اثربخشی معنادرمانی گروهی بر تاب آوری زنان دارای نشانه های ناگویی هیجانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه روانشناسی و مشاوره دانشگاه آزاد اسلامی واحد تبریز، تبریز، ایران

2 کارشناس ارشد روانشناسی بالینی دانشگاه آزاد اسلامی واحد تبریز، تبریز، ایران

چکیده

مقدمه: پژوهش حاضر با هدف تعیین میزان اثربخشی یک پروتکل معنادرمانی گروهی بر تاب آوری زنان دارای نشانه­های ناگویی هیجانی انجام شد.
روش: روش انجام پژوهش نیمه آزمایشی با استفاده از طرح پیش آزمون- پس آزمون با گروه کنترل بود. جامعه آماری این پژوهش شامل زنان آلکسیتایمی مراجعه کننده به مراکز درمانی سطح شهر تبریز در فاصله زمانی 4 ماهه بود. از بین این افراد با بهره گیری از مقیاس ناگویی هیجانی تورنتو(TAS-20) 24نفر به عنوان نمونه غربال شدند و به صورت تصادفی در دو گروه آزمایش و کنترل(12 نفره) جایگزین شدند. گروه آزمایش به مدت 10 جلسه 90 دقیقه­ای تحت آموزش معنا درمانی قرار گرفتند در حالیکه گروه کنترل آموزشی دریافت نکرد. آزمودنی های هر دو گروه مقیاس تاب آوری کونور و دیویدسون(CD‐RISC) را در دو مرحله پیش آزمون و پس آزمون تکمیل کردند. اطلاعات استخراج شد و  تحلیل کواریانس چند متغیره (مانکوا) مورد استفاده قرار گرفت.
یافته‌ها: یافته­ه ای این پژوهش نشان داد که معنادرمانی گروهی پس از 10 جلسه، اثر معنی داری بر میانگین نمرات تاب­آوری گروه آزمایش نسبت به گروه کنترل در مرحله پس آزمون داشته است. ­
نتیجه‌گیری: بر اساس یافته­های حاصل از پژوهش حاضر، معنادرمانی گروهی می تواند یک مداخله اثرگذار مفید برای افزایش تاب آوری زنان آلکسی تایمی باشد و لذا به بالینگران در کار با این بیماران توصیه می شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Group Logotherapy on Resilience among Women with Alexithymia Symptoms

نویسندگان [English]

  • A Panahali, 1
  • Sh Zanjani, 2
1 Clinical Psychology, Humanities, Islamic Azad University, Tabriz, Islamic Azad University, Tabriz Branch, Tabriz, Iran
2 Clinical Psychology, Humanities, Islamic Azad University, Tabriz, Islamic Azad University, Tabriz Branch, Tabriz, Iran
چکیده [English]

Introduction: The purpose of this study was to determine the effectiveness of a Group Logotherapy protocol on resilience in women with Alexithymia symptoms.
Method: A semi-experimental design by pretest-posttest with control group were applied. The statistical population included referred Alexithymia women to Tabriz treatment centers during a 4 month interval. Among these a total number of 24 subjects using Toronto Alexithymia Scale- 20  were screened and divided to experimental and control groups (n=12) in a randomly basis. The experimental group received Group Logotherapy for 10 session of 90 minutes, while no intervention made on control group. Subjects of both group were completed Conner & Davidson Resilience Scale (CD‐RISC) in pretest and posttest occasions. The data were extracted and a Multivariable Analysis of Covariance (MANCOVA) administered.
Results: The results showed that logotherapy after 10 sessions significantly impact the resilience mean scores in the experimental group rather than control group at posttest stage.
Conclusion: According to the findings of the present research, the Group Logotherapy could be a useful intervention to increase resilience of the Alexithymia women and is then recommended to the clinicians in work with these patients..

