اثربخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت زندگی زنان نابارور

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 دانشیار، گروه روانشناسی سلامت، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

3 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

4 استاد، گروه گفتار درمانی، دانشگاه علوم پزشکی ایران، تهران، ایران.

10.22123/chj.2022.265268.1645

چکیده

مقدمه: ناباروری از مشکلات عمده حوزه سلامت است و می­تواند باعث مشکلات روانشناختی و افت کیفیت زندگی شود. با توجه به ضرورت دسترسی به مداخلات مؤثر برای کاهش این مشکلات، پژوهش حاضر با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت زندگی وابسته به سلامت زنان نابارور انجام شد.
مواد و روش ­ها: پژوهش حاضر از نوع نیمه آزمایشی با پیش­آزمون – پس­آزمون و پیگیری همراه با گروه کنترل بود. جامعه پژوهش شامل کلیه زنان نابارور مراجعه­ کننده به مراکز ناباروری در شهر اصفهان در سال 1399-1398 بود که تعداد 40 نفر از آنان با روش نمونه­گیری در دسترس انتخاب، و به روش تصادفی در دو گروه آزمایش و کنترل گمارش شدند. برای گروه آزمایش 9 جلسه 120 دقیقه­ای درمان تعهد و پذیرش اجرا شد. به منظور گردآوری داده­ها از پرسشنامه کیفیت زندگی مرتبط با سلامت (SF-36) استفاده شد. داده­ها با استفاده از  طرح تحلیل آمیخته تحلیل شدند.
یافته­ ها: نتایج نشان داد که با کنترل پیش­آزمون، میانگین نمرات پس­آزمون و پیگیری مؤلفه­های کیفیت زندگی در زنان نابارور گروه­های آزمایش افزایش یافته­اند و این افزایش معنی­دار بود (05/0>p).
نتیجه ­گیری: بر اساس نتایج، درمان مبتنی بر پذیرش و تعهد موجب بهبود کیفیت زندگی در زنان نابارور شد و بکارگیری این مداخله می­تواند در کاهش آسیب­های روانی ناشی از ناباروری مؤثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Health-Related Quality of Life in Infertile Women

نویسندگان [English]

  • Sh Koohikamali 1
  • H Poursharifi 2
  • Sh Sodagar 3
  • H Ashayeri 4
1 PhD student, Dept of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
2 Associate Prof, Dept of Health Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3 Assistant Prof, Dept of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
4 Prof, Dept of Speech Therapy, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Infertility is one of the major health problems causing many psychological problems and poor quality of life in couples. Due to the need for effective interventions to reduce these problems, the present study was conducted to investigate the effectiveness of acceptance and commitment therapy on the health-related quality of life in infertile women.
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design and follow-up with a control group. The study population included all infertile women admitted to infertility centers in Isfahan in 2019-2020. 40 women were selected using the availability sampling method and then randomly assigned to an experimental group and a control group. The experimental group underwent 9 sessions of 120-minute commitment and acceptance treatment. Health-related quality of life questionnaire (SF-36) was used to collect data. Data analysis was performed using SPSS-26 software and Mixed Design.
Results: The results of statistical analysis showed that with pre-test control, there was a significant difference between the mean scores of quality of life components in infertile women in the experimental and control groups (p<0.05). Acceptance and commitment therapy improved the quality of life in infertile women in the experimental group.
Conclusion: Accordingly, acceptance and commitment therapy can improve the quality of life of infertile women, and using this intervention can be effective in reducing psychological damage caused by infertility.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy
  • Health-Related Quality of Life
  • Infertile Women

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