مقایسه اثربخشی مداخله آموزشی مبتنی بر رویکرد امید درمانی و رویکرد شناخت درمانی مبتنی بر ذهن‌آگاهی بر حمایت اجتماعی ادراک‌شده زنان مبتلا به بیماری مولتیپل اسکلروز

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران

2 استادیار، گروه روانشناسی، دانشکده علوم انسانی، واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران (نویسنده مسئول)

3 دانشیار، گروه مشاوره، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران

4 استادیار، گروه مشاوره، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران

چکیده

مقدمه: مولتیپل اسکلروز یک بیماری مزمن عصب­شناختی است که بررسی روش‌های درمانی آن مورد توجه پژوهشگران حیطه‌های مختلف قرار گرفته است. لذا هدف از پژوهش حاضر مقایسه اثربخشی مداخله آموزشی مبتنی بر رویکرد امید درمانی و رویکرد شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر حمایت اجتماعی ادراک‌شده زنان مبتلا به بیماری ام­اس بود.
روش کار:  پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری سه ماهه با گروه گواه بود. جامعه آماری پژوهش حاضر متشکل از کلیه زنان دارای بیماری ام­اس و عضو انجمن ام­اس ایران بود که از این جامعه تعداد 36 نفر به روش نمونه­گیری غیرتصادفی در دسترس انتخاب شدند. ابزار تحقیق پرسشنامه‌ حمایت اجتماعی ادراک‌شده زیمت و همکاران (1988) بود. پس از آن گروه‌های آزمایش مداخلات شناخت‌درمانی مبتنی بر ذهن‌آگاهی و امید درمانی را دریافت کردند و گروه گواه هیچ مداخله‌ای دریافت نکرد. داده‌ها با استفاده از روش تحلیل واریانس مختلط به کمک نرم‌افزار SPSSV19 مورد تجزیه و تحلیل قرار گرفت.
نتایج: نتایج نشان داد در متغیر حمایت اجتماعی ادراک شده بین سه گروه تفاوت معنی‌داری وجود دارد (05/0>P). گروه‌های مداخله در متغیر حمایت اجتماعی تفاوت معنی‌داری با گروه گواه داشتند. همچنین بین دو گروه امید درمانی و شناخت‌درمانی مبتنی بر ذهن‌آگاهی در متغیر حمایت اجتماعی تفاوت معنی‌داری مشاهده شد (05/0>P).
نتیجه گیری: بنابراین می‌توان گفت روش‌های امید درمانی و شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر حمایت اجتماعی ادراک شده زنان دارای بیماری مولتیپل اسکلروز اثربخش می باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the Effectiveness of Educational Intervention based on Hope Therapy Approach and Mindfulness-based Cognitive Therapy Approach on Perceived Social Support of Women with Multiple Sclerosis

نویسندگان [English]

  • Ghasem Khaloei 1
  • SeyyedAli Aleyasin 2
  • Hassan Heidari 3
  • Hosein Davoudi 4
1 PhD Student, Department of Psychology, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran.
2 Assistant Professor, Department of Clinical Psychology, Faculty of Humanities, Ashtian Branch, Islamic Azad University, Ashtian, Iran. (Corresponding Author)
3 Associate Professor, Department of Counseling, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran.
4 Assistant Professor, Department of Counseling, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran
چکیده [English]

Introduction: Multiple sclerosis is a chronic neurological disease whose treatment methods have been considered by researchers in various fields. Therefore, the aim of this study was to compare the effectiveness of educational intervention based on hope therapy approach and mindfulness-based cognitive therapy approach on perceived social support of women with MS.
Methods: The present study was a quasi-experimental with pre-test-post-test design and quarterly follow-up with a control group. The statistical population of the present study consisted of all women with inflammatory bowel disease and a member of the Iranian inflammatory disease association. From this population, 36 people were selected by available non-random sampling method. The research instrument was the Perceived Social Support Questionnaire of Zimet et al. (1988). The experimental groups then received cognitive-therapeutic interventions based on mindfulness and hope therapy, and the control group did not receive any intervention. Data were analyzed using mixed analysis of variance using SPSSV19 software.
Results:  The results showed that there was a significant difference in the perceived social support variable between the three groups (P <0.05). Intervention groups in the social support variable were significantly different from the control group. Also, there was a significant difference between the two groups of hope therapy and mindfulness-based cognitive therapy in the social support variable (P <0.05)
Conclusion: Therefore, it can be said that mindfulness and cognitive therapy methods based on mindfulness are effective on perceived social support of women with multiple sclerosis.

