اثربخشی رفتاردرمانی مبتنی بر پذیرش و تعهد بر افسردگی، اضطراب و رضایت جنسی در بیماران کرونری قلبی زودرس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت ، گروه روانشناسی ، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

2 استادیار ، گروه روانشناسی ، دانشگاه علامه طباطبائی، تهران، ایران (نویسنده مسئول).

3 استاد ، گروه روانشناسی ، واحد کرج ، دانشگاه آزاد اسلامی ، کرج ، ایران.

4 دانشیار، گروه روان شناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

چکیده

مقدمه: اختلال در عملکرد جنسی، یکی از عوارض مزمن بیماری کرونری قلبی زودرس محسوب می شود و اغلب در مراقبت بیماران کرونری قلبی زودرس نادیده گرفته می شود لذا مطالعه حاضر با هدف تعیین میزان اثربخشی رفتاردرمانی مبتنی بر پذیرش و تعهد بر افسردگی، اضطراب و رضایت جنسی در بیماران کرونری قلبی زودرس بود.
روش کار: این مطالعه از نوع نیمه تجربی  بود. جامعه آماری کلیه بیماران مرد مبتلا به بیماری کرونری قلبی زودرس با سنّ کمتر از 50 سال مراجعه‌کننده به بیمارستان شهید رجائی در شهر تنکابن در تابستان 1397  بودند. 24 نفر از بیماران کرونری قلبی زودرس به شیوه نمونه‌گیری دردسترس انتخاب شدند . سپس به صورت تصادفی در گروه آزمایش (تحت رفتاردرمانی مبتنی بر پذیرش و تعهد) (n=20 ) و گروه کنترل (n=20) گمارده شدند. ابزار جمع آوری اطلاعات پرسشنامه استاندارد مسائل جنسی(MSQ) اسنل و فیشرو والترز (1993)، در سه مرحله خط پایه، پس از مداخله و پیگیری سه ماهه جمع آوری شدند. تجزیه و تحلیل داده ها با استفاده از روش تحلیل واریانس اندازه گیری مکرر چند متغیری انجام شد.
نتایج: یافته ها نشان داد که در گروه تحت رفتار درمانی مبتنی بر پذیرش و تعهد  ، میانگین نمره اضطراب و افسردگی جنسی همچنین رضایت جنسی در گروه آزمایش در مقایسه با گروه کنترل به طرز معناداری کاهش و افزایش پیدا کرده است (001/0 < P).
نتیجه‌گیری: نتایج این پژوهش نشان داد که رفتاردرمانی مبتنی بر پذیرش و تعهد می‌تواند در بهبود اضطراب و افسردگی جنسی همچنین رضایت جنسی در مردان مبتلا به بیماران کرونری قلبی زودرس موثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of acceptance and commitment-based behavioral therapy on depression, anxiety and sexual satisfaction in patients with premature coronary heart disease

نویسندگان [English]

  • Eshagh Samkhaniani 1
  • Farhad Jomehri 2
  • Hasan Ahadi 3
  • javad khalatbari 4
1 PhD student Health Psychology , Department of Psychology , Karaj Branch, Islamic Azad University, Karaj, Iran.
2 Assistant Professor ,Department of Psychology , Allameh Tabatabai University ,Tehran ,Iran.(Corresponding author)
3 Professor, Department of Psychology , Karaj Branch , Islamic Azad University, Karaj, Iran.
4 Associate Professor,Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon Iran.
چکیده [English]

Introduction: Sexual dysfunction is one of the chronic complications of premature coronary heart disease and is often overlooked in the care of premature coronary heart disease patients. And sexual satisfaction was premature in coronary heart disease patients.
Method: This study was a quasi-experimental study. The statistical population was all male patients with premature coronary heart disease less than 50 years old who referred to Shahid Rajaei Hospital in Tonekabon in the summer of 1397. 24 patients with premature coronary heart disease were selected by available sampling method. Then they were randomly assigned to the experimental group (under acceptance and commitment behavior therapy) (n = 20) and the control group (n = 20). Data collection tools were the standard Sex Questionnaire (MSQ) of Snell and Fischer Walters (1993), in three baseline stages, after quarterly intervention and follow-up. Data analysis was performed using repeated measures multivariate analysis of variance.
Results: The results showed that in the group undergoing behavior therapy based on acceptance and commitment, the mean score of sexual anxiety and depression as well as sexual satisfaction in the experimental group compared to the control group decreased and increased significantly (P <0.001).
Conclusion: The results of this study showed that behavioral therapy based on acceptance and commitment can be effective in improving sexual anxiety and depression as well as sexual satisfaction in men with premature coronary heart disease.

کلیدواژه‌ها [English]

  • Sexual Anxiety
  • Sexual Depression
  • Sexual Satisfaction
  • Acceptance and Commitment Behavior Therapy
  • Premature Coronary Artery Patients

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 5
آذر و دی 1400
صفحه 3913-3927

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