اثربخشی درمان شفقت محور بر عاطفه مثبت و منفی و امید بیماران مبتلابه اسکلروز چندگانه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی، دانشکده علوم تربیتی و روانشناسی، واحد علوم تحقیقات تهران(اصفهان)، اصفهان، ایران

2 استاد،گروه روانشناسی دانشگاه اصفهان، اصفهان، ایران

3 استاد گروه نورولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

چکیده:
زمینه و هدف: اسکلروز چندگانه مانند هر بیماری مزمن دیگر اثرات روانشناختی متعددی دارد. پژوهش حاضر با هدف بررسی اثربخشی درمان شفقت محور بر عاطفه منفی و امید بیماران مبتلا به اسکلروز چندگانه (ام.اس) انجام شد.
مواد و روش کار: این پژوهش نیمه تجربی و از نوع، پیش‌آزمون – پس‌آزمون همراه پیگیری یک ماهه با گروه کنترل بود. حجم نمونه 24 نفر مراجعه کننده به یکی از کلینیک‌های مغز و اعصاب شهر اصفهان در زمستان 1395 بود که به روش نمونه گیری در دسترس انتخاب و به طور تصادفی به دو گروه آزمایش و کنترل (هره گروه 12 نفر) گمارده شدند. سپس از هر دو گروه پیش‌آزمون به عمل آمد. گروه آزمایش به مدت 8 جلسه 90 دقیقه‌ای تحت آموزش درمان شفقت محور (گیلبرت، 2009)، قرار گرفتند و گروه کنترل هیچ گونه مداخله‌ای دریافت نکرد و در پایان هر دو گروه مجددا ارزیابی شدند. ابزارهای مورد استفاده پرسشنامه امید (اشنایدر، 1991) و پرسشنامه عاطفه منفی (واتسون، کلارک و تلگن، 1988) بود. داده های پژوهش از طریق آزمون تحلیل واریانس با اندازه‌گیری مکرر مورد تجزیه و تحلیل قرار گرفت.
یافته ها: تحلیل داده‌ها نشان داد که نمرات امید و عاطفه منفی گروه آزمایش در مقایسه با گروه کنترل در بیماران ام.اس بهبودی معناداری نشان داد (01/0 P≤).
نتیجه گیری: از مداخله درمانی شفقت محور جهت کاهش عاطفه منفی و افزایش امید در بیماران مبتلا به اسکلروز چندگانه (ام.اس) می-توان استفاده نمود.
واژگان کلیدی: درمان شفقت محور، عاطفه منفی، امید، اسکلروز چندگانه (ام.اس).

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of Compassion Focused Therapy on the Positive/Negative Affect and Hope in Multiple Sclerosis Patients

نویسندگان [English]

  • Hassan Aghaee Khajelangi 1
  • Hamid Taher Neshatdoost 2
  • Mohammad Reza Najafi 3
  • Maede Mazi 1
1 M.A Clinical Psychology, Faculty of Education and Psychology,Islamic Azad University of Sciences & Research Branch, Tehran(Isfahan), Isfahan, Iran
2 Professor, Department of Psychology, University of Isfahan, Isfahan, Iran
3 Professor Department of Neurology, School of Medicine, Isfahan University of medical Sciences, Isfahan, Iran
چکیده [English]

Abstract




Introduction: As other chronic diseases the Multiple Sclerosis creates a number of harmful psychological effects on patients. The purpose of this research was to investigate the effectiveness of the compassion-focused therapy on positive and negative affect and hope in multiple sclerosis (relapsing remitting) patients.




Method: In a randomized controlled trial design a sample with 24 subjects were selected by available sampling method from a neurology clinic in Isfahan city in the winter 2016, and were randomly placed to experimental and control groups (n= 12). All subjects completed the positive and negative questionnaire and hope questionnaire in a pretest stage. Then experimental group received compassion focused therapy in eight 90 minutes sessions, whereas  no intervention received by control group. Both groups were evaluated in the post-test and follow-up stages. The final dataset was analyzed by a repeated measure ANOVA analysis.




