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:: دوره 33، شماره 3 - ( پاییز 1402 ) ::
جلد 33 شماره 3 صفحات 294-285 برگشت به فهرست نسخه ها
مقایسه اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان راه‌حل‌محور کوتاه‌مدت بر تاب‌آوری افراد نجات‌یافته از کرونا
فهیمه پوررضا سنگستانی محل1 ، معصومه آزموده 2، خلیل اسماعیل پور3 ، سید داوود حسینی نسب4
1- دانشجوی دکتری، گروه روان‌شناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
2- استادیار، گروه روان‌شناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران ، mas-azmod@yahoo.com
3- دانشیار، گروه روان‌شناسی، دانشگاه تبریز، تبریز، ایران
4- استاد، گروه روان‌شناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
چکیده:   (726 مشاهده)
سابقه و هدف: علاوه بر مشکلات جسمانی، باید به مشکلات روان‌شناختی بیماران مبتلا به کرونا نیز توجه شود. پژوهش حاضر با هدف مقایسه اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان راه‌حل‌محور کوتاه‌مدت بر تاب‌آوری افراد نجات‌یافته از کرونا صورت گرفت.
روش بررسی: روش پژوهش، نیمه‌تجربی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری را زنان نجات‌یافته از کرونای شهر تبریز در سال 1400 تشکیل دادند. 45 نفر با روش نمونه‌گیری هدفمند انتخاب، و به‌صورت تصادفی در سه گروه قرار گرفتند (هر گروه 15 نفر). گروه‌های آزمایشی، درمان مختص گروه خود را به‌ترتیب در 8 و 6 جلسه دریافت کردند. گروه کنترل درمانی دریافت نکرد. ابزار اندازه‌گیری، پرسشنامه تاب‌آوری کانر و دیویدسون بود. داده‌ها توسط آزمون تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی  تحلیل شدند.   
یافته­ها: در پیش‌آزمون، میانگین و انحراف معیار متغیر تاب‌آوری در گروه شناخت‌درمانی مبتنی بر ذهن‌آگاهی 69/4±80/42، در گروه درمان راه‌حل‌محور کوتاه‌مدت 45/4±13/42، و در گروه کنترل 62/4±60/43 بود (05/0<P). هر دو درمان در مقایسه با گروه کنترل، تاب‌آوری بیماران مبتلا به کرونا را در پس‌آزمون افزایش داد (001/0>P). در مرحله پی­گیری، اثر این دو درمان بر تاب‌آوری ماندگار بود (001/0>P). تأثیر درمان‌ها بر تاب‌آوری بیماران مبتلا به کرونا در مراحل پس‌آزمون و پی‌گیری یکسان بود (05/0<P).
نتیجه­گیری: به‌نظر می‌رسد شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان راه‌حل‌محور کوتاه‌مدت می‌توانند سبب افزایش تاب‌آوری افراد نجات‌یافته از کرونا شوند؛ از این‏رو احتمالاً می‏توانند راهبرد درمانی مفیدی برای ارتقای وضعیت روانی این افراد باشند.
