Razi Journal of Medical Sciences

fa اثربخشی روان‌درمانی چند‌وجهی بر روی آشفتگی روانی و میزان تاب‌آوری زنان معتاد The Effectiveness of Multimodal Psychotherapy on Mental Distress and Resilience of Addicted Women روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: اعتیاد به مواد مخدر مسمومیت حاد یا مزمنی است که برای حال شخص و اجتماع مضر بوده و زاییده مصرف داروی طبیعی و مصنوعی است. پژوهش حاضر با هدف بررسی اثربخشی روان‌درمانی معنوی – مذهبی چند‌وجهی بر روی آشفتگی روانی و میزان تاب ‌آوری زنان معتاد تحت درمان شهر شیراز انجام شد. روش کار: طرح پژوهش از نوع نیمه آزمایشی و به‌صورت پیش ‌آ زمون- پس ‌آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل کلیه زنان معتاد تحت درمان شهر شیراز در سال 1398 بودند. نمونه موردمطالعه شامل 29 نفر از زنان بودند که به ‌صورت نمونه ‌گیری در دسترس انتخاب و به ‌صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند و اعضای گروه آزمایش تحت روان ‌درمانی معنوی-مذهبی چندوجهی قرار گرفتند. از مقیاس افسردگی، اضطراب و استرس (DASS) و مقیاس تاب‌آوری (CD-RISC) برای جمع ‌آوری داده ‌ها استفاده شد. داده‌ها از طریق تحلیل کوواریانس چند‌متغیری و نرم‌افزار SPSS-22 مورد تجزیه‌وتحلیل قرار گرفتند. یافته‌ها: نتایج نشان داد که بین گروه آزمایش و کنترل در آشفتگی روانی (50/12 F= و 05/0 p<) و تاب‌‌آوری از زندگی (61/4 F= و 05/0 p<) تفاوت معناداری وجود دارد. نتیجه‌گیری: با توجه به یافته‌های این پژوهش، روان‌درمانی معنوی-مذهبی چندوجهی می‌تواند به‌عنوان یک روش مؤثر در بهبود آشفتگی روانی و تاب‌‌آوری زنان معتاد تحت درمان عمل کند.</div> <div style="text-align: justify;">Background & Aims: Addiction and substance abuse are among the most serious and disordered human problems in recent years and, unfortunately, also one of the most complex human phenomena that, as a maladaptive pattern of substance use, causes numerous occupational, social, and legal problems. According to the definition given by the Committee of Experts on the Diagnosis of Addictive Substances, drug addiction is an acute or chronic intoxication that is harmful to the individual and society and is the result of the use of natural and synthetic drugs, the characteristics of which are: 1. The existence of an urgent need to continue using the drug and also to obtain it by any means possible 2. The existence of a strong desire to increase the amount of the drug and 3. Psychological or physical dependence on the effects of addictive drugs; in such a way that when the drug does not reach the addicted person, psychological and physical effects appear in him, which indicates an acceleration in drug use. Addiction, as a bad and destructive harm, has very terrible consequences that affect not only the addicted person, but also all those who are in some way dependent on or closely related to the addicted person. In the meantime, unfortunately, it must be said that addiction in women, which is increasing at a very bad rate, can have more harmful and destructive effects on the body and pillars of the family. Resilience is defined as a shield against threatening situations and also as successful adaptation to challenging and problematic life circumstances. One way to increase resilience, which increases the quality and satisfaction of life, is to pay attention to spirituality. The more a person pays attention to spiritual issues, especially religious issues, the more calm and trust they will have and the better point of support they will have in facing critical and unpredictable situations. Accordingly, the children of these families will also have these characteristics, and this characteristic itself will increase resilience. The present study aimed to investigate the effectiveness of multifaceted spiritual-religious psychotherapy on the psychological distress and resilience of addicted women undergoing treatment in Shiraz. Methods: The research design was semi-experimental and pre-test-post-test with a control group. The statistical population of the study included all addicted women undergoing treatment in Shiraz in 2019. The study sample consisted of 29 women who were selected through convenience sampling and randomly assigned to two experimental and control groups, and the experimental group members underwent multimodal spiritual-religious psychotherapy. The Depression, Anxiety, and Stress Scale (DASS) and the Resilience Scale (CD-RISC) were used to collect data. This questionnaire was designed by Lubiand and Lubiand (1995) to measure the severity of psychological problems. This questionnaire has three subscales with 21 questions that are rated on a 4-point Likert scale (0 to 3). 