اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد بر ارتقای کیفیت زندگی بیماران مبتلا به مولتیپل اسکلروزیس

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی دانشگاه سمنان، سمنان، ایران

2 استادیار، گروه روانشناسی دانشگاه سمنان، سمنان، ایران

3 استادیار، گروه علوم تربیتی دانشگاه سمنان، سمنان، ایران

چکیده

مقدمه: مولتیپل اسکلروزیس یک بیماری مزمن پیش رونده در سیستم اعصاب مرکزی می باشد که کیفیت زندگی افراد مبتلا را تحت تأثیر قرار می دهد. گروه درمانی مبتنی بر پذیرش و تعهد یکی از درمان های موج سوم رفتاری می باشد که منجر به بهبود کیفیت زندگی افراد مبتلا به بیماری های مزمن می شود. هدف از پژوهش حاضر بررسی اثر بخشی درمان گروهی مبتنی بر پذیرش و تعهد بر ارتقای کیفیت زندگی بیماران  مبتلا به مولتیپل اسکلروزیس بود.




روش: طرح پژوهش حاضر به صورت نیمه آزمایشی از نوع پیش آزمون –پس آزمون با گروه گواه بود. از افراد مراجعه کننده به انجمن ام اس سمنان  30 نفر به صورت در دسترس انتخاب شده و به طور تصادفی به دو گروه آزمایش و گواه تقسیم شدند. به منظور بررسی کیفیت زندگی بیماران از پرسشنامه کیفیت زندگی بیماران ام اس استفاده شد. گروه آزمایش تحت درمان گروهی مبتنی بر پذیرش و تعهد، طی ده جلسه قرار گرفت. پس از مداخله ی درمانی هر دو گروه مجدد پرسشنامه ها را تکمیل کردند و داده های حاصل با استفاده از آزمون تحلیل کو واریانس چند متغیری مورد تجزیه و تحلیل قرار گرفت.




یافته­ها: یافته ها نشان داد که گروه درمانی مبتنی بر پذیرش و تعهد بر وضعیت سلامتی، شدت فرسودگی، تأثیرات درد، سلامت روانی و ادراک موضوع مؤثر بوده، ولی تأثیری بر زمینه هایی حمایتی و رضایت جنسی نداشته است.




نتیجه­گیری: براساس یافته های پژوهش حاضر گروه درمانی مبتنی بر پذیرش و تعهد موجب افزایش کیفیت زندگی بیماران مبتلا به مولتیپل اسکلروزیس می­شود و به متخصصان بالینی پیشنهاد می­گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of acceptance and commitment group therapy to improving the quality of life in patients with multiple sclerosis

نویسندگان [English]

  • M Parsa, 1
  • *P Sabahi, 2
  • M.A. Mohammadifar, 3
1 psychology, semnan university
2 psychology, semnan university, semnan, iran
3 semnan university
چکیده [English]

Introduction: Multiple sclerosis is a chronic progressive disease of the central nervous system that affects the quality of life of individuals. Acceptance and commitment group therapy is one of the treatments of the third wave of behavior therapy that leads to improving the quality of life in people with chronic diseases. The purpose of this study was to investigate the effectiveness of acceptance and commitment group therapy on improving the quality of life in patients with multiple sclerosis.




Method: The present study use a semi-experimental design, with a pretest-posttest and control group paradigm. Among patients referred to the Semnan MS Society, 30 patients were selected and assigmented randomly to the research groups. The Quality of Life Questionnaire was used to examine quality of life of MS patients. The experimental group received acceptance and commitment group therapy in ten sessions. Following the therapeutic intervention both groups were filled questionnaires again and extracted data were analyzed by a Multivariate Analysis of Covariance.




Results: The findings showed that the acceptance and commitment group therapy was effective on the health status, severity of burnout, pain effects, mental health and perception of subject, whereas no effect observed for supportive contexts and sexual satisfaction.




Conclusion: Based on the findings of the present study, acceptance and commitment group therapy can improve the quality of life in the patients with multiple sclerosis and is recommended to clinicians.

کلیدواژه‌ها [English]

  • Acceptance and Commitment Group Therapy
  • Quality of life
  • Multiple sclerosis

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