پديد آورندگان :
مهربان، شفيق دانشگاه علوم بهزيستي و توانبخشي تهران , خليل زاده، نورالله دانشگاه پيام نور اروميه - گروه مشاوره , احمدبوكاني، سليمان دانشگاه محقق اردبيلي , اسمري برده زرد، يوسف دانشگاه علوم بهزيستي و توانبخشي تهران
كليدواژه :
روان درماني مثبت نگر , آموزه هاي ديني , نشخوار فكري , زنان نابارور
چكيده فارسي :
هدف
ناباروري يك تجربه استرس زاست كه مشكلات بهداشتي و اجتماعي جدي به وجود مي آورد. پژوهش حاضر با هدف بررسي اثربخشي روان درماني گروهي مثبت نگر مبتني بر آموزه هاي ديني بر نشخوار فكري زنان نابارور طراحي و اجرا شد.
روش بررسي
پژوهش حاضر به روش نيمه آزمايشي و از نوع پيش آزمون- پس آزمون با گروه كنترل و گمارش تصادفي انجام گرفت. جامعه آماري مطالعه شامل زنان نابارور مراجعه كننده به كلينيك هاي نازايي شهر مهاباد (آذربايجان غربي) در سال 1396 بود. افراد نمونه در وهله نخست به شيوه نمونه گيري در دسترس انتخاب شدند و پس از تكميل پرسشنامه نشخوار فكري افسرده ساز و كسب حد نصاب لازم براي ورود به تحقيق با استفاده از انتساب تصادفي در دو گروه آزمايش و كنترل (15 نفر براي هر گروه) گمارده شدند. گروه آزمايش طي 10 جلسه در معرض روان درماني مثبت نگر مبتني بر آموزه هاي ديني به شيوه گروهي قرار گرفتند و گروه كنترل، مداخله اي دريافت نكردند. داده هاي حاصل با آزمون تحليل كوواريانس، تجزيه وتحليل شد.
يافته ها
نتايج تحليل كوواريانس چندمتغيري نشان داد كه بين گروه آزمايش و كنترل از نظر مولفه هاي نشخوار فكري (سردرگريباني، سرزنش خود، نشخوار فكري علامت دار و درون گري) تفاوت معنادار است (0٫001=P).
نتيجه گيري
نتايج پژوهش حاضر نشان داد كه روان درماني گروهي مثبت نگر مبتني بر آموزه هاي ديني مي تواند باعث كاهش نشخوار فكري افسرده ساز در زنان نابارور شود؛ بنابراين انجام مداخلات بر اساس اين رويكرد مي تواند در ارتقاي سلامت روان و بهبود كيفيت زندگي مفيد باشد.
چكيده لاتين :
Background & Objective: Infertility is a stressful experience that poses severe health and social problems. Psychologically, infertility is a
critical period that results from imbalances between couples who are expecting a child but who are unable to reach their goal. The negative
consequences of women's infertility have led therapists and researchers to intervene in a variety of ways to reduce infertile women's problems.
Positive psychology emphasizes the study of emotions and positive experiences and focuses on the study of deficiencies and mental deficiencies
and low performance in studying human abilities and adaptive function. The present study was designed and implemented to evaluate the
effectiveness of Positive group psychotherapy based on religious teachings on rumination in infertile women.
Methods: This research was a semi-experimental and pretest and posttest design with a control group and random assignment. The statistical
population consists of all infertile female referring to infertility clinics of Mahabad (West Azarbaijan) in 2017. 30 Sample subjects were selected
through available sampling method and after completing the depressor rumination questionnaire and obtaining the necessary quorum for entering
the research using random appointment in two groups of experiment and control (15 persons per group). The experimental group exposed to
Positive group psychotherapy based on religious teachings during ten sessions, and the control group did not receive any intervention. Criteria
for entering the research include the age range of 25-45, more than one year of infertility, women who were barren from the beginning of the
marriage, completeness of treatment consent form, absence of acute psychological disorders according to volunteers' records, lack of external
counseling services of the treatment sessions. To measure rumination, a depressor rumination questionnaire by Yousefi et al. In Iran, used. The
survey consists of five factors, self-focus, self-blame, marked rumination, introspection, and rumination about the effects of depression. Ethical
considerations such as patient satisfaction, posttest intervention, waiting lists, and confidentiality considered to conduct research. Both groups
tested at the beginning and the end of the treatment (pretest and posttest) with a ruminant questionnaire. The experimental group participated in
10 sessions of 90 minutes each week under the positive group therapy based on religious teachings, and the control group received no
intervention-the protocol used in this study based on Ebadi and colleagues training program. After the end of the sessions, again, the participants
of the experimental and posttest control group were yet tested. The multivariate analysis of covariance (MANCOVA) used. The assumptions of
using the covariance analysis test with Levin and M-box tests analyzed by SPSS-25 software.
Results: The results of multivariate analysis of covariance showed that there was a significant difference between the experimental and control
groups regarding the components of rumination (self- focus, self-blaming, symptomatic rumination, and introverting) (p<0.001) and rumination
component there was a significant difference in depression (p=0.009).
Conclusion: Having this insight that everything that comes to us is from God, and his wisdom in all our actions contributes to reducing the
negative emotions, thereby reducing the negative thoughts about infertility, since one knows in this divine context that "Maybe you do not like
something, while your good is in it, or you love something, while your evil is in it. The results of this study showed that Positive group
psychotherapy based on religious teachings could reduce depressed ruminant in infertile women, so interventions based on this approach can be
useful in improving mental health and improving quality of life.