کلیدواژه‌ها [English]

  • Perceived Social Support
  • Mindfulness-Based Cognitive Therapy
  • Hope Therapy
  • Multiple Sclerosis
  • Women

مراجع

  1. Ramagopalan SV, Dobson R, Meier UC, Giovannoni G. Multiple sclerosis: risk factors,
    prodromes, and potential causal pathways. The Lancet Neurology. 2010;9(7):727-39.
    2. Kingwell E, Marriott JJ, Jetté N, Pringsheim T, Makhani N, Morrow SA, et al. Incidence and
    prevalence of multiple sclerosis in Europe: a systematic review. BMC neurology. 2013;13(1):1-
    13.
    3. Etemadifar M, Sajjadi S, Nasr Z, Firoozeei TS, Abtahi S-H, Akbari M, et al. Epidemiology of
    multiple sclerosis in Iran: a systematic review. European neurology. 2013;70(5-6):356-63.
    4. Hauser SL, Cree BA. Treatment of multiple sclerosis: a review. The American Journal of
    Medicine. 2020.
    5. Campbell JD, Ghushchyan V, McQueen RB, Cahoon-Metzger S, Livingston T, Vollmer T, et al.
    Burden of multiple sclerosis on direct, indirect costs and quality of life: National US estimates.
    Multiple sclerosis and related disorders. 2014;3(2):227-36.
    6. Lovera J, Reza T. Stress in multiple sclerosis: review of new developments and future directions.
    Current Neurology and Neuroscience Reports. 2013;13(11):398.
    7. Costa DC, Sá MJ, Calheiros JM. The effect of social support on the quality of life of patients
    with multiple sclerosis. Arquivos de neuro-psiquiatria. 2012;70:108-13.
    8. Feeney BC, Collins NL. A new look at social support: A theoretical perspective on thriving
    through relationships. Personality and Social Psychology Review. 2015;19(2):113-47.
    9. Mattson M, Hall J. Health as communication Nexus: A Service Learning Approach. Linking
    Health Communication with Social Support. USA: Kendall Hunt Publishing co., hal; 2011.
    10. Chi I, Chou K-L. Social support and depression among elderly Chinese people in Hong Kong.
    The International Journal of Aging and Human Development. 2001;52(3):231-52.
    11. Jenkins LN, Demaray MK. Social support and self-concept in relation to peer victimization and
    peer aggression. Journal of School Violence. 2012;11(1):56-74.
    12. Lakey B, Orehek E. Relational regulation theory: a new approach to explain the link between
    perceived social support and mental health. Psychological review. 2011;118(3):482.
    13. Lee E-H, Chung BY, Park HB, Chun KH. Relationships of mood disturbance and social support
    to symptom experience in Korean women with breast cancer. Journal of pain and symptom
    management. 200.425-33:)5(27;4
    14. Minden SL, Feinstein A, Kalb RC, Miller D, Mohr DC, Patten SB, et al. Evidence-based
    guideline: assessment and management of psychiatric disorders in individuals with MS: report
    of the Guideline Development Subcommittee of the American Academy of Neurology.
    Neurology. 2014;82(2):174-81.
    15. Fiest K, Walker J, Bernstein C, Graff L, Zarychanski R, Abou-Setta A. Multiple sclerosis and
    related disorders. Multiple Sclerosis and Related Disorders. 2015;5:12-26.
    16. Simpson R, Mair F, Mercer S. Mindfulness-based interventions for people with multiple
    sclerosis. SAGE Publications Sage UK: London, England; 2015. p. 1093-4.
    17. Snyder C, Lehman KA, Kluck B, Monsson Y. Hope for rehabilitation and vice versa.
    Rehabilitation Psychology. 2006;51.89:)2(
    18. Snyder CR. The past and possible futures of hope. Journal of social and clinical psychology.
    2000;19(1):11-28.
    19. Snyder C, Berg C, Woodward JT, Gum A, Rand KL, Wrobleski KK, et al. Hope against the cold:
    Individual differences in trait hope and acute pain tolerance on the cold pressor task. Journal of
    Personality. 2005;73(2):287-312.
     20. Abedini E, Ghanbari-Hashem-Abadi, B.A, Talebian-Sharif, J. Effectiveness of Group Therapy
    Based on Hope Approach on Hope and Depression in Women with Multiple Sclerosis. Journal
    of Clinical Psychology. 2016;8(2):1-11.
    21. Kalani N, Mosalanejad L, Zabetian H, Abdolahifard S. The effect of group hope therapy
    integrated with mobile learning on hope and perceived stress levels in MS patients. Biosciences,
    Biotechnology Research Asia. 2015;12(3):1947-55.
    22. Keng S-L, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: A review of
    empirical studies. Clinical psychology review. 2011;31(6):1041-56.
    23. Garland SN, Rouleau CR, Campbell T, Samuels C, Carlson LE. The comparative impact of
