تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر اضطراب وجودی، تحمل پریشانی و فرانگرانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی بیمارستان مهرشهر اهواز در سال 1397

نوع مقاله : مقاله پژوهشی

نویسندگان

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

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

چکیده

مقدمه: سالمندان مبتلا به بیماری‌های قلبی عروقی مشکلات عمده‌ای در زمینه سلامت روانشناختی دارند و یکی از روش‌های مداخله برای کاهش مشکلات روانشناختی، روش درمان پذیرش و تعهد است. هدف پژوهش حاضر تعیین تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر اضطراب وجودی، تحمل پریشانی و فرانگرانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی بود.
مواد و روش‌ها: این مطالعه نیمه­تجربی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل بود. از میان زنان سالمند مبتلا به بیماری‌های قلبی عروقی مراجعه‌کننده به بیمارستان مهرشهر اهواز در سال 1397، 40 نفر با روش در دسترس انتخاب و به روش تصادفی در دو گروه قرار گرفتند. گروه آزمایش 10 جلسه 60 دقیقه‌ای با روش گروه‌درمانی مبتنی بر پذیرش و تعهد آموزش دید. داده‌ها با پرسشنامه‌های اضطراب وجودی، تحمل پریشانی و فرانگرانی جمع‌آوری و با آزمون‌های t و تحلیل کوواریانس چند متغیری تحلیل شدند.
یافته‌ها: گروه‌ها در پیش‌آزمون از نظر اضطراب وجودی، تحمل پریشانی و فرانگرانی تفاوت معنی‌داری نداشتند، اما در پس‌آزمون از نظر هر سه متغیر تفاوت معنی‌دار بود (001/0>p). به عبارت دیگر، روش گروه درمانی مبتنی بر پذیرش و تعهد باعث کاهش اضطراب وجودی و فرانگرانی و افزایش تحمل پریشانی در زنان سالمند مبتلا به بیماری‌های قلبی عروقی شد (001/0>p).
نتیجه‌گیری: نتایج نشان‌دهنده تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر کاهش اضطراب وجودی و فرانگرانی و افزایش تحمل پریشانی بود. روانشناسان بالینی و درمانگران احتمالاً می‌توانند از روش گروه درمانی مبتنی بر پذیرش و تعهد در کنار سایر روش‌های درمانی برای مداخله در زمینه اضطراب وجودی، تحمل پریشانی و فرانگرانی استفاده نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Acceptance and Commitment-based Group Therapy on Existential Anxiety, Distress Tolerance, and Meta-worry in Elderly Women with Cardiovascular Disease in Mehr Hospital of Ahvaz City in 2018

نویسندگان [English]

  • Sh Shirali 1
  • Z DashtBozorgi 2
1 MSc 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: Elderly women with cardiovascular disease have major problems in psychological health. One of the intervention methods for reducing psychological issues is acceptance and commitment therapy. As a result, the present research aimed to determine the effect of acceptance and commitment-based group therapy on existential anxiety, distress tolerance, and meta-worry in elderly women with cardiovascular disease.
Materials and Methods: This study was a semi-experimental pre-test/post-test design with a control group. From the elderly women with cardiovascular disease referred to Mehr hospital of Ahvaz city in 2018, 40 people were selected by the available method and then randomly divided into two groups. The experimental group was trained 10 sessions of 60 minutes with group therapy based on acceptance and commitment method. Data were collected by questionnaires of existential anxiety, distress tolerance, and meta-worry; then, they were analyzed by t-tests and multivariate analysis of covariance.
Results: In the pre-test, there was no significant difference in existential anxiety, distress tolerance, and meta-worry (p>0/05); however, in the post-test, there was a significant difference in the three variables (p < 0/001). In other words, the group therapy based on acceptance and commitment method led to decrease existential anxiety plus meta-worry and increase distress tolerance in elderly women with cardiovascular disease (p < 0/001).
Conclusion: The results indicated that acceptance and commitment-based group therapy decreased existential anxiety plus meta-worry and increased distress tolerance. Therefore, clinical psychologists and therapists perhaps can use this treatment along with other therapeutic methods for intervention in existential anxiety, distress tolerance, and meta-worry.

