Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
12
1
gregorian
2023
3
1
21
12
online
1
fulltext
fa
اثربخشی طرحواره درمانی بر کیفیت زندگی و خودانتقادگری در زنان دارای افکار خودکشی: یک مطالعه نیمه تجربی
The Effectiveness of the Schema Therapy Approach on Quality of Life and Self-Criticism in Women with Suicidal Thoughts:A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">زمینه و هدف: </span></span></span></span></b></a><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">زنان قربانیان شرایط نابسامان خانواده، آسیب­های اجتماعی و فقر ساختاری هستند. اقدام­های عجولانه، ناآگاهی زنان و عدم توجه به پیامدهای تصمیم با وجود فشارهای شدید وارد آمده بر آن­ها، زمینه خودکشی را فراهم نموده است. هدف پژوهش حاضر تعیین اثربخشی طرحواره درمانی بر کیفیت زندگی و خودانتقادگری در زنان دارای افکار خودکشی بود.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">مواد و روشها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> این پژوهش نیمهآزمایشی با طرح پیشآزمون</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">-پسآزمون با گروه کنترل بود. جامعه آماری شامل تمام زنان دارای افکار خودکشی مراجعهکننده به بیمارستان خورشید شهر اصفهان در سال 1400 بود. تعداد 30 نفر از زنان به روش نمونه­ گیری در دسترس انتخاب و به شیوه تصادفی در گروه آزمایش و کنترل (هر گروه 15 نفر)، جایگزین شدند. برای گروه آزمایش روش طرحواره ­درمانی</span></span></span></span> <span dir="LTR" style="color:black">Young</span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">به مدت 8 جلسه نود دقیقه (هفته ­ای یک جلسه) اعمال شد و گروه کنترل در لیست انتظار برای آموزش ماند. به منظور گردآوری</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">دادهها از پرسش­نامه کیفیت زندگی</span></span></span></span><span dir="LTR" style="color:black">Ware Jr </span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> و</span></span></span></span><span dir="LTR" style="color:black">Sherbourne </span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">و </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">مقیاس خودانتقادگری </span></span></span></span><span dir="LTR" style="color:black">Gilbert</span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">استفاده شد. داده­ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه­</span></span></span></span><i> </i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">و</span></span></span></span><i> </i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">­تحلیل شد.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">یافته­ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> نتایج نشان داد که آموزش گروهی طرحواره درمانی تأثیر معناداری بر افزایش کیفیت زندگی (029/0=­</span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">، </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">398/5</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">=</span></span></span></span><span dir="LTR" style="color:black">F</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">) </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">و</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> کاهش خودانتقادگری زنان دارای افکار خودکشی دارد (001/0>­</span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">، </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">865/82</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">=</span></span></span></span><span dir="LTR" style="color:black">F</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">).</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">نتیجه­ گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> نتایج مطالعه حاضر نشان داد که طرحواره درمانی احتمالاً میتواند با بهبود کیفیت زندگی و خودانتقادگری در کاهش میزان افکار خودکشی مؤثر باشد. بنابراین، درمان­گران و متخصصان سلامت می­توانند از طرحواره درمانی در کنار سایر روشهای مؤثر برای بهبود ویژگی­های مرتبط با سلامت استفاده نمایند.</span></span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""><span style="color:black">واژه­ های کلیدی:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""><span style="color:black"> طرحواره درمانی، کیفیت زندگی، خودانتقادگری، افکار خودکشی، زنان</span></span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><a name="_Hlk114425361"><b><span style="line-height:150%"><span style="color:black">Background and Objectives:</span></span></b></a> <span lang="EN" style="line-height:150%"><span style="color:black">Women are victims of chaotic family conditions, social damage, and structural poverty. Hasty actions, women's ignorance and lack of attention to the consequences of the decision, despite the intense pressure on them, have provided the basis for suicide. The aim of the present study was to determine the effectiveness of schema therapy on quality of life and self-criticism in women with suicidal thoughts.</span></span><span style="line-height:150%"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Materials and Methods: </span></span></b><span lang="EN" style="line-height:150%"><span style="color:black">This was a quasi-experimental study with a pre-test/post-test design with a control group. The statistical population included all women with suicidal thoughts referred to Khurshid Hospital in Isfahan City in 2021. Among them, thirty women were selected by available sampling method and replaced randomly into experimental and control groups (15 people in each group). For the experimental group, Young’s schema therapy was applied for 8 sessions of 90 minutes (one session per week), and the control group remained on the waiting list for training. In order to collect data, Ware Jr and Sherbourne’s Quality of Life Questionnaire and Gilbert’s Self-Criticism Scale were used. Data were analyzed using multivariate analysis of covariance. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Results:</span></span></b> <span lang="EN" style="line-height:150%"><span style="color:black">The results showed that schema therapy group training has a significant effect on increasing the quality of life (p=0.029, F=5.398) and reducing self-criticism of women with suicidal thoughts (p<0.001, F=82.865).</span></span><span style="line-height:150%"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Conclusion:</span></span></b> <span lang="EN" style="line-height:150%"><span style="color:black">The results of the current study showed that schema therapy can probably be effective in reducing the amount of suicidal thoughts by improving the quality of life and self-criticism.</span></span> <span lang="EN" style="line-height:150%"><span style="color:black">Therefore, therapists and health professionals can use schema therapy along with other effective methods to improve health-related characteristics.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Key words:</span></span></b><span style="line-height:150%"><span style="color:black"> Schema therapy, Quality of life, Self-criticism, Suicidal thoughts, Women</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Funding:</span></span></b><span style="line-height:150%"><span style="color:black"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Conflict of interest:</span></span></b><span style="line-height:150%"><span style="color:black"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Ethical approval:</span></span></b> <span lang="EN" style="line-height:150%"><span style="color:black">The Ethics Committee of Islamic Azad University of Isfahan, Khorasgan Branch, approved the study (</span></span><span style="line-height:150%"><span style="color:black">IR.IAU.KHUISF.REC.1401.133</span></span><span lang="EN" style="line-height:150%"><span style="color:black">).</span></span><span style="line-height:150%"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:2.0pt"><span style="line-height:150%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:140%"><span style="color:black">How to cite this article:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black"> Panjepour Shadi, Tabatabaienejad Fatemeh Sadat. The Effectiveness of the Schema Therapy Approach on Quality of Life and Self-Criticism in Women with Suicidal Thoughts: A Quasi-Experimental Study</span></span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black">. </span></span></span><i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black">J Rafsanjan</span></span></span></i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black"> <i>Univ Med Sci</i> 2023; 21 (12): 1267-82. [Farsi]</span></span></span> <span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black"></span></span></span></span></span></span></span></span><br>
طرحواره درمانی, کیفیت زندگی, خودانتقادگری, افکار خودکشی, زنان
Schema therapy, Quality of life, Self-criticism, Suicidal thoughts, Women
1267
1282
http://journal.rums.ac.ir/browse.php?a_code=A-10-6080-1&slc_lang=fa&sid=1
Shadi
Panjepour
شادی
پنجه پور
panjehpoor1400@gmail.com
6900319475328460052989
6900319475328460052989
No
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران
FatemehSadat
Tabatabaeinejad
فاطمه سادات
طباطبائی نژاد
f.tabatabaei49@yahoo.com
6900319475328460052990
6900319475328460052990
Yes
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران