اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر سلامت روان زنان یائسه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی عمومی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه آزاد اسلامی، شاهرود، ایران.

2 دانشیار گروه روانشناسی ، واحد سمنان ، دانشگاه آزاد اسلامی، سمنان، ایران.(نویسنده مسئول)

3 گروه اپیدمیولوژی و آمار زیستی، دانشکده پزشکی، دانشگاه علوم پزشکی سمنان، سمنان، ایران

چکیده

مقدمه: زنان نیمی از جمعیت هر جامعه‌ای را تشکیل میدهند و سلامت جسمی و روانی آنها رابطه‌ی مستقیم با کارکرد خانواده دارد. با توجه به اهمیت نقش زن در خانواده به عنوان مادر و نقش محوری عاطفی و روانی آنان در خانواده ، کم کردن عوارض و مشکلات یائسگی برای آنها حائز اهمیت است و تاثیر مستقیم بر خانواده و متقابلا بر جامعه خواهد داشت. پژوهش حاضر با هدف اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر سلامت روان زنان یائسه شهر قائم شهر انجام شد.
مواد و روش‌ها: این مطالعه از نوع آزمایشی تصادفی شده همراه با پیش آزمون-پس آزمون بود. از بین زنان یائسه مراجعه کننده به مراکز درمانی شهر قائم‌شهر بودند، 40 نفر انتخاب و به صورت تصادفی در گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش درمان شناختی مبتنی بر ذهن آگاهی را در طی 8 جلسه دریافت کرد. برای جمع‌آوری اطلاعات از مقیاس پرسشنامه سلامت عمومی GHQ-28 استفاده شد. داده ها با استفاده از تحلیل کوواریانس چند متغیری و تحلیل کوواریانس یک متغیری تجزیه و تحلیل شدند.
یافته‌ها: یافته ها نشان داد که درمان شناختی مبتنی بر ذهن آگاهی بر نمره کلی سلامت روان تاثیر معنی داری داشته است (p˂0/05) ، همچنین بر ابعاد سلامت روان جسمانی، اختلال عملکرد، اضطراب و افسردگی نیز تاثیر معنی داری داشته است (p˂0/05).
نتیجه‌گیری: براساس یافته‌های پژوهش حاضر، استفاده از درمان شناختی مبتنی بر ذهن‌ آگاهی به عنوان یک مداخله روانشناختی موثر به منظور بهبود سلامت روان در زنان یائسه پیشنهاد می شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of mindfulness-based cognitive therapy on the mental health of postmenopausal women

نویسندگان [English]

  • Zahra Masihpour 1
  • Nemat Sotodeh Asl 2
  • Raheb Ghorbani 3
1 Ph.D Student. Department of General Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, Islamic Azad University, Shahroud, Iran.
2 Associate professor, department of Psychology, Semnan Branch, Islamic Azad,University، ‏Semnan ,Iran(Corresponding author)
3 Epidemiology and Biostatistics Department, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
چکیده [English]

Background and Object: Women make up half of the population of any society and their physical and mental health is directly related to family functioning. Given the importance of the role of women in the family as mothers and their pivotal emotional and psychological role in the family, reducing menopausal complications and problems is important for them and will have a direct impact on the family and reciprocally on society. This study aimed to evaluate the effectiveness of mindfulness-based cognitive therapy on the mental health of postmenopausal women in Ghaemshahr.
Materials and Methods: This study was a randomized experimental with pretest-posttest. Among postmenopausal women referred to Ghaemshahr medical centers, 40 people were selected and randomly assigned to the experimental and control groups. The experimental group received mindfulness-based cognitive therapy during 8 sessions. The GHQ-28 General Health Questionnaire was used to collect data. Data were analyzed using multivariate analysis of covariance and univariate analysis of covariance.
Results: The results showed that mindfulness-based cognitive therapy had a significant effect on the overall score of mental health (p˂0.05), also had a significant effect on the dimensions of mental health and physical, dysfunction, anxiety and depression (p˂0 / 05).
Conclusion: Based on the findings of the present study, the use of mindfulness-based cognitive therapy is suggested as an effective psychological intervention to improve mental health in postmenopausal women.

