مقایسه اثربخشی بسته درمانی مبتنی بر تجارب با درمان مبتنی بر شفقت‌ورزی بر شادکامی و نشخوار فکری در بیماران افسرده

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه آزاد اسلامی واحد اصفهان(خوراسگان)

2 گروه مشاوره،دانشکده علوم تربیتی و روان شناسی دانشگاه اصفهان

3 استاد گروه روانشناسی دانشکده علوم تربیتی و روانشناسی دانشگاه اصفهان

4 دانشکده علوم تربیتی ، دانشگاه آزاد اسلامی اصفهان واحد(خوراسگان)

چکیده

مقدمه: با توجه به اهمیت شادکامی و نشخوار فکری در افزایش سطح خلق، پژوهش حاضر با هدف مقایسه اثربخشی بسته درمانی مبتنی بر تجارب با درمان مبتنی بر شفقت ­ورزی بر شادکامی و نشخوار فکری در بیماران افسرده صورت گرفته است.
روش: روش پژوهش نیمه­ آزمایشی و طرح پژوهش سه گروهی با پیش‌آزمون، پس‌آزمون و پیگیری بود. جامعه آماری پژوهش را بیماران افسرده مراجعه‌کننده به مرکز خدمات بهزیستی سپاهان در شهر اصفهان در بهار و تابستان سال 7‌139 تشکیل دادند که در نهایت از بین آنها 45 نفر به شیوه دردسترس انتخاب و به صورت تصادفی در سه گروه آزمایش 1(بسته درمانی مبتنی بر تجارب)، گروه آزمایش 2(بسته درمانی مبتنی بر شفقت ­ورزی) و گروه کنترل گمارده شدند. گروه آزمایش 1 طی 16 جلسه 45 دقیقه‌ای و گروه آزمایش 2 طی 10 جلسه 90 دقیقه­ای تحت درمان مبتنی بر شفقت­ ورزی و بسته درمانی مبتنی بر تجارب قرار گرفتند. ابزار پژوهش پرسشنامه شادکامی آکسفورد، پرسشنامه سبک‌های پاسخ و پرسشنامه شفقت به خود فرم کوتاه بود و در نهایت به تحلیل داده­ها با استفاده از تحلیل کوواریانس چند متغیری پرداخته شد.
یافته­ ها: نتایج نشان داد که در پس­آزمون و پیگیری پس از کنترل پیش ­آزمون، بین گروه آزمایش 1، گروه آزمایش 2 و گروه کنترل در شادکامی و نشخوار فکری ‌تفاوت معناداری وجود دارد ولی تفاوت معناداری بین دو گروه آزمایش 1 و گروه آزمایش 2 وجود نداشت.
نتیجه ­گیری: با توجه به اثربخشی درمان های مبتنی بر تجارب و درمان مبتنی بر شفقت ­ورزی در افزایش شادکامی و کاهش نشخوار فکری از استفاده از هر یک از دو رویکرد می تواند مفید و اثربخش باشد. با توجه به تعداد و طول جلسات متفاوت در هر رویکرد استفاده از رویکرد خاص بسته به شرایط می تواند مدنظر درمانگران قرار گیرد، باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the effectiveness of experience-based therapy package with compassion-based therapy on happiness and rumination in depressed Patients

نویسندگان [English]

  • Sima Andalib 1
  • Mohammad Reza Abedi 2
  • Hamid Taher Neshatdoost 3
  • Asghar Aghaei 4
1 Eslamic Azad university of esfahan(khorasgan)
2 Professor in Counseling Department, Faculty of Educational Sciences and Psychology, University of Esfahan
3 Professor in Psychology Department, Faculty of Educational Sciences and Psychology, University of Esfahan,
4 Professor of Psychology , Isfahan (Khorasgan) Branch, Islamic Azad University
چکیده [English]

Introduction: Considering the importance of happiness and rumination in increasing the level of mood, the present study was conducted to compare the effectiveness of experience-based therapy package with compassion-based therapy on happiness and rumination in depressed patients.
Method: The research method was a semi-experimental with pre-test, post-test and follow-up design and three groups. The statistical population of the study included depressed patients who had come to Sepahan Counseling Services Center in Esfahan city in the spring and summer of 2018 so that 45 of them were selected using convenient sampling method and randomly assigned into three groups including experimental groups 1 (experience-based therapy package), experimental groups 2 (compassion-based therapy) and the control group. Experimental group 1 received sixteen 45-minute sessions and experimental group 2 received ten 90-minute sessions treatment according to compassion-based therapy and experience-based therapy package. The research tools were Oxford Happiness Questionnaire, Response Styles Questionnaire and Self-Compassion Scale-short form. The data were analyzed using multivariate analysis of covariance.
Results: The findings showed that in the post-test and follow-up after pre-test control, there was a significant difference between experimental groups‌1, experimental groups 2 and the control group in happiness and rumination but there was no significant difference between experimental groups 1 and experimental groups 2.
Conclusion: Considering the effectiveness of experience-based therapy and compassion-based therapy in increasing happiness and reducing rumination, the use of either approach can be useful and effective. Given the number and length of sessions in each approach, the use of a concise approach depending on the situation can be considered by therapists.

کلیدواژه‌ها [English]

  • Compassion-based therapy
  • experience-based therapy package
  • happiness
  • rumination
  • depression

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