fa اثربخشی درمان هیجان‌محور بر ذهن‌آگاهی و سرمایه‌های عاطفی زنان مبتلا به مالتیپل اسکلروزیس: یک مطالعه نیمه‌تجربی روانپزشكي Psychiatry پژوهشي Research <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">مولتیپل اسکلروزیس</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">یکی از شایع‌ترین بیماری‌های مزمن، پیش‌رونده و خود ایمنی سیستم عصبی مرکزی است که بر کیفیت حوزه‌های مختلف زندگی از جمله سلامتی، اشتغال، اقتصادی، اجتماعی، عاطفی و خانوادگی افراد اثر می‌گذارد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">لذا پژوهش حاضر با هدف تعیین اثربخشی درمان هیجان‌محور بر ذهن‌آگاهی و سرمایه&shy;های عاطفی زنان مبتلا به مالتیپل اسکلروزیس انجام پذیرفت. </span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">مواد و روش&shy;ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> این پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعه آماری شامل کلیه زنان مبتلا به مالتیپل اسکلروزیس در شهر اصفهان در سال 1402 بود که با استفاده از روش نمونه&shy;گیری هدف&shy;مند تعداد 30 نفر از زنان انتخاب و به&shy;طور تصادفی در گروه&shy; آزمایش (15 نفر) و گروه کنترل (15 نفر) گمارده شدند. داده&shy;ها با پرسش‌نامه‌های </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">پنج وجهی ذهن‌آگاهی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:125%">Baer</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> (2006) و سرمایه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">عاطفی</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:125%">Golparvar</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> (1395) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">جمع&shy;آوری شدند. مداخله درمان گروهی هیجان‌محور بر اساس پروتکل </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:125%">Greenberg</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> و </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:125%">Goldman</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> (2019) در 12 جلسه به مدت 60 دقیقه بر روی گروه آزمایش انجام شد و گروه کنترل مداخله‌ای دریافت نکردند. داده&shy;ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه &shy;و تحلیل شدند. </span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">یافته&shy;ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> درمان هیجان‌محور توانست ذهن‌آگاهی و مؤلفه&shy;های آن شامل مشاهده، توصیف، عمل همراه با آگاهی، عدم قضاوت و عدم واکنش و سرمایه عاطفی و مؤلفه&shy;های آن شامل عاطفه مثبت شبه حالت، احساس انرژی و شادمانی را در گروه آزمایش نسبت به گروه کنترل به طور معنی‌داری افزایش دهد (001/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:125%">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> نتایج مطالعه حاضر نشان داد که درمان هیجان‌‌محور بر بهبود ذهن‌آگاهی و سرمایه&shy;های عاطفی بیماران مالتیپل اسکلروزیس اصفهان مؤثر است. بنابراین، استفاده از این رویکرد جهت افزایش ذهن‌آگاهی و سرمایه عاطفی پیشنهاد می&shy;گردد. </span></span></span></span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">واژه&shy;های کلیدی:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">ذهن‌آگاهی، سرمایه&shy;های عاطفی، درمان هیجان‌محور، مالتیپل اسکلروزیس</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives:</span></span></b> <span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Multiple sclerosis is one of the most common chronic, progressive, and autoimmune diseases of the central nervous system, which affects the quality of people&#39;s lives in various areas including health, employment, economic, social, emotional, and family. Therefore, the current research was conducted with the aim of determining the effectiveness of emotion-</span></span><span style="font-size:9.0pt"><span style="line-height:135%">focused</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> therapy on the mindfulness and affective capital of women with multiple sclerosis. </span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Materials and Methods:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> This was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population included all women with multiple sclerosis in the city of Isfahan in 2023. Using a </span></span><span style="font-size:9.0pt"><span style="line-height:135%">purposive</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> sampling method, 30 women were selected and randomly assigned into the experimental group (15 people) and the control group (15 people). The data were collected with Golparvar&#39;s Affective Capital (2006) and Baer&#39;s Five-Facet Mindfulness Questionnaires (2015). The intervention of emotion-focused therapy was conducted based on the protocol of Greenberg and Goldman (2019) in 12 sessions for 60 minutes on the experimental group, and the control group did not receive any intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA). </span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Result</span></span></b><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">s:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> Emotion-<a name="_Hlk169568224">focused</a> therapy was able to </span></span><span style="font-size:9.0pt"><span style="line-height:135%">significantly</span></span><span style="font-size:9.0pt"><span style="line-height:135%"> improve mindfulness and its components including observation, description, action with mindfulness, non-judgment and non-reaction, and emotional capital and its components including positive affect pseudo-state and feeling of energy and happiness </span></span><span style="font-size:9.0pt"><span style="line-height:135%">in the experimental group compared to the control group (p<0.001).</span></span> <span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Conclusion:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> The present study showed that emotion-focused therapy is effective in improving mindfulness and affective capital in multiple sclerosis patients in Isfahan. Therefore, it is recommended to use this approach to increase </span></span><span style="font-size:9.0pt"><span style="line-height:135%">mindfulness and affective capital in women with multiple sclerosis.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mindfulness, Affective capital, Emotion-focused therapy, Multiple sclerosis</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> None declared.&nbsp;&nbsp; </span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The Ethics Committee of Islamic Azad University of Isfahan (Khorasgan) Branch approved the study (IR.IAU.KHUISF.REC.1402.245).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors&rsquo; contributions:</span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization:</span></span></b><b> </b><b>&nbsp;</b><a name="_Hlk171629938"><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche<b> </b></span></span></a><b><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis: </span></span></b><a name="_Hlk171630088"><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche</span></span></a><b><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Hassan Khoshakhlagh</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Fatemeh Ahmadi Katayunche, Hassan Khoshakhlagh</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br> &nbsp; ذهن‌آگاهی, سرمایه­های عاطفی, درمان هیجان‌محور, مالتیپل اسکلروزیس Mindfulness, Affective capital, Emotion-focused therapy, Multiple sclerosis 421 436 http://journal.rums.ac.ir/browse.php?a_code=A-10-6635-1&slc_lang=fa&sid=1 Fatemeh Ahmadi Katayouncheh فاطمه احمدی کتایونچه fa.ahmaddy@gmail.com 6900319475328460058388 0009-0006-0638-1651 No Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران Hasan KhoshAkhlagh حسن خوش اخلاق khoshakhlagh_h@yahoo.com 6900319475328460058389 6900319475328460058389 Yes Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران