مقایسه اثربخشی درمان راه‌حل‌مدار و درمان مبتنی بر پذیرش و تعهد بر رضایت زناشویی و انعطاف‌پذیری روان‌شناختی زنان خانه‌دار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

2 گروه مشاوره ، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

3 استادیار گروه مشاوره و راهنمایی، واحد مسجدسلیمان، دانشگاه آزاد اسلامی، مسجدسلیمان، ایران

چکیده

زمینه و هدف: اجتماعی‌شدن جنسیتی، زمینه طرد اجتماعی، اختلالات روان‌شناختی، کاهش کیفیت زندگی و رضایت زناشویی زنان را فراهم می‌کند، لذا واکاوی و درمان این مشکلات در زنان خانه‌دار اهمیت دارد. هدف پژوهش حاضر مقایسه اثربخشی درمان راه­حل‌مدار و درمان مبتنی بر پذیرش و تعهد بر رضایت زناشویی و انعطاف­پذیری روان‌شناختی زنان خانه­دار بود.
روش بررسی: روش پژوهش نیمه‌تجربی از نوع طرح پیش‌آزمون-پس‌آزمون با گروه گواه بود. جامعه آماری، زنان خانه­دار شهر بهبهان در نیمه دوم سال 1398 بود که به روش نمونه‌گیری هدفمند، تعداد 45 نفر واجد شرایط انتخاب و به صورت گمارش تصادفی در گروه‌های آزمایش و گواه قرار گرفتند و به پرسشنامه رضایت زناشویی انریچ (السون و فاورز، 1993) و پرسشنامه انعطاف‌پذیری روان‌شناختی ( بوند و همکاران، 2011) پاسخ دادند. گروه گواه در انتظار ماند و گروه‌ درمان راه‌حل‌مدار طی 8جلسه 120دقیقه‌ای و گروه‌ درمان مبتنی بر پذیرش و تعهد طی 12جلسه 90دقیقه‌ای مداخله‌ها را دریافت نمودند؛ در پایان، مجدداً آزمودنی‌های سه گروه‌، توسط پرسشنامه‌ها ارزیابی شدند. داده‌ها توسط تحلیل کوواریانس و در نظر گرفتن سطح معناداری 05/0 p≤در نرم‌افزار SPSS24 تحلیل شدند.
یافته‌ها: نتایج نشان داد درمان راه­حل‌مدار و درمان مبتنی بر پذیرش و تعهد بر افزایش رضایت زناشویی و انعطاف­پذیری روان‌شناختی زنان خانه­دار تأثیر معناداری دارند (001/0>p). مقایسه اثربخشی این روش‌ها نشان داد درمان راه‌حل‌مدار در افزایش رضایت زناشویی موثرتر است (001/0>p)، بین این روش‌ها در افزایش انعطاف­پذیری روان­شناختی تفاوتی مشاهده نشد (05/0<p).
نتیجه ‌گیری: علاوه‌براینکه از این شیوه‌های درمانی می‌توان به‌عنوان درمان‌های مؤثر برای بهبود انعطاف­پذیری روان­شناختی و رضایت زناشویی زنان خانه‌دار استفاده کرد؛ تقدم استفاده در درمان مشکلات زناشویی با درمان راه‌حل‌مدار است.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison Effects of Solution-Focused Therapy and Acceptance and Commitment Therapy on Psychological Flexibility and Marital Satisfaction of Housewives

نویسندگان [English]

  • Seyedeh farkhondeh Taghavi 1
  • Maryam Gholamzadeh Jofre 2
  • Masoud Shahbazi 3
1 Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2 Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
3 Assistant Professor of Counseling and Guidance Department, Masjed Soleiman Branch, Islamic Azad University, Masjed Soleiman, Iran
چکیده [English]

Abstract
Background & Objective: Gender socialization provides the grounds for social exclusion, psychological disorders, reduced quality of life and marital satisfaction for women; Therefore, it is important to study and treat these problems in housewives. The aim of the present study was to comparison effects of solution-focused therapy and acceptance and commitment therapy on psychological flexibility and marital satisfaction of housewives.
Methods: The study was quasi-experimental with pretest-posttest and control group. The statistical population was housewives in Behbahan in the second half of 2019, who were selected by targeted sampling method, 45 eligible people were selected and randomly assigned to experimental and control groups and respond to ENRICH Marital Satisfaction Scale (Fowers & Olson, 1993) and sub-scale of Psychological Flexibility Questionnaire (Bond et al., 2011). The control group waited and the group of solution-focused therapy received the interventions during 8 sessions of 120 minutes and the group of acceptance and commitment therapy received the interventions during 12 sessions of 90 minutes; Then, at the end of the therapeutic interventions, the subjects of the experimental and control groups were evaluated by questionnaires. Data were analyzed by analysis of covariance and considering the significance level of p < 0.01 in SPSS24 software.
Results: The results showed that solution-focused therapy and acceptance and commitment therapy had a significant effect on increasing psychological flexibility and marital satisfaction of housewives (p < 0.001). Comparing the effectiveness of these methods, it has been shown that the solution-focused therapy is more effective in increasing marital satisfaction (p < 0.001). There was no difference between these methods in increasing psychological flexibility (p>0.05).
Conclusion: In addition, these therapies can be used as effective therapies to improve the psychological flexibility and marital satisfaction of housewives; The priority of use in the treatment of marital problems is with the solution-focused therapy.

