مقایسه اثربخشی سه رویکرد طرحواره درمانی، مهارت فصول و درمان مبتنی بر پذیرش و تعهد بر کاهش افسردگی و نشخوار ذهنی زنان مبتلا به سرطان شهرستان شیراز

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 دانشیار، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه سیستان و بلوچستان، زاهدان، ‎ایران.(نویسنده مسئول)

3 دانشیار، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه سیستان و بلوچستان، زاهدان، ‎ایران.

چکیده

هدف: بیماری سرطان، یکی از شایع‌ترین بیماریهای جهان است که برسلامتی فرد اثرمخرب مثل افسردگی و نشخوارذهنی می‌گذارد. پژوهش حاضر با هدف، تعیین تفاوت اثربخشی طرحواره‌درمانی، درمان مبتنی بر پذیرش‌وتعهد و مهارت‌فصول بر کاهش افسردگی و نشخوارذهنی زنان مبتلا به سرطان، انجام شد.
مواد و روش‌ها: این پژوهش یک مطالعه نیمه‌آزمایشی با گروه‌های پیش‌آزمون-پس‌آزمون و کنترل بود. جامعه آماری شامل کلیه زنان مبتلا به سرطان مراجعه‌کننده به بنیادامید بیمارستان نمازی و سعدی شیراز در سال 1399 بود که از میان آنها نمونه‌ای به حجم 100نفر به شیوه دردسترس انتخاب شد که به صورت تصادفی به سه گروه آزمایش و یک گروه کنترل تقسیم شدند. ابزارهای گردآوری داده‌ها پرسشنامه 21سوالی بک و آزمون نشخوارذهنی نولن هوکسما و مارلو بود. گروه آزمایش اول، مداخله طرحواره‌درمانی، گروه آزمایش دوم درمان مبتنی بر پذیرش‌وتعهد و گروه آزمایش سوم درمان مبتنی بر مهارت ‌فصول را طی 12جلسه 90 دقیقه‌ای دریافت کردند و گروه کنترل هیچ نوع مداخله‌ای دریافت نکرد.
یافته‌ها: نتایج نشان از تفاوت معنی‌داری در نمرات افسردگی و نشخوارذهنی گروه‌های آزمایش و کنترل داشت. هر سه رویکرد درمانی، بر کاهش افسردگی و نشخوارذهنی موثر بوده‌اند. همچنین نتایج آزمون تعقیبی بنفرونی نشان داد که درمان مبتنی بر طرحواره‌درمانی به مراتب تاثیر بیشتری نسبت به دو درمان دیگر بر افسردگی ونشخوارذهنی داشت.
نتیجه‌گیری: کاربرد مداخله‌های طرحواره‌درمانی، پذیرش‌وتعهد و مهارت‌فصول در مراکز درمان سرطان می‌تواند به عنوان یک درمان درکنار درمان‌های پزشکی جهت کاهش افسردگی ونشخوارذهنی بیماران در نظرگرفته شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

compare the effectiveness of acceptance and commitment therapy, schema therapy,sessional skill on reduction depression and rumination on women suffering cancer in Shiraz

نویسندگان [English]

  • Salem Jaafari 1
  • Bahman Kord Tamini 2
  • Farhad Kahrazei 3
1 Ph.D. candidate of Psychology Department, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
2 Assosiate professor, departman of psychology, Faculty of Educational Sciences And psychology, university of Sistan and Baluchestan, zahedan, Iran
3 Assosiate professor, departman of psychology, Faculty of Educational Sciences And psychology, university of Sistan and Baluchestan, zahedan, Iran
چکیده [English]

Aim: The aim of this study was to determine the differences in the effectiveness of schema therapy, acceptance-based therapy, commitment and skill seasons on reducing depression and rumination in women with cancer.
Materials and Methods: This study was a quasi-experimental study with pre-test-post-test and control groups. The statistical population included all women with cancer referred to the Omid Foundation of Namazi and Saadi Hospitals in Shiraz in 2020, from which a sample of 100 womens was selected by random sampling, which was randomly divided into three experimental groups and a control group. Data collection tools were Beck 21-item questionnaire and Nolan Hoxma and Marlowe ruminant test. The first experimental group received schema therapy intervention, the second experimental group received acceptance-commitment therapy and the third experimental group received skill-based therapy in 12 sessions of 90 minutes, and the control group did not receive any intervention.
Results: The results showed a significant difference in the scores of depression and rumination in the experimental and control groups. All three treatment approaches were effective in reducing depression and rumination (P <0.05). Also, the results of Benfroni post hoc test showed that therapy-based treatment therapy had a much greater effect on depression and mental rumination than the other two treatments.
Conclusion: The use of interventions based on schema therapy, acceptance and commitment therapy and seasonal skill in cancer treatment centers can be considered as a treatment along with medical treatments to reduce depression and rumination in patients.

کلیدواژه‌ها [English]

  • Schema Therapy
  • Commitment and Acceptance Therapy
  • Seasonal

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 2
خرداد و تیر 1401
صفحه 898-913

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