اثربخشی درمان هیجان مدار بر انعطاف‌پذیری روان‌شناختی و احساس انسجام در بیماران قلبی- عروقی مبتلا به چاقی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی سلامت، گروه روانشناسی، واحد بین المللی خرمشهر، دانشگاه آزاد اسلامی، خرمشهر، ایران

2 استاد گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران (نویسنده مسئول)

3 استاد گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

4 استادیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

چکیده

مقدمه: پژوهش حاضر با هدف تعیین اثر بخشی درمان هیجان مدار بر انعطاف پذیری روانشناختی و احساس انسجام در بیماران قلبی- عروقی مبتلا به چاقی انجام پذیرفت.
روش کار: روش تحقیق حاضر نیمه تجربی با طرح پیش آزمون، پس آزمون و پیگیری سه ماهه با گروه کنترل بود. جامعه آماری پژوهش عبارت است از کلیه بیماران قلبی- عروقی مبتلا به چاقی شهر تهران مراجعه کننده به بیمارستان شریعتی و رجایی تهران در سال 1398 تا 1399 بود. روش نمونه گیری در این پژوهش در دسترس بود. تعداد 24 نفر از بیماران قلبی-عروقی مبتلا به چاقی به صورت دردسترس در هر گروه انتخاب شدند و به صورت تصادفی در هر گروه 12 نفر جایگزین شدند. گروه آزمایش درمان هیجان مدار را به مدت 8 جلسه 90 دقیقه­ای به صورت هفتگی دریافت کردند. گروه کنترل نیز در لیست انتظار قرار داشتند. جمع آوری داده­ها با استفاده از پرسشنامه­های پذیرش و عمل بوند و همکاران (2011) و احساس انسجام درونی کیمیایی و همکاران (1392) انجام شد.
نتایج: تجزیه و تحلیل داده­­ها با استفاده از نرم افزار SPSS-26 و آزمون تحلیل کوراریانس چندمتغیره انجام شد. یافته­ها نشان داد درمان هیجان مدار در افزایش انعطاف پذیری روانشناختی (001/0>p) و احساس انسجام (001/0>p) اثربخش است.
نتیجه‌گیری: با توجه به یافته­های به دست آمده می­توان گفت درمان هیجان مدار یک روش موثر و پایدار در بهبود شرایط روانشناختی بیماران قلبی- عروقی است.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of emotion-focused therapy in psychological flexibility and internal cohesion among cardiovascular patients with obesity

نویسندگان [English]

  • Sara Zarieh 1
  • Farah Naderi 2
  • Parviz Asgari 3
  • Saeid Bakhtiarpoor 4
1 PhD. student in Health Psychology, Department of Psychology, Khorramshahr International Branch, Islamic Azad University, Khorramshahr, Iran.
2 Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran. (Corresponding Author)
3 Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
4 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
چکیده [English]

Introduction: The present research was aimed to determine the effectiveness of emotion-focused therapy in psychological flexibility and internal cohesion among cardiovascular patients with obesity.
Methods: The research method was semi-experimental with pretest, posttest, 3-month follow-up and control group design. The statistical population of the study were include all cardiovascular patients with obesity in Tehran who referred to Shariati and Rajaei hospitals in 2019-2020. The sampling method was convenience. Twenty-four subjects of patients have been assigned in to groups randomly (12 subjects in each group). The experimental group received emotion-focused treatment in two-hour weekly sessions for eight weeks. The control group were in wait list. To gather the data, acceptance and action questionnaire of Bund et al., (2011) and internal cohesion of Kimiaei et al., (2013) were used. The data were analyzed by SPSS-26 through Multivariate Analysis of Covariance (MANCOVA).
Results: The findings showed the emotion-focused therapy in increasing the psychological flexibility and the internal cohesion is effective.
Conclusion: According the findings, it can be concluded that the emotion-focused therapy is an effective and consistent approach in improving the psychological circumstances of cardiovascular patients.

کلیدواژه‌ها [English]

  • Emotion-Focused Therapy
  • Cardiovascular Patients
  • Obesity
  • Psychological Flexibility
  • Internal Cohesion

