Journal of Rafsanjan University of Medical Sciences

fa اثربخشی درمان فراتشخیصی یکپارچه بر ناگویی خلقی و اندیشه‌پردازی خودکشی در زنان قربانی خشونت خانگی: یک مطالعه نیمه‌تجربی The Effectiveness of Integrated Trans-Diagnostic Therapy on Alexithymia and Suicidal Ideation in Female Victims of Domestic Violence: A Quasi-Experimental Study پزشکی اجتماعی Community Medicine پژوهشي Research زمینه و هدف: با توجه به افزایش تعداد قربانیان خشونت خانگی و مشکلات آن‌ها در زمینه ناگویی خلقی و اندیشه‌پردازی خودکشی به نظر می‌رسد به‌کارگیری مداخلاتی مانند درمان فراتشخیصی یکپارچه با هدف کاهش خشونت خانگی ضروری است. لذا پژوهش حاضر با هدف تعیین اثربخشی درمان فراتشخیصی یکپارچه بر ناگویی خلقی و اندیشه‌پردازی خودکشی در زنان قربانی خشونت خانگی انجام شد. مواد و روش‌ها: مطالعه حاضر از نوع شبه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پی‌گیری دو ماهه با گروه کنترل بود. جامعه آماری شامل تمامی زنان قربانی خشونت خانگی مراجعه‌کننده به مراکز اورژانس اجتماعی و کلینیک‌های مشاور خانواده شهر تهران در نیمه دوم سال 1402 بود. تعداد 33 نفر به روش نمونه‌گیری هدف‌مند انتخاب و به‌صورت تصادفی در گروه آزمایش (18 نفر) و کنترل (18 نفر) گمارش شدند. گروه آزمایش 10 جلسه 60 دقیقه‌ای آموزش دیدند و گروه کنترل آموزشی دریافت نکردند. ابزار جمع‌آوری اطلاعات شامل پرسش‌نامه‌های خشونت نسبت به زنان Haj-Yahia (2001)، ناگویی خلقی Bagby (1994) و اندیشه‌پردازی خودکشی Beck و Steer (1991) بود. دادهها با استفاده از آنالیز واریانس دوطرفه با اندازه‌گیریهای مکرر تجزیه ‌و تحلیل شدند. یافته‌ها: نتایج نشان داد بین مراحل پیش‌آزمون، پس‌آزمون و پی‌گیری در ناگویی خلقی (27/117=F، 001/0P<) و اندیشه‌پردازی خودکشی (19/47=F، 001/0P<)، تفاوت معنادار وجود دارد و این تفاوت تا مرحله پی‌گیری نیز تداوم داشته است. نتیجه‌گیری: مطالعه حاضر نشان داد که درمان فراتشخیصی یکپارچه بر ناگویی خلقی و اندیشه‌پردازی خودکشی در زنان قربانی خشونت خانگی مؤثر است. بنابراین، استفاده از این رویکرد جهت کاهش ناگویی خلقی و اندیشه‌پردازی خودکشی به روان‌شناسان و متخصصان حیطه خانواده پیشنهاد می‌گردد. واژه‌های کلیدی: درمان فراتشخیصی یکپارچه، ناگویی خلقی، اندیشه‌پردازی خودکشی، خشونت خانگی   <a name="_Hlk114425361">Background and Objectives: </a>Considering the increase in the number of victims of domestic violence and their major problems in the field of on alexithymia and suicidal ideation, it seems necessary to use psychological intervention such as integrated trans-diagnostic therapy with the aim of reducing domestic violence. Therefore, the present study was conducted with aim of investigating integrated trans-diagnostic therapy and on alexithymia and suicidal ideation and in female victims of domestic violence. Materials and Methods: 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 research included all female victims of domestic violence who referred to social emergency centers and family counseling clinics in Tehran from October 2023 to March 2024. Thirty-three people were selected by purposive sampling and randomly assigned into experimental (18 people) and control groups (18 people). The experimental group was trained in 10 60-minute sessions, and the control group did not receive any training. Data collection tools included Violence Against Women (Haj-Yahia, 2001), Alexithymia (Bagby, 1994), and Suicidal Ideation (Beck & Steer, 1991) Questionnaires. Data were analyzed using two-way repeated measures ANOVA. Results: The results showed that there was a significant difference across the three stages of pre-test, post-test, and follow-up in alexithymia (F=117.27, p<0.001) and suicidal ideation (F=47.19, p<0.001), and this difference lasted through the follow-up stage. Conclusion: The present study showed that trans-diagnostic therapy is effective on alexithymia and suicidal ideation in female victims of domestic violence. Therefore, using this approach to reduce alexithymia and suicidal ideation is recommended to psychologists and family specialists. Keywords:<a name="_Hlk114425361">Background and Objectives: </a>Considering the increase in the number of victims of domestic violence and their major problems in the