اثربخشی آموزش شوخ‏ طبعی مبتنی بر مدل مک‏گی بر مؤلفه‏ های اضطراب و کارکرد خانواده در زنان متأهل مراجعه‏ کننده به خانه‏ های سلامت شهر تهران

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه مشاوره، دانشکده روان‏شناسی و علوم‏تربیتی، دانشگاه آزاداسلامی، واحد علوم و تحقیقات خمین، اصفهان، ایران.

2 استادیار، گروه مشاوره، دانشکده روان‏شناسی و علوم‏تربیتی، دانشگاه آزاداسلامی، واحد علوم و تحقیقات خمین، اصفهان، ایران.

10.22123/chj.2020.201261.1358

چکیده

مقدمه: احتمال ابتلا به اضطراب در زنان بیش از مردان است و کارکرد خانواده به ‏شدت تحت تأثیر آن قرار می‏گیرد. آموزش حس شوخ‏طبعی برای موارد آموزشی و کلنیکی کاربرد داشته و به اثبات رسیده است، اما استفاده از آن برای بهبود کارکرد خانواده در زنان مورد غفلت بوده است. این پژوهش با هدف تعیین اثربخشی آموزش حس شوخ‏طبعی مبتنی بر مدل مک‏گی بر اضطراب و کارکرد خانواده در زنان متأهل انجام شد.
مواد و روش‌ها: این مطالعه از نوع کارآزمایی آموزشی با پیش­آزمون، پس­آزمون و گروه کنترل بود. جامعه آماری شامل تمامی زنان متأهل مراجعه‏کننده به خانه‏های سلامت شهر تهران طی سال 1398 بود. با روش تصادفی ساده تعداد 50 نفر انتخاب و در گروه­های مداخله (25 نفر) و کنترل (25 نفر) قرار گرفتند و مقیاس کارکرد خانواده (بلوم، 1985) و مقیاس اضطراب (کتل، 1973) را تکمیل کردند. در گروه مداخله، آموزش حس شوخ‏طبعی در 8 جلسه به­صورت هفته­ای 1 جلسه و هر جلسه به‌مدت 1 ساعت اجرا گردید و پس از آن، پس­آزمون گرفته شد. داده­ها با روش‏های آزمون‏های t مستقل و زوجی و تحلیل کواریانس چندمتغیری تحلیل شد. 
یافته‌ها: نتایج نشان داد که آموزش حس شوخ‏طبعی مبتنی بر مدل مک‏گی بر کاهش اضطراب کل و مؤلفه‏های آن شامل اضطراب مرضی و اضطراب پنهان آزمودنی‏های گروه مداخله تأثیر مثبت و معنی­داری داشته است (05/0>p). همچنین، آموزش حس شوخ‏طبعی موجب افزایش میانگین نمرات کارکرد خانواده در آزمودنی‏های گروه مداخله در مرحله پس‏آزمون شد (05/0>p).
نتیجه‌گیری: آموزش حس شوخ‏طبعی بر کاهش اضطراب و بهبود کارکرد خانواده زنان متأهل مؤثر است. لذا در نظر گرفتن آموزش حس شوخ‏طبعی در برنامه‏ریزی‏های پیشگیری از مشکلات سلامت روان و بهبود کارکرد خانواده ضروری به‏ نظر می‏رسد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Humor Training based on the McGhee Model on Anxiety Dimensions and Family Functioning in Married Women Referring to Health Centers in Tehran

نویسندگان [English]

  • S Abasi 1
  • M Abdi 2
  • H Heidari 2
1 MSc, Dept of Consulting, Islamic Azad University, Khomain Branch, Isfahan, Iran.
2 Assistant Prof, Dept of Consulting, Islamic Azad University, Khomain Branch, Isfahan, Iran.
چکیده [English]

