مقایسه اثربخشی درمان پذیرش و تعهد با شفقت درمانی بر افکار خودآیند منفی و احساس تنهایی در زنان مطلقه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

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

چکیده

مقدمه: زنان مطلقه با مشکلات فراوانی در زمینه سلامت مواجه هستند و نیازمند مداخلات روان‌شناختی می‌باشند. هدف پژوهش حاضر، مقایسه اثربخشی درمان پذیرش و تعهد با شفقت درمانی بر افکار خودآیند منفی و احساس تنهایی در زنان مطلقه بود.
مواد و روش‌ها: این مطالعه نیمه ­تجربی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل انجام شد. جامعه پژوهش زنان مطلقه مراجعه‌کننده به مراکز مشاوره شهر اهواز در سال 1398 بودند که 60 نفر از آنان با روش نمونه‌گیری هدفمند انتخاب و با روش تصادفی در سه گروه مساوی جایگزین شدند. هر یک از گروه‌های آزمایش به مدت 8 جلسه 90 دقیقه‌ای تحت درمان پذیرش و تعهد، و شفقت درمانی قرار گرفتند. داده‌ها با مقیاس‌های افکار خودآیند منفی و احساس تنهایی جمع‌آوری و با روش‌های مجذور کای، تحلیل کوواریانس چند متغیری و آزمون تعقیبی بونفرونی تحلیل شدند.
یافته‌ها: گروه‌های آزمایش و کنترل از نظر سطح تحصیلات، سن، تعداد فرزند و مدت طلاق تفاوت معنی‌داری نداشتند. درمان پذیرش و تعهد و شفقت درمانی در مقایسه با گروه کنترل باعث کاهش افکار خودآیند منفی و احساس تنهایی در زنان مطلقه شدند (001/0>p)، اما بین دو روش درمانی در کاهش افکار خودآیند منفی و احساس تنهایی تفاوت معنی‌داری وجود نداشت.
نتیجه‌گیری: نتایج نشان‌دهنده اثربخشی هر دو روش درمانی در کاهش افکار خودآیند منفی و احساس تنهایی بود. بنابراین، درمانگران و متخصصان سلامت می‌توانند از این روش­ها جهت بهبود ویژگی‌های مرتبط با سلامت به‌ویژه کاهش افکار خودآیند منفی و احساس تنهایی استفاده کنند.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Acceptance and Commitment Therapy and Compassion-Focused Therapy on Negative Automatic Thoughts and Feeling Loneliness in Divorced Women

نویسندگان [English]