Results: Data were shown significantly time effect (pre-test, posttest and the follow-up) ,as well as, time* group interaction effect for positive/negative affect and hope scores. A significant  between subjects effects was also found for these variables. Hence the difference among the average scores  was significant between two groups regardless of time passage.




Conclusion: The compassion focused therapy could be utilized to reduce negative affect and increase positive affect and hope in people who are suffered from multiple sclerosis and this treatment method is reasonable for patients of MS.

کلیدواژه‌ها [English]

  • Compassion focused therapy.positive and Negative affect
  • Hope
  • Multiple sclerosis
منابع
1. Filippi M, Brück W, Chard D, Fazekas F, Geurts JJG, Enzinger C, et al. Association between pathological and MRI findings in multiple sclerosis. The Lancet Neurology. 2019; 18(2): 198-210.
2. Hempel S, Graham GD, Fu N, Estrada E, Chen AY, Miake-Lye I, et al. A systematic review of modifiable risk factors in the progression of multiple sclerosis. Multiple Sclerosis Journal. 2017; 23(4): 525-33.
3. Dehghani R, Yunesian M, Sahraian MA, Gilasi HR, Moghaddam VK. The evaluation of multiple sclerosis dispersal in Iran and its association with urbanization, life style and industry. Iranian journal of public health. 2015; 44(6): 830. [Persian]
4. Stenager E. A global perspective on the burden of multiple sclerosis. The Lancet Neurology. 2019.
5. Etemadifar M, Sajjadi S, Nasr Z, Firoozeei TS, Abtahi S-H, Akbari M, et al. Epidemiology of multiple sclerosis in Iran: a systematic review. European neurology. 2013; 70(5-6): 356-63.
6. Moahmmad Pour K, Kafie SM, Hatamiyan HR, Rezaei S, Nezhad Mh. Comparison of Psychological Symptoms and Personality Characteristics between Patients with Multiple Sclerosis and Normal Matched People. Jundishapur Scientific Medical Journal. 2014; 13(3): 301-14. [Persian]
7. Jahanbakhsian N, zahrakar k, davarniya r. A Study on the Effectiveness of Caregivers’ Group Supportive-Training Intervention on the Mental Health of MS Patients. Razi Journal of Medical Sciences. 2016; 23(144): 19-29. [Persian]
8. Christodoulou C, Melville P, Scherl WF, Macallister WS, Abensur RL, Troxell RM, et al. Negative affect predicts subsequent cognitive change in multiple sclerosis. Journal of the International Neuropsychological Society. 2009; 15(1): 53-61.
9. Calandri E, Graziano F, Borghi M, Bonino S. Depression, positive and negative affect, optimism and health-related quality of life in recently diagnosed multiple sclerosis patients: The role of identity, sense of coherence, and self-efficacy. Journal of Happiness Studies. 2018; 19(1): 277-95.
10. Paparrigopoulos T, Ferentinos P, Kouzoupis A, Koutsis G, Papadimitriou GN. The neuropsychiatry of multiple sclerosis: focus on disorders of mood, affect and behaviour. International review of psychiatry. 2010; 22(1): 14-21.
11. Hart SL, Vella L, Mohr DC. Relationships among depressive symptoms, benefit-finding, optimism, and positive affect in multiple sclerosis patients after psychotherapy for depression. Health psychology. 2008; 27(2): 230.
12. Ong AD, Kim S, Young S, Steptoe A. Positive affect and sleep: A systematic review. Sleep medicine reviews. 2017; 35: 21-32.
13. Pressman SD, Jenkins BN, Moskowitz JT. Positive affect and health: What do we know and where next should we go? Annual Review of Psychology. 2019.
14. Merz EL, Roesch SC. Erratum to “Modeling trait and state variation using multilevel factor analysis with PANAS daily diary data” [J. Res. Pers. 45 (2011) 2–9]. Journal of Research in Personality. 2011; 45(2): 257.
15. Agha-Bagheri H, Mohammad -Khani P, Emrani S, Farahmand V. The Efficacy of Mindfulness-Based Cognitive Therapy Group on the Increase of Subjective Well-Being and Hope in Patients with Multiple Sclerosis. Journal of Clinical Psychology. 2012; 4(1): 23-31. [Persian]
16. Kerling A, Keweloh K, Tegtbur U, Kück M, Grams L, Horstmann H, et al. Effects of a short physical exercise intervention on patients with multiple sclerosis (MS). International journal of molecular sciences. 2015; 16(7): 15761-75.
17. Abedini E, Ghanbari-Hashem-Abadi, B.A, Talebian-Sharif, J. Effectiveness of Group Therapy Based on Hope Approach on Hope and Depression in Women with Multiple Sclerosis. Journal of Clinical Psychology. 2016; 8(2):1-11. [Persian]
18. Meri F, Ghodsi P. The Relationship between Lifestyle and Life Expectancy with Psychological Well-Being of Patients with Multiple Sclerosis. Depiction of Health. 2018; 8(4): 202-8.
19. Abedini E, Ghanbari Hashem Abadi B, Talebian Sharif J, Karimi Torshizi S. Effectiveness of Hope-based Group Therapy on the Quality of Life in Women With Multiple Sclerosis. Journal of North Khorasan University of Medical Sciences. 2016; 7(3): 623-36. [Persian]
20. Rajabi S, Yazdkhasti F. The Effectiveness of Acceptance and Commitment Group Therapy on Anxiety and Depression in Women with MS Who Were Referred to the MS Association. Journal of Clinical Psychology. 2014; 6(1): 29-38. [Persian]
21. Rahimi S, Borjali A, Sohrabi F. Effectiveness of Positive Psychology Interventions on Resiliency of Female Patients with Multiple Sclerosis. Positive Psychology. 2015; 1(3): 1-10. [Persian]
22. Rigikouteh B, Yazdkhasti F, Etemadifar M. The effectiveness of Dohsa-hou psychological
 