Introduction: Women are more likely to develop anxiety than men, and this strongly affects family functioning. Humor training has been applied to educational and clinical cases and has been found to be effective. However, there is litter research on the use of humor training to improve family functioning in women.Therefore, this study aimed to determine the effectiveness of humor training on anxiety and family functioning in married women.
Materials and Methods: This study was performed in the form of an educational trial with pre-test, post-test, and the control group. The researchpopulation included all married women referring to health centers in Tehran in 2019. Using simple random sampling, 50 womenwere selected and divided into experimental (25 persons) and control (25 persons) groups and completed the Family Functioning Scale (Bloom, 1985) and the Anxiety Scale (Cattell, 1973). In the experimental group, sense of humor training was performed in 8 sessions, 1 session per week and each session for 1 hour. At the end of the training, the post-test was taken from the participants in the two groups. The data collected from the pre-test and post-testwere analyzed using independent samples t-test, paired samples t-test, and multivariate analysis of covariance (MANCOVA).
Results:The results showed that the training of sense of humor had a positive and significant effect on reducing total anxiety and its dimensions including morbid anxiety and hidden anxiety in the experimental group (p<0.05). Also, the training of sense of humor increased the mean scores of family functioning in the intervention group in the post-test phase (p<0.05).
Conclusion: Overall, the findings showed that training a sense of humor is effective in reducing anxiety and improving the family functioning of married women. Therefore, it seems necessary to consider the training of sense of humor in the planning of the prevention of mental health problems and the improvement of the family functioning.

کلیدواژه‌ها [English]