کلیدواژه‌ها [English]

  • Resilience
  • Alexithymia
  • Group Logotherapy
  • Women
1- Zeidner M, Matthews G, Roberts RD. What we know about emotional intelligence: How it affects learning,work, relationships, and our mental health: MIT press. 2012.
2- Shahgholian M. Moradi A. Jafi M. Investigating Alexithymia with Emotion Expressin Styles General Health in Students J Psychiatry and Clinical Psy. 2015; 3:238- 48. [In Persian].
3- Roshani F. Najafi M. naqshbandi SH. Malekzade P. Comparison of Alexithymia in Individuals with and without Attention Deficit/ Hyperactivity Disorder, Journal of Clinical Psychology. 2017; Vol. 9, No. 2 (34). [In Persian].
4- Taylor GJ, Bagby RM. New trends in alexithymia research. Psychotherapy and psychosomatics. 2004; 73(2): 68-77.
5- Paivio SC, McCulloch CR. Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child abuse & neglect. 2004; 28(3): 339-54.
6-Jerare J. The Role of Alexithymia and Demographic Factors in Predicting Family Performance and Academic Success of Couples Coming to Counseling and Psychotherapy Centers, Journal of Family and Research, 2013; 7-22. [In Persian].
7- Mehrabizade Honarmand M, Afsari A, Davodi I. The study of personality traits, attachment styles, life stressors and gender as predictors of alexithymia. J Psychology. 2010; 14(3): 319-34.
8- Lundh LG, Johnsson A, Sundqvist K, Olsson H. Alexithymia, memory of emotion, emotional awareness, and perfectionism. Emotion. 2002; 2(4): 361.
9- Sifneos P. Affect, emotional conflict, and deficit: an overview. Psychotherapy and psychosomatics. 1991.
10- Luminet O, Vermeulen N, Demaret C, Taylor GJ, Bagby RM. Alexithymia and levels of processing: Evidence for an overall deficit in remembering emotion words. Journal of Research in Personality. 2006; 40(5): 713-33.
11- Ho NS, Wong MM, Lee TM. Neural connectivity of alexithymia: specific association with major depressive disorder. Journal of affective disorders. 2016; 193: 362-72.
12- Dubey A, Pandey R, Mishra K. Role of Emotion R Emotion R Emotion Regulation Difficulties and P iculties and P iculties and Positive/Negative Affectivity in Explaining Alexithymia-Health Relationship: An overview. J Soc Sci Res. 2010; 7(1): 20-31.
13- Loas G, Baelde O, Verrier A. Relationship between alexithymia and dependent personality disorder: a dimensional analysis. Psychiatry research. 2015; 225(3): 484-8.
 
