نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی رشته روانشناسی عمومی، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه آزاد اسلامی، واحداصفهان(خوراسگان)، اصفهان، ایران

2 استاد دانشکده علوم تربیتی و روان شناسی، دانشگاه آزاد اسلامی، واحد اصفهان(خوراسگان)، اصفهان، ایران

3 دانشیاردانشکده علوم تربیتی و روان شناسی، دانشگاه آزاد اسلامی، واحد اصفهان(خوراسگان)، اصفهان، ایران

چکیده

مقدمه: مولتیپل اسکلروزیس یکی از مهم ترین بیماری های ناتوان کننده نورولوژیک در بالغین به خصوص جوانان است که بخش میلین سیستم اعصاب مرکزی در آن تخریب می‌شوند. پژوهش حاضر با هدف مقایسه اثر بخشی مدیریت شناختی-رفتاری مبتنی بر ذهن آگاهی و درمان مبتنی بر پذیرش و تعهد بر بهزیستی روانشناختی در بیماران مولتیپل اسکلروزیس انجام گرفت. مواد و روش: روش پژوهش نیمه تجربی و طرح پژوهش سه گروهی با پیش‏‏آزمون، پس‏‏آزمون و پیگیری بود. جامعه آماری پژوهش شامل کلیه زنان مبتلا به ام اس در شهر ساری در سال 1395 و گروه نمونه پژوهش شامل 45 نفر بودند که به صورت تصادفی در سه گروه 15 نفری گمارده شدند. در فرایند اجرای پژوهش گروه کنترل هیچ‌گونه مداخله ای را دریافت نکردند در حالی که دو گروه دیگر به عنوان گروه آزمایش در نظر گرفته شدند، که در یکی از آنها درمان مدیریت شناختی-رفتاری استرس مبتنی بر ذهن اگاهی و در یکی درمان مبتنی بر پذیرش و تعهد، هر کدام به مدت 8 جلسه اجرا شد. برای سنجش بهزیستی روانشناختی از پرسشنامه‌های بهزیستی روانشناختی ریف و کیز (1995) استفاده شد. داده های حاصل از اجرای پژوهش از طریق تحلیل واریانس با اندازه­گیری مکرر و با استفاده از نرم افزار 24-SPSS تحلیل گردید.یافته­ها: نتایج نشان داد که هر دو شیوه درمانی مدیریت شناختی- رفتاری مبتنی بر ذهن آگاهی و درمان مبتنی بر پذیرش و تعهد منجر به افزایش نمره کل بهزیستی روانشناختی و هر شش مولفه آن شده است(001/0>p). همچنین نتایج آزمون تعقیبی بونفرونی جهت مقایسه زوجی گروه­ها نشان داد که درمان مدیریت شناختی- رفتاری استرس مبتنی بر ذهن اگاهی نسبت به درمان مبتنی بر پذیرش و تعهد بر نمره کل بهزیستی روانشناختی و مولفه-های خودمختاری، تسلط بر محیط، زندگی هدفمند و رشد شخصی در دو مرحله پس آزمون و پیگیری تاثیر بیشتری داشته است(001/0>p).بحث و نتیجه گیری: نتایج بر اثربخشی درمان شناختی رفتاری مبتنی بر ذهن آگاهی  بر بهزیستی روانشناختی و مولفه­های آن در زنان مبتلا به ام اس تاکید دارد. بر این اساس می‌توان از درمان شناخی رفتاری مبتنی بر ذهن آگاهی به عنوان یک درمان کارآمد جهت بهبود بهزیستی روان‌شناختی زنان مبتلا به ام اس استفاده کرد. 

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the Effectiveness of Cognitive-Behavioral Management Based on Mindfulness and Treatment Based on Acceptance and Commitment on Psychological Well-being in Multiple Sclerosis Patients

نویسندگان [English]

  • sahar Montazeri 1
  • Asghar Aghaei Jashoghani 2
  • Mohsen Golparvar 3

1 PhD Student, Department of Psychology, Department of Educational Science and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

2 Professor, Department of Educational Science and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

3 Associate Professor, Department of Educational Science and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

چکیده [English]

Introduction: Multiple sclerosis is one of the most important disabling neurological diseases in adults, particularly in youths in which the myelin sheaths in central nervous system (CNS) are destroyed. The purpose of this study was to compare the effectiveness of cognitive-behavioral management based on mindfulness and acceptance and commitment therapy on psychological well-being in multiple sclerosis patients.
Method: The research method was semi-experimental and the research design was three groups with pre-test, post-test, and follow-up. The statistical population of the study consisted of all women with MS in Sari in  2016, and the sample consisted of 45 individuals who were randomly assigned to three groups of 15. In the implementation of the research, the control group did not receive any intervention, while the other two groups were the experimental ones, one of which received cognitive-behavioral management stress based on mindfulness and the other group received acceptance and commitment treatment for 8 sessions. To assess psychological well-being, Ryff and Keyes (1995) psychological well-being questionnaires were used . The research data were analyzed using ANOVA with repeated measures analysis via SPSS-24 software.
Results: The results showed that both cognitive-behavioral management based on mindfulness and acceptance and commitment therapy have  led to an increase in the total score of psychological well-being and its six components (p<0.001). The results of Bonferroni's post hoc test for the comparison of couples in groups showed that cognitive-behavioral management stress based on mindfulness rather than the one based on acceptance and commitment has had a greater impact on both post-test and follow-up on the total score of psychological well-being and autonomy components, environmental mastery, purposeful life, and personal growth  (p<0.001).
Conclusion: The results emphasize the effectiveness of cognitive-behavioral management based on mindfulness on psychological well-being in women with multiple sclerosis. This approach can be used forthe cognitive-behavioral management based on mindfulness as an effective treatment to improve the psychological well-being of women with MS.

کلیدواژه‌ها [English]

  • Mindfulness
  • Acceptance and Commitment therapy
  • Psychological Well-being
  • Multiple Sclerosis

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