بررسی تأثیر درمان مبتنی بر پذیرش و تعهد (ACT)، بر تاب‌آوری و نگرش‌های ناکارآمد زنان مبتلا به ام‌اس شهر تهران
محورهای موضوعی : تربیتیزینب کاویانی 1 , سعید بختیارپور 2 , علیرضا حیدرئی 3 , پرویز عسکری 4 , زهرا افتخارصعادی 5
1 - دانشجوی دکتری، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
2 - استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
3 - دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
4 - دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
5 - استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.
کلید واژه: زنان, درمان مبتنی بر پذیرش و تعهد (ACT), نگرش‌های ناکارآمد, تاب‌آوری, مولتیپل اسکلروزیس (ام‌اس),
چکیده مقاله :
هدف پژوهش، بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد، بر تاب‌آوری و نگرش‌های ناکارآمد زنان مبتلا به ام‌اس شهر تهران بود. روش پژوهش آزمایشی با پیش‌آزمون و پس‌آزمون و جامعة آماری این پژوهش، همة زنان مبتلا به ام‌اس با نگرش ناکارآمد بالا و تاب‌آوری پایین که در سال 1396 به بخش بیماران سرپایی کهریزک مراجعه داشتند بود. روش نمونه‌گیری هدفمند بود. ابزارهای پژوهش شامل پرسشنامة تاب‌آوری (,2003 Cooner & Davidson) و پرسشنامة نگرش ناکارآمد داس، (Waisman & Beck, 1997) بود. آزمودنی‌ها به‌طور تصادفی به دو گروه آزمایش و کنترل تقسیم شدند. گروه آزمایش با 8 جلسة 90 دقیقه‌ای روان‌درمانی اکت قرار گرفت؛ اما گروه کنترل مداخله‌ای دریافت نکرد. داده‌ها با استفاده از تحلیل کوواریانس چند متغیری (مانکوآ) تجزیه‌وتحلیل شدند. یافته‌ها نشان‌دهندة تفاوت معنادار (000/0 p<) در گروه آزمایش بعد از اجرای روان‌درمانی بود. نتایج نشان‌دهندة تأثیر درمان مبتنی بر پذیرش و تعهد در افزایش تاب‌آوری 001/0>p) و کاهش نگرش‌های ناکارآمد (001/0>p) زنان مبتلا به ام‌اس بودند.
The aim of this study was to investigate the effectiveness of acceptance and commitment therapy on the resilience and dysfunctional attitudes of women with MS in Tehran. The research method was pre-test and post-test and the statistical population of this study was all women with MS with high dysfunctional attitude and low resiliency referred to the department of ambulatory patients in Kahrizak in 2017. The sampling method was purposive. Research tools included Conner and Davidson Resiliency Questionnaire (2003) and Dys, Weisman & Beck Dysfunctional Attitude Questionnaire (1997).Subjects were randomly divided into two experimental and control groups. the experimental group underwent 8 sessions of 90 minutes of psychotherapy. But the control group received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA). The results showed a significant difference (p <0.000) in the experimental group after the implementation of psychotherapy. The results showed the effect of acceptance and commitment therapy on increasing resilience and reducing inefficient attitudes of MS patients.
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