  • Humor training
  • Anxiety
  • Family functioning
  • Married women
  1. Ahmed SM, DeFino M, Connors E, Visotcky A, Kissack A, Franco Z. Science cafés: transforming citizens to scientific citizens-what influences participants' perceived change in health and scientific literacy? J Clin Transl Sci 2017;1(2):129-34.
  2. Noorbala AA, Faghihzadeh S, Kamali K, Bagheri Yazdi SA,  Hajebi A, Mousavi MT, et al. Mental health survey of the iranian adult population in 2015. Arch Iran Med 2017; 20(3):128-34.
  3. Alonso J,Liu Z,Evans-Lacko S,Sadikova E,Sampson N, Chatterji S, et al. Treatment gap for anxiety disorders is global: Results of the World Mental Health surveys in 21 countries. Depress Anxiety 2018; 35(3):195-208.
  4. Thibaut F. Anxiety disorders: a review of current literature. Dialogues Clin Neurosci 2017; 19(2):87-88.
  5. Garoffa FF, Heinonen K, Pesonena A, Almqvist F. Depressed youth: treatment outcome and changes in family functioning in individual and family therapy. Journal of Family Therapy 2012; 34(1):4-23.
  6. Burnett AC, Lee KJ, Cheong JL, De Luca CR, Roberts G, Wood SJ, et al. Family functioning and mood and anxiety symptoms in adolescents born extremely preterm. J Dev Behav Pediatr 2017;38(1):39-48.
  7. Demidenko J, Routasalo P, Helminen M, Paavilainen E, Suominen T. Family functioning evaluated by family members of older patients and nurses in emergency departments. Scand J Caring Sci 2018;32(3):1064-73.
  8. Behrouz B. The Effectiveness of group-based acceptance and commitment therapy on post-traumatic stress disorder, coping styles, and self-efficacy in girls with abnormal grief. Journal of Clinical Psychology 2015; 1(4):81-92. [Persian]
  9. Seo J, Na H. A Content analysis of psychiatric-mental health nurses' experience of using humor. J Korean Acad Psychiatr Ment Health Nurs 2015;24(2):93-106.
  10. Chaloult G, Blondeau C. The Use of humor in psychotherapy: a view. Sante Ment Que. 2017;42(1):425-43.
  11. Panichelli C, Albert A, Donneau AF, D'Amore S, Triffaux JM, Ansseau M. Humor associated with positive outcomes in individual psychotherapy. Am J Psychother 2018;71(3):95-103.
  12. Tagalidou N, Distlberger E, Loderer V, Laireiter AR. Efficacy and feasibility of a humor training for people suffering from depression, anxiety, and adjustment disorder: a randomized controlled trial. BMC Psychiatry 2019; 19(1):93-106.
  13. Mak W, Sörensen S. Are humor styles of people with dementia linked to greater purpose in life?. Gerontologist 2018; 58(5):835-42.
  14. Falkenberg I, Buchkremer G, Bartels M, Wild B. Implementation of a manual-based training of humor abilities in patients with depression: a pilot study. Psychiatry Res 2011; 186(2-3):454-57.
  15. Caputo J, Pavalko EK, Hardy MA. The Long-term effects of caregiving on women's health and mortality. J Marriage Fam 2016;78(5):1382-98.
  16. Lange-Maia BS, Karvonen-Gutierrez CA, Strotmeyer ES, Avery EF, Appelhans BM, Fitzpatrick SL, et al. Factors influencing longitudinal stair climb performance from midlife to early late life: the study of women's health across the nation Chicago and Michigan Sites. J Nutr Health Aging 2019; 23(9):821-28.
  17. Javadian SN, Emami T. The comparison of the effect of the number of aerobic and yoga sessions on physical self–description components of female university students. Development and Motor Learning 2009; (2):127- 45. [Persian]
  18. McGhee P. Understanding and promoting the development of children’s humor. 1st Ediotion, Publisher: Kendall Hunt Publishing, English 2002; pp:120-34.
  19. Cattell RB, Scheier IH. Handbook for the IPAT Anxiety Scale Questionnawe. Champaign, IL: Institute for Personality & Ability Testing, 1963.
  20. Akhteh M, Alipor A, Sarifi Saki SH. Effectiveness of stress management training in reducing anxiety and meta-worry of women who had abortion several times. Quarterly Journal of Health Psychology 2013; 3(11):120-29. [Persian]
  21. Bloom BL. A Factor analysis of self-report measures of family functioning. Fam Process 1985;24(2):225-39.
  22. Saeedpoor F, Asghari F, Sayadi A. Comparison the effectiveness of bowen family therapy approach and cMaster's model on intimacy, cognitive emotion regulation and family function in couples who exposed to divorce. Journal of Family Counseling and Psychotherapy 2019; 8(2):191-214. [Persian]
  23. Nabi RL. Laughing in the face of fear (of disease detection): using humor to promote cancer self-examination behavior. Health Commun 2016; 31(7):873-83.
  24. Yoon HJ. Humor effects in shame-inducing health issue advertising: the moderating effects of fear of negative evaluation. Journal of Advertising 2015; 44(2):126-39.
  25. Cai C, Yu L, Rong L, Zhong H. Effectiveness of humor intervention for patients with schizophrenia: A randomized controlled trial. J Psychiatr Res 2014; 59:174-78.
  26. Seo J, Na H. A content analysis of psychiatric-mental health nurses' experience of using humor. J Korean Acad Psychiatr Ment Health Nurse 2015; 24(2):93-106.
  27. Kuiper NA, Klein D, Vertes J, Maiolino NB. Humor styles and the intolerance of uncertainty model of generalized anxiety. EJOP 2014; 10(3):543-56.
  28. Monteleone AM, Patriciello G, Ruzzi V, Fico G, Pellegrino F, Castellini G, et al. Insecure attachment and hypothalamus-pituitary-adrenal axis functioning in people with eating disorders. Psychosom Med 2018; 80(8):710-16.
  29. Atli O, Kilic V, Baysal M, Kilic G, Gormus G, Ucarcan S, et al. Assessment of trazodone-induced cardiotoxicity after repeated doses in rats. Hum Exp Toxicol 2019; 38(1):45-55.
  30. Lies J, Mellor A, Jobson L, Drummond SPA. Prevalence of sleep disturbance and its relationships with mental health and psychosocial issues in refugees and asylum seekers attending psychological services in australia. Sleep Health 2019; 5(4):335-43.
  31. Bakhshipour B. Humor styles and marital conflict in married college students. Journal of Counseling Research 2015; 14(55):23-39. [Persian]
  32. DeBrito CM, Silveira Rd, Mendonça DB, Joaquim RH. Humor and laughter in health promotion: a clown insertion experience in the family health strategy. Cien Saude Colet 2016; 21(2):553-62.
  33. Luo S, Tuney S. Can Texting be used to improve romantic relationships? The effects of sending positive text messages on relationship satisfaction. Comput Human Behav 2015; 49,670-78.