کلیدواژه‌ها [English]

  • Acceptance and commitment
  • Existential anxiety
  • Distress tolerance
  • Meta-worry
  • Cardiovascular disease

مراجع

  1. Mehri Nejad SA, Ramezan Saatchi L, Paydar S. Death anxiety and its relationship with social support and adherence to religion in the elderly. Iranian journal of Ageing 2017;11(4):494-503. [Persian]
  2. Zhang Y, Chen Y, Ma L. Depression and cardiovascular disease in elderly: Current understanding. Journal of Clinical Neuroscience 2018;47:1-5.
  3. Chuang SP, Wu JYW, Wang CS, Liu CH, Pan LH. Self concepts, health locus of control and cognitive functioning associated with health-promoting lifestyles in schizophrenia. Comprehensive psychiatry 2016;70:82-9.
  4. Gasiorowska A, Zaleskiewicz T, Kesebir P. Money as an existential anxiety buffer: Exposure to money prevents mortality reminders from leading to increased death thoughts. Journal of Experimental Social Psychology 2018;79:394-409.
  5. Farias M, Newheiser A-K, Kahane G, de Toledo Z. Scientific faith: Belief in science increases in the face of stress and existential anxiety. Journal of experimental social psychology 2013;49(6):1210-3.
  6. Temple M, Gall TL. Working through existential anxiety toward authenticity: A spiritual journey of meaning making. Journal of Humanistic Psychology 2018;58(2):168-93.
  7. Bonfils KA, Minor KS, Leonhardt BL, Lysaker PH. Metacognitive self-reflectivity moderates the relationship between distress tolerance and empathy in schizophrenia. Psychiatry research 2018;265:1-6.
  8. Reitzel LR, Smith NG, Obasi EM, Forney M, Leventhal AM. Perceived distress tolerance accounts for the covariance between discrimination experiences and anxiety symptoms among sexual minority adults. Journal of anxiety disorders 2017;48:22-7.
  9. Veilleux JC. The relationship between distress tolerance and cigarette smoking: A systematic review and synthesis. Clinical psychology review 2019;71:78-89.
  10. Fisak B, Mentuccia M, Przeworski A. Meta-worry in adolescents: Examination of the psychometric properties of the meta-worry questionnaire in an adolescent sample. Behavioural and cognitive psychotherapy 2014;42(4):491-6.
  11. Xie Y, Kong Y, Yang J, Chen F. Perfectionism, worry, rumination, and distress: A meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences 2019;139:301-12.
  12. Esbjørn BH, Lønfeldt NN, Nielsen S, Reinholdt-Dunne ML, Sømhovd MJ, Cartwright-Hatton S. Meta-worry, worry, and anxiety in children and adolescents: Relationships and interactions. Journal of Clinical Child & Adolescent Psychology 2015;44(1):145-56.
  13. Eilenberg T, Hoffmann D, Jensen JS, Frostholm L. Intervening variables in group-based acceptance & commitment therapy for severe health anxiety. Behaviour research and therapy 2017;92:24-31.
  14. Bellver-Pérez A, Peris-Juan C, Santaballa-Beltrán A. Effectiveness of therapy group in women with localized breast cancer. International Journal of Clinical and Health Psychology 2019;19(2):107-14.
  15. Abrahamsson M, Millgård M, Havstam C, Tuomi L. Effects of voice therapy: A comparison between individual and group therapy. Journal of Voice. 2018;32(4):437-42.
  16. Smallwood RF, Potter JS, Robin DA. Neurophysiological mechanisms in acceptance and commitment therapy in opioid-addicted patients with chronic pain. Psychiatry Research: Neuroimaging 2016;250:12-4.
  17. Ong CW, Lee EB, Twohig MP. A meta-analysis of dropout rates in acceptance and commitment therapy. Behaviour research and therapy 2018;104:14-33.
  18. Barney JL, Lillis J, Haynos AF, Forman E, Juarascio AS. Assessing the valuing process in Acceptance and Commitment Therapy: Experts' review of the current status and recommendations for future measure development. Journal of Contextual Behavioral Science 2019;12:225-33.