14- Dostkam M. Biramabadi F. Poorheidari S. Pourakbaran E. Investigating the Relationship Between Alexithymia with Sexual and Satisfactory Sexual Analysis of Young Women. Second International Conference on Psychology of Heydarieh Education. 2015. [In Persian].
15- Palmer B, Donaldson C, Stough C. Emotional intelligence and life satisfaction. Personality and individual differences. 2002; 33(7): 1091-100.
16- Fekri A. Comparison of Emotional Regulation Cognitive and Alexithymia Strategies in People with and without Primary Hypertension Persons. Quarterly journal of contemporary psychology. 2015; 10(1): 85-94.
17- Tavakoli M. Andishmand V. Relation between Alexithymia with Resilience in Students of General Psychology Kerman University of Medical Sciences, National Conference on New Research in Psychology. Counseling and Educational Sciences. Khuzestan Charitable Organization. Ahwaz. 2016. [In Persian].
18- Masten AS. Ordinary magic: Resilience processes in development. American psychologist. 2001; 56(3): 227.
19- Garmezy N. Stress-resistant children: The search for protective factors. Recent research in developmental psychopathology. 1985; 4: 213-33.
20- Newman R. Providing Direction on the Road to Resilience. Behavioral Health Management. 2003; 23(4): 42.
21- Kordmirza NE. Resilience, Concepts-Theories-Models Applications-Including the Protocol of Treatment-Bsed Resilience. Tehran: Abjhe. 2013. [In Persian].
22- Grotberg E. Resilience (References and Discourse). Translated: Moghadasi M. Tehran: Varjavand. 3rd Edition. 2017. [In Persian].
23- Inzlicht M, Aronson J, Good C, McKay L. A particular resiliency to threatening environments. Journal of Experimental Social Psychology. 2006; 42(3): 323-36.
24- Campbell-Sills L, Cohan SL, Stein MB. Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour research and therapy. 2006; 44(4): 585-99.
25- Benzis K. McGigick R. Breaking Family Resilience: A Review of Key Protective Elements. Translated by: Jamshidian Q., S., P. 2012. Magazine on the Line of Psychological Knowledge. 2009; 55-44.
26- Torobrich S. Resilience Begins with Beliefs. Translators: Vatandoost L. Sadeghi H, Shahri M. Tehran: Varjavand. Second Edition. 2017. [In Persian].
27- Pourzoor P, abbasi M, shojaei A. The effectiveness of spiritual intervention on personal and social resilieny of women victims of domestic violence, clinical psychology. 2017; 10(2): 95-105. [In Persian].
28- Rivich K. Shateh A. Resilience of the seven golden keys for finding inner strengths and overcoming life's problems. Translator: Moshtag M. Tehran: Abouataa. 2015.
29- Frankl VE, Crumbaugh JC, Gerz HO, Maholick LT. Psychotherapy and existentialism: Selected papers on logotherapy: Simon and Schuster New York. 1967.
30- Lam W, Yoon S, Sze W, Ng A, Soong I, Kwong A, et al. Comparing the meanings of living with advanced breast cancer between women resilient to distress and women with persistent distress: a qualitative study. Psycho‐Oncology. 2017; 26(2): 255-61.
31- Afshari A, Amin R. Diagnostic role of stressful events, resilience, Alexithymia in women's addiction. psychological studies. 2018. [In Persian].
32- Feng F, Ming L, Ruofan L, Bingzhang L, Cao C. Mediating effects of self feeling of inadequacy between resilience and alexithymia in depressive undergraduates. Chinese Journal of Behavioral Medicine and Brain Science. 2016; 25(1): 70-5.
33- Igelton T. The meaning of life, translated by Abbas M. Tehran: Ban. 2017. [In Persian].
34- Procheska J, Norcross J. Psychotherapy Theories (Psychotherapy Systems). Translated by: Seyed Mohammadi Y. Tehran: Ravan. Tenth Edition. 2015. [In Persian].
35- Yalom E. Existential Psychotherapy. Translated: Habib S. Tehran: Man. 9th edition. 2017.
36- Frankl VE. The unconscious god: Psychotherapy and theology: Simon & Schuster. 1975.
37- Frankl V., E. Man's search for Meaning. Resaved and enlarged edition. New York: Washington Square Press. 1984.
38- Corey M., S. Corey G. Group Therapy. Translators: Bahari S. Bairamali R. Shahi H., H., Mirhashemi M. Naghshbandi S. Tehran: Ravan. Sixth Edition. 2016. [In Persian].
39- Afkham R, Tabrizi, M, Shafiabadi, A. The Effectiveness of Therapy on Improving Women's Health. Journal of Thoughts and Behavior, 2008; 69-78. [In Persian].
40- Frankl V., E. Man in Seeking the Ultimate Meaning. Translated: Abbasi Sh. Tehran: Parseh Book. Second Edition. 2014.
41- Southwick SM, Lowthert BT, Graber AV. Relevance and application of logotherapy to enhance resilience to stress and trauma.  Logotherapy and existential analysis: Springer. 2016; 131-49.
42- Bavali F, faramarz S, Manshaie G, Kaledian M. Effectiveness of Group Logo Therapy on Resiliency of the Mothers with Intellectual Disability Children. World of Sciences Journal. 2013; 1(7): 115-23. [In Persian].
43- Tavakoli B, Pour Ebrahim T. The Effectiveness of Group Therapy on Obsessive-Compulsive Beliefs. Disability Studies. 2018. [In Persian].
