Razi Journal of Medical Sciences

fa اثربخشی واقعیت درمانی بر افسردگی، نگرش‌های ناکارآمد و پردازش هیجانی زنان آسیب دیده از خیانت The Effectiveness of Reality Therapy on Depression, Dysfunctional Attitudes, and Emotional Processing in Women Affected by Infidelity روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: افسردگی، نگرش‌های ناکارآمد و اختلال در پردازش هیجانی از پیامدهای شایع خیانت همسر در زنان است که می‌تواند سلامت روان و کیفیت زندگی آنان را به‌طور جدی تحت تأثیر قرار دهد. واقعیت درمانی به‌عنوان رویکردی مؤثر در بهبود سلامت روان، با تمرکز بر مسئولیت‌پذیری و انتخاب‌های سازنده، می‌تواند به بهبود این مشکلات روانی در زنان آسیب‌دیده کمک کند بنابراین هدف پژوهش حاضر بررسی اثربخشی واقعیت درمانی بر افسردگی، نگرشهای ناکارآمد و پردازش هیجانی زنان آسیب دیده از خیانت همسر شهر اصفهان بود. روش کار: روش پژوهش نیمه تجربی با طرح پیش‌آزمون- پس‌آزمون-پیگیری با گروه گواه و جامعه آماری شامل کلیه زنان آسیب دیده از خیانت همسر شهر اصفهان در سال ۱۴۰۲ که با روش نمونهگیری دردسترس از بین زنان خیانت دیده مراجعه کننده به مرکز مشاوره مداخله در بحران سازمان بهزیستی 45 نفر انتخاب و به صورت تصادفی در دو گروه آزمایش (۱۵) نفر در گروه واقعیت درمانی، و 15 نفر در گروه طرحواره درمانی و گروه کنترل (15 نفر) قرار گرفتند اما، در پایان در گروه واقعیت درمانی 12 نفر و در گروه کنترل 13 نفر از زنان باقی ماندند. گروه آزمایش تحت درمان واقعیت درمانی طی 8 جلسه 90 دقیقهای قرار گرفتند. ابزارهای گردآوری اطلاعات شامل پرسشنامه افسردگی بک (1996)، پرسشنامه نگرشهای ناکارآمد وایزمن و بک (1978)، و پرسشنامه پردازش هیجانی باکر و همکاران (2010) بود. جهت تجزیه و تحلیل دادهها از روشهای آماری تحلیل کواریانس با اندازهگیری مکرر استفاده شد. یافته ها: بنابراین، نتایج نشان داد، که واقعیت درمانی بر کاهش افسردگی، نگرشهای ناکارآمد و بهبود پردازش هیجانی تاثیر معنادار و پایداری داشت. نتیجه گیری: بنابراین، نتیجه میگیریم، برای مشکلات روانی و شخصیتی افراد مراجعه کننده به مراکز مشاوره روانشناسی میتوان از روش واقعیت درمانی استفاده نمود.</div> <div style="text-align: justify;">Background & Aims: The aim of the present study was to investigate the effectiveness of reality therapy and schema therapy on depression, dysfunctional attitudes and emotional processing of women affected by infidelity in Isfahan city. Marriage has been expanded as a useful and structuring factor in societies and to meet the personal needs of individuals, and after marriage, couples expect themselves and their spouses to remain sexually and emotionally faithful during marriage, but sometimes there are many problems in Marital relationships which occur, which are referred to as extramarital relationships. In other words, one of the harmful factors in the family structure and relationships between couples is the violation of commitment and trust, which is dealt with in the form of betrayal or extramarital relations. Nowadays, extramarital relationships have acquired various dimensions and cause serious damage to family relationships, and research findings also show that extramarital relationships are associated with a high prevalence today. The meaning of extramarital affairs or betrayal is establishing a meaningful emotional, sexual, supportive and relational relationship with someone other than a spouse or life partner. An extramarital relationship violates an implicit or written commitment that people have made to each other, and the person who breaks the commitment causes severe mental and physical damage to the person is committed to. Methods: Semi-experimental research method with a pre-test-post-test-follow-up design with a control group and a statistical population including all women affected by the infidelity of a spouse in Isfahan city, with the sampling method available from among the betrayed women who referred to the crisis intervention counseling center of the welfare organization, 45 people were selected. They were randomly divided into two experimental groups (15 people) and control group (15 people), but at the end, 12 women remained in the reality therapy group and 13 women remained in the control group. The experimental group underwent reality therapy during 8 sessions of 90 minutes. Data collection tools included Beck Depression Questionnaire (1996), Wiseman and Beck Dysfunctional Attitudes Questionnaire (1978), and Bakker et al.'s Emotional Processing Questionnaire (2010). To analyze the data, statistical methods of variance analysis with repeated measurements were used. Results: