اثربخشی درمان متمرکز بر شفقت با شناخت درمانی مبتنی بر ذهن آگاهی بر مشکلات خواب و افسردگی در زنان مبتلا به کم کاری تیروئید

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 دانشیار، گروه روانشناسی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران.

3 استادیار، گروه روانشناسی، موسسه آموزش عالی امین، فولادشهر، ایران.

4 دانشیار گروه روانشناسی سلامت، مرکز توسعه پژوهش‌های بالینی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران.

10.22038/mjms.2025.85104.4883

چکیده

مقدمه: پژوهش حاضر با هدف مقایسه اثربخشی درمان متمرکز بر شفقت و شناخت درمانی مبتنی بر ذهن آگاهی بر مشکلات خواب و افسردگی در زنان مبتلا به کم کاری تیروئید انجام شد.روش کار: پژوهش از نوع نیمه آزمایشی با پیش آزمون-پس آزمون با گروه کنترل بود. جامعه آماری زنان مبتلا به کم کاری تیروئید مراجعه کننده به مطب ها و کلینیک‌های غدد شهر اصفهان در شش ماهه دوم سال 1402 بودند که از میان آن‌ها 45 نفر به عنوان نمونه به روش نمونه‌گیری در دسترس انتخاب و به صورت تصادفی در گروه آزمایش درمان متمرکز بر شفقت(15 نفر)، گروه آزمایش شناخت درمانی مبتنی بر ذهن آگاهی(15 نفر) و گروه کنترل(15 نفر) قرار داده شدند. ابزار گردآوری اطلاعات شامل پرسشنامه اختلال خواب پیتزبرگ(1980) و پرسشنامه افسردگی بک(1996) بود. گروه آزمایش درمان متمرکز بر شفقت تحت مداخله بسته درمانی گیلبرت(2009) و گروه آزمایش شناخت درمانی مبتنی بر ذهن آگاهی تحت مداخله بسته کرین(۲۰۰۹) به مدت هشت جلسه 90 دقیقه ای قرار گرفتند. جهت تجزیه و تحلیل داده‌ها از روش تحلیل واریانس چند متغیره و آزمون تعقیبی LSD استفاده شد. نتایج: نتایج نشان داد بین میزان تاثیرگذاری دو روش درمان متمرکز بر شفقت و شناخت درمانی مبتنی بر ذهن آگاهی بر مشکلات خواب بیماران مبتلا به کم کاری تیروئید تفاوت معناداری وجود داشت. نتیجه‌گیری: شناخت درمانی مبتنی بر ذهن آگاهی می تواند راهبرد درمانی مفیدی برای ارتقای وضعیت روانی بیماران مبتلا به کم کاری تیروئید تلقی شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparing the effectiveness of compassion-focused therapy with mindfulness-based cognitive therapy on sleep problems and depression in women with hypothyroidism

نویسندگان [English]

  • Sepideh Parsapour 1
  • Zohreh Raeisi 2
  • Zohreh Rajnbarkohan 3
  • Hasan Rezaei Jamalouei 4
1 PhD. student in Health Psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Associate Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
3 Assistant Professor, Department of Psychology, Amin Institute of Higher Education, Fooladshahr, Isfahan, Iran.
4 Associate Professor of Health Psychology, Clinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
چکیده [English]

Introduction: The present study aimed to compare the effectiveness of compassion-focused therapy and mindfulness-based cognitive therapy on sleep problems and depression in women with hypothyroidism. Materials and Methods: The study was a quasi-experimental study with a pre-test-post-test with a control group. The statistical population was women with hypothyroidism who referred to endocrinology offices and clinics in Isfahan in۲۰۲۳, from which 45 people were selected as a sample using the convenience sampling method and randomly assigned to the compassion-focused therapy experimental group (15 people), the mindfulness-based cognitive therapy experimental group (15 people), and the control group (15 people). Data collection tools included the Pittsburgh Sleep Disorders Questionnaire (1980) and the Beck Depression Inventory (1996). The compassion-focused therapy experimental group underwent Gilbert's (2009) package intervention, and the mindfulness-based cognitive therapy experimental group underwent Crane's (2009) package intervention for eight 90-minute sessions. Multivariate analysis of variance and LSD post hoc test were used to analyze the data. Results: The results showed that there was a significant difference between the effectiveness of the two methods of compassion-focused therapy and mindfulness-based cognitive therapy on sleep problems in patients with hypothyroidism. According to the post hoc test, the effectiveness of mindfulness-based cognitive therapy on improving sleep problems was significantly greater than compassion-focused therapy. However, there was no significant difference between the effectiveness of the two methods of compassion-focused therapy and mindfulness-based cognitive therapy on depression. Conclusion: Mindfulness-based cognitive therapy can be considered a useful therapeutic strategy for improving the mental state of patients with hypothyroidism.

کلیدواژه‌ها [English]

  • Hypothyroidism
  • Sleep Problems
  • Depression
  • Compassion-focused Therapy
  • Mindfulness-Based Cognitive Therapy

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 2
خرداد-تیر1404
خرداد و تیر 1404
صفحه 270-280

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