مقایسۀ اثربخشی درمان مبتنی بر تعهد و پذیرش و درمان شناختی-رفتاری بر سرمایه روان‌شناختی بیماران تالاسمی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری مشاوره، گروه روان شناسی و مشاوره، واحد کرمانشاه، دانشگاه آزاد اسلامی،کرمانشاه، ایران. Email: maryamshayan10@gmail.com,

2 نویسنده مسئول، استاد تمام، گروه مشاوره، دانشگاه علامه طباطبایی، تهران، ایران. Email: ab.dol.shafiabadi98@gmail.com

3 دانشیار مشاوره،گروه روان شناسی و مشاوره، واحد کرمانشاه، دانشگاه آزاد اسلامی،کرمانشاه، ایران. Email: arefi.2020@gmail.com

4 استادیارروانشناسی،گروه روانشناسی و مشاوره، واحد کرمانشاه، دانشگاه آزاد اسلامی،کرمانشاه، ایران. Email: Ahasan.Amiri@yahoo.com

چکیده

مقدمه: سرمایه روان شناختی مولفه بسیار مهم و تاثیر گذار  در زندگی می باشد که کاهش سطح آن به واسطه شرایط خاص بیماران تلاسمی صدمات جبران ناپذیری بر فرد بیمار و اجتماع وارد می کند هدف پژوهش مقایسۀ اثربخشی درمان مبتنی بر تعهد و پذیرش(ACT) و درمان شناختی-رفتاری(CBT) بر سرمایه روان‌شناختی بیماران تالاسمی کرمانشاه در سال 1398بود.
روش پژوهش: جامعه آماری شامل 317  بیمار زن تالاسمی بیمارستان محمد کرمانشاهی بودندکه از میان آنها تعداد 45 نفر به روش نمونه‌گیری هدفمند به عنوان نمونه انتخاب و به صورت تصادفی در دو گروه آزمایش(1) و (2) و گروه کنترل(15 نفر) جایگزین شدند. ابزار پژوهش پرسشنامه سرمایه روان‌شناختی لوتانز بود. برای تجزیه و تحلیل داده‌ها نیز از آمار توصیفی و تحلیل کواریانس آنکووا  با نرم‌افزار SPSS21 استفاده شد. پس از  اجرای پیش‌آزمون،گروه آزمایش اول تحت مداخله درمان مبتنی بر تعهد و پذیرش،گروه آزمایش دوم تحت مداخله درمان شناختی-رفتاری به مدت 8 جلسه 2 ساعته و در هفته‌ای یکبار قرار گرفتند و گروه کنترل هیچ گونه درمانی دریافت نکرد.
یافته ها: نتایج نشان داد درمان مبتنی بر تعهد و پذیرش و درمان شناختی- رفتاری بر سرمایه روان‌شناختی بیماران تالاسمی موثر بودند(01/0 > P ). درمان مبتنی بر تعهد و پذیرش نسبت به درمان شناختی- رفتاری بر سرمایه روان‌شناختی بیماران تالاسمی اثر بیشتری دارد(05/0 > P ).
نتیجه گیری: بنابراین می‌توان توصیه کرد برای بهبود سرمایه روان‌شناختی بیماران تالاسمی از درمان مبتنی بر تعهد و پذیرش بیشتر استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effectiveness of Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT) on the Psychological Capital of Patients with Thalassemia

نویسندگان [English]

  • Maryam Khosravani Shayan 1
  • Abdollan Shafiabadi 2
  • Mokhtar Arefi 3
  • Hasan Amiri 4
1 PhD of Counseling, Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran, Email: maryamshayan10@gmail.com
2 Corresponding Authorr, Full Professor of Counseling, Department of Counseling, Allameh Tabataba'i University, Tehran, Iran, Email: ab.dol.shafiabadi98@gmail.com,
3 Associate Professor of Counseling, Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran, Email: arefi.2020@gmail.com
4 Assistant Professor of Psychology, Department of Psychology and Counseling, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran, Email: Ahasan.Amiri@yahoo.com,
چکیده [English]

Introduction: Decreased psychological capital due to the special circumstances of thalassemia patients causes irreparable damage to the patient and the community. The purpose of this study was to compare the effectiveness of acceptance and commitment therapy and cognitive-behavioral therapy on the psychological capital of patients with Thalassemia.
 Methods: The research method was quasi-experimental as well as pre-test and post-test design with control group. The statistical population consisted of all Female patient with thalassemia, who refer to the office of Thalassemia Association located in Mohammad Kermanshahi Hospital in Kermanshah city (n=317). The statistical sample was 45 people who were selected by purposive sampling and divided into three groups of 15 persons including two experimental and one control groups. The instruments used in this study included Luthan’s Psychological Capital Questionnaire (PCQ) and the protocols based on acceptance and commitment therapy and cognitive-behavioral therapy. One of the experimental groups received acceptance and commitment therapy and another received cognitive-behavioral therapy, while the control group received no training and therapy. After data collection, the results were analyzed by one way analysis of variance (ANOVA) using SPSS21 software.
Results: The results showed that both acceptance and commitment therapy and cognitive-behavioral therapy are effective on the psychological capital of patients with thalassemia. Also, there is a significant difference between effectiveness of acceptance and commitment therapy and that of cognitive-behavioral therapy on the psychological capital of patients with thalassemia such that the former was more effective.
Conclusion: Acceptance and Commitment therapy is more effective for improving psychological capital.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy" Cognitive
  • Behavioral Therapy" Psychological Capital" Thalassemia
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