Reality therapy had a significant and lasting effect on reducing depression, dysfunctional attitudes and improving emotional processing. The results of Table 3, in the variables of depression, dysfunctional attitudes and emotional processing, the main effect of time and the interaction effect of time and group are statistically significant. The significance of the time effect means that there is a significant difference in the variables of depression, ineffective attitudes and emotional processing in the three stages of pre-test, post-test and follow-up. Also, the significance of the effect of group and time means that there is a significant difference between the two experimental and control groups in the three stages of pre-test, post-test and follow-up in the variables of depression, ineffective attitudes and emotional processing. The main effect size of the interaction between group and time means this, In the variable of depression 41%, dysfunctional attitudes 37% and emotional processing 27% of the scores due to changes caused by time and the difference between the two experimental and control groups and these changes have become significant in a stable manner. Therefore, it can be said that reality therapy had a significant and lasting effect on reducing depression, dysfunctional attitudes and improving emotional processing. The results show the difference between the three stages of the test regarding the effectiveness of reality therapy on depression, dysfunctional attitudes and emotional processing. Conclusion: Therefore, we conclude that the reality therapy method can be used for psychological and personality problems of people referring to psychological counseling centers. It can be said that the reality therapy method, due to strengthening the skills of attention and emphasis on the present and how to focus on the current behavior, controls the mental ability of people to control unpleasant and inflexible thoughts and emotions that cause a feeling of helplessness and causes mental flexibility and Staying away from automatic thoughts and real and logical cognitive perceptions in them, thus, in addition to reducing depression and dysfunctional attitudes, it strengthens a person's ability to process positive emotions. In another explanation, reality therapy helped women in the experimental group to plan and commit to carrying out plans and strengthened their emotional management skills and responsibility for behavior so that they could live a peaceful life. With this new way of thinking (responsibility for their behavior and emotions) that women gained from reality therapy training, they were able to control ineffective and irrational attitudes resulting from their spouse's infidelity more effectively and prevent depression. Another reason for explaining the effectiveness of reality therapy is that women in the experimental group, by accepting the realities of life and not denying reality, and by strengthening their sense of responsibility, achieved self-regulation skills for emotions, cognitive, behavioral, and physiological processes in adjusting, regulating, and controlling the experience and expression of emotions and positive behaviors, and thus achieved a realistic view of life and were able to manage and control irrational thoughts resulting from their spouse's infidelity.</div> واقعیت درمانی, افسردگی, نگرش‌های ناکارآمد, پردازش هیجانی, خیانت Reality Therapy, Depression, Dysfunctional Attitudes, Emotional Processing, Betrayal 1 12 http://rjms.iums.ac.ir/browse.php?a_code=A-10-8611-2&slc_lang=fa&sid=1 Mosayyeb Shahinejad مصیب شاهی نژاد 3900319475328460089332 3900319475328460089332 No PhD Student, Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran دانشجوی دکتری روان‌شناسی عمومی، گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران Shir Ali Kharamin شیرعلی خرامین sapootang@yahoo.com 3900319475328460089333 3900319475328460089333 Yes Associate Professor, Department of Clinical Psychology, Yasuj University of Medical Sciences, Yasuj, Iran دانشیار، گروه روان‌شناسی بالینی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران Seyed Yousef Rasouli سید یوسف رسولی 3900319475328460089334 3900319475328460089334 No Assistant Professor, Department of Psychology and Counselling, Farhangian University, Tehran, Iran استادیار، گروه آموزش روان‌شناسی و مشاوره، دانشگاه فرهنگیان، تهران، ایران