اثربخشی درمان شناختی رفتاری مثبت نگر بر جهت مداری زندگی زنان دارای سندرم خستگی مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی عمومی دانشگاه آزاد اردبیل ایران

2 استاد، گروه روان شناسی، دانشگاه گیلان، رشت ، ایران

3 استادیار، گروه روانپزشکی ، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل ،ایران

4 استاد، گروه روان شناسی ، دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

مقدمه: عوامل روانی اجتماعی ممکن است در جهت­ مداری زندگی بیماران خستگی مزمن نقش داشته باشند. هدف پژوهش حاضر بررسی اثربخشی رفتاردرمانی شناختی مثبت نگر برجهت­ مداری زندگی معلمان زن  دارای خستگی مزمن بود.
روش: طرح پژوهش از نوع نیمه ­آزمایشی، با طرح پیش ­آزمون و پس­ آزمون و گروه کنترل است. جامعه آماری شامل کلیه معلمان زن مبتلا به سندرم خستگی مزمن مشکین شهر در سال 1397 است. نمونه ای متشکل از 40 معلم زن با خستگی مزمن انتخاب شد و به شیوه تصادفی در دو گروه 20 نفره (یک گروه آزمایشی و یک گروه کنترل) گمارده شدند. برای جمع ­آوری داده‌ها از پرسشنامه  های خستگی چالدر و جهت­ مداری زندگی استفاده شد. گروه آزمایشی رفتاردرمانی  شناختی مثبت نگر را در 11 جلسه دریافت کرد ، در حالیکه گروه کنترل مداخله‌ای نگرفت. تحلیل نتایج با استفاده از تحلیل کواریانس صورت گرفت.
یافته­ ها: نتایج نشانگر افزایش میانگین دید خوش­بینانه و کاهش میانگین دید بدبینانه در زنان گروه آزمایش(0/01>p)، نسبت به گروه کنترل بود.
نتیجه ­گیری: نتایج پژوهش نشان می‌دهد که رفتاردرمانی شناختی مثبت نگر بر جهت­ مداری زندگی  معلمان زن مبتلا به خستگی مزمن تأثیر دارد و به عنوان مداخله ای مؤثر برای این بیماران پیشنهاد می شود.


 
 
 

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Positive Cognitive -behavioral Therapy on Orientation of Life in Female Teachers with Chronic Fatigue syndrome

نویسندگان [English]

  • farideh sadeghi 1
  • abbas abolghasemi 2
  • Reza Kazemi 3
  • Mohmmad Narimani 4
1 psychology.Azad ardebil university.ardebil . Iran
2 Professor, Department of Psychology, university, Gilan, Rasht, Iran
3 Assistant Professor, Department of Psychiatry, Ardebil Branch, Islamic Azad University, Ardebil, Iran
4 Professor, Department of Psychology, university of Mohaghegh Ardabili, Ardabil, Iran
چکیده [English]

Introduction: Psychosocial factors may play role inorintation of life of patients with chronic fatigue syndrome.The aim of present study was to investigat the effectiveness of a positive cognitive-behavioral therapy on orintation of life in female teachers with chronic fatigue syndrome.
Method: A semi-experimental design with pretest, posttest with control group was applied. The population included all teacher women with chronic fatigue syndrome in Meshkinshahr in 2017. A sample of 40 female teachers selected and randomly assigned into 2 groups (one experimental group and one control group). For data collection, Chalder Chronic Fatigue and Orientation of Life questionnaires were used. Positive cognitive-behavioral therapy was administered to experimental group for 11 sessions, whereas the control group receive no intervention. The extracted data analysed by a analysis of covariance.

Results: Results showed increased optimistic vision, as well as, reduced pessimistic vision of women in experimental group (p<0/01) than control group.

Conclusion: It could be concluded that positive cognitive-behavioral therapy was effective on orientation of life of female teachers with chronic fatigue syndrome and is then recommended as an effective intervention to them.

Keywords: Chronic Fatigue Syndrome, Orintation of Life, Positive Cognitive- behavioral Therapy, teachers, women.
 