field of on alexithymia and suicidal ideation, it seems necessary to use psychological intervention such as integrated trans-diagnostic therapy with the aim of reducing domestic violence. Therefore, the present study was conducted with aim of investigating integrated trans-diagnostic therapy and on alexithymia and suicidal ideation and in female victims of domestic violence. Materials and Methods: 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 research included all female victims of domestic violence who referred to social emergency centers and family counseling clinics in Tehran from October 2023 to March 2024. Thirty-three people were selected by purposive sampling and randomly assigned into experimental (18 people) and control groups (18 people). The experimental group was trained in 10 60-minute sessions, and the control group did not receive any training. Data collection tools included Violence Against Women (Haj-Yahia, 2001), Alexithymia (Bagby, 1994), and Suicidal Ideation (Beck & Steer, 1991) Questionnaires. Data were analyzed using two-way repeated measures ANOVA. Results: The results showed that there was a significant difference across the three stages of pre-test, post-test, and follow-up in alexithymia (F=117.27, p<0.001) and suicidal ideation (F=47.19, p<0.001), and this difference lasted through the follow-up stage. Conclusion: The present study showed that trans-diagnostic therapy is effective on alexithymia and suicidal ideation in female victims of domestic violence. Therefore, using this approach to reduce alexithymia and suicidal ideation is recommended to psychologists and family specialists. Keywords: Integrated trans-diagnostic therapy, Alexithymia, Suicidal ideation, Domestic violence Funding: This study did not have any funds. Conflict of interest: None declared. Ethical considerations: The Ethics Committee of Islamic Azad University of Science and Research, Tehran Branch, approved the study (IR.IAU.SRB.REC.1403.005). Authors’ Contributions: - Conceptualization: Mahboobeh Hossein Alizadeh - Methodology: Mahboobeh Hossein Alizadeh - Data collection: Mahboobeh Hossein Alizadeh - Formal analysis: Mahboobeh Hossein Alizadeh - Supervision: Mohammad Ghamari, Marzieh Gholami Tooranposhti - Project administration: Mohammad Ghamari, Marzieh Gholami Tooranposhti - Writing – original draft: Mahboobeh Hossein Alizadeh - Writing – review & editing: Mahboobeh Hossein Alizadeh Funding: This study did not have any funds. Conflict of interest: None declared. Ethical considerations: The Ethics Committee of Islamic Azad University of Science and Research, Tehran Branch, approved the study (IR.IAU.SRB.REC.1403.005). Authors’ Contributions: - Conceptualization: Mahboobeh Hossein Alizadeh - Methodology: Mahboobeh Hossein Alizadeh - Data collection: Mahboobeh Hossein Alizadeh - Formal analysis: Mahboobeh Hossein Alizadeh - Supervision: Mohammad Ghamari, Marzieh Gholami Tooranposhti - Project administration: Mohammad Ghamari, Marzieh Gholami Tooranposhti - Writing – original draft: Mahboobeh Hossein Alizadeh - Writing – review & editing: Mahboobeh Hossein Alizadeh   درمان فراتشخیصی یکپارچه, ناگویی خلقی, اندیشه‌پردازی خودکشی, خشونت خانگی Integrated trans-diagnostic therapy, Alexithymia, Suicidal ideation, Domestic violence 168 185 http://journal.rums.ac.ir/browse.php?a_code=A-10-6872-1&slc_lang=fa&sid=1 Mahboobe Hossein Alizadeh محبوبه حسین علیزاده mahboobealizadeh@yahoo.com 6900319475328460060457 0009-0001-5939-5049 No Science and Research Branch, Islamic Azad University واحد علوم و تحقیقات، دانشگاه آزاد اسلامی Mohammad Ghamari محمد قمری counselor_ghamari@yahoo.com 6900319475328460060458 6900319475328460060458 Yes Science and Research Branch, Islamic Azad University واحد علوم و تحقیقات، دانشگاه آزاد اسلامی Marzieh Gholamitooranposhti مرضیه غلامی توران پشتی gholamitooranposhti@gmail.com 6900319475328460060459 6900319475328460060459 No Shahrbabak Branch, Islamic Azad University واحد شهربابک، دانشگاه آزاد اسلامی