مقایسه اثربخشی درمان چشمانداز زمان و آموزش مثبت‌اندیشی بر بهزیستی‌ذهنی، انعطاف‌پذیری‌کنشی و انسجام روانی در بیماران مبتلا به دیابت نوع دو
محورهای موضوعی : سلامت
نسرین ذبیحی
1
,
طاهر تیزدست
2
,
محمدرضا زربخش بحری
3
1 - دانشجوی دکتری تخصصی روانشناسی سلامت، گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
2 - دانشیار گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
3 - دانشیار گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
کلید واژه: درمان چشمانداز زمان, آموزش مثبت‌اندیشی, بهزیستی ذهنی, انعطافپذیری کنشی, انسجام روانی, دیابت نوع دو,
چکیده مقاله :
هدف اصلی پژوهش، تعیین تفاوت اثربخشی و ماندگاری اثر درمان چشمانداز زمان و آموزش مثبت‌اندیشی بر بهزیستی ذهنی، انعطافپذیری کنشی و انسجام روانی در بیماران مبتلا به دیابت نوع دو بود. پژوهش نیمه آزمایشی از نوع پیش آزمون، پس آزمون و مرحله پیگیری بعد از دو ماه بود. جامعه آماری کلیه بیماران مبتلا به دیابت نوع دو که به بنیاد پیشگیری و کنترل دیابت مشهد در تابستان 1399 مراجعه کرده بودند. دادهها با استفاده از مقیاس بهزیستی ذهنی (Keyes & Magyarmo, 2003)، پرسشنامه انعطافپذیری کنشی (Conover & Davidson, 2003) و پرسشنامه حس انسجام (Antonovsky, 1987) جمع آوری و با آزمون تحلیل کواریانس تحلیل شد. از 121 نفری که به صورت نمونه گیری در دسترس انتخاب شده بودند 45 نفر تصادفی انتخاب و در 3 گروه 15 نفری جایگزین تصادفی شدند. دوگروه آزمایش درمان چشمانداز زمان و آموزش مثبت‌اندیشی 10 جلسه (90 دقیقه) درمانی دریافت و گروه کنترل مداخله ای دریافت نکردند. سپس مرحله پس آزمون و بعد 2 ماه پیگیری اجرا شد. نتایج نشان داد اثربخشی درمان چشمانداز زمان بر بهزیستی ذهنی (01/0p<) و انسجام روانی (01/0p<) بیشتر از انعطاف پذیری کنشی و اثربخشی آموزش مثبت اندیشی بر انعطافپذیری کنشی (01/0p<) بیشتر بود. همینطور، تفاوت آماری معنی‌داری در اثربخشی درمان چشم انداز زمان و آموزش مثبت اندیشی بر بهزیستی ذهنی، انعطافپذیری کنشی و انسجام روانی آزمودنی‌ها در مرحله پیگیری وجود داشت (01/0p<).
The main aim of the research was to determine the difference in the effectiveness and durability of the effect of time perspective therapy and positive thinking training on mental well-being, functional flexibility and mental cohesion in patients with type 2 diabetes. Semi-experimental research was pre-test, post-test and follow-up stage after two months. The statistical population of all patients with type 2 diabetes who referred to the Mashhad Diabetes Prevention and Control Foundation in the summer of 2019. The data were collected using the subjective well-being scale (Keyes & Magyarmo, 2003), the functional flexibility questionnaire (Conover & Davidson, 2003) and the sense of coherence questionnaire (Antonovsky, 1987) and were analyzed with the analysis of covariance test. Out of 121 people who were selected through available sampling, 45 people were randomly selected and randomly replaced in 3 groups of 15 people. The two experimental groups of time perspective therapy and positive thinking training received 10 treatment sessions (90 minutes) and the control group did not receive any intervention. Then the post-test phase and 2 months follow-up were performed. The results showed that the effectiveness of time perspective therapy on mental well-being (p<0.01) and psychological coherence (p<0.01) was more than that of functional flexibility and the effectiveness of positive thinking training on functional flexibility (p<0.01). Also, there was a statistically significant difference in the effectiveness of time perspective therapy and positive thinking training on the subjects' mental well-being, functional flexibility and psychological coherence in the follow-up phase (p<0.01).
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