مقایسه اثربخشی درمان گروهی شناختی رفتاری کوتاه‌مدت و مداخله مختصر بر بهبود وضعیت مهارت مقابله‌ای هیجان مدار معتادان تحت پوشش مراکز کاهش آسیب اهواز

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 استادیار گروه روانشناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.(نویسنده مسئول).

3 گروه روانپزشکی، بیمارستان گلستان، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران

4 دانشیار گروه روانشناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.

چکیده

چکیده
زمینه و هدف: اعتیاد نوعی آسیب اجتماعی است که اختلالات روانی و جسمانی گسترده ‌ای دارد و هزینه ‌های زیادی را به جوامع تحمیل می‌ کند. هدف از پژوهش حاضر مقایسه اثربخشی درمان گروهی شناختی رفتاری کوتاه‌مدت و مداخله مختصر بر بهبود وضعیت مهارت مقابله‌ای هیجان مدار معتادان تحت پوشش مراکز کاهش آسیب اهواز می باشد.
روش: این پژوهش از نوع نیمه آزمایشی با پیش آزمون و پس آزمون و مرحله‌ی پیگیری می‌باشد. از دو مرکز کاهش آسیب اهواز یک مرکز به طور تصادفی ساده انتخاب شد. پس از انجام نمونه گیری و برآورد حجم نمونه 80 نفر انتخاب شده و گروه‌های مورد مطالعه به شیوه‌ی تصادفی ساده به سه گروه (دو گروه آزمایشی و یک گروه شاهد) تقسیم شدند. جهت جمع آوری داده‌ها از بخش مهارت مقابله‌ای هیجان مدار پرسشنامه راهبردهای مقابله‌ای کارور استفاده شد. در این پژوهش روش های آماری تحلیل کوواریانس و واریانس با اندازه گیری تکراری استفاده شد و سطح معنی داری کمتر از 05/0 در نظر گرفته شد.
یافته‌ها: نتایج نشان داد که درمان گروهی شناختی-رفتاری بر افزایش سبک مقابله مسئله مدار به اندازه مداخله مختصر تأثیرگذار بوده است. همچنین مداخله مختصر بر حمایت اجتماعی عاطفی، ارزیابی مثبت، کمک گرفتن از مذهب تاثیر معنادار داشته است و بر پذیرش و انکار و شوخ طبعی تاثیری نداشته است. درمان گروهی شناختی رفتاری هیچ تاثیری بر مولفه های سبک مقابله هیجان مدار نداشته است.

کلیدواژه‌ها

عنوان مقاله [English]

Comparing the effectiveness of short-term cognitive behavioral group therapy and brief intervention on improving emotional emotion-focused coping skills of addicts covered by Ahvaz harm reduction centers

نویسندگان [English]

  • Reza Davasaz irani 1
  • Reza Ahmadi 2
  • Shahin norouzi 3
  • Ahmad Ghazanfari 4
1 Ph.D.Student In General Psychology, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran.
2 Assistant Professor, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran. (Corresponding author)
3 Department of Psychiatry, Golestan Hospital, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Associate Professor, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran.
چکیده [English]

Abstract
Background and Aim: Addiction is a type of social damage that has extensive mental and physical disorders and imposes a lot of costs on societies. The aim of this study was to compare the effectiveness of short-term cognitive behavioral group therapy and brief intervention on improving emotional emotion-focused coping skills of addicts covered by Ahvaz harm reduction centers.
Method: This study is a semi-experimental study with pre-test, post-test and follow-up stage. From two Ahwaz harm reduction centers, a simple random center was selected. After sampling and estimating the sample size, 80 subjects were selected and the groups were randomly divided into three groups (two experimental groups and one control group). Carver's coping strategies questionnaire was used to collect data. In this study, data analysis was performed using SPSS-20 software and variance analysis test and a significant level less than 0.05 was considered.
Results: The results showed that cognitive-behavioral group therapy had an effect on increasing problem-oriented coping style as much as brief intervention. Also, brief intervention had a significant effect on social emotional support, positive evaluation, religious aid and had no effect on acceptance, denial and humor. Cognitive behavioral group therapy had no effect on emotion-focused coping style components.

کلیدواژه‌ها [English]

  • Short-term cognitive behavioral therapy
  • brief intervention
  • emotion-focused coping