  19. Burckhardt R, Manicavasagar V, Batterham PJ, Hadzi-Pavlovic D, Shand F. Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study. Child and adolescent psychiatry and mental health 2017;11(1):27.
  20. Mirzaeidoostan Z, Zargar Y, Zandi Payam A. The Effectiveness of Acceptance and Commitment Therapy on Death Anxiety and Mental Health in Women With HIV in Abadan City, Iran. IJPCP 2019;25(1):2-13. [Persian]
  21. Safari Mousavi SS, Ghazanfari F, Mirderikvandi F. Effectiveness of Acceptance and Commitment Therapy on Death Anxiety in Women With Multiple Sclerosis in Khorramabad. JCNM 2019;7(4):234-41. [Persian]
  22. Brown RA, Palm Reed KM, Bloom EL, Minami H, Strong DR, Lejuez CW, et al. A randomized controlled trial of distress tolerance treatment for smoking cessation. Psychology of Addictive Behaviors 2018;32(4):389-400.
  23. Boostani M, Ezadikhah Z, Sadeghi M. Effectiveness of group-based acceptance and commitment therapy on the difficulty emotional regulation and distress tolerance patients with essential hypertension. IJEPR 2017;3(3):205-11.
  24. Amirian K, Mami S, Ahmadi V, Mohamadzadeh J. Effectiveness of Group Psychotherapy Based on Acceptance and Commitment Therapy on Difficultes Emotion Regulation and Distress Tolerance in Substance Abusers. J Educ Community Health 2018;5(2):53-61. [Persian]
  25. Ainsworth B, Bolderston H, Garner M. Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry. Behaviour research and therapy 2017;91:72-7.
  26. Mansouri A, Korozhde N. The effectiveness of the acceptance and commitment therapy on the intolerance of uncertainty, worry and insomnia in mothers of children with autism spectrum disorder. Journal of research in  Behavioural sciences 2017;15(3):347-53. [Persian]
  27. Mohagheghi H, Dousti P, Jafari D. The effectiveness of acceptance and commitment therapy on reduction, generalized anxiety disorder, social phobia and health anxiety in students.  Clinical psychology studies 2016;6(23):81-94. [Persian]
  28. Akhteh M, Alipor A, Sharifi SHS. Effectiveness of stress management training in reducing anxiety and meta-worry of women who had abortion several times. Health Psychology 2014;3(11):120-9. [Persian]
  29. Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy. 1nd ed. New Jersey: John Wiley & Sons Inc;2009:77-101.
  30. Abbasi M, Khazan K, Pirani Z, Ghasemi JR. Effectiveness of treatment based on acceptance and commitment on cognitive-emotional functions of veterans.Tebe - E-Janbaz 2016;8(4):203-8. [Persian]
  31. Marashi S, Naami A, Beshlideh K, Zargar Y, GHOBARI BB. The impact of spiritual intelligence training on psychological well-being, existential anxiety, and spiritual quotient among the students of ahvaz faculty of petroleum.Journal of education and Psychology 2012;4(1):63-80. [Persian].
  32. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion 2005;29(2):83-102.
  33. Faghih S, Kazemi H. The Effectiveness of Emotionally Focused Therapy on Distress Tolerance in Infertile Couples in Isfahan. Community Health Journal 2018;12(1):22-9. [Persian]
  34. Fata L, Moutabi F, Moloudi R, Ziayee K. Psychometric properties of Persian version of thought control questionnaire and anxious thought inventory in Iranian students.Journal of psychological models and methods 2010;1(1):81-103. [Persian]
  35. Butler L, Johns LC, Byrne M, Joseph C, O’Donoghue E, Jolley S, et al. Running acceptance and commitment therapy groups for psychosis in community settings. Journal of Contextual Behavioral Science 2016;5(1):33-8.

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