مراجع

  1. Kim EH, Lee JB, Kim SH, Jo M-W, Hwang JY, Bae SJ, et al. Serum triglyceride levels and cardiovascular
    disease events in Koreans. Cardiology. 2015;131(4):228-35.
    2. Song J, Koh TH, Park O, Kwon D, Kang S, Kwak K, et al. Association between depression and
    cardiovascular disease risk in general population of Korea: results from the Korea National Health and
    Nutrition Examination Survey, 2016. Annals of Occupational and Environmental Medicine.
    2019;31(1):e1-10.
    3. Hosseini H, Safavi M, Fesharaki M. Relationship between Hypertension and Restless Legs Syndrome in
    Patients with Cardiovascular Disease. Iranian Journal of Rehabilitation Research in Nursing.
    2018;4(3):47-53. [In Persian].
    4. Piché M-E, Poirier P, Lemieux I, Després J-P. Overview of epidemiology and contribution of obesity and
    body fat distribution to cardiovascular disease: an update. Progress in cardiovascular diseases.
    2018;61(2):103-13.
    5. Xiao L, Wang P, Fang Q, Zhao Q. Health-promoting lifestyle in patients after percutaneous coronary
    intervention. Korean Circulation Journal. 2018;48(6):507-15.
    6. Almarzooqi S, Chilcot J, McCracken LM. The role of psychological flexibility in migraine headache
    impact and depression. Journal of Contextual Behavioral Science. 2017;6(2):239-43.
    7. Frinking E ,Jans-Beken L, Janssens M, Peeters S, Lataster J, Jacobs N, et al. Gratitude and loneliness in
    adults over 40 years: examining the role of psychological flexibility and engaged living. Aging & Mental
    Health. 2020;24(12):2117-24.
    8. Dindo L, Brandt CP, Fiedorowicz JG. Cross-sectional relations between psychological inflexibility and
    symptoms of depression and anxiety among adults reporting migraines or risk factors for cardiovascular
    disease. Journal of contextual behavioral science. 2019;13:1-6.
    9. Boeckxstaens P, Vaes B, De Sutter A, Aujoulat I, van Pottelbergh G, Matheï C, et al. A high sense of
    coherence as protection against adverse health outcomes in patients aged 80 years and older. The Annals
    of Family Medicine. 2016;14(4):337-43.
    10. Ngai F-W, Ngu S-F. Family sense of coherence and family and marital functioning across the perinatal
    period. Sexual & Reproductive Healthcare. 2016;7(1):33-7.
    11. Ferguson S, Browne J, Taylor J, Davis D. Sense of coherence and women ׳s birthing outcomes: A
    longitudinal survey. Midwifery. 2016;34:158-65.
    12. Elfassi Y, Braun‐ Lewensohn O, Krumer‐ Nevo M, Sagy S. Community sense of coherence among
    adolescents as related to their involvement in risk behaviors. Journal of Community Psychology.
    2016;44(1):22-37.
    13. Goldberg A. Sense of coherence and resolution with diagnosis among parents of adolescents with type 1
    diabetes. Journal of pediatric nursing. 2015;30(6):862-7.
    14. Chaddha A, Robinson EA, Kline-Rogers E, Alexandris-Souphis T, Rubenfire M. Mental health and
    cardiovascular disease. The American journal of medicine. 2016;129(11):1145-8.
    15. Greenman PS, Johnson SM. United we stand: Emotionally focused therapy for couples in the treatment of
    posttraumatic stress disorder. Journal of Clinical Psychology. 2012;68(5):561-9.
    16. Adamson NA. Emotionally focused therapy with couples facing breast cancer: a theoretical foundation
    and descriptive case study. Journal of psychosocial oncology. 2013;31(6):712-26
    17. Soltani M, Shairi MR, Roshan R, Rahimi CR. The impact of emotionally focused therapy on emotional
    distress in infertile couples. International journal of fertility & sterility. 2014;7(4):337.
    18. Arghbaee m, Jajerme m. Evaluation of the effectiveness of cognitive-religious counseling on increasing
    the internal cohesion of students of Ferdowsi University of Mashhad. Educational researches.
    2014;9(40):33-44. [In Persian].
    19. 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. Behavior therapy. 2011;42(4):676-88.
    20. Imani M. Evaluation of the factor structure of the psychological flexibility questionnaire in students
    Journal of Teaching and Learning Studies 2016;8(1):162-81. [In Persian].
  2. 21. Greenberg LS. Emotion-focused therapy: American Psychological Association; 2011.
    22. Sommers-Spijkerman M, Trompetter HR, Schreurs KM, Bohlmeijer ET. Compassion-focused therapy as
    guided self-help for enhancing public mental health: A randomized controlled trial. Journal of consulting
    and clinical psychology. 2018;86(2):101-15.
    23. Boersma K, Södermark M, Hesser H, Flink IK, Gerdle B, Linton SJ. Efficacy of a transdiagnostic
    emotion–focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a
    randomized controlled trial. Pain. 2019;160(8):1708-18.
    24. Suveg C, Jones A, Davis M, Jacob ML, Morelen D, Thomassin K, et al. Emotion-focused cognitivebehavioral therapy for youth with anxiety disorders: A randomized trial. Journal of abnormal child
    psychology. 2018;46(3):569-80.
    25. Glisenti K, Strodl E, King R, Greenberg L. The feasibility of emotion-focused therapy for binge-eating
    disorder: a pilot randomised wait-list control trial. Journal of Eating Disorders. 2021;9(1):1-15.
    26. Glisenti K, Strodl E, King R. Emotion‐ focused therapy for binge‐ eating disorder: A review of six cases.
    Clinical psychology & psychotherapy. 2018;25(6):842-55.
    27. Greenberg LS, Goldman RN. Clinical handbook of emotion-focused therapy: JSTOR; 2019.
    28. Greenberg L, Warwar S, Malcolm W. Emotion‐ focused couples therapy and the facilitation of
    forgiveness. Journal of marital and Family Therapy. 2010;36(1):28-42.
    29. Pos AE, Greenberg LS. Emotion-focused therapy: The transforming power of affect. Journal of
    Contemporary Psychotherapy. 2007;37(1):25-31.
    30. Elliott R, Greenberg LS. The essence of process-experiential/emotion-focused therapy. American Journal
    of Psychotherapy. 2007;61(3):241-54.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 3
مرداد و شهریور 1400
صفحه 3363-3374

فایل ها

هم رسانی

ارجاع به این مقاله

آمار