Medical Sciences Journal of Islamic Azad University
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران
MEDICAL SCIENCES
Medical Sciences
http://tmuj.iautmu.ac.ir
1
admin
1023-5922
2008-3386
000
10.61882/iau
000
1023-5922
000
fa
jalali
1404
12
1
gregorian
2026
3
1
36
1
online
1
fulltext
fa
اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر حساسیت اضطرابی و اشتیاق به زندگی در بیماران مبتلا به آسم
The efficacy of Acceptance and Commitment Therapy (ACT) on anxiety sensitivity and enthusiasm for life in patients with asthma
روانشناسی
psychology
نيمه آزمايشي
Semi-pilot
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><v:line from="3.6pt,2.8pt" id="_x0000_s1026" strokeweight="1.5pt" style="position:absolute; left:0; text-align:left; z-index:251657216" to="480.6pt,2.8pt"> <w:wrap anchorx="page"> </w:wrap></v:line><br>
<span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Nazanin"">چکیده</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">سابقه و هدف</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:Nazanin"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">آسم بیماری مزمن تنفسی است که با التهاب راه­های هوایی مشخص می</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal">­</span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">شود و می­تواند به طور قابل توجهی بر کیفیت زندگی افراد مبتلا تاثیر بگذارد </span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">و به دلیل طولانی بودن و حتی مادام العمر بودن، سازگاری فرد با بیماری را مشکل ساخته و منجربه محدودیت بیمار در اکثر ابعاد زندگی میشود. </span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">هدف پژوهش حاضر </span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی و اشتیاق به زندگی در بیماران مبتلا به آسم </span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">انجام شد</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">. </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal"></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt">روش بررسی</span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">:</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> در این</span></span></span></span><i> </i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">مطالعه نیمه ازمایشی از نوع پیش آزمون-پس آزمون با گروه کنترل، جامعه­ آماری شامل کلیه بیماران با تشخیص آسم مراجعه­کننده به بیمارستان مسیح دانشوری در سال 1402 بود. با استفاده از روش نمونه گیری هدفمند تعداد 30 بیمار بصورت کاملاً تصادفی در دو گروه 15 نفری جایگزین شدند. ابزار پژوهش شامل پرسشنامه های حساسیت اضطرابی حساسیت اضطرابی (</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">ASQ</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">)، اشتیاق به زندگی </span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">(EFLQ) </span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">بود و برای آموزش نمونهها</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> از پروتکل جلسات درمان مبتنی بر پذیرش و تعهد هیز و همکاران (2004) استفاده شد</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">یافته</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">ها:</span></span></span> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی در بیماران مبتلا به آسم، تأثیر داشت </span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">(25/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">η<sup>2</sup>≈</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">؛ 05/0</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">≥</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">P</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). همچنین نتایج بیانگر آن بود که</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> درمان مبتنی بر پذیرش و تعهد</span></span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">اثربخشی معناداری در اشتیاق به زندگی بیماران مبتلا به آسم نداشت (05/0 </span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">≥</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">P</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">).</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">­</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">گیری</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">به طور کلی نتایج نشان داد که </span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی بیماران مبتلا به آسم </span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> تاثیرگذار است، اما بر </span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">اشتیاق به زندگی اثربخشی معنی­داری به دست نیامد.</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Koodak""><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: Asthma is a chronic respiratory disease characterized by airway inflammation, which can significantly affect the quality of life of affected individuals. Due to its prolonged and sometimes lifelong nature, adapting to the disease can be challenging, leading to limitations in various aspects of the patient's life. The present study aimed to determine the effectiveness of Acceptance and Commitment Therapy on anxiety sensitivity and enthusiasm for life<b> </b>in patients with asthma. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Materials and methods</span></b><span style="font-size:11.0pt">: This study employed a semi-experimental design with a pre-test and post-test control group. The statistical population consisted of all patients diagnosed with asthma who visited Masih Daneshvari Hospital in 2023. Using purposive sampling, 30 patients were randomly assigned to two groups of 15. The research instruments included the Anxiety Sensitivity Questionnaire (ASQ) and the Life Aspiration Questionnaire (EFLQ). The protocol for the ACT sessions was based on Hayes et al. (2004). </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: The ACT had a significant effect on anxiety sensitivity in patients with asthma (η² = 0.25; p < 0.05). Additionally, the findings showed that ACT did not have a significant effect on the life aspiration of patients with asthma (p ≥ 0.05).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Conclusion</span></b><span style="font-size:11.0pt">: Overall, the results demonstrated that Acceptance and Commitment Therapy is effective in reducing anxiety sensitivity among patients with asthma; however, it did not yield a significant effect on enthusiasm for life.</span></span></span></span></span></span><br>
واژگان کلیدی: درمان مبتنی بر پذیرش و تعهد, حساسیت اضطرابی, اشتیاق به زندگی, آسم
Acceptance and Commitment Therapy, Anxiety sensitivity, Enthusiasm for life, Asthma
66
76
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-2023-1&slc_lang=fa&sid=1
Mansour
AliMahdi
منصور
علی مهدی
alimehdi.mansoor@gmail.com
100319475328460014229
100319475328460014229
Yes
Assistant Professor, Department of Welfare Sciences and Social Health, Tehran Branch, Islamic Azad University of Medical Sciences, Tehran, Iran
استادیار، دانشکده علوم بهزیستی و سلامت اجتماعی، واحد تهران، دانشگاه علوم پزشکی آزاد اسلامی، تهران، ایران
Yasaman
Nowruzzadeh
یاسمن
نوروز زاده
yasamannorouzzadee@gmail.com
100319475328460014230
0009-0005-2765-181x
No
MA in clinical Psychology, Department of Welfare Sciences and Social Health, Tehran Branch, Islamic Azad University of Medical Sciences, Tehran, Iran
کارشناسی ارشد روانشناسی بالینی، دانشکده علوم بهزیستی و سلامت اجتماعی، واحد تهران، دانشگاه علوم پزشکی آزاد اسلامی، تهران، ایران