Razi Journal of Medical Sciences

fa بررسی اثربخشی آموزش تاب آوری بر تحمل پریشانی و سلامت روانی مددکاران بهزیستی Investigating the Effectiveness of Resilience Training on Distress Tolerance and Mental Health of Welfare Workers روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: مددکاران بهزیستی روزانه با افرادی سروکار دارند که از نظر مالی، روحی و یا خانوادگی در وضعیت مطلوبی به سر نمیبرند بر همین اساس میتواند بر میزان سلامتی آنها اثرگذار باشد. این پژوهش با هدف بررسی اثربخشی آموزش تاب آوری بر تحمل پریشانی و سلامت روانی مددکاران بهزیستی انجام شده است. روش کار: جامعه مورد پژوهش تمام مددکاران شهر کرمان بود. حجم نمونه 30 نفر بود که به روش نمونه گیری تصادفی ساده انتخاب و در دو گروه آزمایش (15 نفر) و کنترل(15 نفر) جایگزین شدند. دادهها به وسیله پرسشنامه تحمل پریشانی و سلامت روانی به دست آمد و گروه آزمایش 8 جلسه درمانی شرکت کردند. نتایج داده به روش آماری تحلیل کوواریانس مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: نتایج نشان داد آموزش تاب آوری بر تحمل پریشانی و سلامت روانی مددکاران بهزیستی تاثیر دارد. نتیجه‌گیری: به ظور کلی میتوان بیان کرد که تاب آوری باعث بهبود تحمیل پریشانی و سلامت روانی میگردد و با بکارگیری آموزشهای لازم در خصوص بهبود سطح تاب آوری در پرستانران، میتوان گامی مهم در جهت بهبود سطح سلامتی آنها برداشت.</div> <div style="text-align: justify;">Background & Aims: In recent years, mental health, like physical health, has become a challenging topic and many differences of opinion have arisen. One of the perspectives on mental health is related to the field of humanistic psychology and its new tendencies. In this view, it is believed that mental health is equivalent to self-actualization and it means being beyond the norm. Welfare workers deal daily with people who are not in a good financial, mental, or family situation. Their health is effective. This research was conducted to investigate the effectiveness of resilience training on distress tolerance and mental health of welfare workers. Methods: The research population was all the workers of Kerman city. The sample size was 30 people who were selected by simple random sampling and were divided into two experimental (15 people) and control (15 people) groups. The data was obtained by the distress tolerance and mental health questionnaire, and the experimental group participated in 8 therapy sessions. The data results were analyzed using the statistical method of analysis of covariance. The present study was a semi-experimental study with a pre-test and post-test design with a control group. The experimental method is one of the set of research methods that are used to find cause-and-effect relationships between two or more variables (Delavar, 2013). In this design, after selecting the subjects, they are randomly divided into two groups. Test and control were substituted. The value of a statistical population is a set of individuals or units that have at least one common attribute. Usually, in any research, the population under investigation is a statistical population that the researcher wants to study the attribute or variable attributes of its units (Sarmed et al., 2012). The statistical population of the present study was all Kerman welfare workers. The sample size in this research was 30 people who were selected by the available sampling method and were replaced in two experimental and control groups. The 28-question general health questionnaire was presented by Goldberg and Hiller (1979) and has 4 subscales and each scale has 7 questions. There are 28 items in the questionnaire, items 1 to 7 are related to the scale of physical symptoms. Cases 8 to 14 examine the symptoms of anxiety and sleep disorder, cases 15 to 21 are related to the evaluation of social function symptoms, and finally cases 22 to 28 measure the symptoms of depression. To sum up the scores, A is given zero, B is 1, C is 2, and D is 3. On each scale, a score of 6 or above and a total score of 22 or above indicates pathological symptoms. The Simmons and Gaher Distress Tolerance Questionnaire (DTS) is a self-measurement index of emotional distress tolerance that was created by Sevens and Gaher in 2005. This scale has 15 items and four subscales named emotional distress tolerance, being absorbed by negative emotions, mental estimation of distress, and adjusting efforts to relieve distress. Scoring is on a Likert scale from 1 very low to 5 very high. In Simmons and Gaher's (2005) study, the alpha coefficient for the dimensions of emotional distress tolerance, being absorbed by negative emotions, mental estimation of distress, and setting