اثربخشی درمان هیجان مدار بر تحمل ناکامی و کیفیت زندگی زناشویی زنان با سقط‌های مکرر
محورهای موضوعی : -کتابداری و اطلاع‌رسانی پزشکیمریم عرفانیان رزعی 1 , فرناز کشاورزی ارشدی 2 , فاطمه گلشنی 3 , فریبا حسنی 4 , بهروز رولتشاهی 5
1 - گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
2 - گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
3 - گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
4 - گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
5 - گروه روانشناسی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران
کلید واژه: تحمل ناکامی, کیفیت زندگی زناشویی, درمان هیجان مدار زنان با سقط‌های مکرر,
چکیده مقاله :
مقدمه: پژوهش حاضر با هدف بررسی اثربخشی درمان هیجان مدار بر تحمل ناکامی و کیفیت زندگی زناشویی زنان با سقط های مکرر انجام شد.روش پژوهش: پژوهش حاضر از نظر هدف کاربردی و از نظر روش انجام، نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه کنترل و یک مرحله پیگیری یک ماهه بود. جامعه آماری این پژوهش شامل کلیه زنان مراجعه کننده به کلینیک‌های ناباروری شهر تهران در سال 1399 بود 30 نفر از بین این افراد به روش هدفمند انتخاب شدند. گمارش اعضاء در گروه درمان هیجان‌مدار (15نفر) و کنترل (15 نفر) با استفاده از روش تصادفی صورت گرفت. برای جمع آوری داده‌ها از پرسشنامه تحمل ناکامی سیمونز و گاهر (2005)، و پرسشنامه کیفیت زندگی زناشویی فلچر، سیمپسون و توماس (2000)، استفاده شد. بررسی تفاوت بین گروه‌ها در مراحل مختلف اندازه‌گیری، از آزمون تحلیل واریانس با اندازه‌گیری آمیخته در نرم افزار 25-SPSS استفاده شد.یافته‌ها: نتایج نشان داد که این درمان در افزایش تحمل ناکامی و کیفیت زندگی زناشویی زنان با سقط های مکرر تأثیر مثبتی داشته است و این تأثیر بر متغیر تحمل ناکامی بیشتر بوده است (01/0>p).نتیجه‌گیری: بر اساس یافته‌های پژوهش حاضر بکار گیری درمان هیجان مدار از سوی زوج درمانگران و روان شناسان بالینی به منظور افزایش تحمل ناکامی و کیفیت زندگی زناشویی زنان با تجربه سقط مکرر پیشنهاد می‌گردد.
Introduction: The present study was conducted with the aim of investigating the effectiveness of emotion-oriented therapy on the tolerance of failure and the quality of marital life of women with repeated abortions.Methods: The current research was quasi-experimental with a pre-test-post-test design with a control group and a one-month follow-up phase in terms of practical purpose and method. The statistical population of this research included all women who referred to infertility clinics in Tehran in 2020, 30 of these people were selected in a targeted way. The assignment of members in the emotion-oriented treatment group (15 people) and the control group (15 people) was done using a random method. To collect data, Simmons and Gaher (2005) frustration tolerance questionnaire and Fletcher, Simpson and Thomas (2000) Marital Life Quality Questionnaire were used. To investigate the difference between groups in different stages of measurement, the analysis of variance test with mixed measurement was used in SPSS-25 software.Results: The results showed that this treatment had a positive effect on increasing the tolerance of failure and the quality of married life of women with frequent abortions, and this effect was greater on the variable of tolerance of failure (p<0.01).Conclusion: Based on the findings of the present study, it is suggested to use emotion-oriented therapy by couple therapists and clinical psychologists in order to increase the tolerance of failure and the quality of married life of women with frequent miscarriages.
1- Zarean, M., Ahadi, H., Jomehri, F., Sohrabi, F. Comparison of the Effectiveness of Reality Therapy and Cognitive Behavioral Therapy on Depression and Adjustment in Post-Abortion Women. Journal of Applied Family Therapy, 2023; 4(1): 396-419.
2- Koot H.M, Wallander J L. (Eds.). Psychological aspects of pediatric obesity. Springer Science & Business Media; 2013.
3- Navidi Poshtiri S, Hassanzadeh R, Olia Emadian S. The effectiveness of acceptance and commitment therapy on tolerance failure and health anxiety in nursing and midwifery students with health anxiety. JAYPS, 2022; 3(1): 222-31.
4- Rezaei Z, Abolghasmi S, Khalatbari J, Zarbakhsh M. The effectiveness of a training package based on motivational interviewing, therapy based on acceptance and commitment, and therapy focused on compassion on tolerance of failure and health anxiety in patients with multiple sclerosis. Journal of Adolescent and Youth Psychological Studies, 2023 Apr 10; 4(2): 86-96.