44- Postchian T, Sadat Kazemi A, Rezaei O, Sadat Kazemi, M. The Effectiveness of Group Therapy Based on Logotherapy in the Life Expectancy and Resilience of Absolute Women, Journal of Psychiatric Nursing. 2017; 52-45.
45- Sori H. The effect of Group Learning on the Frustration and Aggression of High School Boy Students. Knowledge and Research in Applied Psychology. 2015; 16(1): 118-25. [In Persian].
46- Elsherbiny MM, Al Maamari RH. The Effectiveness of Logotherapy in Mitigating the Social Isolation of Neglected Institutionalised Older People. The British Journal of Social Work. 2018; 5.
47- Gholami M. Pasha G. Sudani M. The Effectiveness of Group Therapy on the Life Expectancy and General Health of Female Thalassemic Patients. Knowledge and Research in Applied Psychology. Islamic Azad University. Khorasgan Branch (Isfahan). 2009; 42: 45-25. [In Persian].
48- Soetrisno, Sulistyowati S, Ardhianto A, Hadi S. The effect of logotherapy on the expressions of cortisol, HSP70, Beck Depression Inventory (BDI), and pain scales in advanced cervical cancer patients. Health care for women international. 2017; 38(2): 91-9.
49- Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research. 1994; 38(1): 23-32.
50- Shahgholian M. Moradi A. Kafi S., M. The Relationship of Alexithymia with Emotional Styles and General Health in Students. Journal of Psychiatry and Clinical Psychology of Iran (Thought and Behavior). 2007; 3: 238-248. [In Persian].
51- Besharat MA. Toronto Alexithymia Scale: Questionnaire, Instruction and Scoring. Developmental Psychology. 2013; 37: 90-2. [In Persian].
52- Afshari A, Mehrabizadeh H M. Prevalence and severity of Alexithymia and its comparison in male and female students. Journal of Research in Behavioral Sciences. 2013; 53-46. [In Persian].
53- Karami J, Yazdanbakhsh K, Karimi P. Mediating Role of Attachment Styles in Relationship between Temperament and Character Dimensions and Alexithymia. Clinical Psychology Journal. 2016; 8(1): 61-72. [In Persian].
54- Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety. 2003; 18(2): 76-82.
55- Mohammadi M. The Study of Influencing Factors on Resilience in Persons Subjected to Drug Abuse. M.A. Thesis of Tehran University of Social Welfare and Rehabilitation Sciences. 2005. [In Persian].
56- Hutzell R. A general course of group analysis. Joernaal/Journal: Viktor Frankl Foundation of South Africa. 2002; 7: 15-26.
57- Frankl V. The unheard cry for meaning. Psychotherapy and humanism. New York. Touchstone. 1978: 22-8.
58- Couri, J. Theory and practice of counseling and psychotherapy, translated by Asgari, F. Darini, F.   Tehran: Shabnam daneesh. 2005.
59- Ghazali S, Moradibaglooei M, Sarichloo ME, Alipour M. The effect of Logo Therapy Group on the Resilience of Spouses of male substance Abusers. Iranian journal of psychiatric nursing. 2018; 6(3): 54-59. [In Persian].
60- Siadat M, Gholami Z. The Effectiveness of Group Logotherapy in Increasing Resilience and Decreasing Depression among Individuals Affected by Substance Abuse in Tehran. International Journal of Applied Behavioral Sciences. 2019; 26; 5(1): 24-30. [In Persian].
61-Ameli M. Reason, Meaning, and Resilience in the Treatment of Depression: Logotherapy as a Bridge Between Cognitive-Behavior Therapy and Positive Psychology. InClinical Perspectives on Meaning. 2016; (pp. 223-44). Springer, Cham.
62- Afshari A. Investigating personality characterics, attachment styles, life stressors events and gender as predictors alexithymia in shahid hamran’s students: Thesis. 2012. [In Persian].
63- Marzban E. Ahmadi A. Khasha M. Moradkhah V. The study of the Relationship between Psychological well-being and Alexithymia with Resilience and Suicidal Thoughts in Drug-Dependent Persons in Shiraz. 8th International Conference on Psychology and Social Sciences. Tehran. Iran. 2017. [In Persian].
64- Khalidian M. Investigating the Effectiveness of Group Therapy on Improving the Psychological Capital of Addicted Persons. Journal of Entrepreneurship Research. 2017; 76(19): 103-20. [In Persian].
65- Shamseddini M. The Effect of Logo therapy on Job Satisfaction and Resilience of Teachers and Coaches of Exceptional Schools in Yazd. The First National Conference on the Development and Promotion of Educational Sciences. Psychology, Advice and Education in Iran. 2015. [In Persian].
66- Jaliliniko S, Rezaei Z, Nejatinejad N, Ghasemi G, Nourian K. The Effectiveness of Existential Psychotherapy on Increasing Resilience of Infertile Women. Journal of Yasuj University of Medical Sciences. 2015. [In Persian].
67- Safavi GA, Bahreinian A. Shahabizadeh F. The Effectiveness of Group Logo Therapy on Resilience and Psychological Hardiness of High School Students in Zone 2 of Education in Kerman. The First Scientific Conference on Educational Science and Psychology of Social and Cultural Harm in Iran. Tehran: Islamic Studies and Research Center Soroush Hekmat Mortazavi. 2014. [In Persian].
68- Amani A, Yousefi N, and Ahmadi S. The Effectiveness of Group Therapy on Resilience and
 
