اثربخشی درمان مبتنی بر پذیرش و تعهد بر رضایت زناشویی زنان افسرده
محورهای موضوعی : تربیتیالهام محمدی 1 , فرناز کشاورزی ارشدی 2 , ولی الله فرزاد 3 , مهدیه صالحی 4
1 - دانشجوی دکتری روان‌شناسی عمومی، دانشگاه آزاد واحد تهران مرکز، تهران، ایران
2 - عضو هیأت علمی دانشگاه آزاد واحد تهران مرکز، تهران، ایران
3 - عضو هیأت علمی دانشگاه تهران، تهران، ایران
4 - عضو هیأت علمی دانشگاه آزاد واحد تهران مرکز، تهران، ایران
کلید واژه: رضایت زناشویی, درمان مبتنی بر پذیرش و تعهد, زنان افسرده,
چکیده مقاله :
هدف این پژوهش تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر رضایت زناشویی زنان افسردۀ شهر اصفهان بود. پژوهش نیمه‌تجربی، با طرح پیش‌آزمون ـ پس‌آزمون و پیگیری است. جامعۀ آماری این پژوهش همۀ زنان افسرده با نارضایتی زناشویی مراجعه‌کننده به مراکز روان‌شناختی بودند که 40 نفر از آنها با استفاده از نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه 20 نفری آزمایش و گواه قرار گرفتند. گروهها در ابتدا و انتهای پژوهش از نظر میزان رضایت زناشویی ارزیابی شدند. بدین منظور قبل و بعد از مداخله (10 جلسۀ دوساعته)، همچنین بعد از یک دورۀ سه ماهۀ پیگیری، به پرسشنامۀ رضایت زناشویی انریچ (اولسون، 1987) و در یک مرحله پرسشنامۀ افسردگی (بک، 1979) پاسخ دادند. نتایج تحلیل کوواریانس نشان‌دهندۀ افزایش رضایت زناشویی کلی در مرحلۀ پس‌آزمون و پیگیری بوده است (002/0P<). یافته‌های این پژوهش نشان می‌دهد که اثربخشی درمان مبتنی بر پذیرش و تعهد بر افزایش رضایت زناشویی کلی زنان افسرده است.
The purpose of this research was to determine the effectiveness of acceptance and commitment therapy on marital satisfaction among depressive women in Isfahan. The research used a quasi- experimental method with a pretest-posttest design and a three-month follow up. For this purpose, 40 subjects were selected via purposive sampling from the women who referred to psychological clinics. They were randomly divided into two groups of experimental and control. Both groups completed ENRICH Marital Satisfaction Scale (Olson, 1987) for marital satisfaction and Beck Depression Inventory (Beck, 1979) for depression before and after the training (10 sessions, 2 hours each) and also 3 months later. Results of covariance analysis showed a significant increase in overall marital satisfaction at the post test and follow up stage (P<0.002). The findings of this study confirmed the efficacy of acceptance and commitment therapy on overall marital satisfaction among depressed women.
Beach. S. H. Smith. D. A., &amp; Fincham. F. D. (1994). Marital interventions for depression. Journal of Applied preventive psychology, 4, 233-150.
Cooper, E. A. (2009). Acceptance and Commitment therapy and depression: the development of a depression specific process measure. University of wollongong thesis collection, Research online.
Folke, F. (2012). Acceptance and Commitment Therapy for Depression: Apreliminary Randomizeg Clinical Trail for Unemployed on long- Term sick leave. Journal of Cognitive and Behavioral practice. 19 (2012). 583-594.
Forman, E. M., Goetter, E. M., Herbert, J. D. &amp; Park, J. A. (2012). Long- Term follow- up of a Randomized controlled Trial comparing Acceptance and commitment Therapy and Standard Cognitue Behavior Therapy for Anxiety and Depression. Journal of Behavior Therapy. 43 (2012).801-811.
Forman, E. M., Herber, D. J. Yeomans, P. D. &amp; Geller, P. A. (2012). A Randomized Controlled Effectiveness Trail of Acceptance and Commitment Therapy and Cognitive Therapy for Anxiety and Depression. Journal of Behavior Modification.
Halford, W K, Bouma, R., Kelly, A., &amp; Young, R. M. (2005). The interaction of individual psychopathology and marital problems: Current findings and clinical implications. Behavior Modification, 23, 179-216 [11]
Hayes, L., Boyd, C. P. &amp; Sewell, J. (2011). Acceptance and Commitment Therapy for Treatment of Adolescent Depression: Apilot study in a psych8iatric out patient setting. Journal of Mindfulness. 2 (2011). 86-94.
Hayes, S. C, Strosahl, K. D.,Wilson, K.G (2012) Acceptance and commitment therapy: The process and practice of mindful change (2nd edition). New York, NY: The Guilford press.
