مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی بر میزان افسردگی و دردهای مزمن در زنان مورد همسر آزاری (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
هدف از پژوهش حاضر مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی بر میزان افسردگی و دردهای مزمن در زنان مورد همسرآزاری شهرستان گرگان بود. این پژوهش نیمه آزمایشی از نوع پیش آزمون- پس آزمون با گروه گواه بود. حجم نمونه شامل 30 نفر بود که به روش نمونه گیری هدفمند، انتخاب شدند و از این تعداد، 10 نفر به گروه آزمایش درمان مبتنی بر پذیرش و تعهد، 10 نفر به گروه آزمایش ذهن آگاهی و 10 نفر به گروه گواه به صورت تصادفی ساده گمارده شدند. جهت جمع آوری داده های پژوهش از سیاهه افسردگی بک و دردهای مزمن، استفاده شد. گروه های آزمایش برنامه آموزش مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی 8 جلسه مداخله 1 ساعته دریافت کردند. جهت تحلیل داده ها از تحلیل کوواریانس چندمتغیری استفاده شد. نتایج نشان داد هر دو رویکرد درمانی در مرحله پس آزمون بر افسردگی و درد مزمن زنان مورد همسرآزاری تأثیر معنی داری داشته اند (05/0>p). بین دو روش درمانی در هر یک از متغیرهای وابسته تفاوت معنی داری مشاهده نشد. بر اساس یافته ها می توان گفت که هر دو رویکرد درمان مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی می توانند به عنوان مداخله ای مؤثر برای کمک به زنان مورد همسرآزاری جهت کاهش افسردگی و درد مزمن مورد استفاده قرار گیرد.Comparison of the Effectiveness of Acceptance-Based Therapy and Mindfulness-Based Cognitive Therapy on the Rate of Depression and Chronic Pain in Abused Women
Introduction
Domestic violence is a serious issue that can occur in any intimate or family relationship. The most common type of domestic violence is spousal abuse or husband violence against women. Spousal abuse can take many forms such as physical, sexual, emotional, or financial violence, and it can occur at any time and in any place. Based on various studies on the effectiveness of mindfulness and acceptance and commitment-based therapies in reducing depressive symptoms and chronic pain, the question arises as to which of the two methods is more effective, and whether the combination of these two treatments could be more effective. However, it is not yet clear whether one therapy is more effective than the other, or whether a combination of both therapies is more effective in reducing depression and chronic pain in abused women.
Method
A quasi-experimental pretest-posttest design with a control group was used in this study. The statistical population of the study consisted of all women who were abused by their spouse and had a file in the Welfare Office. One group received acceptance and commitment-based therapy, another received mindfulness-based therapy, and the third group was the control group. All three groups completed pre-tests and post-tests using the Depression Inventory and the Chronic Pain Questionnaire, with the experimental groups receiving 8 sessions of 60 minutes each. The inclusion criteria included married women aged between 25 and 35 years, with a minimum diploma education, a score higher than the cut line (18) in the depression list, and victims of physical violence by their spouse at medical diagnosis. The exclusion criteria included reluctance to participate in the investigation and absence for more than two sessions. The research data were analyzed using multivariate analysis of covariance and comparison of means using SPSS software version 24.
Results
The results showed that both therapeutic approaches significantly reduced depression and chronic pain in abused women (p<0.05). However, there was no significant difference between the two intervention methods in reducing depression and chronic pain.
Conclusion
The findings of the study suggest that acceptance-based therapy and mindfulness-based cognitive therapy are effective in reducing depression and chronic pain in women who have experienced spousal abuse. There was no significant difference between the effectiveness of the two therapies in reducing depression and chronic pain. The study highlights the importance of providing access to effective therapies for women who have experienced spousal abuse.
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