7 questions in this questionnaire are related to stress, 7 questions are related to anxiety, and the other 7 questions are for measuring depression. In Iran, the reliability coefficient of this tool using Cronbach's alpha method in a sample of the general population (1070 people) was 0.77 for depression, 0.79 for anxiety, and 0.78 for stress, and the criterion validity of the depression subscale with the Beck Depression Inventory was 0.70, with the Zhang Anxiety Test was 0.67, and the stress subscale and perceived stress test were 0.49 (Sahibi, Asghari, and Salari, 2005). In the present study, the alpha coefficient of the entire questionnaire was 0.89. The Connor and Davidson Resilience Scale questionnaire (2003) consists of 25 questions and is designed to assess individuals' resilience. The scoring of this questionnaire on a Likert scale is between 0 (never) and 5 (always), and higher scores measure high resilience. In the study by Besharat et al. (2007), the validity and reliability of this questionnaire were confirmed. In the study of Haq Ranjbar et al. (2011), the reliability of this questionnaire was reported as 0.84 using Cronbach's alpha coefficient test. In the present study, the Cronbach's alpha coefficient of this questionnaire was 0.82. Multivariate covariance test was used to analyze the data. The data were analyzed through multivariate covariance analysis and SPSS-22 software. Results: The results showed that there was a significant difference between the experimental and control groups in psychological distress (F=12.50, p<0.05) and resilience to life (F=4.61, p<0.05). The assumption of equality of variances follows the examination of the equality of variances of the groups, which was examined using Amon Lone. The assumption of homogeneity of variances is met when the value of the obtained significance level is also greater than 0.05 (P<0.05). As can be seen, the value of the F statistic for the psychological distress and resilience variables is not significant at any stage (P<0.05), and therefore the equality of variances is also confirmed. Table 4 shows the results of multivariate tests for the significance test of the group membership effect, which, considering their significance level which is less than 0.05 (p < 0.05), shows that there is a significant difference in at least one of the dependent variables between the experimental and control groups. Conclusion: According to the findings of this study, multimodal spiritual-religious psychotherapy can act as an effective method in improving the mental distress and resilience of addicted women undergoing treatment. In general, the results of this study showed that interventions and subsequent spiritual and religious beliefs and practices can reduce mental distress and strengthen the resilience of addicted women undergoing treatment by expanding their vision and providing essential and required life skills. This result indicates the high potential of spiritual-religious interventions in reducing mental disorders and increasing human capacity and abilities. It is hoped that this research can pave the way for helping women addicts undergoing treatment so that they can be returned to their families in a healthier and more efficient way.</div> درمان معنوی-مذهبی, آشفتگی روانی, تاب‌آوری, زنان معتاد Spiritual-Religious Therapy, Psychological Distress, Resilience, Addicted Women 360 368 http://rjms.iums.ac.ir/browse.php?a_code=A-10-7083-1&slc_lang=fa&sid=1 Soheila Payan سهیلا پایان sohilapayan@gmail.com 3900319475328460088802 0009-0005-1712-1022 Yes Assistant Professor, General Department, Kazerun Branch, Islamic Azad University, Kazerun, Iran استادیار، گروه معارف اسلامی، واحد کازرون، دانشگاه آزاد اسلامی، کازرون، ایران