Razi Journal of Medical Sciences

fa مقایسه اثربخشی زوج درمانی مبتنی بر پذیرش و تعهد و طرحواره درمانی بر میزان کیفیت زندگی، باورهای ارتباطی زوجین متقاضی طلاق Comparing the Effectiveness of Couple Therapy Based on Acceptance and Commitment and Schema Therapy on Quality of Life, Communication Beliefs of Couples Applying for Divorce روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: هدف این پژوهش مقایسه اثربخشی زوجدرمانی مبتنی بر پذیرش و تعهد و طرحواره درمانی بر میزان کیفیت زندگی، باورهای ارتباطی زوجین متقاضی طلاق بود. روش کار: این پژوهش از نظر هدف کاربردی و از نظر روش شناسی نیمه آزمایشی با طرح پیشآزمون و پسآزمون بود. جامعه آماری این پژوهش کلیه زنان متقاضی طلاق مراجعه کننده با دادگاه خانواده اراک بود که از این بین تعداد 45 زوج به روش هدفمند و در دسترس انتخاب شد. در مرحله پیشآزمون کلیه افراد نمونه به پرسشنامههای پژوهش پاسخ دادند سپس به صورت کاملا تصادفی در دو گروه آزمایش و یک گروه گواه تقسیم شدند. بر روی گروه اول آزمایش 10 جلسه زوج درمانی مبتنی بر پذیرش و تعهد و گروه دوم 10 جلسه طرحواره درمانی اجرا شد گروه گواه بدون مداخله باقی ماند. بعد از اتمام جلسات در مرحله پسآزمون مجدد کلیه افراد نمونه به پرسشنامههای پژوهش پاسخ دادند. یافته‌ها: نتایج حاصل از پژوهش نشان داد زوجدرمانی مبتنی بر پذیرش و تعهد (60 درصد) بیشتر از طرحواره درمانی (45 درصد) در افزایش کیفیت زندگی مؤثرتر بوده است و طرحواره درمانی (60 درصد) بیشتر از زوج درمانی مبتنی بر پذیرش و تعهد (56 درصد) در کاهش باورهای ارتباطی مؤثرتر بوده است. نتیجه‌گیری: در مقاله درمان از تمرین‌های ذهنآگاهی، پذیرش افکار، باورها، احساسات و دریافت‌های حسی و بدنی استفاده شد و همچنین به افراد آموخته شد که به‌جای اجتناب فکری و عملی از افکار و موقعیت‌هایی زندگی با آنها روبرو ‌شوند با افزایش پذیرش روانی و ذهنی نسبت به تجارب درونی کیفیت زندگی را افزایش دهند. به زوجین آموخته شد که هر&rlm;گونه عملی جهت اجتناب یا کنترل این تجارب ذهنی ناخواسته بی&rlm;اثر است یا اثر معکوس دارد و موجب تشدید آن‌ها می&rlm;شود و باید این تجارب را بدون هیچ&rlm;&rlm;گونه واکنشی درونی یا بیرونی جهت حذف آن‌ها، به‌طور کامل پذیرفت.</div> <div style="text-align: justify;">Background & Aims: Family is known as the most important unit of societies and marriage is the most basic human relationship; Because the basic structure of family relationships and the growth of the next generations depends on the formation of the family. The family center is based on love and is the center of love and affection, however, marriage is not always desirable and in some situations, life becomes almost impossible for couples. In a situation where a couple is not able to respond to each other's basic needs and marital expectations and has low skills, there is a possibility of filing for divorce. Divorce or asking for divorce is one of the reliable indicators of marital conflict in marital relations and emotional separation between couples. Divorce-seeking couples have a negative relationship and unsettled marital relationship and get confused. Also, the negative interactions of couples applying for divorce are more than their positive interactions. Relational beliefs are among the factors that affect the relationship of couples and have a significant relationship with the increase in divorce requests among couples. These beliefs are important both for the beginning of the relationship and for its continuation, in other words, correct verbal and non-verbal communication is the basis of a successful married life. Beliefs are influenced by factors such as internal processes, personality traits, environmental factors, and social context. According to Ellis (2003), many of the adverse reactions and problems are caused by the irrational beliefs and thoughts of couples, and as long as such thoughts continue, the problems related to communication, acceptance, and companionship will continue. These beliefs are a major issue in the analysis of social cognition and communication processes. This cognitive component can be useful or ineffective. If people's beliefs are realistic and logical, the relationship will progress. Useful communication beliefs, such as the belief that couples can change, can strengthen behaviors that lead to maintaining the relationship and improve the quality of the relationship. On the other hand, dysfunctional communication beliefs can act as a stable disorder and limit people's ability to deal with challenges in relationships. These are unrealistic beliefs and tendencies that refer to a person's bias in interpreting events and intimate relationships in an illogical way and are based on false or incorrect expectations. Communication beliefs affect the quality of life of couples. The purpose of this research was to compare the effectiveness of couple therapy based on acceptance and commitment and schema therapy on the quality of life and communication beliefs of couples applying for divorce. Methods: This