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
1404
8
1
gregorian
2025
11
1
24
8
online
1
fulltext
fa
مقایسه اثربخشی رویکرد واقعیت درمانی و درمان مبتنی بر پذیرش و تعهد بر کاهش میزان تمایل به خودکشی و اضطراب در نوجوانان دختر: یک مطالعه نیمهتجربی
Comparing the Effectiveness of Reality Therapy and Acceptance and Commitment Therapy on Reducing Suicidal Tendencies and Anxiety in Adolescent Girls: A Quasi-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<p><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"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">خودکشی یکی از نگرانیهای بهداشت عمومی است. پیشگیری از خودکشی بخشی جداییناپذیر از اولین برنامه رواندرمانی سازمان بهداشت جهانی است. لذا این پژوهش با هدف تعیین و مقایسه اثربخشی رویکرد واقعیت درمانی و درمان پذیرش و تعهد بر میزان تمایل به خودکشی و اضطراب در نوجوانان انجام شد.</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"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> روش پژوهش نیمهآزمایشی از نوع پیشآزمون-پسآزمون شامل دو گروه آزمایش و یک گروه کنترل بود. جامعه این پژوهش دانشآموزان دختر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">متوسطه شهر یزد در سال</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تحصیلی 1403-1402 بودند که از این تعداد 45 دانشآموز به روش نمونهگیری تصادفی خوشهای انتخاب و به سه گروه 15 نفره تقسیم شدند. برای جمعآوری دادهها از مقیاس افکار خودکشی<br>
(</span></span></span>Beck 1961<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">) و پرسشنامه اضطراب </span></span></span>Beck 1988)<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">) استفاده شد و جلسات درمان پذیرش و تعهد و واقعیت درمانی طی 8 جلسه 60 دقیقهای برای گروههای آزمایش اجرا شد و برای گروه کنترل مداخلهای انجام نشد. دادهها توسط آنالیز کوواریانس چندمتغیره تجزیه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">وتحلیل شدند.</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"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> با توجه به نتایج، واقعیت درمانی و درمان مبتنی بر پذیرش و تعهد در مقایسه با گروه کنترل باعث کاهش میزان تمایل به خودکشی و اضطراب در نوجوانان شدند (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">)، اما بین دو روش درمانی در کاهش تمایل به خودکشی و اضطراب تفاوت معنیداری وجود نداشت (05/0<</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</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"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج نشان دهنده اثربخشی هر دو روش درمانی در کاهش میزان تمایل به خودکشی و اضطراب بود. بنابراین، درمانگران و متخصصان سلامت میتوانند از این روش</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">ها جهت بهبود ویژگیهای مرتبط با سلامت بهویژه کاهش میزان تمایل به خودکشی و اضطراب استفاده کنند.</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"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> درمان پذیرش و تعهد، واقعیت درمانی، خودکشی، اضطراب، نوجوانان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
</p>
<p><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%">Suicide is a public health concern. Suicide prevention is an integral part of the World Health Organization's first psychotherapy program. Therefore, this study aimed to determine and compare the effectiveness of reality therapy and acceptance and commitment therapy on suicidal tendencies and anxiety in adolescents.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:140%"></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 employed a quasi-experimental design with a pretest-posttest setup, including two experimental groups and one control group. The population consisted of female high school students in Yazd during the 2023–2024 academic year. From this population, 45 students were selected through cluster random sampling and assigned to three groups of 15 participants each. Data were collected using the Beck Scale for Suicidal Ideation (1961) and the Beck Anxiety Inventory (1988). The Acceptance and Commitment Therapy (ACT) and Reality Therapy sessions were conducted for the experimental groups over 8 sessions, each lasting 60 minutes, while the control group received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA).</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 findings indicated that both Reality Therapy and Acceptance and Commitment Therapy significantly reduced suicidal ideation and anxiety compared to the control group (p<0.001). However, no significant differences were observed between the two therapeutic approaches in reducing suicidal ideation and anxiety.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:140%"></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%">The results demonstrate the effectiveness of both therapeutic approaches in reducing suicidal ideation and anxiety. Therefore, therapists and mental health professionals can utilize these methods to improve health-related outcomes, particularly in reducing suicidal tendencies and anxiety, and they are recommended as part of preventive and mental health promotion programs for adolescent girls.</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%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Acceptance and commitment therapy, Reality therapy, Suicide, Anxiety, Adolescents</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"><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:140%"></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%">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 Lorestan University approved the study (IR.LUMS.REC.1403.22). </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%"> Farzaneh Sadat Razavi</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%"> Farzaneh Sadat Razavi, Mohammad Esmaeil Ebrahimi</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%"> Farzaneh Sadat Razavi, Ali Nazari</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%"> Farzaneh Sadat Razavi, Ali Nazari</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%"> Mohammad Esmaeil Ebrahimi, Ali Nazari</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%"> Mohammad Esmaeil Ebrahimi, Farzaneh Sadat Razavi</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%"> Mohammad Esmaeil Ebrahimi, Farzaneh Sadat Razavi</span></span></span></span></span></span></span><br>
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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:8.0pt"><span style="line-height:150%">Citation:</span></span></b> <span style="font-size:8.0pt"><span style="line-height:150%">Razavi FS, Ebrahimi ME, Nazari A. Comparing the Effectiveness of Reality Therapy and Acceptance and Commitment Therapy on Reducing Suicidal Tendencies and Anxiety in Adolescent Girls: A Quasi-Experimental Study</span></span><span style="font-size:8.0pt"><span style="line-height:150%">. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2025; 24 (8): 675-88. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><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%"> Ali Nazari</span></span><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
</p>
درمان پذیرش و تعهد, واقعیت درمانی, خودکشی, اضطراب, نوجوانان
Acceptance and commitment therapy, Reality therapy, Suicide, Anxiety, Adolescents
675
688
http://journal.rums.ac.ir/browse.php?a_code=A-10-6220-2&slc_lang=fa&sid=1
Farzaneh El-Sadat
Razavi
فرزانه السادات
رضوی
Farzanehelsadat@yahoo.com
6900319475328460061836
0009-0001-3099-5454
Yes
PhD Student in Counseling, Counseling Department, Islamic Azad University, Yazd Branch, Yazd, Iran
دانشجوی دکتری مشاوره، گروه مشاوره، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران
Mohammad Ismail
Ebrahimi
محمد اسماعیل
ابراهیمی
parvaneh1360@iau.ac.ir
6900319475328460061837
6900319475328460061837
No
Associate Professor, Department of Psychology, Islamic Azad University, Hamedan, Iran
استادیار، گروه روانشناسی، واحد همدان، دانشگاه آزاد اسلامی، همدان، ایران
Ali
Nazari
علی
نظری
DrAliNazari@gmail.com
6900319475328460061838
6900319475328460061838
No
Full Professor, Department of Design, Faculty of Art and Architecture, Yazd Branch, Islamic Azad University, Yazd, Iran.
استاد تمام، گروه طراحی، دانشکده هنر و معماری، واحد یزد، دانشگاه آزاد اسلامی، یزد، ایران