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مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان شناختی-رفتاری کوتاه‏مدت بر کیفیت خواب نوجوانان مبتلا به اختلال‏های گوارشی

نوع مقاله : مقاله پژوهشی

نویسندگان
سحر حیاتلو 1
فرناز فرشباف مانی صفت 2
مهین اعتمادی نیا 2
1 دانشجوی دکترای روانشناسی عمومی، گروه روانشناسی، واحد ارومیه، دانشگاه آزاداسلامی، ارومیه، ایران.
2 استادیار، گروه روانشناسی، واحد ارومیه، دانشگاه آزاداسلامی، ارومیه، ایران.
10.22123/chj.2025.471674.2113
چکیده
مقدمه: مشکلات خواب علاوه بر کیفیت زندگی مبتلایان به اختلال‏های گوارشی، بار زیادی را بر خدمات اجتماعی و مراقبت‏های بهداشتی تحمیل می‏کند. این پژوهش با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان شناختی-رفتاری کوتاه‏مدت بر کیفیت خواب نوجوانان مبتلا به اختلال‏های گوارشی انجام شد.
مواد و روش‌ها: پژوهش نیمه‏تجربی با طرح پیش‏آزمون، پس‏آزمون و گروه کنترل با پیگیری دو‏ماهه بود. تمامی نوجوانان دارای اختلال‏های گوارشی مراجعه‏کننده به بیمارستان میلاد شهر تهران در سال 1402 به تعداد 168 نفر جمعیت آماری پژوهش را تشکیل دادند، که با نمونه‏گیری در دسترس تعداد 45 نفر انتخاب و به‏شیوه انتصاب تصادفی در سه گروه مساوی 15 نفری گمارش شدند. گردآوری داده‏ها با چک‏لیست اطلاعات جمعیت‏شناختی و پرسش‏نامه کیفیت خواب پیتزبورگ Buysse انجام شد. مداخلات درمانی طی 8 جلسه (یک جلسه 90 دقیقه‏ای در هفته) برای گروه‏های آزمایش اعمال شد. گروه کنترل درمانی دریافت نکرد. داده‏ها توسط آنالیز واریانس دوطرفه با اندازه‏گیری‏های مکرر تحلیل شد.
یافته‌ها: بین اثربخشی دو درمان تفاوت معنی‏داری مشاهده نشد (05/0<p). درمان پذیرش و تعهد و درمان شناختی-رفتاری کوتاه‏مدت نسبت به گروه کنترل باعث بهبود مؤلفه‏های کیفیت ذهنی خواب (83/7=F، 272/0=η)، تأخیر در خواب رفتن (73/6=F، 243/0=η)، مدت زمان خواب (98/6=F، 187/0=η)، میزان بازدهی خواب (14/8=F، 279/0=η)، اختلال خواب (69/8=F، 293/0=η)، مصرف داروی خواب (10/12=F، 174/0=η)، اختلال عملکرد روزانه (49/9=F، 311/0=η) و کیفیت خواب کلی (07/43=F، 447/0=η) در مبتلایان به اختلال‏های گوارشی شدند(05/0>p).
نتیجه‌گیری: با توجه به نتایج، متخصصین فعال در حوزه اختلال‏های گوارشی می‏توانند جهت بهبود کیفیت خواب این بیماران از درمان‏های فوق‏الذکر در کنار درمان‏های متداول استفاده کنند.
کلیدواژه‌ها
درمان پذیرش و تعهد
درمان شناختی-رفتاری کوتاه‏مدت
کیفیت خواب
اختلال گوارشی

عنوان مقاله English

Comparing the Effects of Acceptance and Commitment Therapy and Brief Cognitive-Behavioral Therapy on Sleep Quality of Adolescents with Gastrointestinal Disorders

نویسندگان English

S Hayatloo 1
F Farshbaf Manisefat 2
M Etemadi-Nia 2
1 PhD Student of General Psychology, Dept. of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran.
2 Assistant Prof., Dept. of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran.
چکیده English

Introduction: In addition to the quality of life of people with digestive disorders, sleep problems impose a great burden on social services and health care. Therefore, this study was conducted with the aim of comparing the effectiveness of acceptance and commitment therapy (ACT) and brief cognitive-behavioral therapy (BCBT) on sleep quality of adolescents with gastrointestinal disorders.
Material and Methods: This study was a quasi-experimental study with a pretest-posttest design and a control group with a 2-month follow-up. All adolescents with gastrointestinal disorders referred to Milad Hospital in Tehran in 2023 (168 people) formed the statistical population of the study; out of which 45 people were selected by convenience sampling and randomly assigned to three equal groups of 15. Data collection was done using demographic information checklist and PSQI (Pittsburgh Sleep Quality Index) by Buysse. Therapeutic interventions were applied during 8 sessions (one session of 90 minutes) for the experimental groups. The control group did not receive any intervention. Data were analyzed by two-way repeated measures ANOVA.
Results: There was no significant difference between the effectiveness of these two treatments (p>0.05). ACT and BCBT improved the subjective sleep quality (F=7.83, η=0.272), sleep delay (F=6.73, η=0.243), sleep duration (F=6.98, η=0.187), sleep efficiency (F=8.14, η=0.279), sleep disturbance (F=8.69, η=0.293), use of sleeping drugs (F=12.10,  η=0.174), daytime dysfunction (F=9.49, η=0.311), and overall sleep quality (F=43.07, η=0.447) in the patients with digestive disorders compared to the control group (p<0.05).
Conclusion: According to the results, active specialists in the field of gastrointestinal disorders can consider the use of aforementioned treatments alongside common treatments to improve the sleep quality of these patients.

کلیدواژه‌ها English

Acceptance and commitment therapy
Brief cognitive-behavioral therapy
Sleep quality
Gastrointestinal disorders
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سلامت جامعه
دوره 18، شماره 4
بهار 1404
صفحه 39-51