 
واژه‌های کلیدی: ذهن‌آگاهی، درمان کوتاه‌مدت راه‌حل‌محور، تاب‌آوری، کرونا
متن کامل [PDF 358 kb]   (438 دریافت)    
نيمه آزمايشي : نيمه تجربي | موضوع مقاله: روانشناسی
دریافت: 1401/11/2 | پذیرش: 1402/4/25 | انتشار: 1402/7/10
فهرست منابع
1. Renjun G, Ziyun L, Xiwu Y, Wei W, Yihuang G, Chunbing Z, et al. Psychological intervention on COVID-19. Medicine (Baltimore) 2020; 99: e20335. 2. Adhikari SP, Meng S, Wu Y-J, Mao Y-P, Ye R-X, Wang Q-Z, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty 2020; 9: 1-2. https://doi.org/10.1186/s40249-020-00646-x 3. Steenblock C, Todorov V, Kanczkowski W, Eisenhofer G, Schedl A, Wong ML, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS - Cov-2) and the Neuroendocrine Stress Axis. Mol Psychiatry 2020; 25: 1611-1617. https://doi.org/10.1038/s41380-020-0758-9 4. Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19) Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry Investig 2020; 17: 175-76. https://doi.org/10.30773/pi.2020.0047 5. Shahed hagh ghadam H, Fathi Ashtiani A, Rahnejat A M, Ahmadi Tahour Soltani M, Taghva A, Ebrahimi M R, et al. Psychological Consequences and Interventions during the COVID-19 Pandemic: Narrative Review. J Mar Med 2020; 2:1-11. [In Persian] 6. Zhang J, Yang Z, Wang X, Li J, Dong L, Wang F, et al. The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID-19 in China: A cross-sectional study. J Clin Nurs 2020y 29: 4020-4029. https://doi.org/10.1111/jocn.15425 7. Zhong GQ, Lin BH, Xiao CX. Hope Levels and Resilience in Patients with Severe Novel Coronavirus Pneumonia: The Current Situation and a Correlation Analysis. Int J Gen Med 2021; 14: 1959-1965. https://doi.org/10.2147/IJGM.S301128 8. Barni D, Danioni F, Canzi E, Ferrari L, Ranieri S, et al. Facing the COVID-19 Pandemic: The Role of Sense of Coherence. Front Psychol 2020; 11: 578440. https://doi.org/10.3389/fpsyg.2020.578440 9. Goldstein S, Brooks, R B. Why study resilience? In: Goldstein S, Brooks RB, eds. Handbook of resilience in children. New York, US: Springer Science Business Media; 2013. p.3-14. https://doi.org/10.1007/978-1-4614-3661-4_1 10. Pinquart M. Moderating effect of dispositional resilience on association between hassles and psychological distress. Journal of Applied Developmental Psychology 2009; 30: 1-8. https://doi.org/10.1016/j.appdev.2008.10.005 11. Wu Y, Sang Z-Q, Zhang X-C, Margraf J. The Relationship between Resilience and Mental Health in Chinese College Students: A Longitudinal Cross-Lagged Analysis. Front Psychol 2020; 11:108. https://doi.org/10.3389/fpsyg.2020.00108 12. Bauer H, Emeny RT, Baumert J, Ladwig K-H. Resilience moderates the association between chronic pain and depressive symptoms in the elderly. Eur J Pain 2016; 20: 1253-1265. https://doi.org/10.1002/ejp.850 13. Tajikzade F, Sadeghi R, Raees Karimian F. The comparison of resilience, coping style and pain catastrophizing in cancer patients and normal people. JAP 2016; 7: 38-48. [In Persian] 14. De Sousaa A, Mohandas E, Javed A. Psychological interventions during COVID-19: Challenges for low and middle income countries. Asian J Psychiatr 2020; 51: 102128. https://doi.org/10.1016/j.ajp.2020.102128 15. Fumero A, Peñate W, Oyanadel C, Porter B. The Effectiveness of Mindfulness-Based Interventions on Anxiety Disorders. A Systematic Meta-Review. Eur J Investig Health Psychol Educ 2020; 10:704-719. https://doi.org/10.3390/ejihpe10030052 16. Burgess EE, Selchen S, Diplock BD, Rector NA. A Brief Mindfulness-Based Cognitive Therapy (MBCT) Intervention as a Population-Level Strategy for Anxiety and Depression. Int J Cogn Ther 2021; 20:1-19. https://doi.org/10.1007/s41811-021-00105-x 17. Zulfaqari ST, Ghoshchian S. Effectiveness of cognitive therapy based on mindfulness on reducing corona anxiety in patients with multiple sclerosis in Semnan. Psychological Studies and Educational Sciences 2019; 6: 84-92. [In Persian] 18. Mardpour A, Akbari Ebtekar M, Haji Adine S, Sadati Brothers Mina. The effectiveness of cognitive therapy based on mindfulness on the psychological well-being of women infected with Corona. 