پديد آورندگان :
علي محمدي، سودابه دانشگاه خوارزمي تهران , محسن زاده، فرشاد دانشگاه خوارزمي تهران , زهراكار، كيانوش دانشگاه خوارزمي تهران
كليدواژه :
رضايت زناشويي , فرسودگي زناشويي , طرحواره درماني , پرخوري عصبي
چكيده فارسي :
هدف و زمينه
پرخوري عصبي اختلالي روان شناختي است كه با حالت هاي عودكننده مبني بر خوردن افراطي و رفتارهاي جبراني نامناسب براي پيشگيري از افزايش وزن، توصيف مي شود؛ بنابراين هدف پژوهش حاضر تعيين اثربخشي طرحواره درماني گروهي بر افزايش رضايت زناشويي و كاهش فرسودگي آن در زنان مبتلا به پرخوري عصبي بود.
روش بررسي
طرح پژوهش نيمه آزمايشي از نوع پيش آزمون و پس آزمون با گروه كنترل بود. جامعه هدف را تمامي زنان مبتلا به پرخوري عصبي شهر تهران تشكيل دادند. از افراد مراجعه كننده به كلينيك چاقي و لاغري و ديابت سلامت، چهل نفر به روش نمونه گيري دردسترس انتخاب شده و به طور تصادفي در دو گروه آزمايش و كنترل (هر گروه 20 نفر) قرار گرفتند. نمونه ها پرسشنامه رضايت زناشويي انريچ و مقياس فرسودگي زناشويي پاينز (CBM) را تكميل كردند. طرح واره درماني به تعداد ده جلسه و به مدت دو ساعت در هفته اجرا شد.
يافته ها
نتايج تحليل كوواريانس چندمتغيره نشان داد با كنترل اثر نمرات پيش آزمون، ميانگين نمره كل فرسودگي زناشويي گروه آزمايش در مرحله پس آزمون به طور معناداري كمتر از ميانگين نمره فرسودگي زناشويي در گروه كنترل است (0٫05>p). همچنين براساس يافته ها، ميانگين نمره كل رضايت زناشويي گروه آزمايش در مرحله پس آزمون به صورت معناداري بيشتر از ميانگين آن در گروه كنترل به دست آمد (0٫05>p).
نتيجه گيري
تاثير طرح واره درماني به شكل گروهي در افزايش رضايت زناشويي و كاهش فرسودگي آن، داراي مفاهيم نظري و عملي مهمي است كه مي تواند در كلينيك هاي مشاوره و رژيم درماني استفاده شود.
چكيده لاتين :
Background & Objectives: Neurological overdose is a psychological disorder characterized by extreme eating disorders and inappropriate
compensatory behaviors to prevent weight gain. Having mental disorders, including nervous overcrowding is considered a crisis for the whole
family. Among the aspects affected by this crisis, marital satisfaction and marital boredom require special attention. Several approaches have
been proposed to treat and correct inefficient beliefs, one of which is schema therapy. The schema therapy developed by Yang et al (1990 –1990)
is a modern and integrated therapy. The schema therapy provides a framework that recognizes behaviors and interpersonal interactions associated
with eating pathology in a specific way. The schema–based model for eating disorders, including nerve birth, suggests that compensatory
processes and schemes play a central role in eating disorders. Therefore, the aim of this study was to determine the effectiveness of group
schematic therapy on increasing marital satisfaction and reducing marital burning in women with bulimia.
Methods: This study designed as a quasi–experimental pre–test and post–test with control group. The study population was women (18–40)
with neurological overcharge who had referred to the weight gain/loss and diabetes clinic in Tehran (capital city of Iran) and were exposed to
medical nutritional interventions. Totally, 68 people were diagnosed to be affected by extreme eating disorder. These people at least once a
month reported compassionate behaviors such as deliberate vomiting, the arbitrary use of diarrhea and urinary tract medication and extreme
sports. To this end, 40 people were selected by available sampling method from the people who referred to the Obstetrics and Gynecologic
Clinic, and randomly 20 subjects divided in the experimental group and 20 in the control group. Anrich’s marital satisfaction questionnaire and
Paynes's burnout married scale (CBM) was completed. The experimental group was trained the schema therapy program for 10 sessions 2 hours
per week, while the control group did not receive any training in this period. After the end of the sessions, Anrich’s marital satisfaction
questionnaire and Paynes's burnout married scale were performed for the second time in two groups as post–test. Eventually, data were analyzed
using descriptive statistics, multivariate covariance analysis with SPSS16 software.
Results: The results of multivariate analysis showed that by controlling the effect of pre–test scores, the mean score of total marital boredom of
the experimental group in the posttest stage was significantly lower than the mean score of marital burnout in the control group (p<0/05). In
addition, results of multivariate covariance analysis showed that by controlling the effect of pre–test scores, the mean total score of marital
satisfaction in the experimental group was significantly higher in the experimental group than the mean marital satisfaction scores in the control
group (p<0.05).
Conclusion: Considering results of the research obtained, it may be stated that schema therapy has been led to reduction in marital burnout and
increased marital satisfaction and its subcomponent in women affected by nervous bulimia.
