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
مقایسه اثربخشی درمان شناختی مبتنی بر ذهن آگاهی و زندگی درمانی بر بهزیستی ذهنی و امنیت روانی زنان دارای اختلال اضطراب فراگیر: یک مطالعه نیمه تجربی
Comparison of the Effectiveness of Cognitive Therapy Based on Mindfulness and Life Therapy on Mental Well-Being and Psychological Security in Women with Generalized Anxiety Disorder: A Quasi-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<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">اختلال اضطراب فراگیر یکی از شایعترین اختلالات اضطرابی مزمن است و نقش درمان روانی در کاهش علائم آن تأیید شده است. هدف پژوهش حاضر، مقایسه اثربخشی درمان شناختی مبتنی بر ذهن آگاهی و زندگی درمانی بر بهزیستی ذهنی و امنیت روانی زنان دارای اختلال اضطراب فراگیر</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">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="FA" 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><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">:</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"> روش پژوهش از نوع نیمه تجربی در قالب طرح پیش­آزمون-پس­آزمون و پیگیری (سه ماهه) با گروه گواه بود.</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">از بین زنان دارای اختلال اضطراب فراگیر مراجعه</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">­کننده به</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"> خانههای سلامت 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">مراکز مشاوره مناطق 1، 2، 3 و 5 شهر تهران در سال 1400، با روش نمونهگیری هدفمند 45 نفر انتخاب و در دو گروه آزمایش و یک گروه گواه قرار گرفتند. گروههای آزمایش مداخله آموزشی را در 8 جلسه دریافت کردند، اما گروه گواه مداخله</span></span></span></span><span dir="LTR" style="color:black"></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">ای دریافت نکرد. برای جمع­آوری دادهها از پرسش</span></span></span></span><span dir="LTR" style="color:black"></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">نامه­های بهزیستی ذهنی </span></span></span></span><span dir="LTR" style="color:black">Keyes</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">Magyar-Moe</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 پرسش</span></span></span></span><span dir="LTR" style="color:black"></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">نامه امنیت روانی </span></span></span></span><span dir="LTR" style="color:black">Maslow</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. تجزیه و تحلیل دادهها با استفاده از آنالیز واریانس دوطرفه با اندازه</span></span></span></span><span dir="LTR" style="color:black"></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">گیری</span></span></span></span><span dir="LTR" style="color:black"></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">های مکرر انجام 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">یافته­ ها:</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 حاکی از تأثیر</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"> درمان شناختی مبتنی بر ذهن</span></span></span></span><span dir="LTR" style="color:black"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> آگاهی و زندگی</span></span></span></span><span dir="LTR" style="color:black"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black"> درمانی بر افزایش بهزیستی ذهنی و امنیت روانی</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"> زنان دارای اختلال اضطراب فراگیر بود</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">(001/0></span></span></span></span><span dir="LTR" style="color:black">P</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 میزان اثربخشی هر دو روش مشابه 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="FA" 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">با توجه به اثربخشی </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">درمان شناختی مبتنی بر ذهن ­آگاهی و زندگی درمانی بر افزایش بهزیستی و امنیت روانی، این درمان</span></span></span></span><span dir="LTR" style="color:black"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span style="color:black">ها </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">میتوانند به عنوان مداخلات کمکی، حمایتی و توانبخشی در کنار درمانهای دارویی در راستای توانبخشی و ارتقاء کیفیت زندگی آنان به کار گرفته شود.</span></span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""><span style="color:black">واژههای 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">درمان شناختی ذهن آگاهی، زندگی درمانی، بهزیستی، امنیت، اضطراب فراگیر، 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">Generalized anxiety disorder is one of the most common chronic anxiety disorders, and the role of psychotherapy in reducing its symptoms has been confirmed. The purpose of this study was to compare the effectiveness of cognitive therapy based on mindfulness and life therapy on mental well-being and psychological security in women with generalized anxiety disorder.