Razi Journal of Medical Sciences

fa اثربخشی درمان یکپارچه روان درمانی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج، بر سازگاری پس از طلاق و خودگردانی هیجانی Effectiveness of Integrated Therapy Based On Perception of Lived Experiences of Divorced Women on Post-Divorce Adjustment and Emotional Autonomy روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: با توجه به عوارض طلاق و اقزایش نرخ آن، نیاز  است که در زمینه سازگاری پس از طلاق و بخصوص خودگردانی هیجانی را در بین زنان مطلقه پژوهشی انجام شده و راه کارهای موجود ارائه شوند. هدف از انجام پژوهش اثربخشی درمان یکپارچه پزشکی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج، بر سازگاری پس از طلاق و خودگردانی هیجانی بود. روش کار: پژوهش حاضر بر مبنای طرح نیمهآزمایشی اجرا شد. جامعه آماری شامل کلیه زنان مطلقه در شهر شیراز بود. به اینصورت که از زنان مطلقه شهر شیراز، تعداد 15 نفر گروه آزمایش (مداخله مبتنی بر الگو) و 15 نفر به عنوان گروه کنترل (بدون درمان) در مجموع 30 نفر انتخاب شد، پرسشنامه سازگاری پس از طلاق فیشرو ﻣﻘﻴﺎس ﺧﻮدﺳﻨﺠﻲ ﻫﻮش ﻫﻴﺠﺎﻧﻲ ﺷﺎت توسط اعضای گروه‌های آزمایش و کنترل، تکمیل گردید. ، یافته‌ها: بسته درمان یکپارچه پزشکی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج برای گروه آزمایش اجرا شد، در حالی‌که گروه کنترل در معرض هیچ مداخله ای قرار نگرفت. درمان یکپارچه پزشکی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج، حداقل از لحاظ یکی از متغیرهای وابسته، میانگین گروه آزمایشی را نسبت به گروه گواه در مرحله پس آزمون کاهش داده است، درمان یکپارچه پزشکی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج، بر سازگاری پس از طلاق تأیید می‌شود و همچنین درمان یکپارچه پزشکی مبتنی بر ادراک تجارب زیسته زنان مطلقه از رنج، بر هوش هیجانی تأیید می‌شود. نتیجه‌گیری: با توجه به اثربخشی درمان یکپارچه پزشکی مبتنی بر تجربه زیسته زنان مطلقه از رنج به رواندرمانگران و مشاوران حوزه طلاق پیشنهاد میشود از این درمان جهت افزایش سازگاری زنان مطلقه استفاده نمایند و امکان بهره وری زنان مطلقه را از خدمات سلامت روان افزایش دهند.   Background & Aims: Due to the effects of divorce and the increase in its rate in society in psychological issues, there is a need to study post-divorce adjustment and especially emotional self-control among divorced women and offer existing solutions. Divorced women in Iran, meanwhile, face a number of difficulties in coping with divorce and suffer mainly from poor emotional self-control [5, 6]. Therefore, studies such as the present study, which seeks to examine the perception of divorced women’s lived experiences of suffering, formulate a treatment based on it, with an integrated medical approach and specifically examine the effectiveness of this treatment on two major problems among divorced women, namely Adaptation after divorce and emotional self-control seem essential. In addition, due to the fact that women are more afraid of expressing the facts of divorce than men, it is necessary for related research in this field to pay more attention to the problems of divorced women. Methods: The purpose of this study was to evaluate the effectiveness of monotheistic integrated therapy based on the perception of lived experiences of divorced women on post-divorce adjustment and emotional autonomy. The present study was performed based on a quasi-experimental design. In this way, the developed treatment package was performed experimentally. Finally, integrated medical treatment based on the perception of divorced women's lived experiences of suffering was performed and based on multivariate analysis of variance, its effect on post-divorce adjustment and emotional self-control was examined and compared. The statistical population included all divorced women in Shiraz. In this way, from the divorced women of Shiraz, 15 people in the experimental group (model-based intervention) and 15 people in the control group (without treatment) were selected from a total of 30 people. Completed by members of experimental and control groups. Then, an integrated medical treatment package based on the perception of divorced women 's lived experiences of suffering was administered to the experimental group, while the control group was not exposed to any intervention. Integrated medical treatment based on perception of lived experiences of divorced women from suffering, at least in terms of one of the dependent variables, reduced the mean of the experimental group compared to the control group in the post-test phase. Integrated medical treatment based on perception of lived experiences of divorced women from suffering, Post-divorce adjustment is confirmed, as well as integrated medical treatment