9th International Conference on Research in Psychology, Counseling and Educational Sciences, International Organization for Academic Studies, Tefli, Georgia; 2022. 99-107. 19. Khazami M, Dasht Bozorgi Z. Effectiveness of the Mindfulness-Based Cognitive Therapy on Depression, Stress, and Anxiety Among COVID-19 Patients. Jundishapur Journal of Health Sciences 2021; 13: 1-6. [In Persian] https://doi.org/10.5812/jjhs.117000 20. Zhu JL, Schülke R, Vatansever D, Xi D, Yan J, Zhao H, Xie X, et al. Mindfulness practice for protecting mental health during the COVID-19 pandemic. Transl Psychiatry 2021; 11: 329. https://doi.org/10.1038/s41398-021-01459-8 21. Si M-Y, Xiao W-J, Pan C, Wang H, Huang Y-M, Lian J, et al. Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design. Infect Dis Poverty 2021; 10: 69. https://doi.org/10.1186/s40249-021-00836-1 22. Esmaeili N, Askary P, Saraj Khorami N, Bakhtiarpour B. Mindfulness-Based Cognitive Therapy (MBCT) on Increasing Resilience and Reducing Headache in Migraine Patients. Medical Journal of Mashhad University of Medical Sciences 2020; 63: 2350-2358. [In Persian] 23. Mohamadpour S, Shahi M, Tajikzadeh F. The effect of mindfulness-based cognitive therapy on the psychological well- being, hope, core self-evaluations among epileptic patients. Clinical Psychology and Personality 2018; 15: 37-50. [In Persian] 24. Nasirnejhad F, Pouyamanesh J, Fathi aghdam GH, Jafari A. The Effectiveness of Mindfulness-Based Therapy and Short-Term Solution-Focused Therapy on the Sense of Coherence of Women with Multiple Sclerosis. Community Health Journal 2020; 13: 21-31. [In Persian] 25. Chen S. An online solution focused brief therapy for adolescent anxiety during the novel coronavirus disease (COVID-19) pandemic: a structured summary of a study protocol for a randomised controlled trial. Trials 2020; 21:403. https://doi.org/10.1186/s13063-020-04355-6 26. Choi JJ. The Role of the Solution-Focused Brief Therapist in Client-Led Problem Talks. Am J Fam Ther 2021; 49:1-17. https://doi.org/10.1080/01926187.2020.1816514 27. Zengin M, Başoğul C, Yayan EH. The effect of online solution-focused support program on parents with high level of anxiety in the COVID-19 pandemic: A randomised controlled study. Int J Clin Pract 2021; e14839. https://doi.org/10.22541/au.163578748.84963548/v1 28. Li J, Liu, Y. Intervention Effect of the Video Health Education Model Based on Solution-Focused Theory on Adolescents Mental Health dur-ing the COVID-19 Pandemic. Iran J Public Health 2021; 50: 2202-2210. https://doi.org/10.18502/ijph.v50i11.7574 29. Akbarinejhad H, Naghizadeh Alamdari M. Comparison of the Effectiveness of Acceptance & Commitment Therapy with Short-term Solution-focused Therapy on the Self-efficacy & Resilience of Female Students with Chronic Headache. Journal of Anesthesiology and Pain 2021; 12: 1-18. [In Persian]. 30. Conner K M, Davidson J R. Development of a new resilience scale: The Conner - Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003; 18:76-82. https://doi.org/10.1002/da.10113 31. Ahangarzadeh Rezaei S, Rasoli M. Psychometric Properties of The Perstan Version Of "Conner-Davidson Resilience Scale" in adolescents with cancer. Journal of Urmia Nursing and Midwifery Faculty 2015; 13:739-747. [In Persian] 32. Samani S, Jokar B, Sahragard N. Effects of Resilience on Mental Health and Life Satisfaction. IJPCP 2007; 13:290-295. [In Persian] 33. Segal ZV, Williams JM, Teasdale JD, eds. Mindfulness Based cognitive therapy for depression. 3rd ed. New York: The Guilford Press; 2013. p.86. [DOI:10.1097/MD.0000000000020335]
