مقایسه اثربخشی درمان مبتنی بر ذهن‌آگاهی و معنویت درمانی بر باورهای غیرمنطقی و اضطراب زنان سالمند

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار گروه روانشناسی، دانشکده ادبیات و علوم انسانی،تهران ، ایران

2 روانشناسی عمومی، دانشکده ادبیات و علوم انسانی، دانشگاه پیام نور تهران، ایران.

چکیده

در سنین سالمندی به دلیل شیوع از دست دادن‌ها و فقدان‌های متعدد نظیر همسر، اقوام، دوستان، شغل، موقعیت اجتماعی و اقتصادی، باورها و اعتقادات و غیره، افراد بیش ‌از پیش در معرض زمینه‌های ابتلا به اختلالات روانی از جمله اضطراب و افسردگی قرار دارند؛ بنابراین پژوهش حاضر با هدف مقایسه اثربخشی درمان مبتنی بر ذهن­آگاهی و معنویت درمانی بر باورهای غیرمنطقی و اضطراب زنان سالمند انجام شد. روش پژوهش حاضر، نیمه آزمایشی با طرح پیش‌آزمون-پس‌آزمون و پیگیری با گروه کنترل بود. جامعه پژوهش حاضر شامل کلیه زنان سالمند کانون جهان‌دیدگان تهران بود که 45 نفر (سه گروه 15 نفره) از سالمندان زن با میانگین سنی 70-60 سال (انحراف معیار 58/4) با روش در دسترس و بر اساس معیارهای ورود و خروج مطالعه انتخاب و به‌صورت تصادفی در دو گروه آزمایش و یک گروه کنترل جایگزین شدند. آموزش ذهن‌آگاهی کابات زین و معنویت درمانی گالانتر و سیگل در جلسات 90 دقیقه‌ای به‌صورت هفته‌ای دو جلسه برگزار شد و پس از گذشت یک ماه از پس‌آزمون، آزمون پیگیری به عمل آمد. برای جمع‌آوری داده‌ها از مقیاس‌های باورهای غیرمنطقی جونز و اضطراب آشکار و پنهان اشپیل برگر استفاده شد و داده‌ها با روش تحلیل کوواریانس تک متغیری با آزمون تعقیبی بونفرونی تحلیل شد. نتایج نشان داد که هر دو روش درمانی بر کاهش باورهای غیرمنطقی و اضطراب آشکار و پنهان تأثیرگذار بودند و این تأثیر در دوره پیگیری ماندگار بود (001/0≥P). مقایسه دو روش درمانی نشان داد که بین آموزش ذهن‌آگاهی و معنویت درمانی در متغیر باورهای غیرمنطقی تفاوتی وجود ندارد. ولی ذهن‌آگاهی نسبت به معنویت درمانی دارای تأثیرگذاری بیشتری بر کاهش اضطراب آشکار و پنهان است (001/0≥P)؛ طبق نتایج می­توان در طراحی برنامه­های مرتبط با ارتقای سلامت روان سالمندان از آموزش ذهن­آگاهی و معنویت درمانی به عنوان مداخلات مؤثر در کاهش باورهای غیرمنطقی و اضطراب سالمندان استفاده نمود.

کلیدواژه‌ها


عنوان مقاله [English]

The Comparison of the Effectiveness of Mindfulness Based Therapy and Spiritual Therapy on Irrational Beliefs and Anxiety in the Older Women

نویسندگان [English]

  • Ziba Barghi Irani 1
  • Leila Dehghan Saber 2
1 Associate Professor of General Psychology, Faculty of Literature and Humanities, Payame Noor University of Tehran, Iran
2 General Psychology, Faculty of Literature and Humanities, Payame Noor University, Tehran, Iran.
چکیده [English]

people in the old age are increasingly exposed to mental disorders such as anxiety and depression, due to the prevalence of numerous losses such as spouse, relatives, friends, occupation, social and economic status, beliefs, and suchlike. Therefore,the aim of the current study was to compare the effectiveness of mindfulness-based therapy (MBT) and spiritual therapy (ST) on irrational beliefs and anxiety in the older women. This was a semi-experimental study with pretest-posttest and follow-up with a control group design. The statistical population included all the elderly women who were the member of Jahandidegan center, Tehran among whom 45 (three groups containing 15 people) with the mean age of 60-70 (SD=4.58) were selected using convenience sampling method along with inclusion and exclusion criteria and assigned randomly into two experimental and one control group. Participants underwent Kabat’s MBT and Gallanter and Siegel’s ST in 90-minute sessions twice a week, and a follow-up test was performed one month after the posttest. Used to collect data were Jones's Irrational Belief and Spielberger's Overt and Covert Anxiety scales. The obtained data were analyzed by univariate analysis of covariance altogether with Bonferroni post-hoc. The results showed that both treatments were effective in reducing irrational beliefs and overt and covert anxiety, and this effect was persistent during the follow-up period (p < 0.001). The comparison of MBT and ST showed that although there is no difference between the effectiveness of the two kinds of therapy on irrational beliefs, MBT is more effective than ST in reducing overt and covert anxiety (p < /span><.001). According to the results, mindfulness-based and spiritual therapy can be used as effective interventions for reducing irrational beliefs and anxiety when it comes to designing programs regarding the promotion of mental health in the elderly.
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کلیدواژه‌ها [English]

  • Mindfulness based therapy
  • spiritual therapy
  • irrational beliefs
  • anxiety
  • elderly
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