rehabilitation program on severity of fatigue, depression, anxiety, stress and improve the quality of life in subjects with Multiple Sclerosis (MS). 2013. 2013: 14. [Persian]
23. Hamid n, Mehrabi Zadeh Honarmand M, Sadeghi S. The Effect of Stress Inoculation Training (SIT) on Depression and Quality of Life in Multiple Sclerosis (MS) Patients with Control of Duration of Disease in Esfahan City. Jundishapur Scientific Medical Journal. 2012; 11(1): 77-84. [Persian]
24. Gilbert P. An introduction to compassion focused therapy in cognitive behavior therapy. International Journal of Cognitive Therapy. 2010; 3(2): 97-112.
25. Gilbert P. Introducing compassion-focused therapy. Advances in psychiatric treatment. 2009; 15(3): 199.
26. Gilbert P. The origins and nature of compassion focused therapy. British Journal of Clinical Psychology. 2014; 53(1): 6-41.
27. Leaviss J, Uttley L. Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological medicine. 2015; 45(5): 927-45.
28. Ashworth F, Gracey F, Gilbert P. Compassion focused therapy after traumatic brain injury: Theoretical foundations and a case illustration. Brain Impairment. 2011; 12(2): 128-39.
29. Salimi A, Arsalandeh F, Zahrakar K, Davarniya R, Shakarami M. The Effectiveness of Compassion-Focused Therapy on Mental Health of Women with Multiple Sclerosis. Quarterly of Horizon of Medical Sciences. 2018; 24(2): 125-31. [Persian]
30. Ghator Z, Pouryahya S, Davarniya R, Salimi A, Shakarami M. The Effect of Compassion-Focused Therapy (CFT) on Resiliency of Women with Multiple Sclerosis (MS). Armaghane danesh. 2018; 23(3): 350-63. [Persian]
31. Afshani SA, Abooei A, Abdoli AM. Self-compassion training and psychological well-being of infertile female. International Journal of Reproductive BioMedicine. 2019; 17(10): 757.
32. Mousavi S, Khajevand Khoshli A, Asadi J, Abdollahzadeh H. Effectiveness of compassion-focused therapy (CFT) on subjective well-being in women withsystemic lupus erythematosus (SLE). Nurse and Physician within War. 2020; 7(25): 57-68. [Persian]
33. Hadian S, Jabalameli S. The effectiveness of compassion-focused therapy (CFT) on subjective well-being of students with sleep disorders. Medical Scholar. 2020; 27(1): 19-28. [Persian]
34. Nery-Hurwit M, Yun J, Ebbeck V. Examining the roles of self-compassion and resilience on health-related quality of life for individuals with Multiple Sclerosis. Disability and Health Journal. 2018; 11(2): 256-61.
35. Harrison E. Teaching compassion: multiple sclerosis and the poetry of Molly Holden. Nurse Educator. 2006; 31(3): 103-6.
36. Braehler C, Gumley A, Harper J, Wallace S, Norrie J, Gilbert P. Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology. 2013; 52(2): 199-214.
37. Salehi S, sajjadian i. The Relation between Self-compassion with Intensity, Catastrophizig, and Self-efficacy of Pain and affect in Women with Musculoskeletal Pain. Anesthesiology and Pain. 2018; 8(4): 72-83. [Persian]
