بررسی اثربخشی رواندرمانی بين فردی گروهی (IPT) بر وضعيت خلقی در مادران با تجربه سوگ فرزند
محورهای موضوعی : روان سنجیمریم میرزائی 1 , آمنه سادات کاظمی 2 * , بیتا بهرامی 3
1 -
2 - روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی، واحد علوم پزشکی تهران
3 - گروه روانشناسی دانشکده پزشکی ، علوم پزشکی تهران ، دانشگاه آزاد اسلامی، تهران
کلید واژه: روان درمانی بين فردی گروهی (IPT), وضعيت خلقی, مادران با تجربه سوگ فرزند,
چکیده مقاله :
این پژوهش با هدف تعیین اثربخشی رواندرمانی بين فردی گروهی (IPT) بر وضعيت خلقی در مادران با تجربه سوگ فرزند انجام شد. روش: پژوهش حاضر کاربردی و نیمه آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه کنترل بود. جامعه آماری مادران با تجربه سوگ فرزند که در شش ماه نخست سال 1402 در شهر تهران سکونت داشته‌اند؛ بود. تعداد 30 مادر با تجربه سوگ فرزند به روش نمونه گیری در دسترس انتخاب شدند و به طور تصادفی 15 نفر در گروه آزمایش و 15 نفر در گروه گواه قرار گرفتند. گروه آزمایش 8 جلسه 90 دقیقهای به صورت هفته ای دو جلسه) شرکت کردند و رواندرمانی بین فردی گروهی به آنها ارائه گردید و گروه گواه مداخله‌ای دریافت نکرد. هر دو گروه در دو مرحله (پیش آزمون و پس آزمون) به پرسشنامه حالات خلقی Brums پاسخ دادند. دادههای استخراج شده از طریق آمار توصيفي و آمار استنباطی (تحلیل کوواریانس چندمتغیره) با استفاده از نرم افزار SPSS25مورد تجزیه و تحلیل قرار گرفتند. یافتهها: نتایج مبین آن است که دو گروه به میزان 897/2- در زمینه تنش، به میزان 802/2- در زمینه افسردگی، به میزان 699/3- در زمینه خشم، به میزان 162/2- در زمینه سرزندگی، به میزان 632/4- در زمینه خستگی و به میزان 598/4- در زمینه سردرگمی اختلاف میانگین معناداری در سطح خطای 05/0 با یکدیگر داشتند.
نتایج نشان داد که روان درمانی بین فردی گروهی اثر معناداری بر وضعیت خلقی در میان مادران با تجربه سوگ فرزند دارد.
This research was conducted with the aim of determining the effectiveness of group interpersonal psychotherapy (IPT) on the mood state of mothers who have experienced child bereavement.
Method: The present research was applied and quasi-experimental with a pre-test-post-test control group design. The statistical population consisted of mothers who had experienced child bereavement and resided in Tehran during the first six months of the year 1402 (Solar Hijri calendar). A total of 30 mothers with the experience of child bereavement were selected using convenience sampling and randomly assigned to an experimental group (n=15) and a control group (n=15). The experimental group participated in 8 weekly sessions of 90 minutes each, receiving group interpersonal psychotherapy, while the control group received no intervention. Both groups completed the Profile of Mood States (POMS) questionnaire at two time points (pre-test and post-test). The extracted data were analyzed using descriptive statistics and inferential statistics (multivariate analysis of covariance) with SPSS version 25 software.
Findings: The results indicate that the two groups had a statistically significant difference at an error level of 0.05 in the mean difference of -2.897 for tension, -2.802 for depression, -3.699 for anger, -2.162 for vigor, -4.632 for fatigue, and -4.598 for confusion.
The results showed that group interpersonal psychotherapy has a significant effect on the mood state of mothers who have experienced child bereavement.
1. Fatahi R, Kalantari M, Molavi H. Comparison of the effectiveness of Islamic bereavement therapy with group bereavement therapy program on the externalization problems of bereaved teenage girls. Studies of Islam and Psychology. 2013; 8(15): 39-64. (Full Text in Persian)
2. Rafiei Ardestani M, Eskandari H, Barjali A, Farkhi N. Recognizing the losses experienced in the life history of young people living in Tehran: a phenomenological research. Culture of Counseling and Psychotherapy, 2018; 10(37): 63-98. (Full Text in Persian)
3. Geldard K, Geldard D, Foo R Y. Counselling adolescents: The proactive approach for young people. Sage; 2015.
4. Shear MK. Grief and mourning gone awry: pathway and course of complicated grief. Dialogues in clinical neuroscience. 2012; 14(2): 119-128.
5. Kowalski, S. D., & Bondmass, M. D. (2008). Physiological and psychological symptoms of grief in widows. Research in nursing & health, 31(1), 23-30.
