بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر امیدواری و درد مزمن در دختران 20 تا 50 ساله دارای معلولیت جسمی –حرکتی شهرستان ارسنجان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه روانشناسی، دانشگاه پیام نور، ایران.

2 کارشناس ارشد، گروه روانشناسی، دانشگاه پیام نور، گلستان، ایران.

10.22123/chj.2023.325962.1850

چکیده

مقدمه: نقص عضو، بهداشت روانی و جسمانی افراد را با بحران مواجه می­نماید. پژوهش حاضر، با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر امیدواری و درد مزمن در دختران 20 تا 50 ساله دارای معلولیت جسمی –حرکتی انجام شد.
مواد و روش‌ها: این پژوهش نیمه­تجربی با طرح پیش‌آزمون و پس‌آزمون و پیگیری با گروه کنترل اجرا شد. جامعه آماری، کلیه دختران دارای معلولیت جسمی – حرکتی مراجعه­ کننده به اداره بهزیستی شهر ارسنجان در سال 1399 بودند. تعداد 30 دختر به طور داوطلب وارد مطالعه شدند که به صورت تصادفی در دو گروه مساوی آزمایش و کنترل قرار گرفتند. داده‌ها با استفاده از آزمون امیدواری (اشنایدر، 1991) و درد مزمن (کلیلند، 1996) جمع‌آوری شد. سپس گروه آزمایش برنامه درمان مبتنی بر پذیرش و تعهد را در هشت جلسه 60 دقیقه‌ای دریافت کردند. گروه کنترل هیچ‌ آموزشی دریافت نکرد. تجزیه‌وتحلیل آماری با استفاده از تحلیل واریانس دوطرفه با اندازه‌گیری تکراری صورت گرفت.
یافته‌ها: میانگین و انحراف معیار نمرات پیش‎آزمون (پس‌آزمون) گروه آزمایش در متغیر امیدواری 41/7±64/12 (32/5±67/27) و متغیر درد مزمن 16/7±43/33 (27/5±37/26) بود. در گروه کنترل تغییر محسوسی مشاهده نشد. مداخله مبتنی بر پذیرش و تعهد منجر به افزایش امیدواری و کاهش درد مزمن مفصلی گروه آزمایش شد (001/0>p).
نتیجه‌گیری: درمان مبتنی بر پذیرش و تعهد در افزایش امیدواری و کاهش درد مزمن در دختران دارای معلولیت جسمی حرکتی مؤثر بود و در دوره پیگیری درمان مذکور ثبات و پایداری اثر درمانی نیز داشت. بنابراین به‌عنوان مداخله روان‌شناختی بر دختران دارای معلولیت جسمی_ حرکتی می‌توان استفاده کرد.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of the Effectiveness of Acceptance and Commitment Therapy (ACT) on Hope and Chronic Pain in Girls Aged 20 to 50 Years with Physical Disabilities in Arsanjan

نویسندگان [English]

  • M Aghili 1
  • Z Ghahraman Izadi 2
1 Assistant Prof, Dept of Psychology, Payame Noor University, Iran.
2 MSc, Dept of Psychology, Payame Noor University, Golestan, Iran.
چکیده [English]

Introduction: The existence of mental and physical health defects creates multiple crises in individuals. Therefore, this study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in hope and chronic pain among girls aged 20 to 50 years with physical disabilities.
Materials and Methods: This quasi-experimental study was performed with a pre-test and post-test design and follow-up with a control group. The statistical population of the study included all girls with physical disabilities in Arsanjan, who were admitted to the Welfare Department of Arsanjan in 2020. The statistical sample consisted of 30 girls with physical disabilities who volunteered to participate in the study. Participants were randomly divided into two groups of fifteen: an experimental group and a control group. Data were collected using the Hope test (Schneider, 1991) and chronic pain (Cleland, 1996). The experimental group then received an ACT treatment program for eight 60-minute sessions. However, the control group did not receive any training. Statistical analysis was performed using a two-way analysis of variance with repeated measures at a significance level of 0.05 with SPSS software version 18.
Results: Mean and standard deviation of the pre-test (post-test) score of the experimental group in the variable of hope was 12/64±7/41 (27/67±5/32) and the variable of chronic pain was 33/43±7/16 (26/37±5/27). No significant change was observed in the control group. Acceptance and commitment-based intervention increased hope and reduced chronic joint pain in the experimental group (p<0.001).
Conclusion: Acceptance and commitment therapy (ACT) was effective in increasing hope and reducing chronic pain in girls with physical and motor disabilities, and in the follow-up period of the mentioned treatment, it also had a stable and sustainable therapeutic effect. Therefore, it can be used as a psychological intervention for girls with physical-motor disabilities.         

