مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد با معنادرمانی بر کیفیت زندگی و نشانگان افت روحیه زنان مبتلا به بیماری ایدز

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روان‌شناسی بالینی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، آذربایجان شرقی، ایران.

2 مدرس، گروه روان‌شناسی، دانشگاه نبی اکرم (ص)، تبریز، ایران.

10.22123/chj.2020.222849.1464

چکیده

مقدمه: علاوه بر مشکلات جسمانی، باید به مشکلات روان‌شناختی بیماران مبتلا به ایدز نیز توجه شود. پژوهش حاضر با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و معنادرمانی بر کیفیت زندگی و نشانگان افت روحیه زنان مبتلا به بیماری ایدز صورت گرفت.
مواد و روش‌ها: روش پژوهش، نیمه­تجربی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری را زنان مبتلا به بیماری ایدز شهر تبریز که در سال 1398 به کلینیک‌های درمانی این شهر مراجعه کرده بودند تشکیل دادند. 30 نفر با روش نمونه‌گیری هدفمند انتخاب، و به‌صورت تصادفی در سه گروه قرار گرفتند. گروه‌های آزمایشی، در 8 جلسه 5/1 ساعته درمان اختصاصی را دریافت کردند. گروه کنترل درمانی دریافت نکرد. داده‌ها توسط آزمون تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی تجزیه­ و تحلیل شدند.
یافته‌ها: در پیش‌آزمون، میانگین و انحراف معیار نمره کیفیت زندگی و نمره نشانگان افت روحیه در گروه­های درمان و کنترل اختلاف معنی­داری نداشت (05/0<p). درمان­های مبتنی بر پذیرش و تعهد و معنادرمانی، کیفیت زندگی بیماران را در پس­آزمون افزایش، و نشانگان افت روحیه را کاهش دادند (001/0>p). در مرحله پیگیری، اثر این دو درمان ماندگار بود (001/0>p). تأثیر درمان مبتنی بر پذیرش و تعهد و معنادرمانی بر کیفیت زندگی و نشانگان افت روحیه در مراحل پس‌آزمون و پیگیری یکسان بود (05/0<p).
نتیجه‌گیری: درمان مبتنی بر پذیرش و تعهد و معنادرمانی احتمالاً سبب افزایش پذیرش بیماری و در نتیجه مقابله بهتر با آن شده و کیفیت زندگی بیماران مبتلا به ایدز را افزایش، و نشانگان افت روحیه را کاهش داده است.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effectiveness of Acceptance & Commitment Therapy with Logotherapy on the Quality of Life & Demoralization Syndrome of Women with AIDS

نویسندگان [English]

  • M Sharifiyan 1
  • M Akbarpour 1
  • H Smkhani Akbarinejhad 2
1 MA, Dept of Clinical Psychology, Science and Research Branch, Islamic Azad University, East Azarbaijan, Iran.
2 Dept of Psychology, Nabi Akram University, Tabriz, Iran.
چکیده [English]

Introduction:  In addition to addressing the physical problems of patients with AIDS, special attention should be paid to their psychological problems, the best of which is using psychological interventions. Therefore, this study aims to compare the efficacy of acceptance & commitment therapy & logotherapy on quality of life & demoralization syndrome in patients with AIDS.
Materials and Methods: This study was semi-experimental with a pretest-posttest control group design. The population of this study consisted of all women with AIDS referred to medical clinics in Tabriz in 2019. In total, 30 women were selected by purposive sampling method, who were randomly divided into three groups. Members of both experimental groups received their treatment, respectively, in 8 sessions of 1.5 hours; however, the control group did not receive any treatment.
Results:In the pretest, the mean and standard deviation for the quality of life & demoralization syndrome was 39/90±4/77 & 44/80±6/64 in acceptance & commitment therapy group, 38/40±4/57 & 45/00±6/65 in the logotherapy group, and 40/70±4/11 & 45/70±5/65 in the control group, respectively (p<0.518 and p<0.946). The results showed that acceptance & commitment therapy and logotherapy compared to the control group in the posttest led to increased quality of life & reduced demoralization syndrome in AIDS patients (p<0.001). In the follow-up phase, the effect of acceptance & commitment therapy and logotherapy on the quality of life and demoralization syndrome persisted (p<0.001). The results further showed that the effect of acceptance & commitment therapy and logotherapy on the quality of life and demoralization syndrome at posttest and follow up was not different (p<0.05).
Conclusion: Acceptance & commitment therapy and logotherapy are likely to increase acceptance, thus increasing the quality of life in AIDS patients and reducing their demoralization syndrome.

