بررسي اثربخشي درمان پذيرش و تعهد بر سلامت روان شناختي و رضايت از زندگي در مبتلايان به ديابت نوع دوم

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Psychological Symptoms and Life Satisfaction in Patients with Type-2 Diabetes

مقدمه: پژوهش حاضر با هدف بررسي اثر بخشي درمان پذيرش و تعهد بر سلامت روان شناختي و رضايت از زندگي در بيماران مبتلا به ديابت نوع دوم انجام شد. روش ها: جامعه آماري شامل كليه بيماران مبتلا به "ديابت نوع دوم" بود كه 1395 به بيمارستان طالقاني شهر كرمانشاه مراجعه كردند. پژوهش از نوع نيمه تجربي با طرح پيش آزمون- پس آزمون با گروه كنترل بود. با روش نمونه‌ گيري هدفمند، 30 نفر انتخاب و در دو گروه آزمايش، 15 نفر و كنترل، 15 نفر جايگزين شدند. ابزارهاي پژوهش شامل پرسشنامه چك ليست نشانه هاي اختلالات رواني (SCL-90-R)، رضايت از زندگي (SWLS) بود. داده هاي پژوهش با نرم افزار SPSS نسخه 20 و با مار توصيفي و تحليل كوواريانس تحليل شد. يافته ها: نتايج پژوهش شان داد كه تفاوت بين ميانگين نمرات شاخص هاي سلامت رواني در دو گروه آزمايش و كنترل در مرحله پس آزمون معنادار بود (0/05>P). همچنين، تفاوت بين ميانگين نمرات رضايت از زندگي دو گروه آزمايش و كنترل در مرحله پس آزمون معنادار بود (0/05>P). نتيجه گيري: يافته هاي پژوهش حاكي از كارايي اين شيوه نوظهور درمان شناختي-رفتاري است كه به نظر مي رسد به علت تلفيق تكنيك هاي شرقي در آن، براي بيماران ايراني مناسبتر است.

Introduction: Psychological well-being and life satisfaction in patients with chronic illnesses, including diabetes, which are often overlooked, clarify the need for more attention to appropriate treatment. The present study aims to assess the efficacy of admission and mental health treatments Cognitive and life satisfaction in patients with type 2 diabetes. Methods: The present study was a semi-experimental design with pretest-posttest design with control group. The statistical population included all patients with type 2 diabetes among patients referred to Taleghani Hospital in Kermanshah in year 1395 (N = 483). Based on the criteria for entering the research and diagnostic criteria DSM_IV_TR and the checklist for symptoms of mental disorders, satisfaction with Life, those who had the highest scores in the scale of mental disorders, and the lowest scores in life satisfaction scale, were selected by purposeful sampling method, 30 were selected and in 15 experimental and 15 control groups, 15 subjects were selected. The experimental group received 8 sessions of 120-minute intervention in two sessions per week. Data were analyzed using SPSS software version 20 and descriptive statistics and covariance analysis. Results: The results showed that the difference between the mean scores of mental health indicators in both experimental and control groups in post-test and follow-up was significant (P<0.05). Also, the difference between average life satisfaction scores in post-test and follow-up test and control groups was significant (P<0.05). Conclusions: The results indicated that the efficacy of this approach is emerging cognitive-behavioral therapy that it seems that due to the combination of eastern techniques is suitable for Iranian patients.