کلیدواژه‌ها [English]

  • Acceptance and Commitment Therapy (ACT)
  • Hope
  • Chronic Pain
  • Physical-Motor Disability
  • Girls

مراجع

  1. Deierlein A, Antoniak K, Chan M, Sassano C, & Stein C. Pregnancy-related outcomes among women with physical disabilities: A systematic review. Paediatric Perinatal Epidemiology 2021;35(6):758-778.
  2. Simaee S, Tasbihsazan S R. Forecasting of Self-Control with Social Skills and Emotion Regulation in Students with Physical Impairment. MEJDS 2018; 8(1): 81-101. [Persian].
  3. Hamill K. The Role of Family in the Development of Social Skills in Children with Physical Disabilities. IJDDE 2011; 54(4): 381- 97.
  4. Scheier F, Matthews A, Owens F, & Magovern, J. Lefebvre, R. C., Abbot, R. A., & Carver, C. S. Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. JPSP 2003; 57(6): 1024-1040.
  5. Maken Bach, A, & Wright D. Moderating effects of achievement striving & situational optimism on the relationship between ability and performance outcomes of college students. Research in Higher Education 2003; 44(1): 327-346.
  6. Greefene F, Satyanarayana A, Sowmya R, & Chandra P. Using the Kannada version of the connor davidson resilience scale to assess resilience and its relationship with psychological distress among adolescent girls in Bangalore, India. Asian Journal of Psychiatry 2013; 30:169-72.
  7. Marmarchi Nia M, Zoghi Paydar M. The effectiveness of acceptance and commitment based therapy on hope and happiness of female adolescents covered by welfare. Journal of Applied Psychology 2017; 11(3): 157-174. [Persian]
  8. Hayese J, Pellamp Y, Ren Y, Liang Q, & You J. Relational self-construal moderates the effect of social support on life satisfaction. Personality and Individual Differences 2011; 73(1): 7-72.
  9. Aghili M, Badleh Shamushki M, Ghahraman Izadi Z. Evaluation of the Effectiveness of the Acceptance and Commitment-Based Therapy on Hope, Happiness, and Chronic Pain in Girls Aged 20 to 50 Years With Physical Disabilities Living in Arsanjan City, Iran. MEJDS 2022; 12:168-168 [Persian]
  10. Sadri Damirchi E, Ramazani S. Effect of Mindfulness-based Stress Reduction Training on Cognitive Flexibility and Happiness among Men with Physical Disabilities. MEJDS 2017; 7(1): 84-84.
  11. Goli S, Mirsyfi Fard S. The role of Metacognitive Beliefs and Resilience on Predicting Marital Adjustment in Both Groups of Patients with Chronic and Acute Pain. JARAC 2021; 3(3): 55-63.[Persian]
  12. Vesal M, Taher Neshatdoost H. Meta-analysis of psychological intervention`s Effectiveness on reduction of pain intensity among patients with chronic pain. JAP 2019; 10(3): 21-38.[Persian]
  13. Kiani S, Sabahi P, Makvand Hosaini S, Rafienia P, Alebouyeh M. Comparison of the effectiveness of acceptance and commitment-based therapy and positive cognitive-behavioral therapy on the pain self-efficacy of patients with chronic pain. JPS 2020; 19(89): 567-578.[Persian]
  14. Mohammadi B, Fattahian Klishadarkhi Z, Naderikia N. The effect of acceptance and commitment-based education on reducing anxiety and increasing happiness in patients with hemophilia, 4th International Conference on Management Research and Humanities in Iran, Tehran. 2018, https://civilica.com/doc/882966. [Persian]
  15. Pizoo D. Colombian happiness, hope on interdisciplinary look at the correlation between explanatory style, cultural and satisfaction. Journal of Personality and Social Psychology 2011; 52(1): 1260-1284.
