تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر اضطراب وجودی، تحمل پریشانی و فرانگرانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی بیمارستان مهرشهر اهواز در سال 1397

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

2 استادیار، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

10.22123/chj.2020.196985.1334

چکیده

مقدمه: سالمندان مبتلا به بیماری‌های قلبی عروقی مشکلات عمده‌ای در زمینه سلامت روانشناختی دارند و یکی از روش‌های مداخله برای کاهش مشکلات روانشناختی، روش درمان پذیرش و تعهد است. هدف پژوهش حاضر تعیین تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر اضطراب وجودی، تحمل پریشانی و فرانگرانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی بود.
مواد و روش‌ها: این مطالعه نیمه­تجربی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل بود. از میان زنان سالمند مبتلا به بیماری‌های قلبی عروقی مراجعه‌کننده به بیمارستان مهرشهر اهواز در سال 1397، 40 نفر با روش در دسترس انتخاب و به روش تصادفی در دو گروه قرار گرفتند. گروه آزمایش 10 جلسه 60 دقیقه‌ای با روش گروه‌درمانی مبتنی بر پذیرش و تعهد آموزش دید. داده‌ها با پرسشنامه‌های اضطراب وجودی، تحمل پریشانی و فرانگرانی جمع‌آوری و با آزمون‌های t و تحلیل کوواریانس چند متغیری تحلیل شدند.
یافته‌ها: گروه‌ها در پیش‌آزمون از نظر اضطراب وجودی، تحمل پریشانی و فرانگرانی تفاوت معنی‌داری نداشتند، اما در پس‌آزمون از نظر هر سه متغیر تفاوت معنی‌دار بود (001/0>p). به عبارت دیگر، روش گروه درمانی مبتنی بر پذیرش و تعهد باعث کاهش اضطراب وجودی و فرانگرانی و افزایش تحمل پریشانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی شد (001/0>p).
نتیجه‌گیری: نتایج نشان‌دهنده تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر کاهش اضطراب وجودی و فرانگرانی و افزایش تحمل پریشانی بود. روانشناسان بالینی و درمانگران احتمالاً می‌توانند از روش گروه درمانی مبتنی بر پذیرش و تعهد در کنار سایر روش‌های درمانی برای مداخله در زمینه اضطراب وجودی، تحمل پریشانی و فرانگرانی استفاده نمایند.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Acceptance and Commitment-based Group Therapy on Existential Anxiety, Distress Tolerance, and Meta-worry in Elderly Women with Cardiovascular Disease in Mehr Hospital of Ahvaz City in 2018

نویسندگان [English]

  • Sh Shirali 1
  • Z DashtBozorgi 2
1 MSc, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
2 Assistant Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
چکیده [English]

Introduction: Elderly women with cardiovascular disease have major problems in psychological health. One of the intervention methods for reducing psychological issues is acceptance and commitment therapy. As a result, the present research aimed to determine the effect of acceptance and commitment-based group therapy on existential anxiety, distress tolerance, and meta-worry in elderly women with cardiovascular disease.
Materials and Methods: This study was a semi-experimental pre-test/post-test design with a control group. From the elderly women with cardiovascular disease referred to Mehr hospital of Ahvaz city in 2018, 40 people were selected by the available method and then randomly divided into two groups. The experimental group was trained 10 sessions of 60 minutes with group therapy based on acceptance and commitment method. Data were collected by questionnaires of existential anxiety, distress tolerance, and meta-worry; then, they were analyzed by t-tests and multivariate analysis of covariance.
Results: In the pre-test, there was no significant difference in existential anxiety, distress tolerance, and meta-worry (p>0/05); however, in the post-test, there was a significant difference in the three variables (p<0/001). In other words, the group therapy based on acceptance and commitment method led to decrease existential anxiety plus meta-worry and increase distress tolerance in elderly women with cardiovascular disease (p<0/001).
Conclusion: The results indicated that acceptance and commitment-based group therapy decreased existential anxiety plus meta-worry and increased distress tolerance. Therefore, clinical psychologists and therapists perhaps can use this treatment along with other therapeutic methods for intervention in existential anxiety, distress tolerance, and meta-worry.

کلیدواژه‌ها [English]

  • acceptance and commitment
  • Existential anxiety
  • Distress tolerance
  • Meta-worry
  • Cardiovascular disease
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