر شفقت قرار گرفت. گروه آزمایش دوم نیز این مداخله را با مدل غیربومی‌شده همین درمان دریافت نمود. گروه کنترل هیچ مداخله‌ای دریافت نکرد. به‌منظور سنجش داوطلبین از معیارهای DSM V برای تشخیص PTSD و پاسخ به پرسشنامه اختلال استرس پس از سانحه (Berislin, Lonner & Thorndike, 1973) استفاده شد. به‌منظور تجزیه‌وتحلیل داده‌ها، از آمار توصیفی، تحلیل کوواریانس و آزمون تعقیبی سیداک استفاده شد. یافته‌ها نشان داد میانگین تغییرات در سه خرده مقیاس مشکل در ارتباط بین فردی، مشکل در مهار عاطفی و افسردگی در گروه تحت مداخله با مدل بومی بیشتر از مدل غیربومی است (05/0>P). در خرده مقیاس خاطرات رخنه کننده، چنین تفاوتی در گروه‌های آزمایش مشاهده نشد. همچنین هر دو گروه آزمایش تغییرات معناداری برای همه متغیرها نشان دادند که در گروه کنترل مشاهده نگردید (05/0>P).

چکیده انگلیسی:

The present study compared of effectiveness of indigenous model of Acceptance and Commitment Therapy focused on compassion with non-indigenous model in the same treatment in PTSD on women. The method of this research is experimental and included a pretest-posttest study with two experimental and one control groups. The statistical population included 200 volunteer women who referred to the “Avaye Dousti” Psychological Clinic in the period from Oct 2018 to Des 2018 that invited to this study trough recall. Afterward, 42 individuals selected voluntarily and randomly divided into three groups. The first experimental group subjected to 8 sessions of 120-minute treatment of indigenous model of Acceptance and Commitment Therapy (ACT) focused on Compassion and the second group was treated using the same treatment as non-indigenous model. The control group didn't receive any intervention. In order to evaluation, both DSM V diagnostic criteria for PTSD and Mississippi scale questionnaire were used. In order to analyze the data, Descriptive Statistics, Analysis of Covariance and pairwise comparison by SIDAK, were used. The findings indicated that the mean difference in 3 subscales of problem in interpersonal communication, problem of emotional inhabitation and depression in the group effected by the indigenous model has more than the non-indigenous model. There was no difference in the penetrating memories subscale, and no changes were observed in the control group.

منابع و مأخذ:

American Academy of Child and Adolescent Psychiatry. (2010). Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 49(4), 414-430.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorder (Revised 5 ed). Washington: American Psychiatric Association.

Anaghe, A., Kolahdooz, E. (2010). Study of Human Nostalgia in Poems of Molana Jalalodin Mohammad Balkhi. Journal of Mystical Literature Research. 4(3): 161-188. [Persian]

Barzegari, A. Jahandari, P. Mahmoodpour, A. Naderi, R. (2018). The Mediating Role of self- compassion in Terms of rumination and depression symptoms in Veterans with Post Traumatic Stress Disorder. Journal of Nurse and Physician within War. 6 (19): 32-40. [Persian]

Basharpoor, S. Shafiei, M. Atadokht, A. Narimani, M. (2015). The Role of Experiential Avoidance and Mindfulness in Predicting the Symptoms of Stress Disorder after Exposure to Trauma in Traumatized People Supported by Emdad Committee and Bonyade Shahid Organization of Gilan Gharb in the First Half of 2014. Journal of Rafsanjan University of Medical Sciences; 14 (5):405-416. [Persian]

Batten, S. V., & Hayes, S. C. (2005). Acceptance and Commitment Therapy in the treatment of comorbid substance abuse and post-traumatic stress disorder: A case study. Clinical Case Studies, 4(3), 246-262.

Behrouz, B. (2015). The Effectiveness of Group-Based Acceptance and Commitment Therapy on Post-Traumatic Stress Disorder, Coping Styles, and Self-Efficacy in Girls with Abnormal Grief. Journal of Clinical Psychology. 7(4): 81-92.

Berislin, R., Lonner, W., Thorndike, R. (1973). Cross-Cultural research methods. Newyork: Wiley.

