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اثربخشی درمان پذیرش و تعهد بر حمایت اجتماعی ادراک‌شده و امید به زندگی مراقبان دو بیمار مبتلا به اسکلروز جانبی آمیوتروفیک (ALS): مطالعه موردی

نوع مقاله : گزارش موارد نادر

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی گروه روانشناسی، دانشگاه آزاد اسلامی واحد نجف آباد، نجف آباد، ایران

2 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی واحد نجف آباد، نجف آباد، ایران

10.30476/smsj.2023.97656.1389

چکیده

مقدمه: پیچیدگی‌های نحوه مراقبت از بیماران مبتلا به اسکلروز جانبی آمیوتروفیک (ALS) مشکلات بسیاری را به مراقبان تحمیل می‌کند و همین امر اعمال مداخله برای افزایش حمایت اجتماعی ادراک‌شده و امید به زندگی را ضروری می‌سازد. پژوهش حاضر با هدف مطالعه موردی اثربخشی درمان پذیرش و تعهد بر حمایت اجتماعی ادراک‌شده و امید به زندگی مراقبان دو بیمار مبتلا به اسکلروز جانبی آمیوتروفیک (ALS) انجام شد.
روش‌ها: روش پژوهش نیمه‌آزمایشی با طرح تک آزمودنی بود و در آن از طرح A B استفاده شد. در این پژوهش 10 بار اندازه‌گیری (3 بار به‌عنوان خط پایه، 4 بار طی درمان و 3 بار نیز در مرحلۀ پیگیری) به عمل آمد. جامعه آماری پژوهش را مراقبان دو بیمار مبتلا به اسکلروز جانبی آمیوتروفیک (ALS) که در نیمه اول سال 1401 به انجمن حمایت از بیماران نوروپاتی شهر اصفهان مراجعه‌کرده بودند، تشکیل داد و این افراد به‌صورت در دسترس انتخاب شدند. ابزار پژوهش مقیاس حمایت اجتماعی ادراک‌شده (MSPSS) و مقیاس امید به زندگی (LES)، بود. جلسات درمان پذیرش و تعهد به مدت 8 جلسه 60 دقیقه‌ای به‌صورت هفتگی برای هر دو نفر در مطب روانشناس به‌صورت انفرادی اجرا شد. بررسی داده‌ها با استفاده از تحلیل دیداری انجام گرفت.
یافته‌ها: نتایج نشان داد درمان پذیرش و تعهد موجب افزایش حمایت اجتماعی ادراک‌شده (79/42 درصد) و امید به زندگی (77/43 درصد) مراقبان دو بیمار مبتلا به اسکلروز جانبی آمیوتروفیک (ALS) می‌شود.
نتیجه‌گیری: درمان پذیرش و تعهد می‌تواند به‌عنوان یک مداخله کاربردی به‌منظور بهبود حمایت اجتماعی ادراک‌شده و امید به زندگی مراقبان بیمار مبتلا به اسکلروز جانبی آمیوتروفیک (ALS) در نظر گرفته شود.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Effectiveness of Acceptance and Commitment Therapy on Perceived Social Support and Life Expectancy of Caregivers of Patients with Amyotrophic Lateral Sclerosis (ALS): A Case Study

نویسندگان [English]

  • Royasadat Shavaran 1
  • Akram Dehghani Champiri 2

1 M.A. in Clinical Psychology, Department of Psycholog, Islamic Azad University of Najafabad, Najafabad, Iran

2 Assistant Professor, Department of Psycholog, Islamic Azad University of Najafabad, Najafabad, Iran

چکیده [English]

Introduction: Caring for patients with amyotrophic lateral sclerosis (ALS) presents numerous challenges that can significantly impact caregivers. These challenges necessitate interventions to increase perceived social support and improve life expectancy. Therefore, the objective of the present study was to conduct a case study to examine the effectiveness of acceptance and commitment therapy in enhancing perceived social support and life expectancy among caregivers of patients diagnosed with amyotrophic lateral sclerosis (ALS).
Methods: The research method is semi-experimental with a single-subject design, in which A B design was used. This research performed ten measurements (3 times as a baseline, four times during treatment, and three times in the follow-up phase). The research community comprised caregivers of amyotrophic lateral sclerosis (ALS) patients referred to the Isfahan Neuropathy Support Association in the first half of 2011. Two individuals were selected using convenience sapling. The research tools were the Multiple Social Perceived Support Scale (MSPSS) and Life Expectancy Scale (LES). The treatment sessions, based on acceptance and commitment, were conducted over eight sessions, with each session lasting 90 minutes. These sessions took place on a weekly basis for two individuals affiliated with the Society for the Support of Neuropathy Patients. The data analysis was performed using shape and visual analysis techniques.
Results: The results showed that Acceptance and Commitment Therapy is effective in perceived social support (42.79%) and life expectancy (43.77%) of caregivers of patients with amyotrophic lateral sclerosis (ALS).
Conclusion: Acceptance and Commitment Therapy is a functional intervention to improve the perceived social support and life expectancy of caregivers of patients with amyotrophic lateral sclerosis (ALS).

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy
  • Amyotrophic Lateral Sclerosis
  • Life Expectancy
  • Social Support
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مجله علوم پزشکی صدرا
دوره 11، شماره 3
تیر 1402
صفحه 333-352
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هم رسانی
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