  16. Thompson D, & Woby S. Acceptance in chronic neck pain: associations with disability and fear avoidance beliefs. IJRR 2017; 40(3): 220-226.
  17. Scheier F, Matthews A, Owens F, & Magovern J. Lefebvre C, Abbot A, & Carver S. Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. Journal of Personality and Social Psychology 2003; 57(1): 1024-1040.
  18. Campbell S, Nyholm S, & Walter J. Disability and the Goods of Life. The Journal of Medicine and Philosophy 2021; 46(6):704-728.
  19. Snyder R, Harris C, Anderson J, Holleran S, Irving L, Sigmon S, Yoshinobu L, Gibb J, langelle C, Harney P. The will and the ways: Development and validation of an individual- differences measure of hope. Journal of Personality and Social Development 1991; 24(1): 570-585.
  20. Schneider C, Castillo-Salgado C. Summary of indicators most used for the measurement of the health inequalities. Epidemiol Bull 2005; 26(3): 7-10.
  21. Zahed Babalan A, Ghasempour A, Hassanzadeh Sh. The role of forgiveness and psychological toughness in predicting hope. Knowledge and Research in Applied Psychology 2011; 12(45): 12-19. [Persian]
  22. Cleeland S. Pain assessment in cancer, in Osoba D (Ed): Effect of Cancer on Quality of Life. Boca Raton, FL, CRC Press 1991; 1(3): 293-305.
  23. Atkinson TM, Mendoza TR, Sit L, Passik S, Scher HI, Cleeland C, et al. The Brief Pain Inventory and its “pain at its worst in the last 24 hours” item: clinical trial endpoint considerations. Pain Medicine 2010; 11(3): 337–46.
  24. Vakilzadeh P, Nakhaee N. The reliability and validity of the Persian version of the brief pain inventory in cancer patients. JRUMS 2006; 5(4): 253–8. [Persian]
  25. Ajirloo H, Sadri I. The effectiveness of acceptance and commitment treatment (ACT) on depression, life expectancy and happiness of dialysis patients (Imam Khomeini Hospital, Parsabad), Third National Conference on Psychology, Education and Lifestyle, Qazvin, 2019; 1(1): 17-23. [Persian]
  26. Ghadampour E, Radmehr P, Yousefvand L. The effect of acceptance and commitment based therapy on social adequacy and life expectancy of patients with multiple sclerosis. Armaghane Danesh 2016; 21(11): 1114-1100. [Persian]
  27. Razavi B, Abolghasemi S, Akbari B, Naderinabi B. Effectiveness of Acceptance and Commitment Therapy on Feeling Hope and pain management of Women with Chronic pain . JAP 2019; 10(1): 36-49.
  28. Hisse D, & Coleman B. The contribution of temperament, popularity, and physical appearance to children’s happiness. Journal of Happiness Studies 2012; 9(2): 279–302.
  29. Heizani H, Farnam A. The effectiveness of acceptance and commitment therapy in increasing hope and reducing negative emotions in ninth grade male students. JEPS 2018; 15(32): 223-246. [Persian]
  30. Khademi A, Tasbihsazan mashad R. The effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and happiness of mothers of children with cancer. JPEN 2019; 5(4): 71-78. [Persian]
  31. Moslem Khani M, Ebrahimi M E, Sahebi A. The Effectiveness of Acceptance and Commitment Therapy (ACT) on Happiness and Hope of Hamedanian Multiple Sclerosis Patients. PSJ 2019; 17(2): 15-23. [Persian]
  32. Rezaian M, Ebrahimi A, Zargham M. The Effect of Acceptance and Commitment Therapy on Catastrophic and Disabling Pain in Chronic Pelvic Pain in Females. Cognitive and Behavioral Sciences Research, 2014; 4(2): 17-30. [Persian]

فایل ها

هم رسانی

ارجاع به این مقاله

آمار