کلیدواژه‌ها [English]

  • Solution-focused therapy
  • acceptance and commitment therapy
  • psychological flexibility
  • marital satisfaction
  • housewives

مراجع

1. Soroush M, Enayat H. Women, structure and agency: Can women choose their lifestyle? Women's Studies
Sociological and Psychological. 2014;11(4):59-90. [Persian]
2. Ghaderzadeh O, Yousefvand H. Sociological Factors Effective in Women’s Civic Participation. Women in
Development & Politics. 2013;10(4):101-126. [Persian]
3. Lindfors P, Berntsson L, Lundberg U. Factor structure of Ryff’s psychological well-being scales in Swedish female
and male white-collar workers. Personality and individual differences. 2006;40(6):1213-22.
4. Abbott P, Tyler M, Wallace C. An introduction to sociology: Feminist perspectives. Routledge; 2006.
5. Omidi A, Talighi E. The Effectiveness of Marital Therapy based on Acceptance and Commitment on Couples’
Marital Satisfaction and Quality of Life. International Journal of Body, Mind and Culture. 2017;4(1):46-51.
6. Badyal P. The relationship between five demographic variables and marital satisfaction of men and women in dualearner marriages (Doctoral dissertation, Theses (Faculty of Education)/Simon Fraser University).
7. Cilli AS, Kaya N, Bodur S, Ozkan I, Kueur R. A comparative analysis of the psychological symptoms observed in
the working women and housewives. Public Health Branch. 2006.
8. Azizi R, Bahrami F, Goodarzy K, Sadeghi M. Comparison of the effectiveness of treatment based on Moritz
metacognitive approach and Wells metacognition approach on obsessive-compulsive symptoms and cognitive
flexibility of obsessive-compulsive homeowners. KAUMS Journal (FEYZ). 2020;23(6):637-46.
9. Goldfarb EV, Froböse MI, Cools R, Phelps EA. Stress and cognitive flexibility: cortisol increases are associated
with enhanced updating but impaired switching. Journal of Cognitive Neuroscience. 2017;29(1):14-24.
10. Hauschildt M, Schröder J, Moritz S. Randomized-controlled trial on a novel (meta-) cognitive self-help approach
for obsessive-compulsive disorder (“myMCT”). Journal of Obsessive-Compulsive and Related Disorders.
2016;10:26-34.
11. Nichols MP, Schwartz RC. Family therapy: Concepts and methods. New York: Gardner Press; 1984.
12. Azizi A, Ghasemi S. Comparison the effectiveness of solution-focused therapy, cognitive-behavior therapy and
acceptance and commitment therapy on depression and quality of life in divorced women. Counseling Culture and
Psycotherapy. 2017;8(29):207-236.
13. Yoosefi N, Karimipour BH, Azizi A. Comparing the Effectiveness of Group Counseling Based on Acceptance and
Commitment and Solution-Focused Group Counseling on Function of the Families in the Verge of Divorce.
Journal of Psychological Studies. 2017;13(3):95-110.
14. De Jong P, Berg IK. Interviewing for solutions. Nelson Education; 2012.
15. Fish JA, Ettridge K, Sharplin GR, Hancock B, Knott VE. M indfulness‐based C ancer S tress M anagement: impact
of a mindfulness‐based programme on psychological distress and quality of life. European journal of cancer care.
2014;23(3):413-21
16. Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed
couples: A case study with two couples. Cognitive and Behavioral Practice. 2009;16(4):430-42.
17. Deval C, Bernard-Curie S, Monestès JL. Effects of an acceptance and commitment therapy intervention on leaders’
and managers’ psychological flexibility. Journal de Therapie Comportementale et Cognitive. 2017;27(1):34-42.
18. Sepasi H. Measurement and elevation in physical education. Tehran: SAMT Publication; 2018. [Persian]
19. Fowers B, Olson DH. ENRICH marital satisfaction scale: a brief research and clinical tool. J Fam Psychol.
1993;7(2):176-85.
20. Arab Alidoosti A, Nakhaei N, Khanjani N. Reliability and validity of the Persian versions of the enrich marital
satisfaction (brief version) and Kansas marital satisfaction scales. Health Development Journal. 2015;4(2):158.
[Persian]
21. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties
of the acceptance and action questionnaire–ii: a revised measure of psychological inflexibility and experiential
avoidance. Behav Ther. 2011;42(4):676-88.
22. Imani M. Investigating the structural factor of psychological flexibility questionnaire in students. Studies in
Learning and Instruction. 2016;8(1-70):162-81. [Persian]
23. De Shazer S, Dolan Y. More than miracles: The state of the art of solution-focused brief therapy. Routledge; 2012.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 3
مرداد و شهریور 1399
صفحه 2448-2458

فایل ها

هم رسانی

ارجاع به این مقاله

آمار