Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1401
10
1
gregorian
2023
1
1
29
11
online
1
fulltext
fa
اثر بخشی رویکرد درمانی متمرکز بر شفقت بر تاب آوری، بهزیستی روان شناختی و کیفیت زندگی بیماران مبتلا به HIV+
The Effectiveness of Compassion-Focused Therapeutic Approach on Resilience, Psychological Well-Being and Quality of Life of HIV+ Patients
روانشناسی بالینی
Clinical Psychiatry
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">زمینه و هدف: </span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">با توجه به آثار منفی روانی بیماری ایدز در بیماران مبتلا به این بیماری، این پژوهش با هدف اثربخشی درمان متمرکز بر شفقت بر تاب آوری، بهزیستی روان شناختی و کیفیت زندگی مبتلایان به </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">HIV</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> صورت گرفت.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">روش کار: </span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">پژوهش حاضر آزمایشی و از جمله طرح های پیش آزمون-پس آزمون با یک گروه آزمایش و یک گروه کنترل بود. جامعه آماری پژوهش کلیه بیماران </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">HIV</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">+ مرکز بیماری­های رفتاری به تعداد ۳۳۰ نفر در سال ۱۳۹۷ بود که به روش نمونه­گیری هدفمند تعداد 30 نفر از افرادی که ملاک­های ورود به پژوهش را داشتند و برای این پژوهش اعلام آمادگی کردند، وارد مطالعه شدند. داوطلبین به طور تصادفی در یک گروه ۱۵ نفره آزمایش و یک گروه ۱۵ نفره کنترل جایگزاری شدند. گروه های آزمایش تحت ۸ جلسه مداخله ۱۲۰ دقیقه­ای درمان متمرکز بر شفقت قرار گرفتند. گروه گواه تا پایان جلسات هیچ مداخله­ای دریافت نکرد. از تحلیل کوواریانس برای تجزیه و تحلیل داده­ها استفاده شد.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">یافتهها:</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> یافته­ها حاکی از آن بود که درمان متمرکز بر شفقت، بر همه متغیرهای پژوهش شامل تاب آوری، بهزیستی روانشناختی و بعد جسمانی و روانی کیفیت زندگی تأثیرگذار بوده است و در سطح ۰۰۱/۰ معنادار می­باشند. </span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">نتیجهگیری:</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> با توجه به نتایج میتوان اذعان داشت که درمان متمرکز بر شفت میتواند به عنوان یک راهکار روان درمانی در بهبود سطح کیفیت زندگی بیماران مبتلا به ایدز بکار رود و چنین رویکرد درمانی به عنوان یک عامل غیردارویی میتواند در جهت سلامت روانی زندگی بیماران مبتلا به ایدز استفاده شود.</span></span></span></span></span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Background & Aims:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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?</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Methods: </span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Results:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Conclusion: </span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
درمان متمرکز بر شفقت, تاب آوری, بهزیستی روان شناختی, کیفیت زندگی, HIV+
Compassion-Focused Therapy, Resilience, Psychological Well-Being, Quality of Life, HIV +
68
78
http://rjms.iums.ac.ir/browse.php?a_code=A-10-6514-1&slc_lang=fa&sid=1
Shiva
Rezaei
شیوا
رضائی
3900319475328460070888
3900319475328460070888
No
PhD Student of Health Psychology, Department of Psychology, Dubai Branch, Islamic Azad University, Dobai, Emirates
دانشجوی دکتری تخصصی، گروه روانشناسی سلامت، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی
Javad
Khalatbari
جواد
خلعتبری
Javadkhalatbaripsy2@gmail.com
3900319475328460070889
3900319475328460070889
Yes
Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
دانشیار، گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
Maryam
Kalhornia Golkar
مریم
کلهرنیا گلکار
3900319475328460070890
3900319475328460070890
No
Assistant Professor, Department of psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
Biuok
Tajeri
بیوک
تاجری
3900319475328460070891
3900319475328460070891
No
Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران