اثربخشی درمان مبتنی بر شفقت بر خودسرزنشگری، تحمل پریشانی، عاطفه¬ی خوداگاه و سبک‌های حل تعارض بیماران مبتلا به سرطان شهر اصفهان
محورهای موضوعی : بالینی
یگانه یاوری
1
(دانشجوی دکتری روان شناسی، دانشگاه آزاد اسلامي، واحد نایین، نایین، ايران)
حسن خوش اخلاق
2
(استادیار، گروه روانشناسی، دانشگاه آزاد اسلامي، واحد نایین، نایین، ايران)
محمدرضا شعربافچی زاده
3
(استادیار، گروه روانپزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ايران)
کلید واژه: درمان مبتنی بر شفقت, خودسرزنشگری, تحمل پریشانی, عاطفه¬ی خودآگاه, سبک‌های حل تعارض, سرطان,
چکیده مقاله :
این پژوهش باهدف تعیین اثربخشی درمان مبتنی بر شفقت بر خودسرزنشگری، تحمل پریشانی، عاطفه¬ی خودآگاه و سبک‌های حل تعارض بیماران مبتلا به سرطان شهر اصفهان انجام گرفت. روش این پژوهش، نیمه آزمایشی با طرح پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری شامل کلیه بیماران مبتلابه سرطان استان اصفهان در سال 1398 بودند که تعداد 30 بیمار سرطانی به‌صورت نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش و گواه (15=n) قرار گرفتند. پرسشنامه راهبردهای شناختی تنظیم هیجان (Garnefski & Kraaij, 2007)، پرسشنامه تحمل پریشانی (Simons & Gaher, 2005)، پرسشنامه عاطفه خودآگاه ( Tangney, Dearing, Wagner & Gramzow, 1989)، پرسشنامه سبک‌های حل تعارض (Weeks, 1994)، به‌عنوان پیش‌آزمون مورداستفاده قرار گرفت، سپس گروه آزمایش به مدت دو ماه و در 8 جلسه 90 دقیقه‌ای تحت درمان مبتنی بر شفقت (Gilbert, 2009) قرار گرفتند و گروه کنترل هیچ مداخله‌ای دریافت نکرد. در پایان پس‌آزمون بر روی هر دو گروه اجرا شد و داده‌ها با استفاده از نرم‌افزار آماری Spss-23 و روش تحلیل کوواریانس مورد تجزیه‌وتحلیل قرار گرفت. یافته‌های پژوهش نشان داد که مداخله درمانی باعث کاهش نمره خودسرزنشگری و عاطفه خودآگاه و افزایش نمره تحمل پریشانی و سبک‌های حل تعارض در گروه آزمایش نسبت به گروه کنترل شده است (05/0P<). بنابراین می‌توان نتیجه گرفت شفقت درمانی بر خودسرزنشگری، تحمل پریشانی، عاطفه¬ی خودآگاه و سبک‌های حل تعارض بیماران مبتلابه سرطان شهر اصفهان اثر بخش است. لذا پیشنهاد می‌شود به‌عنوان یک مداخله کارآمد، انتخابی، کم‌هزینه و قابل‌اجرا و به عنوان یک‌راه میان‌بر و پیشگیرانه از سوی مشاوران و روان درمانگران، برای کاهش مشکلات روانشناختی بیماران مبتلا به سرطان مورد استفاده قرار گیرد.
The aim of this study was to determine the effectiveness of compassion-focuced therapy on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles in patients with cancer in Isfahan. The method of this research was quasi-experimental with a pretest-posttest design with a control group. The statistical population included all patients with cancer in Isfahan province in 2019 that 30 patients with cancer were selected by convenience sampling and randomly asingment into experimental and control groups (n = 15). Cognitive Emotion Regulation Strategies Questionnaire (Garnefski & Kraaij, 2007), Distress Tolerance Questionnaire (Simons & Gaher, 2005), Self-Conscious Emotion Questionnaire (Tangney, Dearing, Wagner, & Gramzow, 1989), Conflict Resolution Questionnaire (Weeks, 1994), used as a pre-test, then experimental group underwent Compassion- Focuced Therapy in 8 sessions of 90 minutes for two months and the control group did not receive any intervention. At the end, post-test was performed on both groups and the data were analyzed using Spss-23 statistical software and analysis of covariance. Findings showed that therapeutic intervention decreased the score of self-blame and self-conscious emotion and increased the score of distress tolerance and conflict resolution styles in the experimental group compared to the control group (P <0.05). Therefore, one can conclud Compassion therapy is effective on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles of cancer patients in Isfahan. Therefore, it is suggested that it be used as an effective, selective, low-cost and feasible intervention and as a short and preventive way by counselors and psychotherapists to reduce the psychological problems of cancer patients.
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