Razi Journal of Medical Sciences

fa تاثیرآموزش واقعیت درمانی بر کیفیت زندگی و اعتماد به نفس در افراد معتاد The Effect of Reality Therapy Training on Quality of Life and Self-Confidence in Addicted People روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: مسئله مواد مخدر از تولید و انتقال تا توزیع و مصرف، یکی از چالش‌های اساسی در سطح جهانی است که کمتر کشوری از آثار و پیامدهای آن در امان است. لذا هدف از انجام این تحقیق تاثیرآموزش واقعیتدرمانی بر کیفیت زندگی و اعتماد بهنفس در افراد معتاد بود. روش کار: تحقیق حاضر طرح نیمه آزمایشی از نوع پیش‌آزمون- پس‌آزمون بود. جامعه آماری این پژوهش شامل افرادی بود که در سال 1401 – 1400 دارای سابقه اعتیاد بودند و به مراکز درمانی ترک اعتیاد نکا مراجعه داشتند. در این پژوهش از روش نمونه‌گیری در دسترس استفاده شد. ابزار مورد استفاده در این پژوهش پرسشنامه اعتماد به نفس کوپر اسمیت در سال 2009، پرسشنامه کیفیت زندگی و طرح جلسات واقعیت درمانی بود. برای تجزیه و تحلیل دادهها از نرم افزار SPSS استفاده شد. یافته‌ها: آموزش واقعیت درمانی باعث افزایش کیفیت زندگی افراد معتاد موثراست. مقدار مجذور اتا نیز نشان میدهد که حدود 84درصد واریانس کیفیت زندگی افراد معتاد، از طریق آموزش واقعیت درمانی تبیین میشود. آموزش واقعیت درمانی بر افزایش اعتماد به نفس افراد معتاد موثر باشد. مقدار مجذور اتا نیز نشان میدهد که حدود 75درصد واریانس اعتماد به نفس، از طریق آموزش واقعیت درمانی تبیین میشود. نتیجه‌گیری: با توجه به نتایج به دست آمده از تحقیق، واقعیت‌درمانی نقشی کلیدی در بهبود کیفیت زندگی و اعتماد به نفس افراد معتاد ایفا می‌کند.</div> <div style="text-align: justify;"> Background & Aims: The issue of drugs, from production and transfer to distribution and consumption, is one of the fundamental challenges at the global level, and few countries are safe from its effects and consequences. This problem has been recognized by the World Health Organization as one of the most important threats to human life, along with problems such as the accumulation of weapons of mass destruction, environmental pollution, poverty, and class divide. Drugs have a wide impact on the social, economic, cultural, and political dimensions of human life and create serious challenges in its management and control. Addicts usually turn to drugs for various physical, psychological, and social reasons. Environmental factors, genetics, family problems, and social and economic pressures are among the factors that contribute to addiction. These people often face problems such as social isolation, reduced quality of life, physical and mental problems, and loss of effective relationships. Addiction can affect all aspects of a person's life and trap him in a cycle of dependence and related injuries. The quality of life of addicted people is significantly affected by the physical, psychological, and social consequences of addiction. These people often face problems such as reduced physical health, suffering from chronic diseases, decreased performance in daily activities, and reduced ability to create and maintain healthy relationships. Psychologically, addiction can lead to depression, anxiety, feelings of worthlessness, and reduced motivation to change. Socially, addicts may struggle with social isolation, financial problems, and instability in employment or housing. These factors generally reduce the quality of life of these people and create an obstacle for them to return to normal life. The quality of life of addicted people is significantly affected by the multifaceted consequences of addiction, which include physical, psychological, social, and economic aspects. Physically, continuous drug use can lead to destruction of the body's immune system, dysfunction of organs such as the liver, heart, and lungs, and increased risk of infectious diseases such as AIDS and hepatitis. These people usually lack energy, have physical weakness, and have a reduced ability to do daily tasks. On the psychological side, addiction is often associated with serious problems such as depression, anxiety, sleep disorders, low self-confidence, and feelings of helplessness. Drug addiction impairs decision-making ability and traps people in a cycle of self-destruction. Feeling aimless and hopeless are other psychological consequences that reduce their quality of life. Therefore, the purpose of this research was the effect