اثربخشی درمان شفقت به خود مبتنی بر ذهن‌آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی- جبری دارای افکار خودکشی
محورهای موضوعی : تربیتیسمیرا رحمانی 1 , سودابه بساک نژاد 2 , نسرین ارشدی 3 , ادوارد سلبی 4
1 - دانشجوی دکتری، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران،
2 - استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران.
3 - استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران
4 - دانشیار، گروه روان‌شناسی بالینی، دانشگاه روتگرز آمریکا
کلید واژه: مبتلایان به اختلال وسواسی-جبری, شفقت به خود مبتنی بر ذهن‌آگاهی, افکارخودکشی, نیازهای بین‌فردی,
چکیده مقاله :
اختلال وسواسی-جبری یک بیماری روان شناختی شدید و ناتوان کننده است که با تاثیر بر کیفیت زندگی و عملکرد کلی بیماران و اعضای خانواده آن ها منجر به بروز مشکلات بین فردی، احساس درماندگی و ناامیدی در بیماران می شود. هدف این پژوهش تعیین اثربخشی درمان شفقت به خود مبتنی بر ذهن آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی-جبری دارای افکار خودکشی بود. طرح پژوهش طرح آزمایشی تک موردی از نوع خط پایه چندگانه ناهمزمان بود و نمونه پژوهش شامل 3 بیمار زن مبتلا به اختلال وسواسی- جبری شهر اهواز در سال 1398 بود. از پرسشنامه های وسواسی-جبری (Yale-Brown obsessive-compulsive, 1989)، افکار خودکشی گرایانه (Rudd, 1989) و نیازهای بین فردی (Van Orden, Cukrowicz, Witte & Joiner, 2012) استفاده شد. پروتکل درمان در 8 جلسه 90 تا 120 دقیقه انجام شد و آزمون ها در سه مرحله خط پایه، پس آزمون و پیگیری 3 ماهه اجرا شد و داده ها به روش ترسیم دیداری، شاخص تغییر پایه و فرمول درصد بهبودی تحلیل شدند. داده ها نشان داد که درمان شفقت به خود مبتنی بر ذهن آگاهی بر کاهش تعلق پذیری ازمیان رونده و ادراک سرباربودن تاثیرگذار است و پیگیری سه ماهه نیز حاکی از پایداری تغییرات درمانی برای تعلق پذیری ازمیان‌رونده و ادراک سربار بودن بود. این رویکرد به وسیله ممانعت از اجتناب از افکار و هیجانات دردناک ناشی از اختلال و رشد احساس تعلق به دیگران و پیوند اجتماعی، منجر به تاب آوری می شود و از بروز تعلق پذیری از میان رونده و ادراک سرباربودن در زمان های پریشانی روان شناختی جلوگیری می نماید.
OCD is a severe and debilitating psychological condition that affects the quality of life and overall performance of patients and their family members, leading to interpersonal problems, feelings of helplessness and hopelessness in patients. So, the purpose of this research was to examine the effectiveness of mindful self-compassion therapy on the interpersonal needs among the patients diagnosed with obsessive-compulsive disorder having suicidal thoughts.The sample of research consisted of 3 female patients with obsessive-compulsive disorder in Ahvaz city in 2019. They were asked to fill in the scales Yale-Brown Obsessive-Compulsive (1989), The Suicidal Ideation (Rudd, 1989) and Interpersonal Needs (Van Orden, Cukrowicz, Witte & Joiner, 2012).The mindful self-compassion therapy protocol was implemented in 8 sessions of 90 to 120 minutes hours and the test was performed in three phase of baseline, after testing and a 3-month follow-up and the obtained data were analyzed by visual representation, reliable change index and improvement percentage formula. According to the findings of study, mindful self-compassion therapy had a significant effect on reducing the thwarted belongingness and perceived burdensomeness. The 3-month follow-up plan established that the treatment changes were stable for the thwarted belongingness and perceived burdensomeness. This approach by preventing the avoidance of painful thoughts and emotions caused by the disorder and the growth of a sense of belonging to others and a social bond with them leads to resilience and prevents the occurrence of thwarted belongingness and perceived burdensomeness during times of psychological distress.
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