مراجع

  1. Sari AP, Wahyuni CU, Wibowo A. Social support and substance abuse relapse. Health Notions. 2018 Jan 31;2(1):65-9.
  2. Sarvandani MN, Moghadam NK, Moghadam HK, Asadi M, Rafaiee R, Soleimani M. The Effectiveness of Mindfulness-based Stress Reduction (MBSR) Treatment on Anxiety, Depression and Prevention of Substance Use Relapse. International Journal of Health Studies. 2021 May 1;7(2):12-6.
  3. Supriyanto A, Hendiani N, Hartini S, Sabri F. Addiction Counselor Profession: Perception of Family Support for Recovering from Drug Abuse Addiction. Counsellia: Jurnal Bimbingan dan Konseling. 2021 May 21;11(1):17-30.
  4. Kamali M, Kamali H, Doustmohammadi M, Sheikhbardsiri H, Moghadari M. Treatment of opium addiction in persian medicine: A review study. Journal of Education and Health Promotion. 2021 Jan 1;10(1):157.
  5. Naqvi I. Psychological Determinants of Relapse Prevention. Pakistan Journal of Psychological Research. 2020 Jul 6:373-491.
  6. Arjmand Ghujur K, Mahmoud Aliloo M, Khanjani Z, Bakhshipour A. Effectiveness of acceptance and commitment therapy (ACT) in relapse prevention in methamphetamine addict patients. Yafteh. 2019 May 10;21(1):38-51.
  7. Ballot O, Daviaux Y, Sanz-Arigita EJ, Ivers H, Micoulaud-Franchi JA, Bioulac S, Philip P, Morin CM, Altena E. Emotion coping strategies and dysfunctional sleep-related beliefs are associated with objective sleep problems in young adults with insomnia. Sleep Medicine. 2021 Dec 1;88:180-6.
  8. Liga F, Inguglia C, Gugliandolo MC, Ingoglia S, Costa S. The socialization of coping strategies in adolescence: The modeling role of parents. Anxiety, Stress, & Coping. 2020 Jan 2;33(1):47-58.
  9. Sabri M, Wijekoon R, Rahim H. The influence of money attitude, financial practices, self-efficacy and emotion coping on employees’ financial well-being. Management Science Letters. 2020;10(4):889-900.
  10. Viana Machado A, Volchan E, Figueira I, Aguiar C, Xavier M, Souza GG, Sobral AP, de Oliveira L, Mocaiber I. Association between habitual use of coping strategies and posttraumatic stress symptoms in a non-clinical sample of college students: A Bayesian approach. PloS one. 2020 Feb 6;15(2):e0228661.
  11. Alamdarloo GH, Khorasani SM, Najafi M, Jabbari FS, Shojaee S. The effect of cognitive-behavioral therapy on depression, anxiety, and stress levels in iranian males with addiction. Sage open. 2019 Jan;9(1):2158244018824466.
  12. Moradi M, Khedmatgozar H, Yasin AA, Pirnia B. Effectiveness of Cognitive-Behavioral Therapy on Improving Mental Health and Quality of Life of Spouses of Patients under Methadone Maintenance Treatment, a Double-Blind Randomized Clinical Trial. International Journal of Applied Behavioral Sciences. 2018 Jan 1;5(3):1-8.
  13. Moeini B, Hazavehei SM, Shahrabadi R, Faradmal J, Ahmadpanah M, Dashti S, Barati M, Mehri A. The effectiveness of cognitive–behavioral stress-management training on the readiness for substance use treatment in Iran. Journal of Substance Use. 2018 Jul 4;23(4):371-6.
  14. Farooq MU, Puranik MP, Uma SR. Effectiveness of cognitive-behavioral therapy compared with basic health education for tobacco cessation among smokers: A randomized controlled trial. Journal of Indian Association of Public Health Dentistry. 2020 Jan 1;18(1):25.
  15. Masihi Z, Homaei R. Effectiveness of cognitive-behavioral group therapy on reducing the irrational beliefs and increasing the self-concept in substance abusers. Journal of Police Medicine. 2019 Jul 10;8(3):105-10.
  16. Kiluk BD, DeVito EE, Buck MB, Hunkele K, Nich C, Carroll KM. Effect of computerized cognitive behavioral therapy on acquisition of coping skills among cocaine-dependent individuals enrolled in methadone maintenance. Journal of substance abuse treatment. 2017 Nov 1;82:87-92.
  17. D'Amico EJ, Parast L, Shadel WG, Meredith LS, Seelam R, Stein BD. Brief motivational interviewing intervention to reduce alcohol and marijuana use for at-risk adolescents in primary care. Journal of consulting and clinical psychology. 2018 Sep;86(9):775.
  18. Berry K, Barrowclough C, Fitsimmons M, Hartwell R, Hilton C, Riste L, Wilson I, Jones S. Overcoming challenges in delivering integrated motivational interviewing and cognitive behavioural therapy for bipolar disorder with co-morbid alcohol use: therapist perspectives. Behavioural and cognitive psychotherapy. 2020 Sep;48(5):615-20.
  19. Walker DD, Jaffe AE, Pierce AR, Walton TO, Kaysen DL. Discussing substance use with clients during the COVID-19 pandemic: A motivational interviewing approach. Psychological Trauma: Theory, Research, Practice, and Policy. 2020 Aug;12(S1):S115.
  20. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology. 1989 Feb;56(2):267.
  21. Jalalinejad, R., F. Yazdkhasti, and A. Abedi. "Validity, reliability, and factor structure of carver, scheier and weinteraub's coping operations preference enquiry (COPE) in university of isfahan students." (2014): 41-54.
  22. Moeeni F, Sepehrnia N, Karbasi T, Taheri E, Nazemi M. Effectiveness of Motivational Interview on Improving Physical and Mental Health in Patients with Multiple Sclerosis. Paramedical Sciences and Military Health. 2021 Mar 10;15(4):1-0.
  23. Chen YH, Wang PC, Ko YL, Wang HL. Effects of Motivational Interview and Mobile Social Network Support on Smoking Cessation in Male Patients With Coronary Heart Disease. Hu Li Za Zhi. 2021 Apr 1;68(2):53-64.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 1
فروردین و اردیبهشت 1401
صفحه 21-26

فایل ها

هم رسانی

ارجاع به این مقاله

آمار