اثربخشی درمان مبتنی بر تعهد و پذیرش بر اضطراب سلامتی˛ خستگی هیجانی و انعطاف پذیری روانشناختی پزشکان سازمان پزشکی قانونی
محورهای موضوعی : بالینی
1 - دانشجوی کارشناسی ارشد، گروه روانشناسی، واحد اصفهان( خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
2 - دانشیار گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران.
کلید واژه: درمان مبتنی بر تعهد و پذیرش, اضطراب سلامتی, خستگی هیجانی, انعطاف‌پذیری روانشناختی,
چکیده مقاله :
هدف پژوهش اثربخشی درمان مبتنی بر تعهد و پذیرش بر اضطراب سلامتی، خستگی هیجانی و انعطاف پذیری روانشناختی پزشکان سازمان پزشکی قانونی شهر اصفهان بود. روش پژوهش شبه آزمایشی و طرح آن از نوع پیش آزمون- پس آزمون با گروه کنترل و دوره پیگیری یک ماهه بود. جامعه آماری شامل کلیه مردان سازمان پزشکی قانونی شهر اصفهان به تعداد 220 نفر در زمستان 1400 بود . روش نمونه‌گیری پژوهش دردسترس بود که در دو گروه (15 نفر آزمایش) و (15 نفر کنترل) به صورت تصادفی گمارده شدند. ابزار پژوهش شامل پرسشنامه اضطراب سلامتی(Salkovskis,Varoek,2002)، خستگی هیجانی(chenet al, 2019)، انعطاف‌پذیری روانشناختی (Dennis,Vander Wal,2010) بود. گروه آزمایش تحت آموزش درمان تعهد و پذیرش طی 8 جلسه 90 دقیقه‌ای قرار گرفتند. در حالی که گروه کنترل هیچ مداخله‌ای دریافت نکرد. تجزیه و تحلیل داده‌ها با استفاده از تحلیل واریانس آمیخته انجام گرفت. یافته‌ها نشان داد درمان مبتنی بر پذیرش و تعهد بر اضطراب سلامتی (ابتلا به بیماری، پیامدهای بیماری و نگرانی‌های کلی سلامتی)، خستگی هیجانی (مسخ شخصیت و عدم کفایت شخصی) و تاب آوری (مولفه‌های جایگزین‌ها، کنترل و جایگزین‌هایی برای رفتار انسانی) تاثیر دارد . در نتیجه نتایج نشان داد که با توجه به مشکلات ناشی از حرفه پزشکی در پزشکان سازمان پزشکی قانون درمان مبتنی بر تعهد و پذیرش رویکرد درمانی مناسبی جهت بهبود شرایط روانی افراد در راستای کاهش سطح اضطراب سلامتی˛ خستگی هیجانی و افزایش انعطاف پذیری روانشناختی میباشد.
The aim of reaserch to determine of effect the commitment and acceptance therapy on health anxiety, emotional exhaustion and psychological flexibility of male doctors of Forensic Medicine Organization of Isfahan city. The research method was semi-experimental and its design was pre-test-post-test with a control group and a follow-up period of one month. The statistical population included all the men of the Forensic Medicine Organization of Isfahan, 220 people in the winter of 1400, who were randomly assigned to two groups (15 experimental people) and (15 control people) using the purposeful sampling method. The research tools included health anxiety questionnaire (Salkovskis, Varoek, 2002) emotional fatigue (chenet al, 2019), psychological flexibility (Dennis,Vander Wal, 2010). The experimental group was trained in commitment and acceptance therapy during 8 sessions of 90 minutes. While the control group did not receive any intervention. Data analysis was done using mixed analysis of variance. The findings showed that the treatment based on acceptance and commitment has an effect on health anxiety (illness, disease consequences and general health concerns), emotional exhaustion (depersonalization and personal inadequacy) and psychological flexibility (components of alternatives, control and alternatives to human behavior). Has it. As a result, the results showed that according to the problems caused by the medical profession in the doctors of the medical organization, the treatment law is based on commitment and acceptance of a suitable treatment approach to improve the mental conditions of people in order to reduce the level of health anxiety, emotional fatigue and increase psychological flexibility.
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