Bonar, T. (2015). University Counseling Center Use of Prolonged Exposure Therapy: In-Clinic Treatment for Students with PTSD. Journal of College Student Psychotherapy, v29 n4 p271-288.

Blackledge, J. T. (2004). Functional contextual processes in posttraumatic stress. International Journal of Psychology and Psychological Therapy, 4, 443-467.

Codd, R. T., Twohig, M. P., Crosby, J. M., & Enno, A. (2011). Treatment of three anxiety disorder cases with acceptance and commitment therapy in a private practice. Journal of Cognitive Psychotherapy: An International Quarterly, 25, 203-217.

Constantine, M. Myers, L. Kindaichi, M. Moore, J. (2004). Exploring Indigenous Mental Health Practices: The Roles of Healers and Helpers in Promoting Well-Being in People of Color. Counseling and Values, v48 n2 p110.

Dousti, P. (2019). The design of a indigenous model of Acceptance and Commitment Therapy (ACT) focused on compassion (CFT) based on Persian literature and the comparison of the effect of group implementation of the native model with the non-indigenous model in post-traumatic stress disorder (PTSD). PhD Thesis. Islamic Azad University of Tehran North, Tehran, Iran. [Persian]

Dousti, P. (2017). Psychological intervention in post-traumatic stress disorder based on ACT. Faragir Hegmataneh: Hamedan. [Persian]

Dousti, P. Ghodrati, G. Ebrahimi, M. E. (2019). Guide of group psychotherapy Based on Acceptance and Commitment Therapy (ACT). Amin Negar: Tehran. [Persian]

Ding, Y. Kuo, Y. Van Dyke, D. (2008). School Psychology in China (PRC), Hong Kong and Taiwan: A Cross-Regional Perspective. School Psychology International, v29 n5 p529-548.

 

Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Effective treatments for PTSD: Practice guidelines from the International Society of Traumatic Stress Studies (2nd ed.). New York, NY: Guilford Press.

Foret, M. Eaton, P. (2014). Acceptance and Commitment Therapy Anger Group. Vallejo Medical Center.

Gholami, M. (2018). Rumi’s Happiness Theory in Fihi Ma Fihi. Journal of Mystical Literature Research. 12(1): 89-108. [Persian]

Gilbert, P. (2009). Introduction Compassion Focused Therapy. Advance in psychiatric treatment. 15(3). P: 199-208.

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology. 53: p 6-41.

Godarzi, M. A. (2003). Evaluation of validity and reliability of Mississippi Post Traumatic Stress Disorder Scale. Journal of Psychology. 7(2): 153-178. [Persian]

Halgin, R. Whitbourne, S. (2014). Abnormal Psychology: Clinical Perspectives on Psychological Disorders 7th Edition. McGraw-Hill Higher Education.

Hamblen, J. L., Schnurr, P. P., Rosenberg, A., & Eftekhari, A. (2009). A guide to the literature on psychotherapy for PTSD. Psychiatric Annals, 39, 348-354.

Hayes, S. (2019). A Liberated Mind How to Pivot Toward What Matters, Newyork: an imprint of Penguin Random House.

Hayes, S. Boyd, C. P., & Sewell, J. (2011). Acceptance and commitment therapy for the treatment of adolescent depression: A pilot study in a psychiatric outpatient setting. Mindfulness, 2, 86-94.

Hayes, S. C., Strosahl, K.D., Wilson, K.G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change. Guilford Press: New York.

Houkamau, C. Sibley, C. (2011). Maori Cultural Efficacy and Subjective Wellbeing. A Psychological Model and Research Agenda. Social Indicators Research, v103 n3 p379-398.

Jalali, D., Aghaee, A., Solati, S K. (2017). Comparing the effectivness of Natived Mindfulness Based Cognitive Therapy (nMBCT) according to Iranian- Islamic culture and Cognitive- Behavioral Therapy (CBT) on blood presure. Journal of Shahrekord University of Medical Sciences. 18 (6):125-139. [Persian]

Jastaniah, S. Alganmi, O. (2016). Design of a Model of Knee Joint for Educational Purposes. Journal of Education and Practice, v7 n9 p1-9.