Hayes, S. C. &amp; Levin, E. M., Villatte, J. L. (2013). Acceptance and Commitment therapy and Contextual Behavioral Science: Examining the progress of a Distinctive Model of Behavioral and Cognitive Therapy. Journal of Behave Ther, 44 (2): 180-198.
Hayes, S. C. (1987). A contextual approach to therapeutic chang, In N. Jacobson (Ed.), psychotherapists in clinical practice: Cognitive and behavioral perspectives (pp.327-387). New York: Guilford.
Hayes, S. C. (2004). Acceptance and Commitment Therapy Relational Frame Theory, and The Third wave of Behavioral and Cognitive Therapies. Behavior Therapy, 35, 639-665.
Hayes, S. C. (2004). Acceptance and Commitment therapy, relational frame theory, and the thid wave of behavioral and cognitive therapies. Behavioral Therapy, 35, 639-666.
Hayes, S. C. (2004). Acceptance and Commitment Therapy, relational frame theory, and the third wane of behavioral and cognitive therapies. Behavior therapy, 35, 639-665.
Hayes, S. C. (2005). Acceptance and Commitment Therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665.
Hayes, S. C. (2005). Stability and change in cognitive behavior therapy: considering impartial fulfillment at the requirement for degree of doctor of philosophy in psychology of University of Nevada.
Hayes, S. C. (2008). Climbing our hills: A beginning Conversation on the comparison of act and traditional CBT. Clinical psychology: Science and practice, 5, 286-295.
Hayes, S. C. Levin, M.,Plumb, J., Bovlanger, J., &amp; Pistorello, J. (2011). Acceptance and Commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy.
Hayes, S. C., &amp; Lillis, J. (2012). Acceptance and Commitment Therapy (Theory and Psychotherapy). American Psychologycal Association.
Hayes, S. C., &amp; Strohshal, K. D. (2004). A practical Guide to Acceptance and Commitment Therapy. New York: Spiringer Science and Business Media Inc.
Hayes, S. C., &amp; Strosahl, K. D. (2010). A practical guide to Acceptance and Commitment Therapy. New York: Springer Science and Business Media Inc.
Hayes, S. C., Pistorello, J., &amp; Levin, M. E. (2012). Acceptance and Commitment Therapy as a united Model of Behavior Change. The counseling Psychologist, 40 (7), 976-1002.
Hayes, S. C., Strosahl, K., D. (Eds.). (2004). A practicaql guide to Acceptance and Commitment Therapy. New York: Springer-Verlag.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., &amp; Strosahl, K. (1996). Emotional avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., &amp; Strosahl, K. (1996). Emotional avoidance and behavior disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
Heyes, S. C. (2005). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665.
Heyes, S. C., Strosahl, K. D., &amp; Wilson, K. G. (1999). Acceptance and Commitment therapy: An experiential approach to behavior change. New York: Guilford.
Hayes, L., Boyd, C. P. &amp; Sewell, J. (2011). Acceptance and Commitment Therapy for Treatment of Adolescent Depression: Apilot study in a psych8iatric out patient setting. Journal of Mindfulness. 2 (2011). 86-94.
Hayes, S. C. (2004). Acceptance and Commitment Therapy, relational frame theory, and the third wane of behavioral and cognitive therapies. Behavior therapy, 35, 639-665.
Hayes, S. C. Levin, M.,Plumb, J., Bovlanger, J., &amp; Pistorello, J. (2011). Acceptance and Commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy.
Heyes, S. C. (2005). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665.
IsHak WW, Balayan K, Bresee C, Greenberg JM, Fakhry H, A descriptive analysis of quality of life using patient- reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research. 2013; 22: 585-596. [pub med: 22544416].
Mayers, J. E., &amp; Hattie, J. A. (2004). The relationship between marital characteristics, marital interaction processes and marital satisfaction. Journal of counseling &amp; Development, 82: 58-68.
Olson DH.. 1997.Enrich Canada, ins. Journal of Family Minstry, 11 (4), 28-53.
Sayers, S. L., Kohn. C., Fresco, D. M., Bellack, A.,&amp; Bellack, A., &amp; Sarwer, D. B. (2001). Marital Cognitions and Degnitions and depression in the context of marital discord. Cognitive Therapy and Research, 25, 713- 732.
U. S Department of Health and Human Seruices. Physical activity fundamental to preenting disease [document on the Internt]. [cite 2015] une 20]. Available from:http://aspe.Hhs.gov/Health/reports/physicalactivity/index.shtml.
Whisman, M. A. (1999). Martal dissatisfaction and psychiatric disorders: Results from the national comorbidity suvey. Journal of Abnormal psychology, 108; 701-706.
Whisman, MA. The association between marital dissatisfaction and depression. In: Beach SRH. Marital and family processes in depression: A Scientific foundation for clinical practice. Whashinton DC: American psychological Association. 2001; 3-24.
Yong, M &amp; Long, Iynn. L. (2006). Counseling and theory for couples. United state of American: Book/ cole publishing.