 
 
 
 

کلیدواژه‌ها [English]

  • "Orintation of life"
  • "Positive Cognitive Behavioral Therapy"
  • "Chronic Fatigue Syndrome "
1. Vandermeer W M, Bleijenberg G, Chronic fatigue syndrome. Journal infectious Diseases. 2017; 2(1): 631-35.
2. Perry E, Alastair M, Chronic fatigue syndrome. Journal of medicine. 2016; 44(12): 711-4.
3. Geir B, Dadar M, Pen J, Chirumbolo  S, Aaseth J. Chronic fatigue syndrome (CFS):  Suggestions for a nutritional treatment in the therapeutic approach Biomedicine & pharmaco therapy. 2019; 103(4): 531-8.
5. Zack Y, Shan K, Kevin F, Sandeep B, Timothy I, Donald R. Brain function characteristics of chronic fatigue syndrome: A task fMRI study. NeuroImage: Clinical. 2018; 19(1): 279-86.
6. Finkelmeyer A,He J,Maclachlan L ,Watson S ,Gallagher P ,Newton J L M, Blamire A. Grey and white matter differences in Chronic Fatigue Syndrome – A voxel-based morphometry study. NeuroImage: Clinical. 2018; 17(5): 24-30.
7. EvaMartín MM, Mercedes M M. Varied presentation of myalgia encephalomyelitis/Chronic fatigue syndrome and the needs for classification and clinician education: A Case Series. Clinical therapeutics. 2019; 41(4): 619-24.
8. Roberts, D. Chronic fatigue syndrome and quality of life. Patient Related Outcome Measures. 2018; 2(9): 253–62.
9. Moss-Morris R, Deary V, Castell B. Chronic fatigue syndrome. In: Handbook of clinical neurology. 2013; (110): 303-14.
10. Mandell D, Bennett's D. Principles and practice of lnfectious diseases. Eighth edition, 2015; 1(40): 1674-80.
11. Taheri S, Sajjadian I. Effectiveness of mindfulness based cognitive therapy on fatigue symptoms, self-compassion and mindfulness on staff with chronic fatigue syndrome.Quarterly Journal of career & organizational counseling. 2017; 9(30): 145-71. [in Persian].
12. Alger J. Gender differences in chronic fatigue syndrome. Reumatología Clínica. 2016; 12(2): 72-7.
13. Boorman E, Pariante CM, Russell A. Chronic fatigue syndrome and fibromyalgia.Journal of biomedical sciences. 2017; 172(41): 187-94.
14. Abolghasemi A, Chesmberah V, Kazemi R, Narimani M, The Role of coping strategies, association and physical activity in predicting the quality of life of women with musculoskeletal pain. Scientific Journal of the Ministry of science. 2011; 2(3): 105-21. [in Persian].
15. Jackson H, Macleoud AK. Well-being in chronic fatigue syndrome: Relationship to symptoms and psychological distress. Clinical Psychol Psychother, 2016; 13(3): 470- 78.
16. Rashid T, Seligman ME P. Positive Psychotrapy. A. treatment manual. New york: oxford university Press. 2013.
17. Seligman, M. E. P. Flourish. New york: Free Press. 2011.
18. Scheier MF M, Carver CS. Optimism, coping, and health: Assessment and implications of generalized outcome expectan-cies. Health psychology. 1985; 4 (3): 219-47.
19. Basson, N. The influence of psychosocial factors on the subjective well-being of adolescents. Unpublished dissertation, magister societatis scientiae, bloemfontein,south Africa. 2008.
20. Fisher PL, Byrne A, Salmon P. Metacognitive therapy in adult survivors of cancer: a case series. Cogn. Ther. Res. 2017; 41(6): 891–901.
21. Mahmoudi H, Khoshakhlagh H. The Effectiveness of positive psychotherapy on psychological well-being and self-Esteem among Adolescents with Depression Disorder. Social Behavior Research & Health (SBRH). 2018; 2(1): 153-63. [in Persian].
22. Golestane SM, Behzadi A. The Effectiveness of positive psychology interventiontraining on well-being, Academic vitality, students girls Achievement. Applied psychological research quarterly. 2019; 13(1): 1-27. [in Persian].
23. Kiamarsi A, Narimani M, Sobhi Gharamaleki N, Mikaeeli N. The Effectiveness of positive and cognitive-behavioral therapies on psychological well-being of perfectionist students. Psychological studies saculty of education and psychology. 2018; 14(2): 240-60. [in Persian].
24. Mansouri S, Hagigat S, Habibi R, The Effectiveness of positive therapeutic interventions on Promoting Hope in Substance Abuse. Quarterly Journal on social Health and Addiction. 2018; 5(19): 79-90. [in Persian].
25. Vela JC, Lenz AS, Sparrow, GS, Gonzalez SL. Using a positive psychology and family framework on understand mexican american adolescents’ colledge-going beliefs. Hispanic. Journal of behavioral sciences. 2017; 39(1): 66-81.
26. Yousefpour N, Akbari A, Ahangari E, Thamari AA. The Effectiveness of quality of life based psychotherapy on decreased depression in patients with complicated mourning.Quarterly Journal of clinical psychology and consultation research. 2017; 7(1): 21-37. [in Persian].
27. Dezutter J, Luyckx K, Wachholtz A. Meaning in life in chronic pain patients over time: associations with pain experience and psychological well-being. Journal of behavioral medicine. 2015; 38(2): 384-96. 28. Katharine A, Joanna A, Lauren B, Trudie C. Emotional suppression in chronic fatigue syndrome: experimental study. Health psychology. 2016; 35(9): 979–86.
29. Turner JA, Anderson ML, Balderson BH, Cook AJ, Sherman KJ, Cherkin DC. Mindfulnessbased
 
stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain. 2016; 157(11): 2434-44.
3. Ansari Y, Sanaei F.The Effect of positive couple therapy on the happiness of mothers of exceptional children. Int arch health Sci. 2018; 5(2): 43-47. [Persian].
31. Pourfarag EM, Rezazadeh H. The Effectiveness positive psychotherapy on happiness and the Lives of cancer patients. quarterly of counseling culture and psychotherapy. 2018; 9(33): 119-36. [in Persian].
32. Farnam A, Madadizadeh T. Effect of positive training on positive psychological states (character strengths) of female high school students. Positive psychology research. 2017; 3(1): 61-75.
33. Lyubomirsky S, Layous K. How Do simple positive activities increase well-being? Journal of current directions in psychological science. 2013; 22(1): 57–62.
34. Layous K, Nelson SK, Lyubomirsky S. What is the optimal way to deliver a positive activity intervention? The case of writing about one’s best possible selves. J Happiness Stud. 2014; 14(2): 635-54.
35. Delavar A. Theoretical and practical foundations of research in humanities and social sciences. Tehran:Roshd. 2001; 52-58. [in Persian].
36. Chalder T, Berelowitz G, pawlikowskowska T, Watts L, Wessely S, Wright, D. Development 0f a fatigue Scale.Jornal of pshychosomatic Research. 1993; 37(1): 147-53.
37. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch neurol. 1990; 46(10): 1121-23.
38. Haddadi M, Zakerian A, Mahmoodi M, Nasl seraji J, Parsa yekta Z, Ali yari A. Investigation of chronic fatigue syndrome questionnaire validity and reliability cfs (DSQ Revised). sjsph. 2014; 12 (1): 75-84. [in Persian].
39. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of personality and social psychology,1994; 67 (6): 1063−78.
40. Kajbaf, Arizy H, Khodobakshi M. Normalization, relibility and validity of optimism scale, self domination and depression in isfahan city. psychological studies of faculty of psychology and psychology, Alzahra universiy. 2006; 2(1): 51-68. [in Persian].
41. O’ Honlon, B., & Bertolino, B.The therapists notebook on Positive Psychology, New York:Routledge. 2012.
42. Fredrickson, B. L. The value of positive emotions.American Scientist. 2003; 91(4), 330-33.
43. Khanjani M, Rezaei S. The Effectiveness of Positive psychotherapy program on Improving Psychologcal well- Being, Positive Affection and Reducing Negative Emotions of Mothes with Autism Disorders. Quarterly of Clinical Psychology Studie.2016; 7(1): 37-52.
44. Sing CY. Wong WS. Effect of optimsm on depression: The mediating and moderating role of insomnia. Joural of health psychology. 2011; 16(8): 1251-58.
45. Nikmanesh Z, Zandvakili M. The Effect of positive thinking training on quality of Life, depression, stress and anxiety in delinquent juveniles.Positive psychology research. 2015; 1(2): 52-64.
46. Seligman ME, Steen T, Park N, Peterson C. Positive psychology progress: Empirical interventions. American psychologist. 2005: 60:12-24.
47. Santos V, Paes F, PereiraV, Arias Carrión O, Silva AC, Carta MG. et al. The role of positive emotion and contributions of positive psychology in depressiontreatment: Systematic review. Clinical practice and epidemiology in mental health. 2013; (9) 2: 221-37.
48. Sin,N.L., & Lyubomirsky, S. Enhancing Well-being and all eviating depressive symptoms with positive psychology interventions: A practice friendly meta analysis. Journal of Clinical psychology. 2009; (65)2 :467–87.