38. Alighanavati S, Bahrami F, Goudarzi K, Rrouzbahani M. Effectiveness of compassion-based therapy on Quality of Life and Happiness of women with breast cancer in Ahvaz city. 2 Journal of Nursing Education. 2018; 7(2): 53-61. [Persian]
39. Sirois FM, Molnar DS, Hirsch JK. Self-compassion, stress, and coping in the context of chronic illness. Self and Identity. 2015; 14(3): 334-47.
40. Przezdziecki A, Sherman KA, Baillie A, Taylor A, Foley E, Stalgis‐Bilinski K. My changed body: breast cancer, body image, distress and self‐compassion. Psycho‐oncology. 2013; 22(8): 1872-9.
41. Pinto‐Gouveia J, Duarte C, Matos M, Fráguas S. The protective role of self‐compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical psychology & psychotherapy. 2014; 21(4): 311-23.
42. Batista R, Cunha M, Galhardo A, Couto M, Massano-Cardoso I. Psychological adjustment to lung cancer: the role of self-compassion and social support. European Psychiatry. 2015; 30: 1511.
43. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology. 1988; 54(6): 1063.
44. Ghafari z, Zargar Y, Mardani M. Examine the relation of simple and multiple alexithymia, negative affect trauma and personality disorder with somatization symptom in nurses of Ahvaz hospitals. journal of ilam university of medical sciences. 2015; 23(3): 26-35. [Persian]
45. Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: development and validation of an individual-differences measure of hope. Journal of personality and social psychology. 1991; 60(4): 570.
46. Allan NP, Lonigan CJ, Phillips BM. Examining the factor structure and structural invariance of the PANAS across children, adolescents, and young adults. Journal of personality assessment. 2015; 97(6): 616-25.
47. Soltanizadeh M, Malekpour M, Neshatdoost HR. The Relationship between Positive and Negative Affection and Student's Life Satisfaction in University of Isfahan. Clinical Psychology and Personality. 2013; 10(2): 53-64. [Persian]
48. Abdullah MFIL, Hami R, Appalanaido GK, Azman N, Shariff NM, Sharif SSM. Validation of the Malay version of the Snyder Hope Scale among Malaysian cancer patients. Jurnal Sains Kesihatan Malaysia (Malaysian Journal of Health Sciences). 2018; 16(1).
49. Ranjbar Z, Noori HR. Theorical basics and principlesof compassion-focused therapy. Tehran. Iran: Nahr; 2016. 200 p.
50. Neff KD. The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness. 2016; 7(1): 264-74.
51. Cheng FK. Compassion focused therapy: the CBT distinctive features series. Taylor & Francis; 2014.
52. Neff KD, Kirkpatrick KL, Rude SS. Self-compassion and adaptive psychological functioning. Journal of research in personality. 2007; 41(1): 139-54.
53. Neely ME, Schallert DL, Mohammed SS, Roberts RM, Chen Y-J. Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion. 2009; 33(1): 88-97.