تأثیر طرحواره درمانی بر رضایت جنسی، تنظیم هیجانی و تاب‌آوری در پرستاران با دلزدگی زناشویی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد تهران مرکز، تهران، ایران.

2 دانشجوی دکتری، گروه روانشناسی و مشاوره، دانشگاه آزاد اسلامی، واحد تهران مرکز، تهران، ایران.

چکیده

مقدمه: طرحواره درمانی رویکردی یکپارچه نگر است که از ترکیب نظریه‌ها و تکنیک‌هایی که از قبل وجود داشته‌اند حاصل شده و برای مشکلات زناشویی کاربرد فراوانی دارد. بر ‌این اساس، مطالعه حاضر با هدف تأثیر طرحواره درمانی بر رضایت جنسی، تنظیم هیجانی و تاب‌آوری در پرستاران با دلزدگی زناشویی انجام شد.‌
مواد و روش‌ها: این پژوهش، به‌صورت نیمه­تجربی با طرح پیش‌آزمون- پس‌آزمون- پیگیری و با گروه کنترل انجام شد. شرکت­کنندگان شامل ۴۰ پرستار با دلزدگی زناشویی شهر تبریز در سال ۱۳۹۸ بودند که به صورت تصادفی ساده در دو گروه مساوی آزمایش و کنترل قرار گرفتند. پرسشنامه‌های رضایت جنسی، تنظیم هیجان و تاب‌آوری توسط آزمودنی‌های هر دو گروه تکمیل شد و مداخله مبتنی بر طرحواره درمانی طی ۱۲ جلسه ۹۰ دقیقه‌ای (هر هفته یک جلسه) برای گروه آزمایش اجرا شد. پس از اتمام جلسات، مجدداً پرسشنامه‌های فوق در هر دو گروه تکمیل و نهایتاً بعد از سه ماه نیز پیگیری به عمل آمد. داده‌‌ها با استفاده از آزمون اندازه‌گیری مکرر تجزیه و تحلیل شدند.
یافته‌ها: تحلیل داده‌‌ها نشان داد که بین میانگین نمره‌های پس‌آزمون و پیگیری گروه آزمایش نسبت به پیش‌آزمون، تفاوت معنی‌داری وجود داشت (01/0p<) همچنین نتایج آزمون اندازه‌گیری مکرر نشان داد که تأثیرات طرحواره درمانی درگذر زمان پایدار می‌باشد. در گروه کنترل تفاوت معنی­داری بین پیش‌آزمون-پس‌آزمون و پیگیری وجود نداشت.
 نتیجه‌گیری: با توجه به تأثیر مثبت طرحواره درمانی بر رضایت جنسی، تنظیم هیجان و تاب‌آوری، استفاده از ‌این درمان در برنامه‌ریزی اقدامات بهداشت روانی برای پرستاران توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Schema Therapy on Sexual Satisfaction, Emotional Regulation, and Resilience in Nurses with Marital Boredom Symptoms

نویسندگان [English]

  • F Hasani 1
  • MR Rezazadeh 1
  • A Ganbari Panah 1
  • A Khoshkabar 2
1 Assistant Prof, Dept of Psychology, Islamic Azad University, Tehran Central Branch, Tehran, Iran.
2 PhD student, Dept of Psychology and Counselling, Islamic Azad University, Tehran Central Branch, Tehran, Iran.
چکیده [English]

Introduction: Schema therapy is an integrative approach combining previously existing theories and techniques and is widely used in addressing marital problems. Accordingly, this study aimed to determine the effectiveness of schema therapy on sexual satisfaction, emotional regulation and resilience in nurses of variable shifts with marital boredom symptoms in Tabriz with three-month follow-up.
Materials and Methods: This study was followed as a quasi-experimental with pretest-posttest-follow up design and with a control group. Samples included 40 nurses in Tabriz in 2019 who scored higher in the marital boredom questionnaire (a standard deviation according to the cutting point) and were randomly assigned to an experimental groups (20 people) and a control group (20 people). The sexual satisfaction, excitement, and resilience questionnaires were completed by subjects in both groups, and schema-based intervention was performed in 12 90-minute sessions, one session per week for the experimental group. After the meetings, the above-mentioned questionnaires were completed again in both groups and finally followed up after three months. The data were analyzed using repeated measurement tests.
Results: Data analysis showed that there was a significant difference between the mean of post-test scores and follow-up of the experimental group compared to that of the pre-test (p<0.01). In addition, the results of repeated measures test showed that the effects of schema therapy were stable over time. However, in the control group, there was no significant difference between pre-test-post-test and follow-up (p> 0.05).
Conclusion: Due to the positive effect of schema therapy on sexual satisfaction, emotion regulation and resilience, applying this treatment in planning mental health measures for nurses is recommended.

کلیدواژه‌ها [English]

  • schematic therapy
  • sexual satisfaction
  • emotion regulation
  • resilience
  • marital boredom

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