کلیدواژه‌ها [English]

  • Acceptance & Commitment Therapy
  • Logotherapy
  • Quality of Life
  • Demoralization Syndrome
  • AIDS
  • Women
  1. Munier CM, Andersen CR, Kelleher AD. HIV vaccines: Progress to date. Drugs 2011; 71(4):387-414.
  2. World Health Organization. Findings from the Global Burden of Disease Study 2017. Institute for Health Metrics and Evaluation, 2018:23-24.
  3. Soares Dutra B, Paula Lédo A,  Lins-Kusterer L, Luz E, Rodriguez Prieto I, Brites C. Changes Health-Related Quality of Life in HIV-infected Patients Following Initiation of Antiretroviral Therapy: A Longitudinal Study. Braz J Infect Dis 2019; 23(4):211-217.
  4. Castrighini C, Gir E, Neves L, Reis R, Galva˜o M, Hayashido M. Depression and self-esteem of patients positive for HIV/AIDS in an inland city of Brazil. Retro Virology 2010; 7(Suppl 1):P66.
  5. Pappin M, Edwin WE, Booysen F. Anxiety and depression amongst patients enrolled in a public sector antiretroviral treatment programme in South Africa: a cross-sectional study. BMC Public Health 2012; 12(1):244.
  6. Jose Fuster-RuizdeApodaca M, Laguía A, Safreed-Harmon K, Lazarus J V, Cenoz S, del Amo J. Assessing quality of life in people with HIV in Spain: psychometric testing of the Spanish version of WHOQOL-HIV-BREF. Health and Quality of Life Outcomes 2019; 17(144):1208.
  7. Bahmani B, Farmani Shahreza S, Amin Esmaeili M, Naghiay M, Ghaedniay Jahromi A. Demoralization Syndrome in Patients with Human Immunodeficiency Virus. J Neyshabur Univ Med Sci 2015; 3(1):19-27. [Persian]
  8. Thompson DR, Yu CM. Quality of life in patients with coronary heart disease-I: Assessment tools. Health and quality of life outcomes 2003; 1(1):42.
  9. Zimmet P. The burden of type 2 diabetes: are we doing enough? Diabetes Metabolism 2003; 29(4):6s9-618.
  10. Nikoo Seresht Z, Rimaz S, Asadi lari M, Nedjat S, Merghati khoie E, Motevallian S A et al . The Relationship between Quality of Life and Social Capital amongst people living with HIV/AIDS attending the Imam Khomeini Hospital Consultation Center for clients with risky behaviors in Tehran. Sjsph 2014; 11(3):17-28. [Persian]
  11. Frank JD, Frank JB. Persuasion and Healing: A Comparative Study of Psychotherapy. 3rd edition. Baltimore: JHU Press, 1993:138.
  12. Berardelli I, Sarubbi S, Rogante E, Hawkins M, Cocco G, Erbuto D, Lester D, Pompili M. The Role of Demoralization and Hopelessness in Suicide Risk in Schizophrenia: A Review of the Literature. Medicina 2019; 5(200):1-16.
  13. Farmani Shahreza S, Khani S, Ghaedaniay Jahromi A, Imani S. Effectiveness of Cognitive-Existential Therapy on Fatigue, Demoralization Syndrome and Perceived Stress in Patients with Multiple Sclerosis (MS). aumj 2019;8(2):135-149. [Persian]
  14. Mirzaeidoostan Z, Zargar Y, Zandi Payam A. The Effectiveness of Acceptance and Commitment Therapy on Death Anxiety and Mental Health in Women with HIV in Abadan City, Iran. IJPCP 2019;25(1):2-13. [Persian]
  15. HayesSC, Lillis J. Acceptance and Commitment Therapy. 2en ed. Washington, DC: American Psychological Association;2016:134-135.
  16. Burckhardt R, Manicavasagar V, Batterham PJHadzi-Pavlovic D. A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive. Psychology Journal of School Psychology 2016;57:41-52.
  17. Faezipour M, Ghanbaripanah A, Seyedalinaghi SA, Hajiabdolbaghi M, Voltarelli F. Effectiveness of Acceptance and Commitment Therapy on Reducing Depression among People Living with HIV/AIDS. Journal of International Translational Medicine 2018; 6(3):125-129. [Persian]
