اثربخشی درمان پذیرش و تعهد بر سلامت معنوی، عزت نفس و افسردگی سالمندان مبتلا به دیابت نوع دو

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی عمومی، گروه روانشناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی

2 استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران

3 استاد، گروه روانشناسی، دانشگاه علامه طباطبائی، تهران، ایران

4 استاد، گروه علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران.

10.22038/mjms.2024.82330.4741

چکیده

مقدمه: سلامت معنوی و عزت نفس پایین و همچنین افسردگی از شایع‌ترین حالات منفی روان‌شناختی در سالمندان مبتلا به بیماری دیابت نوع دو است که می‌تواند عوارض متعددی در پی داشته باشد. هدف پژوهش حاضر تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر سلامت معنوی، عزت نفس و افسردگی سالمندان مبتلا به دیابت نوع دو بوده است.
روش کار: پژوهش حاضر از مطالعات نیمه آزمایشی و از نوع پیش آزمون- پس آزمون- پیگیری با گروه کنترل بوده است. جامعه پژوهش حاضر شامل سالمندان مبتلا به دیابت نوع دو شهر تهران بود که در سال 1400 به مراکز بهداشتی و درمانی شرق تهران مراجعه نموده بودند. از این میان تعداد 30 نفر به صورت نمونه گیری هدفمند انتخاب شدند و سپس به صورت تصادفی در دو گروه 15 نفره گمارده شدند. درمان پذیرش و تعهد در طی 8 جلسه روی سالمندان مبتلا به دیابت نوع دو اجرا شد، اما گروه کنترل هیچ مداخله‌ای را دریافت ننمودند. داده‌ها از طریق مقیاس افسردگی سالمندان (یسویج و همکاران، 1982)، پرسشنامه سلامت معنوی (پالوتزین و الیسون، 1983) و پرسش‌نامه عزت‌نفس (روزنبرگ، 1979) جمع‌آوری و با استفاده از آزمون تحلیل واریانس آمیخته و نرم افزار spss26 تجزیه و تحلیل شدند.
نتایج: یافته‌ها نشان داد درمان مبتنی بر پذیرش و تعهد بر سلامت معنوی، عزت نفس و افسردگی سالمندان موثر است (05/0>P).
نتیجه گیری: با توجه به اثربخشی درمان پذیرش و تعهد پیشنهاد می‌شود این مداخله درمانی برای بهبود سلامت معنوی، عزت نفس و افسردگی سالمندان مبتلا به بیماری دیابت نوع دو استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of acceptance and commitment Therapy on spiritual health, self-esteem and depression of the elderly with type 2 diabetes

نویسندگان [English]

  • Zahra Sabeti Moghaddam 1
  • Majis Saffarinia 2
  • Hasan Ahadi 3
  • Hasan Ashayeri 4
1 PhD student of general psychology, Department of Psychology, Emarat Branch, Islamic Azad University, Dubai, United Arab Emirates
2 Professor, Department of Psychology, Payame Noor University, Tehran, Iran
3 Professor, Department of Psychology, Allameh Tabatabaei University, Tehran, Iran
4 Professor, Department of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Spiritual health, low self-esteem, and depression are among the most common negative psychological conditions in the elderly with type 2 diabetes, which can cause many complications. The purpose of the present study was to determine the effectiveness of treatment based on acceptance and commitment on spiritual health, self-esteem and depression of the elderly with type 2 diabetes.
Methodology: The current research was a semi-experimental type of pre-test-post-test-follow-up study with a control group. The current research population included elderly women and men suffering from type 2 diabetes in Tehran city, who visited the health and treatment centers in East Tehran in 1400 and were suffering from type 2 diabetes. Among these, 30 people were selected by purposeful sampling and then randomly assigned to two groups of 15 people. Acceptance and commitment therapy was implemented during 8 sessions on the elderly with type 2 diabetes, but the control group did not receive any intervention. The data were collected through the elderly depression scale (Yesvij et al., 1982), the spiritual health questionnaire (Palotzin and Ellison, 1983) and the self-esteem questionnaire (Rosenberg, 1979) and using the mixed analysis of variance test and SPSS26 software were analyzed.
Results: The findings showed that treatment based on acceptance and commitment is effective on the spiritual health, self-esteem, and depression of the elderly (P<0.05).
Conclusion: Considering the effectiveness of acceptance and commitment therapy, it is suggested that this therapeutic intervention be used to improve the spiritual health, self-esteem, and depression of the elderly with type 2 diabetes.

کلیدواژه‌ها [English]

  • elderly
  • spiritual health
  • depression
  • self-esteem
  • acceptance and commitment therapy

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 2
خرداد-تیر1404
خرداد و تیر 1404
صفحه 209-221

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