    mindfulness-based cancer recovery (MBCR) and cognitive behavior therapy for insomnia (CBTI) on sleep and mindfulness in cancer patients. Explore. 2015;11(6):445-54.
    24. Frewen PA, Evans EM, Maraj N, Dozois DJ, Partridge K. Letting go: Mindfulness and negative
    automatic thinking. Cognitive therapy and research. 2008;32(6):758-74.
    25. Thompson BL, Waltz J. Everyday mindfulness and mindfulness meditation: Overlapping
    constructs or not? Personality and Individual differences. 2007;43(7):1875-85.
    26. Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review.
    Clinical psychology: Science and practice. 2003;10(2):125.
    27. Navidi-Moghadam M, Saffarinia M, Alipour A, Sahraian M-A. Comparison of the Effectiveness
    of Mindfulness-based-Cognitive-Therapy and Solution-Focused Group Therapy on the
    Perception of Social Support and Interpersonal Relationships among Patients with Multiple
    Sclerosis. SALĀMAT-I IJTIMĀĪ (Community Health). 2019;6(3):342-56.
    28. Oraki M, sami P. The Effect of Mindfulness Integrated Behavior- Cognitive Therapy on
    psychological well-being and quality of life among multiple sclerosis patients. QUARTERLY
    JOURNAL OF HEALTH PSYCHOLOGY. 2017;5(20):34-47.
    29. Asgari M, Radmehr H, Mohammadi H, Jahangir AH. The effectiveness of mindfulness-based
    cognitive therapy on quality of life and reduction of psychological symptoms in patients with
    inflammatory bowel disease. Journal of Isfahan Medical School. 2015;34(10):1495-87.
    30. Bakhshipour B, Ramezanzadeh S. INVESTIGATING THE EFFECT OF MINDFULNESSBASED COGNITIVE THERAPY (MBCT) ON DEPRESSION, QUALITY OF LIFE, AND
    ANXIETY IN MS PATIENTS. Studies in Medical Sciences. 2016;27(5):352-64.
    31. Scale FC. Mindfulness-based cognitive therapy for severely fatigued multiple sclerosis patients:
    a waiting list controlled study. J Rehabil Med. 2017;49:497-504.
    32. Carletto S, Tesio V, Borghi M, Francone D, Scavelli F, Bertino G, et al. The effectiveness of a
    body-affective mindfulness intervention for multiple sclerosis patients with depressive
    symptoms: a randomized controlled clinical trial. Frontiers in psychology. 2017;8:2083.
    33. Senders A, Bourdette D, Hanes D, Yadav V, Shinto L. Perceived stress in multiple sclerosis: the
    potential role of mindfulness in health and well-being. Journal of evidence-based complementary
    & alternative medicine. 2014;19(2):104-11.
    34. Kabat-Zinn J, Hanh TN. Full catastrophe living: Using the wisdom of your body and mind to
    face stress, pain, and illness: Delta; 2009.
    35. Mohammadkhani P. Mind-based cognitive therapy for depression. Tehran: Faradid Publications;
    2006.
    36. Bahari F. asics of hope and hope therapy (Guide to creating hope). Tehran: Danjeh Publications;
    2015.
    37. Zimet GD, Dahlem NW, Zimet SG, Farley GK .The multidimensional scale of perceived social
    support. Journal of personality assessment. 1988;52(1):30-41.
  2. 38. Wongpakaran T, Wongpakaran N, Ruktrakul R. Reliability and validity of the multidimensional
    scale of perceived social support (MSPSS): Thai version. Clinical practice and epidemiology in
    mental health: CP & EMH. 2011;7:161.
    39. Salimi A, Jokar B, Nikpour R. Internet communication in life: examining the role of perceived
    social support and loneliness in using the Internet. Journal of Psychological Studies.
    2009;5(3):102-81.
    40. Fraser C, Keating M. The effect of a creative art program on self-esteem, hope, perceived social
    support, and self-efficacy in individuals with multiple sclerosis: a pilot study. Journal of
    Neuroscience Nursing. 2014;46(6.330-6:)
    41. Rezaeinasab f, borjali a, taghdisi m. Comparison of the Effectiveness of Cognitive-Behavioral
    Group Therapy and Hope-Based Group Therapy on Pain Perception in Patients with Multiple
    Sclerosis (MS). Iranian Journal of Health Education and Health Promotion. 2019;7(3):360-72.
    42. Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. 2003.
    43. Mahmoodi H. Comparison of perceived social support and self-compassion among patients with
    multiple sclerosis and normal people. Quarterly journal of health psychology. 2018;7(25):21-34.
    44. Carpenter JK, Sanford J, Hofmann SG. The effect of a brief mindfulness training on distress
    tolerance and stress reactivity. Behavior therapy. 2019;50(3):630-45.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 2
خرداد و تیر 1400
صفحه 2847-2864

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