efforts to relieve were 72%, 82%, 78%, and 70%, respectively, for the entire scale of 82% of the report. It was also found that this scale has good criterion validity and initial convergence. This scale has a negative relationship with the acceptance of creating a positive relationship and coping strategy scales of using alcohol and marijuana, as well as using them for recovery. Welfare workers deal daily with people who are not in a good financial, mental or family situation, therefore it can affect their health. This research was conducted with the aim of investigating the effectiveness of resilience training on distress tolerance and mental health of welfare workers. The research population was all the workers of Kerman city. The sample size was 30 people who were selected by simple random sampling and were replaced in two experimental (15 people) and control (15 people) groups. The data were obtained by means of distress tolerance and mental health questionnaire, and the experimental group participated in 8 therapy sessions. The data results were analyzed using the statistical method of analysis of covariance. The results showed that resilience training has an effect on distress tolerance and mental health of welfare workers . Results: The results showed that resilience training has an effect on distress tolerance and mental health of welfare workers. By controlling the effect of the auxiliary variable (pre-test) on the dependent variable, there is a significant difference between the two groups in terms of distress tolerance (significant value less than 0.05), or in other words, the treatment based on acceptance and commitment has an effect on improving distress tolerance. Table 1 shows the average post-test and pre-test values of distress tolerance in the control and experimental groups (resilience training). This indicates that resilience training has been able to improve distress tolerance and has increased distress tolerance in the experimental group. On the other hand, due to the fact that the eta squared value for the group is equal to 0.77, it can be said that 77% of the total variance and dispersion of the distress tolerance variable is explained by the group effects. Conclusion: In a general way, it can be stated that resilience improves the burden of distress and mental health, and by applying the necessary training to improve the level of resilience in nurses, an important step can be taken to improve their health. The results of the data analysis showed that resilience training has an effect on the mental health of welfare workers and has improved mental health in the experimental group. On the other hand, because the eta squared value for the group is equal to 0.706, it can be said that 70% of the total variance and dispersion of the mental health variable is explained by the effects of the group. Also, resilience training has been able to improve distress tolerance and has increased distress tolerance in the experimental group. On the other hand, because the eta squared value for the group is equal to 0.77, it can be said that 77% of the total variance and dispersion of the distress tolerance variable is explained by the group effects.</div> تاب آوری, تحمل پریشانی, سلامت روانی Resilience, Stress Tolerance, Mental Health 175 181 http://rjms.iums.ac.ir/browse.php?a_code=A-10-8020-1&slc_lang=fa&sid=1 Masoumeh Mirzaei معصومه میرزایی 3900319475328460081751 0009-0005-0598-7881 No Master of Counseling, Roudhen Branch, Islamic Azad University, Roudhen, Iran. کارشناسی ارشد مشاوره، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران Aminreza Mahna امین رضا مهنا 3900319475328460081752 0009-0006-0725-9252 No Master of Clinical Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran. کارشناس ارشد روانشناسی بالینی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران Naser Askarpour ناصر عسکرپور 3900319475328460081753 0009-0001-1698-8936 No The fourth level of Qom seminary, Qom, Iran. سطح چهارم حوزه علمیه قم، قم، ایران. Somayeh Shahmiri Sohrangi سمیه شاهمیری سهرنگی 3900319475328460081754 0009-0007-4251-085X No Master's degree in clinical psychology, Sirjan University of Science and Research, Sirjan, Kerman, Iran. کارشناسی ارشد روانشناسی بالینی، دانشگاه علوم و تحقیقات واحد سیرجان، سیرجان، کرمان، ایران Simin Jalali Riki سیمین جلالی ریکی simin.jalali24@gmail.com 3900319475328460081755 0009-0004-5971-9826 Yes Senior Department of General Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran. گروه ارشد روانشناسی عمومی ،واحد سیرجان، دانشگاه آزاد اسلامی ،سیرجان ،ایران