6. Ravanpoor J, Mahmoudian L, Bagheri P, Babajani Gavzan J. Effectiveness of reality therapy on bereavement experience and psychological flexibility in families of deceased individuals due to COVID-19. Applied Family Therapy Quarterly, 2022; 2(5), 214-203. (Full Text in Persian)
7. Price, J. L., & Drevets, W. C. (2010). Neurocircuitry of mood disorders. Neuropsychopharmacology, 35(1), 192-216.
8. Miller L, Hlastala SA, Mufson L, Leibenluft E, Yenokyan G, Riddle M. Interpersonal psychotherapy for mood and behavior dysregulation: Pilot randomized trial. Depression and anxiety, 2018; 35(6), 574-582.
9. Weissman MM. Interpersonal psychotherapy: history and future. American Journal of Psychotherapy, 2020; 73(1), 3-7.
10. Corcoran J, Stuart S, Schultz J. Teaching Interpersonal Psychotherapy (IPT) in an MSW Clinical Course. Journal of Teaching in Social Work, 2019; 39(3), 226-236.
11. Johnson JE, Price AB, Sikorskii A, Key KD, Taylor B, Lamphere S, et al. Protocol for the Healing After Loss (HeAL) Study: a randomised controlled trial of interpersonal psychotherapy (IPT) for major depression following perinatal loss. BMJ open, 2022; 12(4), e057747.
12. Terry PC, Lane AM, Lane HJ, Keohane L. Development and validation of a mood measure for adolescents. Journal of sports sciences, 1999; 17(11), 861-872.
13. Hashim, H. A., Zulkifli, E. Z., & Yusof, H. A. Factorial validation of Malaysian adapted Brunel Mood Scale in an adolescent sample. Asian journal of sports medicine, 2010; 1(4), 185.
14. Farokhi A, Motsharai A, Zeidabadi R. Determining the practical validity and reliability of the Persian version of the 32-question Brums Mood Questionnaire, Journal of Motor Behavior, 1392; 13: 15-40. (Full Text in Persian)
15. Markowitz JC. Interpersonal therapy. The American Psychiatric Publishing textbook of personality disorders, 2005; 321-334.
16. Rashkolia, A. S., Tavakoli, A. M., Meymand, Z. Z., & Fard, S. M. H. (2022). The Effectiveness of Interpersonal Psychotherapy on Alexithymia, Emotion Regulation, and Psychological Capital of Male Substance Abusers Treated by Addiction Treatment Centers in Kerman. Addiction & Health, 14(2), 127-137.
17. Qaderi Bagajan K, Yousefi N, Akbari S, Sadeghi R. Effectiveness of Group Interpersonal Psychotherapy on Increasing the Resiliency of Disabled Children's Mothers. Socialworkmag 2019; 8 (3) :12-19
18. Shademan N, Teymuri S, Amirkalali S. The effectiveness of interpersonal psychotherapy on depression in adolescents with grief disorder, 2nd International Conference on Psychology, Counseling, Education and Training, Mashhad, 2017. (Full Text in Persian)
19. Rozbahani F, Soznian Kashani N, Eftekhari N. The effectiveness of interpersonal psychotherapy on anxiety and dyslexia in women with generalized anxiety. Disability Studies, 2017; 8(96), 1-7. (Full Text in Persian)
20. Koszycki D, Taljaard M, Kogan C, Bradwejn J, Grimes D. Interpersonal psychotherapy for depression in Parkinson’s disease: a feasibility study. Journal of geriatric psychiatry and neurology, 2023; 36(1), 52-62.
21. Bright KS, Stuart S, Mcneil DA, Murray L, Kingston DE. Feasibility and Acceptability of Internet-Based Interpersonal Psychotherapy for Stress, Anxiety, and Depression in Prenatal Women: Thematic Analysis. JMIR Formative Research, 2022; 6(6), e23879.
22. Tanofsky-Kraff M, Crosby RD, Vannucci A, Kozlosky M, Shomaker LB, Brady SM, et al. Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating. International Journal of Eating Disorders, 2016; 49(5), 490-498.
23. Markowitz JC, Petkova E, Neria Y, Van Meter PE, Zhao Y, Hembree E et al. Is exposure necessary? A randomized clinical trial of interpersonal psychotherapy for PTSD. American journal of psychiatry, 2015; 172(5), 430-440.
24. Pazouki A. Comparing the effectiveness of a course of diet therapy and interpersonal psychotherapy training on social anxiety and eating disorder in obese women, the fifth national conference on recent innovations in psychology, applications and empowerment centered on psychotherapy, Tehran, 2018. (Full Text in Persian)
25. Lemmens LH, Galindo-Garre F, Arntz A, Peeters F, Hollon SD, DeRubeis RJ, Huibers M J. Exploring mechanisms of change in cognitive therapy and interpersonal psychotherapy for adult depression. Behaviour Research and Therapy, 2017; 94, 81-92.