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سلامت جامعه

مقایسه اثربخشی پارادوکس درمانی با درمان مبتنی بر پذیرش و تعهد بر شاخص‏های تحمل پریشانی در زنان دارای اضطراب سلامت

نوع مقاله : مقاله پژوهشی

نویسندگان
اعظم مدحی 1
فرناز فرشباف‏ مانی‏صفت 2
مهین اعتمادی ‏نیا 3
1 دانشجوی دکترای روانشناسی عمومی، گروه روانشناسی، واحد ارومیه، دانشگاه آزاداسلامی، ارومیه، ایران.
2 استادیار، گروه روانشناسی، واحد ارومیه، دانشگاه آزاداسلامی، ارومیه.
3 استادیار، گروه روانشناسی، واحد ارومیه، دانشگاه آزاداسلامی، ارومیه، ایران.
10.22123/chj.2025.485414.2134
چکیده
مقدمه: افراد با پریشانی، بیش‏تر از نشانه‏های بیماری جسمانی شکایت می‏کنند و فراوانی بیماری جسمی، پیش‏بینی کننده قوی وقوع آسیب در کارکردهای روانی-اجتماعی و جسمانی است. لذا این پژوهش با هدف مقایسه اثربخشی پارادوکس درمانی با درمان پذیرش و تعهد بر شاخص‏های تحمل پریشانی در مبتلایان به اضطراب سلامت انجام شد.
مواد و روش‌ها: این پژوهش، نیمه‏آزمایشی با طرح پیش‏آزمون، پس‏آزمون و گروه کنترل با پیگیری دو‏ماهه بود. جامعه آماری شامل تمامی زنان دارای اضطراب سلامتی مراجعه‏کننده به بیمارستان شهید شیرازی شهر گرگان در سال 1402 به تعداد 144 نفر بودند. تعداد 60 نفر به روش نمونه‏گیری هدفمند انتخاب و به ‏صورت تصادفی در گروه‏های آزمایش و کنترل (هر گروه 20 نفر) قرار گرفتند. شرکت‏کنندگان پرسش‏نامه­های اضطراب سلامت Salkovskis و تحمل پریشانی Simons را در مراحل مختلف سنجش تکمیل کردند. درمان پذیرش و تعهد طی 8 جلسه و درمان پارادوکسی طی 6 جلسه 90 دقیقه‏ای (هفته­ای یک جلسه) برای گروه‏های آزمایش اعمال شدند. گروه کنترل درمانی دریافت نکرد. داده‏ها توسط آنالیز واریانس دوطرفه با اندازه‏گیری‏های مکرر تحلیل شدند.
یافته‌ها: پارادوکس درمانی و درمان پذیرش و تعهد نسبت به گروه کنترل باعث بهبود مؤلفه‏های تحمل (634/19=F و 408/0=η)، جذب (372/15=F و 350/0=η)، ارزیابی (570/19=F و 407/0=η)، تنظیم (442/12=F و 304/0=η) و تحمل پریشانی (543/59=F و 566/0=η) شدند (05/0>P). از نظر میزان سودمندی دو رویکرد درمانی بر بهبود تحمل پریشانی، تفاوت معنی‏داری مشاهده نشد.
نتیجه‌گیری: به ‏نظر می‏رسد پارادوکس درمانی و درمان پذیرش و تعهد می‏توانند سبب بهبود تحمل پریشانی در مبتلایان به اضطراب سلامت شوند و برتری بر هم ندارند.
کلیدواژه‌ها
درمان پارادوکسی
درمان پذیرش و تعهد
تحمل پریشانی
اضطراب سلامت

عنوان مقاله English

Comparing the Effects of Paradoxical Treatment and Acceptance and Commitment Therapy on Distress Tolerance in Women with Health Anxiety

نویسندگان English

A Madhi 1
F Farshbaf Manisefat 2
M Etemadi-Nia 3
1 PhD Student, Dept. of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran.
2 Assistant Prof., Dept. of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran.
3 Assistant Prof., Dept. of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran.
چکیده English

Introduction: Distressed people complain more about symptoms of physical illness, and the frequency of physical illness is a strong predictor of damage in psychosocial and physical functions. Therefore, this research was conducted with the aim of comparing the effectiveness of paradox therapy and therapy based on acceptance and commitment on distress tolerance indicators in patients with health anxiety.
Materials and Methods: This was a semi-experimental study with a pre-test, post-test, and control group design with a 2-month follow-up. The statistical population of the research included all women with health anxiety who referred to Shahid Shirazi Hospital in Gorgan in 2023. Among these, 60 people were selected by purposeful sampling and were randomlyassigned into experimental and control groups (20 people in each group). Participants completed the Salkovskis’ Health Anxiety Inventory and the Simons’ Distress Tolerance Scale at different measurement stages. Acceptance and commitment therapy and paradox therapy were applied to the experimental groups during 8 and 6 sessions of 90 minutes, respectively, with the frequency of one session per week. The control group did not receive any intervention. Data were analyzed by two-way repeated measures ANOVA.
Results: Paradox therapy and acceptance and commitment therapy improved the components of tolerance (η=0.408 & F=19.634), absorption (η=0.350 & F=15.372), evaluation (η=0.407 & F=19.570), regulation (η=0.304 & F=12.442) and, distress tolerance (η=0.566 & F=59.543) in women with health anxiety compared to the control group (p<0.05). Also, no significant difference was observed in terms of the usefulness of the two treatment approaches in improving distress tolerance (p<0.05).
Conclusion: It seems that paradox therapy and acceptance and commitment therapy can improve distress tolerance in health anxiety sufferers and are not superior to each other.

کلیدواژه‌ها English

Paradoxical treatment
Acceptance and commitment therapy
Distress tolerance
Health anxiety
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سلامت جامعه
دوره 18، شماره 4
بهار 1404
صفحه 62-75