بررسی اثربخشی درمان شناختی – رفتاری بر استرس ناباروری و رفتارهای ارتقادهنده سلامتی زنان نابارور

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی سلامت، واحد بین‌المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران.

2 دانشیار، گروه روانشناسی، دانشگاه خوارزمی، تهران، ایران.

3 استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

4 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی، رودهن، ایران.

10.22123/chj.2021.272564.1676

چکیده

مقدمه: ناباروری یک بحران روانی در افراد مبتلا محسوب می­شود و به‌کارگیری مداخلات مؤثر می­تواند از شدت آسیب­های روانی در این افراد بکاهد. پژوهش حاضر، با هدف تعیین اثربخشی درمان شناختی – رفتاری بر استرس ناباروری و رفتارهای ارتقادهنده سلامتی زنان نابارور در سال 1399 در کرمان انجام شد.
مواد و روش‌ها: پژوهش حاضر، نیمه­ تجربی از نوع پیش‌آزمون-پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری شامل زنان نابارور مراجعه‌کننده به مرکز فوق تخصصی درمان ناباروری نجمیه کرمان بود که از این میان، با روش نمونه­گیری در دسترس تعداد 30 زن نابارور انتخاب و به ‌طور تصادفی با قرعه‌کشی در گروه مداخله و کنترل گمارده شدند. شرکت‌کنندگان گروه آزمایش تحت 8 جلسه 90 دقیقه­ای آموزش درمان شناختی- رفتاری قرار گرفتند. پرسشنامه­های جمعیت شناختی، رفتارهای ارتقادهنده سلامت و استرس ناباروری برای جمع­آوری داده­ها استفاده شدند. تحلیل داده‌ها توسط تحلیل واریانس مکرر انجام شد.
یافته­ ها: درمان شناختی- رفتاری موجب کاهش معنی­دار نمرات گروه آزمایش در پس‌آزمون نسبت به پیش‌آزمون در استرس ناباروری، و افزایش معنی­دار نمرات رفتارهای ارتقادهنده سلامتی شد(۰۰۰۱/۰p<). 
نتیجه­ گیری: بر اساس نتایج، در مورد افراد نابارور می­توان در کنار درمان­های رایج از مداخله شناختی- رفتاری نیز برای کاهش استرس و بهبود رفتارهای ارتقادهنده سلامتی استفاده برد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Cognitive-Bbehavioral Therapy on Infertility Stress and Health-Promoting Behaviors of Infertile Women

نویسندگان [English]

  • M Foroughameri 1
  • M Hatami 2
  • A Rafiepoor 3
  • M Nicknam 4
1 Phd student.Dept of health psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
2 Associate Prof, Dept of psychology, Kharazmi University, Tehran, Iran.
3 Assistant Prof, Dept of psychology, Payame Noor University, Tehran, Iran.
4 Assistant Prof, Dept of psychology, Islamic Azad University, Roudehen Branch, Iran.
چکیده [English]

Introduction: Infertility can lead to a psychological crisis in people with the disease and using effective interventions can reduce the severity of psychological damage in these people.
Method: The present study was a quasi-experimental pre-test-post-test and follow-up with a control group. The statistical population included infertile women admitted to Najmieh Infertility Treatment Center, from which 30 infertile women were selected by convenience sampling and randomly assigned to the experimental and control groups. Experimental group participants underwent cognitive-behavioral intervention (eight 90-minutes training sessions). A Health Promoting Life Style and a Fertility Problem Inventory were used to collect data. Data analysis was performed by repeated measures ANOVA.
Results: Cognitive-behavioral therapy reduced the scores of the experimental group in the post-test compared to the pre-test in infertility stress and increased the scores of health-promoting behaviors (p<0/0001).
Conclusion: According to the results of the present study, in infertile people, in addition to common therapies, cognitive-behavioral therapy interventions can be used to reduce stress and improve effective health-promoting behaviors.

کلیدواژه‌ها [English]

  • Cognitive-behavioral therapy
  • Stress
  • Health Promotion
  • Infertility

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