همسنجی اثربخشی و تداوم تأثیر درمان ذهنآگاهی مثبتنگر و شفقتدرمانی بر اجتناب تجربهای و بدتنظیمی هیجان در زنان قربانی خشونت خانگی
محورهای موضوعی :
زن و خانواده
مینوش همایونی
1
,
مولود کیخسروانی
2
,
علی پولادی ریشهری
3
1 - دانشجوی دکتری روانشناسی تخصصی، واحد بوشهر ، دانشگاه آزاد اسلامی ، بوشهر، ایران
2 - استادیار گروه روانشناسی، واحد بوشهر ، دانشگاه آزاد اسلامی، بوشهر، ایران ( نویسنده مسئول ) moloud.keykhosrovani@gmail.com
3 - استادیار گروه روانشناسی، , واحد بوشهر ، دانشگاه آزاد اسلامی ، بوشهر، ایران . استادیار دانشگاه پیام نور، بوشهر، ایران
تاریخ دریافت : 1401/01/28
تاریخ پذیرش : 1401/03/07
تاریخ انتشار : 1402/03/01
کلید واژه:
اجتناب تجربهای,
درمان ذهنآگاهی مثبتنگر,
شفقتدرمانی,
بدتنظیمی هیجان,
زنان قربانی خشونت خانگی,
چکیده مقاله :
مرور پیشینه نظری و تجربی نشان میدهد که درمان ذهنآگاهی مثبتمحور و درمان مبتنی بر شفقت بر بدتنظیمی هیجان و اجتناب تجربهای مؤثر بوده است. اما هنوز مشخص نیست که کدامیک از این مداخلات در طول زمان اثربخشی بیشتر و پایدارتری دارند. پژوهش حاضر با هدف همسنجی اثربخشی و تداوم تأثیر درمان ذهنآگاهی مثبتنگر و شفقتدرمانی بر اجتناب تجربهای و بدتنظیمی هیجان در زنان قربانی خشونت خانگی انجام پذیرفت. پژوهش حاضر حیث هدف کاربردی و از نظر ماهیت از نوع طرحهای نیمهآزمایشی با پیشآزمون و پسآزمون چندگروهی با گروه گواه با یک مرحله پیگیری سه ماه بود. جامعه آماری پژوهش حاضر متشکل از تمامی زنان قربانی خشونت خانگی که در سال 99-1398 عضو خانههای امن شیراز بود که به روش داوطلبانه 45 نفر انتخاب و به روش تصادفی در گروههای آزمایش (درمان شفقت و ذهنآگاهی مثبتمحور) و گواه قرار گرفتند. ابزارهای سنجش شامل تنظیم هیجان گارنفسکی، کرایج و اسپینهاون (2001) و پرسشنامه اجتناب تجربهای باوند و همکاران (2010) بود. یکی از گروههای آزمایش مداخله ذهنآگاهی مثبتمحور هافمن، وو و بوتچر (2014) و گروه دیگر آزمایش درمان متمرکز بر شفقت گیلبرت (2010) را هرکدام در 8 جلسه 90 دقیقهای دریافت کردند و گروه گواه هیچ مداخلهای دریافت نکرد. تجزیهوتحلیل دادهها از روش تحلیل واریانس اندازهگیریهای مکرر و بنفرونی انجام شد. نتایج نشان داد درمان مبتنی بر شفقت و درمان ذهنآگاهی مثبتمحور بر بدتنظیمی هیجان و اجتناب تجربهای مؤثر است (01/0p<). روش درمان مبتنی بر شفقت نسبت به درمان ذهنآگاهی در کاهش بدتنظیمی هیجان و اجتناب تجربهای اثربخشتر میباشد (01/0p<). به نظر میرسد درمان مبتنی بر شفقت و درمان ذهنآگاهی مثبتمحور میتواند بهعنوان یک امر پیشگیرانه و بهبوددهنده در افزایش سلامت روان و کیفیت زندگی زنان قربان خشونت خانگی مورد استفاده قرار گیرد.