based on the perception of divorced women of their experiences of suffering, and emotional intelligence. Results: The results of multivariable analysis of variance showed that there was a significant difference between the adjusted mean of emotional intelligence of the two groups in terms of group membership in the post-test phase, p<0.05. Also, there is a significant difference between the adjusted mean of emotional intelligence of the two groups in terms of group membership in the follow-up phase, p<0.05. Therefore, the hypothesis of the effectiveness of integrated medical treatment based on the perception of divorced women’s experiences of suffering on emotional intelligence was confirmed. This finding is inconsistent with research that measures the effect of other psychotherapies on emotional intelligence, such as the effect of metacognitive therapy, co-existent writing, and with studies such as the effectiveness of writing on emotional intelligence. Integrated medical treatment aims to increase self-control by developing adaptive habits and increasing self-acceptance and self-confidence. In other words, this treatment improves the individual's adjustment by changing the individual's behaviors and helping to create compromised behaviors to resolve post-divorce conflicts. Conclusion: Some of the limitations of the study are: the use of available samples due to reduced possibility of generalization of results, failure to compare integrated medical treatment based on lived experience of divorced women with other valid psychotherapies to determine more effective treatment, lack of frequent follow-up and For more than a month, to evaluate the effectiveness of treatment over time, the lack of current research among men after the experience of divorce and the lack of effectiveness of integrated medical treatment based on the lived experience of divorced women suffering from other psychological problems in divorced women [8]. Considering the above, it is suggested: Considering the effectiveness of integrated medical treatment based on the lived experience of divorced women suffering from psychotherapists and divorce counselors, it is recommended to use this treatment to increase the adaptation of divorced women, according to the lived experience. With the suffering of divorced women to those involved in the field of divorce, it is suggested to increase the productivity of divorced women from mental health services, according to the lived experience with the suffering of divorced women, especially in social dimensions to those involved in the field of divorce Provide the necessary social support to divorced women, and numerous economic pressures on divorced women and difficulty in earning a living are among the important psychological stresses of women after experiencing divorce, so it is recommended to those involved in the field of divorce in the field Entrepreneurship and providing for the daily affairs of divorced women and their children in the economic dimension. درمان یکپارچه مبتنی بر ادراک تجارب زیسته, زنان مطلقه از رنج, سازگاری پس از طلاق, خودگردانی هیجانی. integrated therapy based on perceptions of life experiences, divorced women suffering, post-divorce adjustment, emotional self-management 73 82 http://rjms.iums.ac.ir/browse.php?a_code=A-10-5416-2&slc_lang=fa&sid=1 Mohammad Haghjou محمد حق جو 3900319475328460055381 3900319475328460055381 No 1- PhD Student, Department of Educational Sciences and Psychology, Yazd Branch, Islamic Azad University, Yazd, Iran, دانشجوی دکترا، گروه علوم تربیتی و روانشناسی، واحد یزد، دانشگاه آزاد اسلامی، یزد، ایران. Mohammad Hosein Fallah محمد حسین فلاح akumarkurra@gmail.com 3900319475328460055382 3900319475328460055382 Yes Associate Professor, Department of Educational Sciences and Psychology, Yazd Branch, Islamic Azad University, Yazd, Iran دانشیار گروه علوم تربیتی و روانشناسی واحد یزد، دانشگاه آزاد اسلامی یزد، ایران Abolghasem Asi Mozneb ابوالقاسم عاصی مذنب 3900319475328460055383 3900319475328460055383 No Assistant Professor, Department of Educational Sciences and Ghoraan and Hadis, Yazd Branch, Islamic Azad University, Yazd, Iran استادیار گروه علوم قرآن و حدیث واحد یزد، دانشگاه آزاد اسلامی یزد، ایران Saeed Vaziri Yazdi سعید وزیری یزدی vaziri.saed.@gmail.com 3900319475328460055384 3900319475328460055384 No Assistant Professor, Department of Educational Sciences and Psychology, Yazd Branch, Islamic Azad University, Yazd, Iran استادیار گروه علوم تربیتی و روان شناسی واحد یزد، دانشگاه آزاد اسلامی یزد، ایران