نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه رازی، گروه روانشناسی دانشکده علوم اجتماعی

2 دانشگاه رازی کرمانشاه

3 گروه روانپزشکی دانشگاه علوم پزشکی کرمانشاه

چکیده

این پژوهش باهدف اثربخشی یکپارچه‌سازی رفتاردرمانی دیالکتیکی مبتنی بر ذهن شفقت‌ورز بر کاهش واکنش‌پذیری شناختی و انگیزه‌های اقدام به خودکشی در افراد اقدام کننده انجام شد. روش‌ تحقیق حاضر از نوع آزمایشی با طرح پیش‌آزمون- پس-آزمون با گروه گواه بود. جامعه‌ی آماری این پژوهش را کلیه‌ی افراد 16 تا 40 ساله اقدام کننده به خودکشی به روش مسمومیت دارویی در فاصله ماه‌های مهر تا بهمن سال 1396 به بیمارستان‌ امام خمینی (ره) شهر کرمانشاه تشکیل دادند. نمونه آماری این پژوهش شامل 26 نفر از افراد اقدام کننده به خودکشی و داوطلب شرکت در مداخله بودند، که به روش نمونه‌گیری تصادفی انتخاب و به‌صورت تصادفی در دو گروه آزمایشی و گواه گمارده شدند. گروه‌ آزمایش 14 جلسه درمان یکپارچه رفتاردرمانی دیالکتیکی مبتنی بر ذهن شفقت‌ورز را دریافت کردند. آزمودنی‌های گروه‌های‌ آزمایشی و گواه در مرحله پیش‌آزمون و پس‌آزمون به پرسشنامه‌های واکنش‌پذیری شناختی و انگیزه برای اقدام به خودکشی پاسخ دادند. پس از جمع‌آوری داده‌ها به‌منظور رعایت جوانب اخلاقی، برای اعضای گروه لیست انتظار 10 جلسه مشاوره گروهی برگزار شد. نتایج تحلیل کوواریانس تک متغیری (ANCOVA) نشان داد که درمان یکپارچه بر واکنش پذیری و انگیزه اقدام به خودکشی اثربخش است. توجه به نتایج به‌دست‌آمده مبنی بر اثربخشی یکپارچه‌سازی رفتاردرمانی دیالکتیکی مبتنی بر ذهن شفقت‌ورز بر کاهش مؤلفه‌های واکنش‌پذیری شناختی و انگیزه‌های اقدام به خودکشی می‌توان از این مداخله در کنار درمان دارویی و دیگر درمان‌های مبتنی بر شواهد برای افراد اقدام کننده به خودکشی به‌عنوان روش‌ درمانی مفید و مکمل استفاده نمود.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of integration of dialectical behavior therapy based on compassionate mind on reduction of cognitive reactivity and motivation for suicide attempts in attempted suicide

نویسندگان [English]

  • mohammadjavad bagean koulemarz 1
  • jahangir Karami 2
  • Khodamorad Momeni 2
  • adele elahi 3

1 Razi University, Department of Psychology, Faculty of Social Sciences

2 Associate Professor in Psychology, University of Razi, Kermanshah, Iran

3 Assistant Professor of Psychiatry, Kermanshah University of Medical Sciences, Kermanshah, Iran

چکیده [English]

Abstract
This research carried out with the aim of the effectiveness of integration Dialectical Behavior Therapy based on compassionate mind on reduction of cognitive reactivity and motivations for suicide attempts in people attempted suicide. In this study the experimental study method was used with the design of pretest- posttest control groups. The statistical sample of this study consisted of 26 suicide attempters who volunteered participating in the intervention that were selected by random sampling method and were assigned randomly into two experimental and control groups. The experimental group received 14 sessions of integration of Dialectical Behavior Therapy based on compassionate mind. The subjects of the experimental and control groups in the pretest and posttest stages completed the Cognitive Reactivity Questionnaire and Inventory of Motivations for Suicide Attempts. In order to follow the ethical considerations, 10 group counseling sessions were held for the group members of waiting list. The gathered data were analyzed applying the software of SPSS-21 and in the method of Univariate covariance (ANCOVA). The results of Univariate covariance analysis (ANCOVA) indicated that the integration Therapy effective on cognitive reactivity and motivations for suicide attempts (P ≤ 0.001). According to the results obtained on effectiveness of the integration of Dialectical Behavior Therapy based on compassionate mind on reduction of the components of cognitive reactivity and motivations for Suicide attempts, this intervention can be used along with the Medical treatment and other evidenced based treatments for people attempted suicide as a useful and complementary therapeutic method.

کلیدواژه‌ها [English]

  • Dialectical Behavior Therapy based on compassionate mind
  • cognitive Reactivity
  • Motivations for Suicide Attempts
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