5- Pirmardvand chegini, B., Zahrakar, K., Sanai zaker, B., Noroozi Saziroud, K. The Effect of Educating Based on Rational Emotive Behavior Therapy (REBT) on Marital Quality Components of Couples Who Are Coping with Breast Cancer. Journal of Applied Psychological Research, 2021; 12(1): 283-298.
6- Skerrett K. What Makes a Good Relationship? Here's What the Research Says. Harvard Health Publishing. Retrieved from https://www.health.harvard.edu/blog/what-makes-a-good-relationship-heres-what-the-research-says-2019041816446.
7- Sbaragli C, Morganti A, Goracci A, et al. Psychological aspects of in vitrofertilization, infertility, and abortion: a review. Psychology Research and Behavior Management, 2008; 1: 1-12.
8- Ganong L, Jensen T, Sanner C, Russell L, Coleman M. Stepfathers’ affinity-seeking with stepchildren, stepfather-stepchild relationship quality, marital quality, and stepfamily cohesion among stepfathers and mothers. Journal of Family Psychology, 2019 Aug; 33(5): 521.
9- Greenberg LS, Goldman RN. Clinical handbook of emotion-focused therapy. American Psychological Association; 2019.
10- Sahibi Bazaz L, Sudani M, Mehrabizadeh Artman M. Investigating emotion-oriented therapy to cope with failure and marital adjustment of couples referring to oil company counseling center. Journal of new developments in behavioral sciences, 2019; 4(34): 83-59.
11- Greenman P S, Johnson S M. Emotionally focused therapy: Attachment, connection, and health. Current opinion in psychology, 2022; 43: 146-150.
12- Timulak L, Keogh D. Transdiagnostic emotion-focused therapy: A clinical guide for transforming emotional pain. American Psychological Association; 2022.
13- Hosseinzadeh Z, Ghurban Shiroudi Sh, Khalatbari J, Rahmani M A. The effectiveness of emotion-oriented therapy on the flexibility of action and distress tolerance of women. Applied Family Therapy, 2020; 1(3): 23-38.
14- Shabani Nia Sh, Golparvar M, Aghaei A. The effectiveness of emotional therapy on the tendency to break the contract of couples and the quality of married life in women with low libido. Behavioral science research, 2022; 20(3): 483-492.
15- Simons J S, Gaher R M. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion, 2005; 29: 83-102.
16- Shams J, Azizi A, Mirzaei A. Examining the relationship between disturbance tolerance and emotional regulation with the level of students' addiction to smoking. Research of Hakim Health System, 2010; 13 (1): 11-18.
17- Alavi Kh, Modares Gharavi M A, Yazdi S, Salehi Faderdi J. The effectiveness of dialectical behavior therapy in a group way (relying on the components of comprehensive awareness, distress tolerance and emotional regulation) on the symptoms of depression in students. Principles of mental health, 2011; 13(15): 135-124.
18- Fletcher G J, Simpson J A, Thomas G. The measurement of perceived relationship quality components: A confirmatory factor analytic approach. Personality and Social Psychology Bulletin, 2000; 26(3): 340-354.
19- Nilfroshan P. The structural equation model of marital relationship quality based on the psychological characteristics of couples, doctoral thesis in the field of counseling. Faculty of Educational Sciences and Psychology, Isfahan University; 2010.
20- Sarhadhi M, Navidian A, Fasihi Harandi T, Ansari Moghadam A. Comparison of marital relationship quality of spouses of heart attack patients and spouses of healthy people. Health Promotion Management Quarterly. 2012; 2(1): 39-48.
21- Elliott R, Emotion- focus therapy. PCCS. Book, Ross-On-Wye; 2012: 103-130.
22- Hosseini B. Emotional couple therapy. Tehran: Jungle Publications; 2014.
23- Harvey M. Comprehensive book of couple’s therapy. Translated by Khodabakhsh Ahmadi, Zahra Akhavi and Ali Akbar Rahimi. Tehran: Danje Publications; 2013.
24- Watson J C, Goldman R, Greenberg L S. A simple sample size formula for analysis of covariance in randomized clinical trials. Journal of clinical epidemiology, 2007; 60(12): 1234–1238.
25- Wiebe S A, Johnson S M, Lafontaine M. F. Emotionally focused couple therapy: State of the art and new horizons. In Handbook of individual ; 2019: 759-777.
_||_1- Zarean, M., Ahadi, H., Jomehri, F., Sohrabi, F. Comparison of the Effectiveness of Reality Therapy and Cognitive Behavioral Therapy on Depression and Adjustment in Post-Abortion Women. Journal of Applied Family Therapy, 2023; 4(1): 396-419.
2- Koot H.M, Wallander J L. (Eds.). Psychological aspects of pediatric obesity. Springer Science & Business Media; 2013.
