اثربخشی درمان پذیرش و تعهد بر کاهش افسردگی و فقدان لذت‌جویی بیماران سرطانی مرحله‌ی آخر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه علوم تربیتی، دانشگاه فرهنگیان ایران، تهران، ایران

2 کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد اهواز، اهواز، ایران

چکیده

مقدمه: هدف این پژوهش، تعیین اثربخشی درمان پذیرش و تعهد بر افسردگی و فقدان لذت جویی بیماران سرطانی شهر اهواز بود.
روش: جامعه­ ی آماری شامل کلیه­ ی بیماران سرطانی مرحله­ ی آخر شهر اهواز بود که از این میان 30 نفر با روش نمونه­ گیری دردسترس انتخاب شد. ابزار مورد استفاده شامل خرده­ مقیاس افسردگی از پرسشنامه­ ی 90-SCL و پرسشنامه‌ی فقدان لذت­ جویی هامیلتون بود. برای گروه آزمایش، 8 جلسه­ ی 90 دقیقه­ ای هفتگی برنامه­ ی درمان پذیرش و تعهد اجرا شد و گروه گواه هیچ­گونه مداخله­ ای دریافت نکرد. برای تحلیل داده­ ها از روش­های آمار استنباطی تحلیل کواریانس چندمتغیری و تک متغیری استفاده شد.
یافته­ ها: نتایج MANCOVA و ANCOVA نشان داد که درمان پذیرش و تعهد باعث کاهش میزان افسردگی و فقدان لذت­ جویی بیماران سرطانی مرحله‌ی آخر می­شود.
نتیجه­ گیری: به طور کلی، می‌توان گفت که درمان پذیرش و تعهد برای افزایش ظرفیت لذت­ جویی در افراد دچار سرطانی که با مرگ مواجه هستند، اثربخش است و توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Acceptance & Commitment Therapy on Depression and Anhedonia among Patients with Terminal Stage Cancer

نویسندگان [English]

  • Ayatolah Karimi Baghmalek 1
  • Arash Jelodari 2
  • Foroogh Mahigir 1
1 Assistant professor, department of Counseling and psychology, Farhangian University, Tehran, Iran
2 M.A. in clinical counseling, Azad University of Ahvaz
چکیده [English]

Introduction: The research aimed to examine effectiveness of Cognitive-Behavioral Therapy (CBT) on depression and anhedonia among patients with terminal stage cancer in Ahvaz.
Method: The statistical population included all patients with terminal stage cancer of Ahvaz among whom 30 were recruited using randomized sampling method. The participants filled out the depression subscale of SCL-90 and Snaith-Hamilton's Anhedonia Questionnaire. The treatment group received 8 weekly sessions of ACT intervention each lasting 90 mins, while the control group received no intervention. The data were analyzed using MANCOVA and ANCOVA.
Results: The results of analyses by MANCOVA and ANCOVA showed that ACT decreased patients' depression and anhedonia.
Conclusion: Generally, it could be concluded that the acceptance and commitment therapy was effective for improving the capability to feel joy among cancer patients facing death and is recommended.

کلیدواژه‌ها [English]

  • Acceptance & Commitment Therapy
  • depression
  • anhedonia
  • cancer

مراجع

 
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سابقه مقاله

  • تاریخ دریافت: 10 مهر 1398
  • تاریخ بازنگری: 24 آذر 1398
  • تاریخ پذیرش: 25 بهمن 1398

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