of reality therapy training on quality of life and self-confidence in addicted people. Methods: The current research was a semi-experimental design of pre-test-post-test type. The statistical population of this research included people who had a history of addiction in 2022-2023 and were referred to Neka addiction treatment centers. An available sampling method was used for this research. The tools used in this research were the Cooper Smith self-confidence questionnaire in 2009, the quality of life questionnaire, and the plan of reality therapy sessions. SPSS software was used for data analysis. Results: Reality therapy training increases the quality of life of drug addicts. The squared value of eta also shows that about 84% of the variance in the quality of life of addicted people is explained through reality therapy training. Reality therapy training is effective in increasing the self-confidence of addicted people. The squared value of eta also shows that about 75% of the variance of self-confidence is explained through reality therapy training. The effect of reality therapy training (F=101.63, P<0.000) is statistically significant after adjusting the averages of the two groups based on the pre-test score. The test group's score increased in the post-test compared to the control group. Hence, it can be concluded that reality therapy training increases the quality of life of drug addicts. The squared value of eta also shows that about 84% of the variance in the quality of life of addicted people is explained through reality therapy training. Conclusion: According to the results obtained from the research, reality therapy plays a key role in improving the quality of life and self-confidence of addicted people. By focusing on responsibility, individual abilities, and social relationships, this approach helps people to find a positive attitude towards themselves and the future. Reality therapy training allows these people to gradually change destructive behaviors and find healthy alternatives by recognizing their strengths and potential capacities. This method helps people feel more self-worth and gain more control over their lives by strengthening problem-solving skills, decision-making ability, and building meaningful relationships. Success in these processes not only improves the quality of life but also restores self-confidence and increases the motivation to continue the path of recovery. Finally, reality therapy, by emphasizing inner capabilities and making positive changes in attitude and behavior, allows addicted people to face life's challenges better and move towards a healthier and more meaningful life. These effects are evident not only at the individual level, but also in social relations and family interactions, and play an effective role in the return of these people to society.</div> پیامدها, واقعیت درمانی, اعتماد به نفس, افراد معتاد Consequences, Reality Therapy, Self-Confidence, Addicted People 1 10 http://rjms.iums.ac.ir/browse.php?a_code=A-10-8429-1&slc_lang=fa&sid=1 Mohammad Hassan Mirzayi Seifabad محمد حسن میرزایی سیف آباد hasanmirzayi951111285@gmail.com 3900319475328460090069 0009-0008-2179-3827 Yes General Doctor of Medicine, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran. دکترای عمومی پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی کرمان، کرمان، ایران Maryam Soltanian مریم سلطانیان 3900319475328460090070 0009-0000-6108-7179 No M.A. Student of Clinical Psychology, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. دانشجوی کارشناسی ارشد روانشناسی بالینی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران Hasan Salavati حسن صلواتی 3900319475328460090071 3900319475328460090071 No Master's degree, Department of Business Management, Zarghan Branch, Islamic Azad University, Zarghan, Iran. کارشناسی ارشد، گروه مدیریت بازرگانی، واحد زرقان، دانشگاه آزاد اسلامی، زرقان، ایران. Bahar Dehghanpour Hanzaei بهار دهقانپور هنزائی 3900319475328460090072 3900319475328460090072 No Master's degree, Department of Clinical Psychology, Faculty of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. کارشناسی ارشد روانشناسی بالینی، گروه آموزشی روانشناسی بالینی، دانشکده علوم رفتاری، دانشگاه علوم توانبخشی و سلامت اجتماعی تهران، تهران، ایران