</span></span><b><span dir="RTL" lang="FA" style="line-height:150%"><span style="color:black"></span></span></b></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 style="line-height:150%"><span style="color:black">The present study was a quasi-experimental study with pre-test/post-test design and follow-up (three months) with a control group. Forty-five women with generalized anxiety disorder referred to health centers and counseling centers in areas 1, 2, 3, and 5 of Tehran in 2021 were selected by purposeful sampling method and placed in two experimental groups and one control group. The experimental groups received educational intervention in 8 sessions, but the control group did not receive any intervention.</span></span> <span style="line-height:150%"><span style="color:black">In order </span></span><span style="line-height:150%"><span style="color:black">to collect data, Keyes and Magyar-Moe’s Mental Well-Being Questionnaires and Maslow’s Psychological Security Questionnaire were used. Data analysis was done using two-way repeated measures analysis of variance.</span></span><b><span dir="RTL" lang="FA" style="line-height:150%"><span style="color:black"></span></span></b></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 lang="EN" 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 indicated the effectiveness of cognitive therapy based on mindfulness and life therapy on increasing the mental well-being and psychological security of women with generalized anxiety disorder </span></span><span style="line-height:150%"><span style="color:black">(p<0.001), and both methods had the same effectiveness.</span></span><b><span dir="RTL" lang="FA" style="line-height:150%"><span style="color:black"></span></span></b></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 lang="EN" style="line-height:150%"><span style="color:black">Conclusion:</span></span></b> <span style="line-height:150%"><span style="color:black">Considering the effectiveness of cognitive therapy based on </span></span><span lang="EN" style="line-height:150%"><span style="color:black">mindfulness </span></span><span style="line-height:150%"><span style="color:black">and life therapy on increasing well-being and psychological security, these treatments can be used as adjuvant, supportive and rehabilitation interventions along with drug therapies to rehabilitate and improve their quality of life.</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 lang="EN" style="line-height:150%"><span style="color:black">Key</span></span></b><b> </b><b><span lang="EN" style="line-height:150%"><span style="color:black">words:</span></span></b><span lang="EN" style="line-height:150%"><span style="color:black"> Mindfulness</span></span> <span lang="EN" style="line-height:150%"><span style="color:black">cognitive therapy, Life therapy, Well-being, Security, Generalized anxiety, Women</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">Funding:</span></span></b><span style="line-height:150%"><span style="color:black"> This study did not have any funds<b>.</b></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 style="line-height:150%"><span style="color:black"> The Ethics Committee of Islamic Azad University, Sari branch, approved the study (IR.IAU.SARI.REC.1400.026)</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 lang="EN" style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black">Sarabadani Azam, Hassanzadeh Ram</span></span></span><span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black">a</span></span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black">zan, Emadian Seyedeh Olia. Comparison of the Effectiveness of Cognitive Therapy Based on Mindfulness and Life Therapy on Mental Well-Being and Psychological Security in Women with Generalized Anxiety Disorder: 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): 1249-66. [Farsi]</span></span></span> <b><span style="font-size:8.0pt"><span style="line-height:140%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
درمان شناختی ذهن آگاهی, زندگی درمانی, بهزیستی, امنیت, اضطراب فراگیر, زنان
Mindfulness cognitive therapy, Life therapy, Well-being, Security, Generalized anxiety, Women
1249
1266
http://journal.rums.ac.ir/browse.php?a_code=A-10-6084-1&slc_lang=fa&sid=1
Azam
Sarabadani
اعظم
سرآبادانی
az_sarabadani@yahoo.com
6900319475328460052980
6900319475328460052980
No
Islamic Azad University, Sari Branch
دانشگاه آزاد اسلامی ساری
Ramazan
Hassanzadeh
رمضان
حسن زاده
Hasanzadeh@iausari.ac.ir
6900319475328460052981
6900319475328460052981
Yes
Islamic Azad University, Sari branch
دانشگاه آزاد اسلامی ساری
Seyedeh Olia
Emadian
سیده علیا
عمادیان
emadian@iausari.ac.ir
6900319475328460052982
6900319475328460052982
No
Islamic Azad University, Sari branch
دانشگاه آزاد اسلامی ساری