  18. Suyanti TS, Keliat BA, Daulima NHC. Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enferm Clin 2018; 28(1):98-101.
  19. Rodriguez T. The Role of Acceptance & Mindfulness in People Living with HIV/AIDS: A Meta-Analysis. StateUniversity in partial fulfillment of the requirements for the degree of MASTER OF ARTS; 2014:111.
  20. In P. T. P. Wong (Ed.), Personality and clinical psychology series. The human quest for meaning: Theories, research, and applications 2012:357-382.
  21. Frankel, V. Man search for meaning. (Translated by Nehzat Salehian & Mahin Milani). 56en ed. Tehran: Rasa; 2019:23-24. [Persian]
  22. Prochaska J, Norcross, J. Theories of Psychotherapy (Psychotherapy Systems): An Interdisciplinary Analysis. (Translated by Yahya SeyedMohammadi). 56en ed. Tehran: Ravan; 2016: 219-220. [Persian]
  23. Bakhshi F, Yektaee T, Hajimiri KH, Inanlou M. The Efficacy of Group-Based Logotherapy on Hope of Life in HIV Patients in North of Iran. Caspian Journal of Health Research 2019; 4(1):16-20. [Persian]
  24. Mohamadi Y, Rahimzada Tehrani K. The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychology 2018; 7(1):106-120.
  25. Naderi Baldaji S, Ahmadi Dastgerdi S, Bakhshi SH, Saedi N. The effect of group counseling with a Logotherapy approach on reducing anxious thoughts in female patients with AIDS. Second Conference on Science and Technology of Psychology, Educational Sciences and Sociology of Iran, Tehran 2019.
  26. Ewomaoghene EE. Effects of Logotherapy & Reassurance on Adjustment of HIV Positive Youths to Stigmatization. A Ph. D Thesis, Presented to The Department of Educational Foundations Univerdity of Nigeria, NSUKKA 2016:98.
  27. Kamae A, Weisani M, Sadatizadeh S. Logo Therapy Effect on Life Expectancy & Suicidal Thoughts Among Women with AIDS, Community Of Values Revival. Indian Journal of Fundamental and Applied Life Sciences 2014; 4(S3):1309-1316.
  28. Farmani-Shahreza Sh, Bahmani B, Ghaedniay-Jahromi A, Amin-Esmaeili M, Khanjani S. The Effectiveness of Cognitive-Existential Therapy on the Demoralization Syndrome in Women with HIV. JCP 2016;8(1):11-24. [Persian]
  29. 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.Harakat 2009; (2):127-45. [Persian]
  30. Rafiei N, Sharifian Sani M, Rafiey H, Behnampour N, Foroozesh K. Reliability and Validity of Persian Version of quality of life index. J Mazandaran Univ Med Sci 2014;24(116):75-83. [Persian]
  31. Sarizadeh, Heydarzadeh M, Ghahramanzadeh M. A Survey on Posttraumatic Growth on the Basis of Demoralization Syndrome and Religious Coping Among Cancer Patients Referring to Reza Radiotherapy and Oncology Center in Mashhad in 2018: A Descriptive Study. JRUMS 2019;18(6):557-572. [Persian]  
  32. Breitbart W, Poppito S, Rosenfeld B, Vickers A J, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning- centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncolog 2012;30(12):1304-9.
  33. Peterson BD, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. Cognitive and Behavioral Practice 2011;18(4):577-587.
  34. Hayes-Skelton SA, Orsillo SM, Roemer L. An acceptance-based behavioral therapy for individuals with generalized anxiety disorder. Cognitive and Behavioral Practice 2013; 20(3):264-281.
  35. Sri Suyanti T, Keliat BA, Helena Catharina Daulima N. Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enfermería Clínica 2018; 28(1):98-108.