2. De Shazer S, ed. Words were originally magic. 1st ed. New York: Norton; 1994. P.30.
3. Renjun G, Ziyun L, Xiwu Y, Wei W, Yihuang G, Chunbing Z, et al. Psychological intervention on COVID-19. Medicine (Baltimore) 2020; 99: e20335. [DOI:10.1097/MD.0000000000020335]
4. Adhikari SP, Meng S, Wu Y-J, Mao Y-P, Ye R-X, Wang Q-Z, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty 2020; 9: 1-2. [DOI:10.1186/s40249-020-00646-x]
5. Steenblock C, Todorov V, Kanczkowski W, Eisenhofer G, Schedl A, Wong ML, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS - Cov-2) and the Neuroendocrine Stress Axis. Mol Psychiatry 2020; 25: 1611-1617. [DOI:10.1038/s41380-020-0758-9]
6. Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19) Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry Investig 2020; 17: 175-76. [DOI:10.30773/pi.2020.0047]
7. Shahed hagh ghadam H, Fathi Ashtiani A, Rahnejat A M, Ahmadi Tahour Soltani M, Taghva A, Ebrahimi M R, et al. Psychological Consequences and Interventions during the COVID-19 Pandemic: Narrative Review. J Mar Med 2020; 2:1-11. [In Persian]
8. Zhang J, Yang Z, Wang X, Li J, Dong L, Wang F, et al. The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID-19 in China: A cross-sectional study. J Clin Nurs 2020y 29: 4020-4029. [DOI:10.1111/jocn.15425]
9. Zhong GQ, Lin BH, Xiao CX. Hope Levels and Resilience in Patients with Severe Novel Coronavirus Pneumonia: The Current Situation and a Correlation Analysis. Int J Gen Med 2021; 14: 1959-1965. [DOI:10.2147/IJGM.S301128]
10. Barni D, Danioni F, Canzi E, Ferrari L, Ranieri S, et al. Facing the COVID-19 Pandemic: The Role of Sense of Coherence. Front Psychol 2020; 11: 578440. [DOI:10.3389/fpsyg.2020.578440]
11. Goldstein S, Brooks, R B. Why study resilience? In: Goldstein S, Brooks RB, eds. Handbook of resilience in children. New York, US: Springer Science Business Media; 2013. p.3-14. [DOI:10.1007/978-1-4614-3661-4_1]
12. Pinquart M. Moderating effect of dispositional resilience on association between hassles and psychological distress. Journal of Applied Developmental Psychology 2009; 30: 1-8. [DOI:10.1016/j.appdev.2008.10.005]
13. Wu Y, Sang Z-Q, Zhang X-C, Margraf J. The Relationship between Resilience and Mental Health in Chinese College Students: A Longitudinal Cross-Lagged Analysis. Front Psychol 2020; 11:108. [DOI:10.3389/fpsyg.2020.00108]
14. Bauer H, Emeny RT, Baumert J, Ladwig K-H. Resilience moderates the association between chronic pain and depressive symptoms in the elderly. Eur J Pain 2016; 20: 1253-1265. [DOI:10.1002/ejp.850]
15. Tajikzade F, Sadeghi R, Raees Karimian F. The comparison of resilience, coping style and pain catastrophizing in cancer patients and normal people. JAP 2016; 7: 38-48. [In Persian]
16. De Sousaa A, Mohandas E, Javed A. Psychological interventions during COVID-19: Challenges for low and middle income countries. Asian J Psychiatr 2020; 51: 102128. [DOI:10.1016/j.ajp.2020.102128]
17. Fumero A, Peñate W, Oyanadel C, Porter B. The Effectiveness of Mindfulness-Based Interventions on Anxiety Disorders. A Systematic Meta-Review. Eur J Investig Health Psychol Educ 2020; 10:704-719. [DOI:10.3390/ejihpe10030052]
18. Burgess EE, Selchen S, Diplock BD, Rector NA. A Brief Mindfulness-Based Cognitive Therapy (MBCT) Intervention as a Population-Level Strategy for Anxiety and Depression. Int J Cogn Ther 2021; 20:1-19. [DOI:10.1007/s41811-021-00105-x]
19. Zulfaqari ST, Ghoshchian S. Effectiveness of cognitive therapy based on mindfulness on reducing corona anxiety in patients with multiple sclerosis in Semnan. Psychological Studies and Educational Sciences 2019; 6: 84-92. [In Persian]
20. Mardpour A, Akbari Ebtekar M, Haji Adine S, Sadati Brothers Mina. The effectiveness of cognitive therapy based on mindfulness on the psychological well-being of women infected with Corona. 9th International Conference on Research in Psychology, Counseling and Educational Sciences, International Organization for Academic Studies, Tefli, Georgia; 2022. 99-107.
