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
1403
10
1
gregorian
2025
1
1
23
9
online
1
fulltext
fa
اثربخشی بسته آموزشی مقابلهای شناختی- رفتاری با تنیدگی ناباروری بر تنظیم شناختی هیجان و امیدواری در زنان نابارور: یک مطالعه نیمهتجربی
The Effectiveness of Cognitive-Behavioral Coping Training Package with Infertility Stress on Distress Tolerance and Cognitive Regulation of Emotion in Infertile Women: A Quasi-Experimental Study
زنان
Gynecology
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">برای بسیاری از افراد، ناباروری عامل استرس روانی است که میتواند استرس عاطفی و بسیاری از واکنشهای روانی منفی شامل افسردگی، اضطراب، شرم، نومیدی، کاهش عزت نفس، احساس عدم کفایت جنسی و کاهش رضایت جنسی را ایجاد کند،</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> لذا هدف از انجام این پژوهش اثربخشی بسته آموزشی مقابلهای شناختی- رفتاری با تنیدگی ناباروری بر تنظیم شناختی هیجان و امیدواری در زنان نابارور بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">مواد و روشها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">: </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">پژوهش حاضر از نوع نیمه­تجربی با طرح پیشآزمون-پسآزمون و پی­گیری دوماهه با گروه گواه بود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> جامعه آماری پژوهش زنان نابارور مراجعه کننده به مراکز ناباروری و مطب متخصصان زنان و نازایی شهر کرمانشاه در سال 1401 بود. از بین زنان نابارور واجد شرایط شرکت در پژوهش 60 نفر با استفاده از روش نمونهگیری در دسترس براساس رضایت آگاهانه به عنوان نمونه انتخاب و به صورت تصادفی ساده در دو گروه (مداخله و کنترل) جایگزین شدند. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">برای جمعآوری دادهها از پرسشنامه استرس ناباروری </span></span></span>Newton<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> و همکاران، تنظیم شناختی هیجان </span></span></span>Garnevsky<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> و </span></span></span>Kraij<span style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> و امیدواری </span></span></span>Schneider<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> استفاده گردید. دادهها با استفاده از آنالیز واریانس دوطرفه با اندازهگیریهای مکرر تجزیه و تحلیل شد.</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>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">یافتهها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">: نتایج نشان داد بین سه مرحله پیشآزمون، پسآزمون و پیگیری در تنظیم شناختی هیجان (392/60=</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> و 05/0</span></span></span>P<<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">) و امیدواری (794/68=</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> و 05/0</span></span></span>P<<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">) تفاوت وجود دارد و این تفاوت معنادار تا مرحله پیگیری نیز تداوم داشته است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">نتیجهگیری</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">: بسته آموزشی مقابلهای شناختی- رفتاری با تنیدگی ناباروری زنان نابارور میتواند بر تنظیم شناختی هیجان و امیدواری زنان نابارور اثربخش باشد و از این برنامه میتوان برای کاهش تنیدگی زنان نابارور در کنار درمان دارویی بهره گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">واژههای کلیدی</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">: مقابله شناختی- رفتاری، تنیدگی ناباروری، تنظیم شناختی هیجان، امیدواری، ناباروری</span></span></span></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"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:140%"> For many people, infertility is a cause of psychological stress that can cause emotional stress and many negative psychological reactions, including depression, anxiety, shame, hopelessness, decreased self-esteem, feelings of sexual inadequacy, and decreased sexual satisfaction. Therefore, the purpose of this study was to investigate the effectiveness of a cognitive-behavioral training package for coping with infertility stress on cognitive regulation of emotion and hope in infertile women. </span></span></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="font-size:9.0pt"><span style="line-height:140%">Materials and Methods</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">: The present study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population of the study was infertile women referred to infertility centers and gynecologists and infertility specialists in Kermanshah in 2021. Among the infertile women eligible to participate in the study, 60 were selected as a sample using the convenience sampling method based on informed consent and were randomly assigned into two groups (intervention and control). Newton et al.'s Infertility Stress Questionnaire, Garnevsky and Kraij's Cognitive Regulation of Emotion and Schneider's Hope were used to collect data. The data were analyzed using two-way analysis of variance with repeated measurements.</span></span></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="font-size:9.0pt"><span style="line-height:140%">Results</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">: The results showed that there was a difference among the three stages of pre-test, post-test, and follow-up in cognitive emotion regulation (F=60.392, p<0.05) and hopefulness (F=68.794, p<0.05), and this significant difference continued until the follow-up stage.</span></span></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="font-size:9.0pt"><span style="line-height:140%">Conclusion</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">: Cognitive-behavioral coping training package for infertility stress in infertile women can be effective in cognitive regulation of emotion and hope in infertile women. This program can be used to reduce stress in infertile women along with drug treatment.</span></span></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="font-size:9.0pt"><span style="line-height:140%">Key words</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">: Cognitive-behavioral coping, Infertility stress, Cognitive emotion regulation, Hope, Infertility</span></span></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="font-size:9.0pt"><span style="line-height:140%"></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="font-size:9.0pt"><span style="line-height:140%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">This study did not have any funds.</span></span></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="font-size:9.0pt"><span style="line-height:140%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">None declared.</span></span></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="font-size:9.0pt"><span style="line-height:140%">Ethical considerations: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The Ethics Committee of Islamic Azad University, Sanandaj Branch, approved the study (IR.IAU.SDJ.REC.1402.060).</span></span></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="font-size:9.0pt"><span style="line-height:140%">Authors’ contributions:</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="font-size:9.0pt"><span style="line-height:140%">-Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Samaneh Ghobadi, Keivan Kakabraee</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Samaneh Ghobadi, Keivan Kakabraee</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Samaneh Ghobadi</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Samaneh Ghobadi</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Keivan Kakabraee, Mahmoud Goudarzi</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Keivan Kakabraee</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Writing – original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Samaneh Ghobadi</span></span></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="font-size:9.0pt"><span style="line-height:140%">-Writing – review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Keivan Kakabraee</span></span><v:roundrect arcsize="0" id="Rounded_x0020_Rectangle_x0020_6" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Citation:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Ghobadi S, Kakabraee K, Goudarzi M. The Effectiveness of Cognitive-Behavioral Coping Training Package with Infertility Stress on Distress Tolerance and Cognitive Regulation of Emotion in Infertile Women: A Quasi-Experimental Study</span></span><span style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2024; 23 (9): 797-811. [Farsi]</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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مقابله شناختی- رفتاری, تنیدگی ناباروری, تنظیم شناختی هیجان, امیدواری, ناباروری
Cognitive-behavioral coping, Infertility stress, Cognitive emotion regulation, Hope, Infertility
797
811
http://journal.rums.ac.ir/browse.php?a_code=A-10-6753-1&slc_lang=fa&sid=1
ُSamaneh
Ghobadi
سمانه
قبادی
mailbank_sama@yahoo.com
6900319475328460059392
6900319475328460059392
No
Islamic Azad University, Sanandaj branch
دانشگاه آزاد اسلامی واحد سنندج
Keivan
Kakabraee
کیوان
کاکابرایی
kakabraee@gmail.com
6900319475328460059393
6900319475328460059393
Yes
Islamic Azad University, Kermanshah branch
دانشگاه آزاد اسلامی واحد کرمانشاه
Mahmoud
Goudarzi
محمود
گودرزی
mg.sauc@gmail.com
6900319475328460059394
6900319475328460059394
No
Islamic Azad University, Sanandaj branch
دانشگاه آزاد اسلامی واحد سنندج