Kanani, K., Hadi, S., Tayebi, N. (2015). The effectiveness of acceptance and commitment therapy on treating the adolescents with post-traumatic stress disorder after road accidents in the province of Isfahan. Journal of Rehabilitation Research in Nursing. 1 (2):22-32. [Persian]

Kang, H. K., Bullman, T. A., & Taylor, J. W. (2006). Risk of selected cardiovascular diseases and posttraumatic stress disorder among former World War II prisoners of war. Annals of Epidemiology, 16(5), 381-386.

Keane, T. M., Caddell, J. M., Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three Studies in Reliability and Validity. Journal of Consulting and Clinical Psychology 56(1):85-90.

Leong, F. Pearce, M. (2011). Desiderata: Towards Indigenous Models of Vocational Psychology. International Journal for Educational and Vocational Guidance, v11 n2 p65-77.

Meissel, K. Rubie-Davies, C. (2016). Cultural Invariance of Goal Orientation and Self-Efficacy in New Zealand: Relations with Achievement. British Journal of Educational Psychology, v86 n1 p92-111.

Mevissen, L. Didden, R. Korzilius, H. de Jongh, Ad. (2017). Eye Movement Desensitisation and Reprocessing Therapy for Posttraumatic Stress Disorder in a Child and an Adolescent with Mild to Borderline Intellectual Disability: A Multiple Baseline across Subjects Study. Journal of Applied Research in Intellectual Disabilities. v30 suppl. p34-41.

Moradi, A. Haydari, A. Abdolah, M. H. Rahimi-Movaghar, V. Parhoon, H. Naderi, Y. (2014). The performance of post-traumatic stress disorder subjects in verbal and visual false memory tasks. Advances in Cognitive Science. 16 (3): 13-23. [Persian]

Neff, K. (2003). Self-Compassion: an alternative conceptualization of a healthy attitude toward one self. Self and identity. 2(2): p 85-101.

Orsillo, S. M., & Batten, S. V. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior Modification, 29(1), 95-129.

Razavi Saadat, S.F., Makvandi, B., Pasha, R., Hosseini, S.H. (2018). Effectiveness of Acceptance and Commitment Therapy (ACT) on Thought Control Strategy and Quality of Life in Veterans with Post-traumatic Stress Disorder (PTSD). Iranian Journal of War and Public Health. 10(3): 115-120. [Persian]

Samara, E. (2011). Investigating the application of social work theories and their localization. Journal of Welfare Planning and Social Development. 4, 1-40.

Scheeringa, M. S., Zeanah, C. H., & Cohen, J. A. (2010). PTSD in children and adolescents: Toward an empirically based algorithm. Depression and Anxiety, 28, 770-782.

Silverman, W. K., Ortiz, C. D., Chockalingham, V., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child & Adolescent Psychology, 37, 156-183.

Stallard, P. (2006). Psychological intervention for post-traumativ reactions in children and young people: A review of randomized controlled trials. Clinical Psychology Review, 26, 895-911.

Tajlil, J., Hakemi, A., Radmanesh, A., Sheikholeslami, A., Marzbanrad, A. (2004). Selected texts of Persian literature. University Publication Center: Tehran.

Törneke, N. (2010). Learning RFT: An Introduction to Relational Frame Theory and Its Clinical Application. New Harbinger Publications

Thomson, P. Jaque, S. (2016). Visiting the Muses: Creativity, Coping, and PTSD in Talented Dancer and Athletes. American Journal of Play, v8 n3 p363-378.

Tull, M. T., Gratz, K. L., Salters, K., & Roemer, L. (2004). The role of experiential avoidance in posttraumatic stress symptoms and symptoms of depression, anxiety, and somatization. Journal of Nervous and Mental Disease, 192, 754-761.

Twohig, M. P. (2009). Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice, 16, 243-252.

Woidneck Kieffe, M (2013). Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress among Adolescents. Ph.D Theses. Utah State University.

Williamson, R.Reed, D. Wickham, R. Field, N. (2018). The Mediational Role of Posttraumatic Stress in the Relationship between Domestic Violence Exposure and Peer Victimisation: A Cambodian Sample. Emotional & Behavioural Difficulties, v23 n1 p28-38.