کلیدواژه‌ها [English]

  • Menopause
  • Mental health
  • Mindfulness
  • Women

مراجع

  1. Theroux R. Woman’s decision making during the menopausal trasition. J Am Acad Pract. 2010;22(11):612-21.
  2. Berek J S.Berek & Novak’s Gynecology.  Wolters Kluwer; 2020.
  3. Moghaddam R, Azgoli G, Molaei B, Haji Faraji M, Suri H, Qanati   The effect of omega-3 on vasomotor disorders in postmenopausal women. Journal of Arak University of Medical Sciences. 2012; 1 (60):126-116.
  4. Brouse C. Promoting self-directed learning in three online health promotion and wellness courses. Journal of Authentic Learning. 2007 Jun; 4(1): 25-33.
  5. Kim MJ,Cho J, Ahn Y, Yim G, Park HY. Association between physical activity and menopausal symptoms in perimenopausal woman. BMC Woman’s Health 2015; 14:122.
  6. Arab S, Borjali A, Meschi F, Kakavand  A, Zakeri Hamidi  The effectiveness of self-compassion training on hot flashes and night sweats in postmenopausal women. Journal of Women, Midwifery and Infertility. 2021; 23( 2) : 41-30. [Farsi]
  7. Johnson A, Roberts L, Elkins G. Journal of Evidence-Based Integrative Medicine. 2019; 24:1-14.
  8. Iasiello M, van Agteren J, Keyes CLM, Cochrane EM. Positive mental health as a predictor of recovery from mental illness. J Affect Disord. 2019;251:227-30.
  9. Khavandizadeh A, Kazemzadeh  R, Mahfouzi Yalda. The effect of education on the lifestyle of postmenopausal women. Scientific Journal of Ilam University of Medical Sciences. 2019; 26 (1): 65-78.
  10. Zahir Izuan A, Shamsul Azhar S, Tan MKS, Syed- Sharizman SAR. Neighbourhood influences and its association with the mental health of adolescents in Kuala Lumpur, Malaysia. Asian J Psychiatr. 2018;38:35-41.
  11. Adjorlolo S, Aziato L, Akorli VV. Promoting maternal mental health in Ghana: An examination of the involvement and professional development needs of nurses and midwives. Nurse Educ Pract. 2019;39:105-10.
  12. Zadok B, Zadok V. Psychiatric Summary. Translation: Pourafkari, Nusratullah. Tehran, Publications: Shahr-e-Ashob .2013.
  13. Alder J, Eymann Besken K, Armbruster U, Decio R, Gairing A, Kang A, et al. Cognitive-behavioral group intervention for climacteric syndrome. Psychother Psychosomatics.2006; 75(5):298-303.
  14. Ismaili F, Hajian Foroushani T. The effect of raising awareness and attitude on the mental health of postmenopausal women. 2020. 8th International Conference on Women's Health: https://civillica.com/doc/97118
  15. O'Keeffe M, Purtill H, Kennedy N, O'Sullivan P, Dankaerts W, Tighe A, et al. Individualised cognitive functional therapy compared with a combined exercise and pain education class for patients with non-specific chronic low back pain: study protocol for a multicentre randomised controlled trial. BMJ Open 2015; 5: e007156.
  16. Cayoun BA. Operationalization of mindfulness, in mindfulness-integrated CBT: principles and practice. John Wiley & Sons, Ltd: Chichester, UK. 2011.
  17. Lindsay EK, Young SH, Smyth JM, Brown KW, Creswell JD. Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial. Psych neuroendocrinology. 2018; 87:63-73.
  18. Eby LT, Allen TD, Conley KM, Williamson RL, Henderson TG, Mancini VS. Mindfulness-based training interventions for employees: A qualitative review of the literature. Human Resource Management Review. 2019; 29(2): 156-78.