21. Khazami M, Dasht Bozorgi Z. Effectiveness of the Mindfulness-Based Cognitive Therapy on Depression, Stress, and Anxiety Among COVID-19 Patients. Jundishapur Journal of Health Sciences 2021; 13: 1-6. [In Persian] [DOI:10.5812/jjhs.117000]
22. Zhu JL, Schülke R, Vatansever D, Xi D, Yan J, Zhao H, Xie X, et al. Mindfulness practice for protecting mental health during the COVID-19 pandemic. Transl Psychiatry 2021; 11: 329. [DOI:10.1038/s41398-021-01459-8]
23. Si M-Y, Xiao W-J, Pan C, Wang H, Huang Y-M, Lian J, et al. Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design. Infect Dis Poverty 2021; 10: 69. [DOI:10.1186/s40249-021-00836-1]
24. Esmaeili N, Askary P, Saraj Khorami N, Bakhtiarpour B. Mindfulness-Based Cognitive Therapy (MBCT) on Increasing Resilience and Reducing Headache in Migraine Patients. Medical Journal of Mashhad University of Medical Sciences 2020; 63: 2350-2358. [In Persian]
25. Mohamadpour S, Shahi M, Tajikzadeh F. The effect of mindfulness-based cognitive therapy on the psychological well- being, hope, core self-evaluations among epileptic patients. Clinical Psychology and Personality 2018; 15: 37-50. [In Persian]
26. Nasirnejhad F, Pouyamanesh J, Fathi aghdam GH, Jafari A. The Effectiveness of Mindfulness-Based Therapy and Short-Term Solution-Focused Therapy on the Sense of Coherence of Women with Multiple Sclerosis. Community Health Journal 2020; 13: 21-31. [In Persian]
27. Chen S. An online solution focused brief therapy for adolescent anxiety during the novel coronavirus disease (COVID-19) pandemic: a structured summary of a study protocol for a randomised controlled trial. Trials 2020; 21:403. [DOI:10.1186/s13063-020-04355-6]
28. Choi JJ. The Role of the Solution-Focused Brief Therapist in Client-Led Problem Talks. Am J Fam Ther 2021; 49:1-17. [DOI:10.1080/01926187.2020.1816514]
29. Zengin M, Başoğul C, Yayan EH. The effect of online solution-focused support program on parents with high level of anxiety in the COVID-19 pandemic: A randomised controlled study. Int J Clin Pract 2021; e14839. [DOI:10.22541/au.163578748.84963548/v1]
30. Li J, Liu, Y. Intervention Effect of the Video Health Education Model Based on Solution-Focused Theory on Adolescents Mental Health dur-ing the COVID-19 Pandemic. Iran J Public Health 2021; 50: 2202-2210. [DOI:10.18502/ijph.v50i11.7574]
31. Akbarinejhad H, Naghizadeh Alamdari M. Comparison of the Effectiveness of Acceptance & Commitment Therapy with Short-term Solution-focused Therapy on the Self-efficacy & Resilience of Female Students with Chronic Headache. Journal of Anesthesiology and Pain 2021; 12: 1-18. [In Persian].
32. Conner K M, Davidson J R. Development of a new resilience scale: The Conner - Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003; 18:76-82. [DOI:10.1002/da.10113]
33. Ahangarzadeh Rezaei S, Rasoli M. Psychometric Properties of The Perstan Version Of "Conner-Davidson Resilience Scale" in adolescents with cancer. Journal of Urmia Nursing and Midwifery Faculty 2015; 13:739-747. [In Persian]
34. Samani S, Jokar B, Sahragard N. Effects of Resilience on Mental Health and Life Satisfaction. IJPCP 2007; 13:290-295. [In Persian]
35. Segal ZV, Williams JM, Teasdale JD, eds. Mindfulness Based cognitive therapy for depression. 3rd ed. New York: The Guilford Press; 2013. p.86.
36. De Shazer S, ed. Words were originally magic. 1st ed. New York: Norton; 1994. P.30.
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Porreza Sangestani F, Azmoudeh M, Esmaielpour , K, Hosseini Nasab S D. Comparison of the effectiveness of mindfulness-based cognitive therapy and short-term solution-focused therapy on the resilience of people who survived from corona. MEDICAL SCIENCES 2023; 33 (3) :285-294
URL: http://tmuj.iautmu.ac.ir/article-1-2096-fa.html

پوررضا سنگستانی محل فهیمه، آزموده معصومه، اسماعیل پور خلیل، حسینی نسب سید داوود. مقایسه اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی و درمان راه‌حل‌محور کوتاه‌مدت بر تاب‌آوری افراد نجات‌یافته از کرونا. فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران. 1402; 33 (3) :285-294

URL: http://tmuj.iautmu.ac.ir/article-1-2096-fa.html



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دوره 33، شماره 3 - ( پاییز 1402 ) برگشت به فهرست نسخه ها
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