3- Navidi Poshtiri S, Hassanzadeh R, Olia Emadian S. The effectiveness of acceptance and commitment therapy on tolerance failure and health anxiety in nursing and midwifery students with health anxiety. JAYPS, 2022; 3(1): 222-31.
4- Rezaei Z, Abolghasmi S, Khalatbari J, Zarbakhsh M. The effectiveness of a training package based on motivational interviewing, therapy based on acceptance and commitment, and therapy focused on compassion on tolerance of failure and health anxiety in patients with multiple sclerosis. Journal of Adolescent and Youth Psychological Studies, 2023 Apr 10; 4(2): 86-96.
5- Pirmardvand chegini, B., Zahrakar, K., Sanai zaker, B., Noroozi Saziroud, K. The Effect of Educating Based on Rational Emotive Behavior Therapy (REBT) on Marital Quality Components of Couples Who Are Coping with Breast Cancer. Journal of Applied Psychological Research, 2021; 12(1): 283-298.
6- Skerrett K. What Makes a Good Relationship? Here's What the Research Says. Harvard Health Publishing. Retrieved from https://www.health.harvard.edu/blog/what-makes-a-good-relationship-heres-what-the-research-says-2019041816446.
7- Sbaragli C, Morganti A, Goracci A, et al. Psychological aspects of in vitrofertilization, infertility, and abortion: a review. Psychology Research and Behavior Management, 2008; 1: 1-12.
8- Ganong L, Jensen T, Sanner C, Russell L, Coleman M. Stepfathers’ affinity-seeking with stepchildren, stepfather-stepchild relationship quality, marital quality, and stepfamily cohesion among stepfathers and mothers. Journal of Family Psychology, 2019 Aug; 33(5): 521.
9- Greenberg LS, Goldman RN. Clinical handbook of emotion-focused therapy. American Psychological Association; 2019.
10- Sahibi Bazaz L, Sudani M, Mehrabizadeh Artman M. Investigating emotion-oriented therapy to cope with failure and marital adjustment of couples referring to oil company counseling center. Journal of new developments in behavioral sciences, 2019; 4(34): 83-59.
11- Greenman P S, Johnson S M. Emotionally focused therapy: Attachment, connection, and health. Current opinion in psychology, 2022; 43: 146-150.
12- Timulak L, Keogh D. Transdiagnostic emotion-focused therapy: A clinical guide for transforming emotional pain. American Psychological Association; 2022.
13- Hosseinzadeh Z, Ghurban Shiroudi Sh, Khalatbari J, Rahmani M A. The effectiveness of emotion-oriented therapy on the flexibility of action and distress tolerance of women. Applied Family Therapy, 2020; 1(3): 23-38.
14- Shabani Nia Sh, Golparvar M, Aghaei A. The effectiveness of emotional therapy on the tendency to break the contract of couples and the quality of married life in women with low libido. Behavioral science research, 2022; 20(3): 483-492.
15- Simons J S, Gaher R M. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion, 2005; 29: 83-102.
16- Shams J, Azizi A, Mirzaei A. Examining the relationship between disturbance tolerance and emotional regulation with the level of students' addiction to smoking. Research of Hakim Health System, 2010; 13 (1): 11-18.
17- Alavi Kh, Modares Gharavi M A, Yazdi S, Salehi Faderdi J. The effectiveness of dialectical behavior therapy in a group way (relying on the components of comprehensive awareness, distress tolerance and emotional regulation) on the symptoms of depression in students. Principles of mental health, 2011; 13(15): 135-124.
18- Fletcher G J, Simpson J A, Thomas G. The measurement of perceived relationship quality components: A confirmatory factor analytic approach. Personality and Social Psychology Bulletin, 2000; 26(3): 340-354.
19- Nilfroshan P. The structural equation model of marital relationship quality based on the psychological characteristics of couples, doctoral thesis in the field of counseling. Faculty of Educational Sciences and Psychology, Isfahan University; 2010.
20- Sarhadhi M, Navidian A, Fasihi Harandi T, Ansari Moghadam A. Comparison of marital relationship quality of spouses of heart attack patients and spouses of healthy people. Health Promotion Management Quarterly. 2012; 2(1): 39-48.
21- Elliott R, Emotion- focus therapy. PCCS. Book, Ross-On-Wye; 2012: 103-130.
22- Hosseini B. Emotional couple therapy. Tehran: Jungle Publications; 2014.
23- Harvey M. Comprehensive book of couple’s therapy. Translated by Khodabakhsh Ahmadi, Zahra Akhavi and Ali Akbar Rahimi. Tehran: Danje Publications; 2013.
24- Watson J C, Goldman R, Greenberg L S. A simple sample size formula for analysis of covariance in randomized clinical trials. Journal of clinical epidemiology, 2007; 60(12): 1234–1238.
25- Wiebe S A, Johnson S M, Lafontaine M. F. Emotionally focused couple therapy: State of the art and new horizons. In Handbook of individual ; 2019: 759-777.