سلامت جامعه

سلامت جامعه

اثربخشی آموزش گروهی درمان مبتنی بر پذیرش و تعهد بر سلامت عمومی مادران کودکان مبتلا به اختلالات برونی‌سازی شهر قم در سال 1403

نوع مقاله : مقاله پژوهشی

نویسندگان
هادی پردل 1
محمد ابراهیم مداحی 2
لیلا حیدری نسب 3
روح اله عباسی 4
1 دانشجوی دکتری روانشناسی بالینی،دانشگاه شاهد، تهران، ایران.
2 استادیار گروه روانشناسی، دانشگاه شاهد، تهران، ایران .
3 دانشیار، گروه روانشناسی، دانشگاه شاهد، تهران، ایران .
4 استادیار، گروه روانشناسی، دانشگاه شاهد، تهران، ایران.
10.22123/chj.2025.500424.2157
چکیده
مقدمه: اختلالات برونی‌سازی در کودکان، به عنوان یکی از چالش‌های رفتاری رایج، می‌تواند تأثیرات منفی بر سلامت روان والدین، به‌ویژه مادران داشته باشد. هدف این پژوهش تعیین اثربخشی آموزش گروهی درمان مبتنی بر پذیرش و تعهد بر سلامت عمومی مادران کودکان مبتلا به اختلالات برونی­سازی بود.
مواد و روش­ها: این پژوهش نیمه­تجربی، با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل و دوره پیگیری یک‌ماهه انجام شد. جامعه آماری شامل مادران کودکان مبتلا به اختلالات رفتاری برونی‌سازی در مقطع ابتدایی شهر قم در سال تحصیلی ۱۴۰2-۱۴۰3 بود ( تقریباً 1000 نفر). تعداد 30 مادر به روش نمونه‌گیری در دسترس انتخاب و به ‌طور تصادفی در گروه­های مداخله و کنترل (هر گروه 15 نفر) قرار گرفتند. گروه مداخله، ۸ جلسه آموزش گروهی درمان مبتنی بر پذیرش و تعهد دریافت کرد. گروه کنترل مداخله‌ای دریافت نکرد. ارزیابی‌ها توسط پرسشنامه سلامت عمومی (GHQ-28)، قبل و بعد از مداخله و در مرحله پیگیری انجام شد. داده‌ها توسط آنالیز واریانس دوطرفه با اندازه‌گیری­های مکرر تجزیه­وتحلیل شد.
یافته‌ها: میانگین و انحراف معیار نمره سلامت عمومی در گروه آزمایش در پیش‌آزمون و پس‌آزمون به ترتیب 60/44± 35/2 و 53/34 ± 85/3 بود (001/0>p). در گروه کنترل، تفاوت میانگین و انحراف معیار نمرات پیش‌آزمون و پس‌آزمون (به‌ترتیب 53/44 ± 50/2 و 83/43 ± 31/2) معنی­دار نبود.
نتیجه‌گیری: به نظر می­رسد آموزش گروهی درمان مبتنی بر پذیرش و تعهد بر بهبود سلامت عمومی مادران کودکان مبتلا به اختلالات برونی­سازی مؤثر است. این آموزش می‌تواند به ‌عنوان یک رویکرد مکمل در آموزش والدین به کار رود. تعمیم‌پذیری نتایج نیاز به بررسی‌های بیشتر دارد.
 
کلیدواژه‌ها
درمان مبتنی بر پذیرش و تعهد
سلامت عمومی
مادران
اختلالات برونی­ سازی

عنوان مقاله English

The Effectiveness of Group-Based Acceptance and Commitment Therapy Training on the General Health of Mothers of Children with Externalizing Disorders in Qom, 2024

نویسندگان English

H pordel 1
MA madahi 2
L heydarinasab 3
R abbasi 4
1 PhD Student in Clinical Psychology, Shahed University, Tehran, Iran.
2 Assistant Prof., Dept. of Psychology, Shahed University,Tehran,Iran.
3 Associate Prof., Dept. of Psychology, Shahed University, Tehran, Iran.
4 Assistant Prof., Dept.of Psychology, Shahed University, Tehran, Iran.
چکیده English

Introduction: Externalizing disorders in children, as one of the common behavioral challenges, can have negative effects on the mental health of parents, especially mothers. The aim of this study was to determine the effectiveness of group-based acceptance and commitment therapy on the general health of mothers with children suffering from externalizing disorders.
Materials and Methods: This quasi-experimental study utilized a pretest-posttest design with a control group and a one-month follow-up period. The study population consisted of all mothers of children with externalizing behavioral disorders in elementary schools in Qom City during the 2023-2024 academic year (approximately 1,000 individuals). A sample of 30 mothers was selected through convenience sampling and randomly assigned into either the intervention group or the control group (15 participants in each group). The intervention group participated in 8 sessions of group-based acceptance and commitment therapy, while the control group did not receive any intervention. Assessments were conducted using the General Health Questionnaire (GHQ-28) before and after the intervention and at the follow-up stage. Data were analyzed using a two-way analysis of variance with repeated measures.
Results: The mean and standard deviation of general health scores in the experimental group in the pre-test and post-test were 44.60±2.35 and 34.53±3.85, respectively, and this difference was statistically significant (p<0.001). However, in the control group, the mean and standard deviation of scores in the pre-test and post-test were 44.53±2.50 and 43.83±2.31, respectively, and the difference was not statistically significant (p>0.05).
Conclusion: It appears that group-based acceptance and commitment therapy (ACT) training is effective in improving the general health of mothers of children with externalizing disorders. This training can be used as a complementary approach in parent education. However, the generalizability of the results requires further investigation.

کلیدواژه‌ها English

Acceptance and commitment therapy
General health
mothers
Externalizing disorders

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سلامت جامعه
دوره 18، شماره 4
بهار 1404
صفحه 13-27