  • M Ardeshirzadeh 1
  • S Bakhtiarpour 2
  • R Homaei 2
  • Z Eftekhar Saadi 2
1 PhD Student, 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: Divorced women face many health-related problems and require psychological intervention. Therefore, this study aimed to compare the effectiveness of acceptance and commitment therapy and compassion-focused therapy on negative automatic thoughts and feeling of loneliness in divorced women.
Materials and Methods: This study was quasi-experimental with pretest and posttest design with the control group. The research population included the divorced women admitted to counseling centers in Ahvaz in 2019, among whom 60 subjects were selected by purposive sampling method and randomly assigned to three equal groups. Each experimental group was treated using acceptance and commitment therapy and compassion-focused therapy for 8 sessions of 90 minutes. Data were collected in pre-test and post-test stages with negative automatic thoughts and feelings of loneliness scales and analyzed by methods of chi-square, multivariate analysis of covariance, and Bonferroni post hoc test.
Results: The findings showed no significant difference between the experimental and control groups in terms of education level, age, number of children, and duration of divorce (p<0.05). Moreover, compared with the control group, acceptance and commitment therapy and compassion-focused therapy led to reduction in negative automatic thoughts and feelings of loneliness in divorced women (p<0.001). However, there was no significant difference between the two methods in reducing negative automatic thoughts and feelings of loneliness (p<0.05).
Conclusion: The results indicated the effectiveness of both treatment methods in reducing negative automatic thoughts and feelings of loneliness. Therefore, therapists and health experts can use both methods to improve health-related traits, especially to reduce negative automatic thoughts and feelings of loneliness.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy
  • Compassion-Focused Therapy
  • negative automatic thoughts
  • Loneliness
  • divorced women
  1. Huang Y, Chen M, Hu H, Ko N, Yen C. Role of mental health in the attitude toward same-sex marriage among people in Taiwan: Moderating effects of gender, age, and sexual orientation. JFMA 2020; 119(1):150-156.
  2. Schaan VK, Schulz A, Schachinger H, Vogele C. Parental divorce is associated with an increased risk to develop mental disorders in women. Journal of Affective Disorders 2019; (257):91-99.
  3. Andre S, Dewilde C, Muffels R. What do housing wealth and tenure have to do with it? Changes in wellbeing of men and women after divorce using Australian panel data. Social Science Research 2019 ;( 78):104-118.
  4.  Mahmoudvandi-Baher E, Flasafinejad M-R, Khodabakhshi-Koolaee A. The effectiveness of emotion-focused group therapy on hope and negative automatic thoughts among divorced women. Community Health 2018; 5(1):67-76. [Persian]
  5. Farzanfar A, Sedaghat M, Zarghami E. The effectiveness of self-compassion training on self-discrepancy, loneliness, and post-divorce adjustment among women. IJBMC 2020; 7(1):27-36.
  6. Fernandez EN, Mairal JB. Behavioral activation versus cognitive restructuring to reduce automatic negative thoughts in anxiety generating situations. Psicothema 2017; 29(2):172-177.
  7. Nimbi FM, Tripodi F, Rossi R, Simonelli C. Testing a conceptual model for men’s sexual desire referring to automatic thoughts, emotions, sexual function, and sexism. The Journal of Sexual Medicine 2018; 15(11):1518-1526.
  8. Ben-Zur H. Loneliness, optimism, and well-being among married, divorced, and widowed individuals. The Journal of Psychology 2012; 146(1-2):23-36.
  9. Lin W, Chiao C. Adverse adolescence experiences, feeling lonely across life stages and loneliness in adulthood. IJCHP 2020; 20(3):243-252.
  10. Domenech-Abella J, Mundo J, Haro JM, Rubio-Valera M. Anxiety, depression, loneliness and social network in the elderly: Longitudinal associations from the irish longitudinal study on ageing (TILDA). Journal of Affective Disorders 2019; (246):82-88.
  11. Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science 2020; (18):191-192.
  12. Grodin J, Clark JL, Kolts R, Lovejoy TI. Compassion focused therapy for anger: A pilot study of a group intervention for veterans with PTSD. Journal of Contextual Behavioral Science 2019; (13):27-33.
  13. Byrne G, Chrada AN. The application and adoption of four ‘third wave’ psychotherapies for mental health difficulties and aggression within correctional and forensic settings: A systematic review. AVB 2019; (46):45-55.