چکیده انگلیسی:
A review of theoretical and empirical backgrounds shows that positive mindfulness-based therapy and compassion-based therapy have been effective in emotion dysregulation and avoidance of experiments. But it is not yet clear which of these interventions will be more effective and more stable over time. The aim of this study was to evaluate the effectiveness and continuity of the effect of positive mindfulness therapy and compassion therapy on experiential avoidance and emotion dysregulation in women victims of domestic violence. The present study was an applied One related to the purpose and in terms of design a quasi-experimental one with pre-test and multi-group post-test with a control group and a follow-up of three months. The statistical population of the present study consisted of all women victims of domestic violence who were members of safe houses in Shiraz in 2009-2010. Assessment instruments included Granefski, Kraaij & Spinhoven's emotion regulation questionnaire (2001) and Bond et al's experience avoidance questionnaire (2010). One group received the Hofmann, Wu & Boettcher (2014) Positive Mindfulness Intervention, and the other group received the Gilbert (2010) Compassionate Therapy Experiment in 8 sessions of 90 minutes each, and the control group did not receive any intervention. Data were analyzed by repeated measures analysis of variance and Benferoni method. The results showed that compassion-based therapy and positive mindfulness-based therapy are effective on emotion dysregulation and avoidance of experiments (p<0.01). Compassion-based therapy is more effective than mindfulness therapy in reducing emotion dysregulation and avoiding experimental experiences (p<0.01). It seems that compassionate therapy and positive mindfulness therapy can be used as a preventive and remedial measure in increasing the mental health and quality of life of women victims of domestic violence.Conflict of interest: The authors declare that there are no conflicts of interest regarding the publication of this manuscript.
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Abbasi, I., Fata, L., Moloudi, R., & Zarabi, H. (2012). Psychometric adequacy of the Persian version of the Admission and Practice Questionnaire - Second Edition. Journal of Psychological Methods and Models, 3(10), 65-80. [In Persian]
Abedinia, N., Boalhari, J., & Naghizadeh, M. M. (2015). Comparison of the underlying factors of divorce application by gender. Journal of Psychological Studies, 11(1), 141-177. [In Persian]
Ahmadi, S.Z., Mirzaeian, B., & Maddah, M.T. (2014). The effectiveness of mindfulness-based cognitive therapy on anxiety and cognitive avoidance in anxiety students. Journal of New Ideas in Psychology, 1(1), 10-1. [In Persian]
Akin, A. (2010). Self-compassion and Loneliness. International Online Journal of Educational Sciences, 2(3), 702 -718.
Atkins, D. C., Marin, R. A., Lo, T. Y., Klann, N., & Hahlweg, K. (2010). Outcomes of couples with infidelity in a community -based sample of couple therapy. Journal of Family Psychology, 24 (4), 212-216. doi: 10.1037/a0018789.
Banducci, A., Felton, J.W., Bonn-Miller, MO., Lejuez CW. & MacPherson, L. (2017). A longitudinal examination of the impact of childhood emotional abuse on cannabis use trajectories among community youth. Drug and Alcohol Dependence, 171(2), 14-21.
Bardeen, J. R., & Fergus, T. A. (2016). The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of contextual behavioral science, 5(1), 1-6.
Bell, K. M., & Higgins, L. (2015). The impact of childhood emotional abuse and experiential avoidance on maladaptive problem solving and intimate partner violence. Behavioral Sciences, 5(2), 154-175.
Bent, S., & Goleman, T. (2001). Emotional alchemy: How the mind can heal the heart. New York: Three Rivers Press.
Berman, N. C., Wheaton, M. G., McGrath, P., & Abramowitz, J. S. (2010). Predicting anxiety: the role of experiential avoidance and anxiety sensitivity. Journal of Anxiety Disorders, 24(1), 109-130.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire –II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42 (4), 676 -688.
Cebolla, A., Enrique, A., Alvear, D., Soler., J., & García-Campayo, J. (2017). Contemplative positive psychology: introducing mindfulness into positive psychology. Papeles del psicólogo, 38, 12-18.
Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and Emotion Regulation in Developmental Psychopathology. Development and Psychopathology, 7, 1-10.
D’Olimpio F, Mancini F. (2014). Role of Deontological Guilt in Obsessive-Compulsive Disorder–Like Checking and Washing Behaviors. Clinical Psychology Sci 2(6), 727-39.
Damson, R. (2015). The effect of self-compassion on the resilience and emotion regulation of marital woman. Journal of Personality assessment, 63 (2), 262 - 274.