  19. Melzack R, Casey KL. Sensory, motivational and central control determinants of pain: a new conceptual model. The Skin Senses 1968; 1.
  20. MacKenzie MB, Kovovski NL. Mindfulness-based cognitive therapy for depression: Trends and developments. Psychology Research and Behavior Management. 2016; 9:125-32.
  21. Farhadi A, Movahedi Y, Kariminejad  K, Movahedi M. The effect of mindfulness-based cognitive therapy on depression in men with coronary artery disease. Journal of Iranian Heart Nurses Scientific Association. 2014; 2( 4): 14-6. [Farsi]
  22. Engzab B, Zare Hosseinabadi M, Farzinorad B, Dehghani A. The effect of mindfulness-based cognitive therapy on menopausal symptoms: a randomized clinical trial. Journal of Mazandaran University of Medical Sciences. 2020; 29(178): 97-85. [Farsi]
  23. Motahari Z, Ahmadi  K, Soleimani A, Behzadpour  The effectiveness of mindfulness method on reducing marital stress of mothers with children with attention deficit-hyperactivity disorder. Psychological research. 2013; 5( 17): 31-21. [Farsi]
  24. Akbari M, Nafisi N, Jamshidi Far Z . The effectiveness of mindfulness training on reducing perceived stress in patients with breast cancer. Journal of Clinical Psychology Thought and Behavior. 2013; 17( 27): 32-39. [Farsi]
  25. Rezaei M, Mohammadkhani P, Jafari Roshan M. Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and Emotion-Based Therapy on Body Image Dissatisfaction in People with Eating Disorder Symptoms. Journal of Psychological Studies. 2021; 17(3).‏ [Farsi]
  26. Pisetsky M, Schaefer  M, Wonderlich  S,  Peterson C. Emerging psychological treatments in eating disorders. Psychiatric Clinics of North America. 2019; 42(2): 219–229.
  27. Majidi Yaichi N, Hassanzadeh R, Faramarzi, M, Homayouni A. The mediating role of health-promoting behaviors in the relationship between self-efficacy and adolescent mental health. Journal of Education and Community Health. 2020;  6( 2): 69-63. [Farsi]
  28. Fathi Ashtiani A, Dastani Psychological tests for assessing personality and mental health. 2020; Tehran, Publications: Besat. [Farsi]
  29. Segal ZV, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression. Guilford Publications; 2018 Jun 4.
  30. Rousta, Emlazadeh, Dr. Javad, Aflakosir, Dr. Abdolaziz, Goodarzi, Dr. Mohammad Ali. The effect of mindfulness and cognitive emotion regulation strategies on the body image of infertile couples. Journal of Guilan University of Medical Sciences. 2019 Apr 10; 28 (109): 38-46. [Farsi]
  31. Antonova E, Schlosser K, Pandey R, Kumari V. Coping with COVID-19: Mindfulness-based approaches for mitigating mental health crisis. Frontiers in psychiatry. 2021 Mar 23; 12:322.
  32. Kazemi H, Shojaei F, Soltanizadeh M. The Effect of Mindfulness-Based Stress Reduction Intervention on Psychological Flexibility, Distress Tolerance, and Re-Experiencing the Trauma in Veterans with Post- Traumatic Stress Disorder. Military Caring Sciences 2018; 4 (4) :236-248. [Farsi]
  33. Khoury B, Lecomte T, Fortin G, Masse M, Therien P, Bouchard V, et al. Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review. 2013; 33(6):763-71.
  34. Frewen PA, Evans EM, Maraj N, Dozois DJA, Partridge K. Letting Go: Mindfulness and Negative Automatic Thinking. Cognitive Therapy and Research 2007; 32(6):758-74.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 66، شماره 4
مهر-آبان1402
مهر و آبان 1402

فایل ها

هم رسانی

ارجاع به این مقاله

آمار