Loneliness of Girl Students with Love Blind Syndrome. Journal of Research in Counseling Research. 2014; 81-103. [In Persian].
69- Zarghamiyan Z. The Effectiveness of Earning Meaning on Resilience and Quality of Life of Mothers with Children with Special Needs in Borazjan. M.A. Thesis. Shahid Chamran University of Ahvaz. 2011. [In Persian].
70- Morgan J. What to Do When there is Nothing to Do: The psychotherapeutic value of Meaning Therapy in the treatment of late life depression. Health, Culture and Society. 2013; 5(1): 324-30.
71- Golpaygani A. Assessment of the Effect of Group Logotherapy on Coping Styles and Resiliency of Addicts in Addiction Treatment Center. Arak Islamic Azad University Arak Branch. 2016. [In Persian].
72- Rogina JM, Quilitch HR, editors. Treating Dependent Personality Disorders with Logotherapy: A Case Study. International Forum for Logotherapy; 2006: Viktor Frankl Inst of Logotherapy.
73- Akbari A, Khanjani  Z, Porsharifi H. Mahmud alilou M, Azimi Z. Comparative efficacy of transactional analysis versus cognitive behavioral therapy for pathological symptoms of emotional breakdown in students. clinical psychology. 2012; 4(3): 87-101. [In Persian].
74- Asagba RB, Winberly C. Developing a Logotherapeutic model for understanding victims of sexual assault. Gender and Behaviour. 2015; 13(2): 6784-8.
75- Steger MF, Mann JR, Michels P, Cooper TC. Meaning in life, anxiety, depression, and general health among smoking cessation patients. Journal of psychosomatic research. 2009; 67(4): 353-8.
76- Grant G, Ramcharan P, Flynn M. Resilience in families with children and adult members with intellectual disabilities: tracing elements of a psycho‐social model. Journal of Applied Research in Intellectual Disabilities. 2007; 20(6): 563-75.
77- Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American college health. 2008; 56(4): 445-53.
78- Surcamp JR. Applied Logotherapy for the Treatment of Post-Traumatic Stress Disorder in Men and Women United States Army Veterans. 2015.
79- Ulrichová M. Logo therapy and existential analysis in counselling psychology as prevention and treatment of burnout syndrome. Procedia-Social and Behavioral Sciences. 2012; 69: 502-8.
80- Ghadampour E, Yousefvand M, Alavi Z. The effectiveness of therapeutic meaning on Academic Excitement and Academic Hardiness in secondary school student's city of Khorramabad. Journal of Rooyesh-e-Ravanshenasi 2018; 7(9): 123-38.
81. Frankl VE. Man's search for meaning: Simon and Schuster. 1985.
82- Esping A. The search for meaning in graduate school: Viktor frankl's existential psychology and academic life in a school of education. Order. 2007(3307567).
83- Konvisser ZL. Finding Meaning and Growth the Aftermath of Suffering: Israeli Civilian Survivors of Suicide Bombings and Other Attacks. ProQuest. 2006.
.