Deminof, L. (2013). The efficacy of self-compassion on the adversity quotient, Emotion Regulationof marital woman. Journal Anxiety Disorder, 11(5), 279 -315.
Denis, K., & Beker, R (2015). The effect of selfcompassion on the irrational beliefs, selfdissociationand marital not satisfaction in couples. Journal of Personality assessment, 63(2), 262 - 274.
Dimitropoulou, C., & Leontopoulou, S. (2017). A positive psychological intervention to promote well-being in a multicultural school setting in Greece. The European journal of counselling psychology, 6(1), 113-137.
Eftekhari, A., Zoellner, L. A., & Vigil, S. A. (2009). Patterns of Emotion Regulation and Psychopathology. Anxiety, Stress & Coping, 22, 571-586.
Fathollahzadeh, N., Majlesi, Z., Mazaheri, Z, Rostami, M., & Navabi Nejad, Sh. (2017). The effectiveness of compassion-based focused therapy on the internalized and self-critical shame of emotionally abused women. Psychological Studies, 13(2), 151-168. [In Persian]
Gamez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire. Psychological Assessment, 23(3), 692-713.
Garland, E. L., Hanley, A. W., Goldin, P. R., & Gross, J. J. (2017). Testing the mindfulness-to-meaning theory: evidence for mindful positive emotion regulation from a reanalysis of longitudinal data. PLOS one, 12(12), e0187727.
Gerami, M., Saeidmanesh, & M. Niknam. (2017). The effectiveness of positive group therapy on selfesteem among young girl's in Yazd.
Gerhart, J. A., Baker, C. N., Hoerger, M., & Ronan, G. F. (2014). Experiential avoidance and interpersonal problems: A moderated mediation model. Journal of Contextual Behavioral Science, 3(4), 291-298.
Gilbert, P. (2010). Compassion focused therapy: Its distinctive features. London: Routledg.
Gilbert, P. (2014). The origins and nature of compassion focused therapy. Br J Clin Psychol, 53, 6-41.
Gordon, K., Baucom, D., & Synder, D. (2005). Treating couples recovering from infidelity. Journal of Clinical Psychology, 61(11), 1393-1405.
Granefski, N., Kraaij, V., & Spinhoven, P. (2002). Manual for the use of the cognitive emotion regulation questionnaire. Leiderorp: Datec.
Gross, J. J., & John, O. P. (2003). Individual Differences in Two Emotion Regulation Processes: Implications for Affect, Relationships, and WellBeing. Journal of Personality and Social Psychology, 85, 348-362.
Hasani, J. (2011). Evaluation of validity and reliability of the short form of Cognitive Emotion Regulation Questionnaire. Behavioral Science Research, 9(4), 229-240. [In Persian]
Helmes, E., Ward, B. G. (2014). Mindfulness-based cognitive therapy for anxiety symptoms in older adults in residential care. Aging & Mental Health 2015; 23: 1-7.of life: a meta-analysis. Journal of consulting and clinical psychology, 82,375,
Hershenberg, R., Mavandadi, S., Wright, E., & Thase, M. E. (2017). Anhedonia in the daily lives of depressed veterans: A pilot report on experiential avoidance as a moderator of emotional reactivity. Journal of Affective Disorders, 208(1), 414-417.
Hofmann, S. G., Sawyer, A. T., Witt, A. A, & Oh, D. (2010). The effect of mindfulness-based therapyon anxietyand depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
Hofmann, S. G., Wu, J. Q., & Boettcher. H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality. Journal of consulting clinical psychology, 82(6), 1228.
Huh, H. J., Kim, S. Y., Yu, J. J., & Chae, J. H. (2014). Childhood trauma and adult interpersonal relationship problems in patients with depression and anxiety disorders. Annals of general psychiatry, 13(2), 26-36.
Ivtzan, I., Niemiec, R. M., & Briscoe, Ch. (2016). A study investigating the effects of mindfulness based strengths practice (MBSP) on wellbeing. International journal of wellbeing, 6(2), 1-13.
Kashdan, T. B., & Ciarrochi, J. (2013). The Context Press mindfulness and acceptance practica series. Mindfulness, acceptance, and positive psychology: The seven foundations of well-being. Oakland, CA, US: Context Press/New Harbinger Publications.
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