research was applied in terms of purpose and semi-experimental in terms of methodology with a pre-test and post-test design. The statistical population of this research was all the women applying for divorce who referred to the Arak Family Court, from which 45 couples were selected in a targeted and accessible way. In the pre-test stage, all the samples answered the research questionnaires, then they were randomly divided into two test groups and one control group. In the first group, 10 sessions of couple therapy based on acceptance and commitment were conducted, and in the second group, 10 sessions of schema therapy were performed. The control group remained without intervention. After finishing the sessions, in the post-test phase, all the samples answered the research questionnaires. Results: The results of the research showed that couple therapy based on acceptance and commitment (60%) was more effective than schema therapy (45%) in increasing the quality of life, and schema therapy (60%) was more effective than couple therapy based on acceptance. And commitment (56%) has been more effective in reducing communication beliefs. Conclusion: In this treatment, mindfulness exercises, acceptance of thoughts, beliefs, feelings, and sensory and physical perceptions are used, and people are also taught that instead of intellectually and practically avoiding thoughts and situations in life, they face them by increasing psychological and mental acceptance of to internal experiences to increase the quality of life. Couples are taught that any action to avoid or control these unwanted mental experiences is ineffective or has the opposite effect and causes them to intensify. These experiences should be removed without any internal or external reaction. They fully accepted. The next step in this approach is to increase the psychological awareness of the individual at the moment, that is, the individual becomes aware of all his mental states, thoughts, and behavior in the present moment, actively and effectively confronting thoughts and feelings, changing the way he looks at himself and reviewing The values and goals of life increase the quality of life in couples. Implementation of the protocol can increase cooperation between couples, reduce emotional reactions, and increase effective communication between couples. This treatment aims to reduce suffering and increase well-being and the ultimate goal of acceptance and commitment therapy is to help increase psychological flexibility. Finally, acceptance and commitment increase psychological flexibility and examine problematic language and cognitions. In other words, this treatment, with its effects on the irrational thoughts of women with marital conflicts, improves their quality of life. Schema therapy has been more effective in reducing communication beliefs. These results are in line with the research. Schema therapy combines various elements of psychotherapy such as cognitive-behavioral and psychoanalytical. In schema therapy, gaps and gaps in couples' lives are identified and they are helped to learn how to fix them. This treatment reduces the impact of irrational communication beliefs in their relationships by increasing couples' effective conflict resolution skills. The approach of schema therapy is based on the awareness that many conflicts could have been caused by the stimulation of the spouse's schema. Each person can prepare a list of behaviors aimed at change.</div> زوج‌درمانی مبتنی بر پذیرش و تعهد, طرحواره درمانی, کیفیت زندگی, باورهای ارتباطی, زوجین متقاضی طلاق Couple Therapy Based on Acceptance and Commitment, Schema Therapy, Quality of Life, Communication Beliefs, Couples Applying for Divorce 199 207 http://rjms.iums.ac.ir/browse.php?a_code=A-10-7988-1&slc_lang=fa&sid=1 Ali Roknianzadeh علی رکنیان زاده 3900319475328460082449 3900319475328460082449 No Master's degree, Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran. کارشناسی ارشد، گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران. Khatoon Esmaeilpour خاتون اسماعیل پور khatoonesmaeilpour@gmail.com 3900319475328460082450 3900319475328460082450 Yes Master's degree, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran کارشناسی ارشد، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران Parinaz Pahlavanpour پریناز پهلوان پور 3900319475328460082451 3900319475328460082451 No Master's degree, Department of Psychology, Kish International Branch, Islamic Azad University, Kish, Iran. کارشناسی ارشد، گروه روانشناسی، واحد بین الملل کیش، دانشگاه آزاد اسلامی، کیش، ایران Mina Mazaheri مینا مظاهری 3900319475328460082452 3900319475328460082452 No Master's degree, Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran. کارشناسی ارشد، گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.