نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی سلامت ،واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

2 استاد گروه روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران

3 گروه روان شناسی، دانشگاه آزاد اسلامی واحد اهواز، اهواز، ایران.

4 گروه روان شناسی، دانشگاه آزاد اسلامی واحد بین الملل کیش، ایران.

5 مرکز تحقیقات دیابت، پژوهشکده سلامت، دانشگاه علوم پزشکی جندی شاپور اهواز

چکیده

هدف از پژوهش حاضر، مقایسه اثربخشی درمان مبتنی بر شفقت و روان‌شناسی مثبت‌گرا با رویکرد بهباشی بر ناگویی هیجانی، رفتار سازگارانه و پیروی از درمان بیماران مبتلا به دیابت نوع 2 بود. طرح پژوهش، نیمه آزمایشی از نوع پیش‌آزمون - پس‌آزمون با گروه گواه بود. حجم نمونه شامل 45 بیمار مبتلا به دیابت نوع 2 بود که به روش نمونه‌گیری هدفمند انتخاب شدند. از این تعداد، 15 نفر به گروه آزمایش درمان مبتنی بر شفقت، 15 نفر به گروه آزمایش روان‌شناسی مثبت‌گرا با رویکرد بهباشی و 15 نفر به گروه گواه به صورت تصادفی ساده گمارده شدند. جهت جمع‌آوری داده‌های پژوهش از مقیاس آلکسی تایما تورنتو (باگبی و همکاران، 1994)، مقیاس سازگاری روانی اجتماعی با بیماری (دروگاتیس، 1990) و پرسشنامه پیروی از درمان (مدانلو، 2013) استفاده شد. گروه آزمایش درمان مبتنی بر شفقت 8 جلسه مداخله دو ساعته و همچنین گروه آزمایش روان‌شناسی مثبت‌گرا با رویکرد بهباشی نیز 8 جلسه دو ساعته دریافت کردند. جهت تحلیل داده‌ها از تحلیل کواریانس چندمتغیری استفاده شد. نتایج نشان داد هر دو رویکرد درمانی در مرحله پس‌آزمون بر ناگویی هیجانی، رفتار سازگارانه و پیروی از درمان بیماران مبتلا به دیابت نوع 2 تأثیر معنی‌داری داشته‌اند (05/0>p). بین دو روش درمانی در هر یک از متغیرهای وابسته تفاوت معنی‌داری مشاهده نشد. براساس یافته‌ها می‌توان گفت بکارگیری هر دو رویکرد درمانی بر کاهش ناگویی هیجانی و افزایش سطح رفتار سازگارانه و نیز پیروی از درمان اثرگذار هستند.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the Effectiveness of Compassion Focused Therapy and Positive Psychology with Well-being Approach on Alexithymia, Adaptive Behavior and Adherence to Treatment of Patients with Diabetes Type 2

نویسندگان [English]

  • Mahnaz Bahadori 1
  • Mahnaz Mehrabizadeh honarmand 2
  • Parviz Askary 3
  • Hasan Ahadi 4
  • Leila Moradi 5

1 Department of health psychology , Kish International Branch, Islamic Azad University, Kish Island, Iran

2 Professor, Department of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

3 Department of psychology, Ahvaz branch, Islamic Azad University, Ahvaz, Iran.

4 Department of Psychology, Islamic Azad University, Kish International Branch, Iran.

5 Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences.

چکیده [English]

The purpose of the present study was to compare the effectiveness of compassion focused therapy and positivist psychology with well-being approach on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes. The research design was a quasi-experimental pretest-posttest with control group. The sample size included 45 patients with type 2 diabetes who were selected by purposive sampling. Of these, 15 were assigned to the experimental group of compassion focused therapy, 15 to the experimental group of positivist psychology with well-being approach and 15 to the control group by simple random sampling. To collect research data, the Toronto Alexithymia Scale (Bagby et al., 1994), the Psycho-social Adjustment with Illness Scale (Derogatis, 1990) and the Adherence Questionnaire (Modanloo, 2013) were used. The compassion focused experimental group received 8 sessions of two-hour intervention and the experimental group of positive psychology with well-being approach received 8 two-hour sessions, too. Multivariate Analysis of Covariance (MANCOVA) was used to analyze the data. The results showed that both therapeutic approaches in the post-test phase had a significant effect on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes (p<0.05). There was no significant difference between the two intervention methods in each of the dependent variables. Based on the findings, it can be said that the application of both therapeutic approaches is effective in reducing alexithymia and increasing the level of adaptive behavior as well as adherence to treatment.

کلیدواژه‌ها [English]

  • Compassion focused therapy
  • Positivist psychology with well-being approach
  • Alexithymia
  • Adaptive behavior
  • Adherence to treatment
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