اثربخشی خانواده‌درمانی راهبردی کوتاه مدت (BSFT) بر جوّ خانواده‌های دارای عضو وابسته به مواد و پیشگیری از عود
محورهای موضوعی : روانشناسی تربیتیفاطمه نجفلوی 1 , محمدرضا فلسفی‌نژاد 2
1 - دانشگاه آزاد اسلامی واحد علوم‌وتحقیقات تهران، دانش‌آموخته گروه مشاوره، تهران، ایران. نویسنده‌مسئول
2 - استادیارگروه سنجش و اندازه گیری، دانشگاه علامه طباطبایی، تهران، ایران.
کلید واژه: خانواده‌درمانی, راهبردی کوتاه مدت (BSFT), جوّ خانواده, وابستگی به مواد, پیشگیری از عود,
چکیده مقاله :
این مطالعه اثربخشی خانواده درمانی راهبردی کوتاه مدت (BSFT)، را در بهبود جوّ خانواده های دارای عضو وابسته به مواد و پیشگیری از عود بررسی کرده است. روش تحقیق نیمه آزمایشی و از طرح پیش‌آزمون- پس‌آزمون- آزمون مجدد استفاده شد. 30 نفر از کسانی که به مراکز درمان سرپایی مراجعه می کردند با دارا بودن شرایط ورود به پژوهش بصورت هدفمند انتخاب شدند. همگی مردان سنین30-20 سال و مجرد بودند که با خانواده اصلی خود زندگی می کردند. مواد مصرفی آنان افیونی و محرک یا ترکیبی بود. 15 نفر از آنان به همراه پدر و مادر در گروه خانواده درمانی راهبردی کوتاه‌مدت BSFT)) و 15 نفر از آنان در گروه کنترل که درمان نگهدارنده با متادون (MMT) و درمان معمول مرکز را دریافت می کردند، بصورت تصادفی جایگزین شدند. افراد به مقیاس جو خانواده (FES) (موس‌وموس، 1986) در پیش و پس از مداخله و 2 ماه بعد از خاتمه درمان پاسخ دادند. نتیجه تحلیل واریانس با اندازه های مکرر نشان داد که میزان انسجام، تعارض، سازماندهی و کنترل در دو گروه تفاوت معنی‌داری دارد. همچنین BSFT در کاهش میزان عود اثربخش تر است. نتایج بیانگر اینست که الگوی BSFT در کنار درمان‌های معمول مراکز در بهبود ابعاد جوّ خانواده و کاهش میزان عود کارآیی بیشتری دارند.
This study has examined the effectiveness of brief strategic family therapy (BSFT) on improving the environment of families with addicted member. 30 male participants were selected among people who were under therapy in an outpatient health care center. They were 20-30 years old and single who lived with their parents. They used opiate, analeptic and combined drugs. 15 people along with their parents were assigned in a brief strategic family therapy (BSFT) group and 15 people in a control group who received Methadone maintenance therapy (MMT) as a usual therapy of the center. They were assigned randomly in these two groups. The participants replied to Family Environment Scale (FES) in the pre-test, post-test and a follow up test 2 months after termination of the treatment. The results of the variance analysis with repeated measures demonstrated that cohesion, conflict, organization and control in two groups had a significant difference. BSFT was found to be effective in reducing relapse rate. The results represent that BSFT model along with the usual treatment of the language centers are more effective in improving aspects of family environment and reducing relapse rates.
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