Volume 29, Issue 11 (1-2023)                   RJMS 2023, 29(11): 68-78 | Back to browse issues page

Research code: 01
Ethics code: IR.SBMU.RETECH.REC.1399.380
Clinical trials code: 01

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Rezaei S, Khalatbari J, Kalhornia Golkar M, Tajeri B. The Effectiveness of Compassion-Focused Therapeutic Approach on Resilience, Psychological Well-Being and Quality of Life of HIV+ Patients. RJMS 2023; 29 (11) :68-78
URL: http://rjms.iums.ac.ir/article-1-7312-en.html
Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran , Javadkhalatbaripsy2@gmail.com
Abstract:   (703 Views)
Background & Aims: Acquired Immune Deficiency Syndrome (AIDS) is a chronic disease with a high mortality rate and is completely different from other diseases. It is an infectious disease caused by HIV, which is transmitted through contact between blood and semen. The disease is a rapidly expanding health challenge, and research findings show that people struggling with chronic diseases such as HIV + show high levels of psychological problems and dysfunction. HIV + is also associated with low resilience. Resilience is the ability to adapt to stressors in the face of adversity, which is a learnable skill and its mechanisms moderate the relationship between pain and its consequences. In other words, resilient and stubborn people can overcome a variety of adverse effects, have a greater ability to solve problems and respond better to adverse conditions to maintain their psychological well-being. Accordingly, research shows that people with HIV + have low psychological well-being in addition to low resilience. Psychological well-being is the pursuit of perfection in the realization of one's potential, which includes self-acceptance, positive relationships with others, autonomy, purposeful living, personal growth, and mastery of the environment. Unfortunately, in addition to affecting and lowering the quality of life of an infected person, HIV + can also affect the functioning of the family and the quality of life of those around them, including parents. Quality of life is a social concept according to which a person gives a mental understanding of the good or bad of life. Accordingly, the World Health Organization defines the quality of life as an individual's perception of life in the context of society's culture and values in line with the individual's goals and interests and relates it to physical, mental, beliefs, self-reliance, and social relationships. Knows. Therefore, some researchers believe that there is as much quality of life as there are people on earth because everyone can give a different perception and meaning to life. Compassion-focused therapy (CFT) was proposed by Paul Gilbert. Although the components of this treatment were initially proposed by Neff and he introduced them as awareness, kindness to oneself, and a sense of fellowship with humanity, it was Gilbert who used these structures in treatment sessions and introduced CFT. Although research findings support the effectiveness of compassion-focused therapy in a wide range of clinical problems, the researcher's research shows that so far a study on the effect of this treatment on variables of resilience, psychological well-being, and quality of life in HIV + patients Has not taken place. Accordingly, this study seeks to answer the question of whether a course of treatment focused on compassion has a significant effect on resilience, psychological well-being, and quality of life of HIV + patients?
Methods: The present study was applied and included experimental designs of pre-test-post-test with an experimental group and a control group. The statistical population of the study is all 330 HIV + patients in the Center for Behavioral Diseases in 1397. According to Fidel and Tapachik's (2001) purposeful sampling method, 107 people (104+ number of dependent variables) had the criteria for inclusion in the study. They were selected from the mentioned community. For screening, the selected candidates first answered the Connor and Davidson Resilience Questionnaire (2003), the Reef Psychological Well-Being Questionnaire (1989), and the Weir and Sherborn Quality of Life Questionnaire (1992), followed by 55 people with the lowest scores. Were selected in response to the questionnaires, and finally 30 people who met the inclusion criteria and declared their readiness to conduct the study were included in the study. Candidates were randomly assigned to a 15-member experimental group and a 15-member control group. Inclusion criteria included at least one year of HIV + infection, not receiving any other psychological intervention during the study, the age range of at least 20 and at most 30 years, higher education, single marital status, and no gender consideration is. Exclusion criteria included the unwillingness of volunteers to continue the sessions and the absence of more than one session in group interventions. The experimental groups underwent 8 sessions of 120-minute treatment focused on compassion therapy (CFT). The control group did not receive any intervention until the end of the study. At the end of the interventions, all three groups were re-evaluated and the results of the interventions were compared with each other. To evaluate the stability of treatment, 1 month after the interventions, the volunteers were re-evaluated. The instruments of this study included the Connor and Davidson Resilience Questionnaire (2003), the Reef Psychological Well-Being Questionnaire (1989), and the Weir and Sherborne Quality of Life Questionnaire (1992). Data analysis was performed in two parts: descriptive and inferential. Covariance analysis was used to analyze the data.
Results: The findings indicate that the independent variable, ie compassion-focused treatment, has affected all research variables including resilience, psychological well-being, and physical and psychological quality of life, and are significant at the level of 0.001.
Conclusion: Explaining the findings of this study in the sense that compassion-focused therapy affects the variables of resilience, psychological well-being, and quality of life, it can be said that compassion-focused therapy, like acceptance and commitment therapy, is opposed to clinical diagnosis. And these variables, as described earlier, are positive psychological variables. The three basic principles taught to people living with HIV in this treatment include mindfulness awareness, common human principles, and self-kindness. People in the group learned how to be kinder to themselves and useless self-blame. This may also provide a good explanation for how this affects research variables.

 
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Type of Study: Research | Subject: Clinical Psychiatry

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