طراحی مدل بومی شده درمان مبتنی بر پذیرش و تعهد و اثربخشی آن بر اختلال استرس پس از سانحه
محورهای موضوعی : تربیتی
پیمان دوستی
1
,
جواد خلعتبری
2
,
احمد باصری
3
,
بهران پروین گنابادی
4
1 - گروه روان‌شناسی، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران.
2 - گروه روان‌شناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.
3 - عضو هیات علمی دانشگاه جامع امام حسین علیه السلام، تهران، ایران.
4 - گروه ادبیات فارسی، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران.
کلید واژه: درمان مبتنی بر پذیرش و تعهد, درمان‌های روان‌شناختی بومی شده, اختلال استرس پس از سانحه,
چکیده مقاله :
هدف این پژوهش طراحی یک مدل بومی شده از درمان مبتنی بر پذیرش و تعهد و اثربخشی آن بر اختلال استرس پس از سانحه بود. روش این پژوهش در بخش کیفی تحلیل مضمون به شیوه (2006) Braun & Clarke و در بخش کمی آزمایشی و از جمله طرح‌های پیش آزمون-پس آزمون با گروه کنترل بود. جامعه آماری کلیه داوطلبین مراجعه کننده به یک کلینیک در تهران طی بازه زمانی مهر تا دی ماه ۱۳۹۷ به تعداد ۲۰۰ نفر با تشخیص اختلال استرس پس از سانحه بود که از طریق فراخوان به این پژوهش دعوت شدند. نمونه تحقیق شامل ۲۸ نفر از بین داوطلبین ذکر شده بود که به روش هدفمند انتخاب، و به طور تصادفی به دو گروه تقسیم گردیدند. گروه آزمایش تحت ۸ جلسه درمان ۱۲۰ دقیقه‌ای قرار گرفت و گروه کنترل مداخله‌ای دریافت نکرد. جهت سنجش داوطلبین از معیارهای DSM5 و پاسخ به پرسشنامه اختلال استرس پس از سانحه (Berislin, Lonner & Thorndike, 1973) استفاده شد. برای شناسایی مضمون‌های درمان مبتنی بر پذیرش و تعهد و اختلال فشار روانی پس از سانحه، به متون علمی مربوطه و متخصصین این حوزه‌ها مراجعه گردید. پس از شناسایی مضمون‌های درمان، به کارشناسان ادبیات پارسی مراجعه شد تا مضمون‌های مکنون (اشعار) مرتبط با مضمون‌های مشهود (مضمون‌های درمان و PTSD) شناسایی گردد. به منظور تحلیل داده‌ها، در بخش کیفی از تحلیل مضمون و در بخش کمی از تحلیل كوواریانس استفاده گردید. یافته ها نشان داد مدل بومی در چهار خرده مقیاس ارتباط بین فردی، مهار عاطفی، افسردگی، و خاطرات رخنه کننده، بر اختلال استرس پس از سانحه اثربخش بوده است که چنین تغییری در گروه کنترل مشاهده نشد (۰۵/۰>P).
This study design an indigenous model for Acceptance and Commitment Therapy (ACT), then check the effect of this model in PTSD. The qualitative section used of Braun & Clarke (2006) the method of thematic analysis. The quantitative part was experimental pilot pretest-posttest study with control group. Statistical population included all individuals who referred to a Psychological Clinic in the period from September 2018 to Des 2018, which 200 individuals were invited through call. In order to evaluation, both DSM-5 and Posttraumatic Stress Disorder (Berislin, Lonner & Thorndike, 1973) were used. Afterward, 28 individuals selected voluntarily and randomly divided into two groups. The experimental group subjected to 8 sessions of 120-minute treatment of indigenous model of Acceptance and Commitment Therapy (ACT). To identify the themes of Acceptance & Commitment Therapy and Posttraumatic Stress Disorder, were referred to relevant scientific texts and specialists in these fields. After identifying treatment themes, experts in Persian literature were referred to identify existing themes (poems) related to the other themes (treatment themes and PTSD). In order to analyze the data in qualitative section the thematic analysis were used and in the quantitative part Descriptive Statistics & Analysis of Covariance were used. The findings indicated that the indigenous model has effect on PTSD (P<0.5).
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