  14. Byrne G, O'Mahony T. Acceptance and commitment therapy (ACT) for adults with intellectual disabilities and/or autism spectrum conditions (ASC): A systematic review. Journal of Contextual Behavioral Science 2020; (18):247-255.
  15. Sewart AR, Niles AN, Burklund LJ, Saxbe DE, Lieberman MD, Craske MG. Examining positive and negative affect as outcomes and moderators of cognitive-behavioral therapy and acceptance and commitment therapy for social anxiety disorder. Behavior Therapy 2019; 50(6):1112-1124.
  16. Bernal-Manrique KN, Garcia-Martin M, Ruiz FJ. Effect of acceptance and commitment therapy in improving interpersonal skills in adolescents: A randomized waitlist control trial. Journal of Contextual Behavioral Science 2020; (17):86-94.
  17. McLean L, Steindl SR, Bambling M. Compassion-focused therapy as an intervention for adult survivors of sexual abuse. Journal of Child Sexual Abuse 2018; 27(2):161-175.
  18. Au TM, Sauer-Zavala SS, King MW, Petrocchi N, Barlow DH, Litz BT. Compassion-based therapy for trauma-related shame and posttraumatic stress: Initial evaluation using a multiple baseline design. Behavior Therapy 2017; 48(2):207-221.
  19. Cuppage J, Baird K, Gibson J, Booth R, Hevey D. Compassion focused therapy: Exploring the effectiveness with a transdiagnostic group and potential processes of change. British Journal of Clinical Psychology 2018; 57(2):240-254.
  20. Ruiz FJ, Riano-Hernandez D, Suarez-Falcon JC, Luciano C. Effect of a one-session ACT protocol in disrupting repetitive negative thinking: A randomized multiple-baseline design. IJP & PT 2016; 16(3):213-233.
  21. Tork A, Sajjadian I. The effect of acceptance and commitment based therapy on psychological distress and negative automatic thoughts in mothers of children with cerebral palsy. JCMH 2020; 6(4):156-167. [Persian]
  22. Ghadampour E, Marmazipour Z, Ranjbordar M, Aj A, Pireinoldin S, Yousefvand M. The effectiveness of acceptance and commitment-based therapy on reduce cognitive conflicts and negative self-coming thoughts. IJNR 2019; 14(2):67-76. [Persian]
  23. Frinking E, Jans-Beken L, Janssens M, Peeters S, Lataster J, Jacobs N, et al. Gratitude and loneliness in adults over 40 years: examining the role of psychological flexibility and engaged living. Aging & Mental Health 2020; 24(12):2117-2124.
  24. Solgi Z, Ataie Moghanloo V. The efficacy of acceptance and commitment therapy (ACT) on type A personality, happiness and loneliness in adolescents living in the correctional and rehabilitation center. Quarterly Social Psychology Research 2018; 7(1):41-54. [Persian]
  25. Najjari F, Khodabakhshi Koolaee A, Falsafinejad M R. The effectiveness of group therapy based on Acceptance and Commitment (ACT) on loneliness and psychological adjustment in women after divorce. JTHUMS 2017; 5(3):68-75. [Persian]
  26. Pedro L, Branquinho M, Canavarro MC, Fonseca A. Self-criticism, negative automatic thoughts and postpartum depressive symptoms: the buffering effect of self-compassion. Journal of Reproductive and Infant Psychology 2019;37(5):539-553
  27. Kazemi A, Ahadi H, Nejat H. Effectiveness of compassion focused therapy on loneliness, self-care behaviors and blood sugar in diabetes patients. IJRN 2020; 6(3):42-49. [Persian]
  28. Shafiei M, Akbari Sh, Heidarrirad H. The effectiveness of self-compassion training on the loneliness and resilience destitute women. Shenakht Journal of Psychology and Psychiatry 2019; 5(6):71-84. [Persian]
  29. Borjali A, Rahimi Sadegh Z, Sohrabi F, Falsafinejad MR, Moatamedi A. The effectiveness of Islamic culture based life skills training on the happiness and resilience of divorced women. Cultural Psychology 2019; 2(2):1-21. [Persian]
  30. Nikkhah B, Haghani R, Agha Alitari Sh. Effectiveness of mindfulness-based cognitive therapy on negative automatic thoughts and sleep problems in female student with depression disorder. Empowering Exceptional Children Journal 2020; 10(4):1-12. [Persian]
  31. Tarkhan M. The effectiveness of group mindfulness-based cognitive therapy on negative automatic thoughts, aggression and dysfunctional attitudes of aggressive students. Psychological Studies 2018; 14(2):161-176. [Persian]
  32. Hollon SD, Kendall PC. Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research 1980 ; 4(4):383-395.
  33. Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. JPSP 1980; 39(3):472-480.
  34. Asghari N, Maddahi M, Kraskian Mojembari A, Sahaf R. Effectiveness of acceptance and commitment group therapy on physical and psychological symptoms of elderly women. JNE 2019; 8(3):62-70. [Persian]
  35. Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatric Clinics of North America 2017; 40(4):751-770.