اثر بخشی درمان شناختی-رفتاری بر اختلال خواب و اضطراب مرگ سالمندان

نوع مقاله : مقاله پژوهشی

نویسندگان

گروه روانشناسی، واحد گرمسار، دانشگاه آزاد اسلامی، گرمسار ، گرمسار ، ایران

10.22126/jap.2023.8770.1687

چکیده

اضطراب مرگ و اختلال خواب از اختلالات شایع در افراد سالمند به شمار می‌رود. از بین روش‌های مختلف درمانی، درمان شناختی-رفتاری بعنوان یک راهکار بالقوه در رابطه با کاهش اضطراب مرگ به شمار می‌رود. بنابراین پژوهش حاضر با هدف اثر بخشی درمان شناختی-رفتاری بر اختلال خواب و اضطراب مرگ سالمندان انجام شد. این پژوهش از نظر هدف، کاربردی و از نظر ماهیت پژوهش، جزء پژوهش‌های نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل بود. جامعه آماری مورد مطالعه، شامل کلیه سالمندان مقیم سراهای شهرستان ساری بود که از میان آنها یک سرا به طور تصادفی انتخاب شد بود که که نمونه 32 نفری از بین آنها به روش نمونه‌گیری در دسترس و بر اساس معیارهای ورود و خروج به مطالعه انتخاب و به صورت تصادفی به دو گروه آزمایش و کنترل به نسبت یکسان گمارده شدند. ابزار گرداوری داده‌ها دو پرسشنامه خواب پترزبورگ توسعه یافته توسط بایسی و همکاران و مقیاس اضطراب مرگ تمپلر و همچنین پروتکل آموزشی درمان شناختی-رفتاری (CBT) آرون بک و همکاران که در قالب هشت جلسه 90 دقیقه‌ای استفاده شد. داده‌های پژوهش از طریق تحلیل کوواریانس تک متغیره در نرم‌افزار SPSS  نسخه 16 مورد تجزیه و تحلیل قرار گرفت. یافته‌های پژوهش نشان داد که درمان شناختی-رفتاری باعث کاهش معنادار اختلال خواب و اضطراب مرگ سالمندان شد. یافته‌های این تحقیق در مجموع حاکی از آن بود که استفاده از یک روش درمانی مناسب می‌تواند کیفیت خواب در سالمندان را بهبود بخشد و میزان اضطراب مرگ در آنها را کاهش دهد. 

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Cognitive-Behavioral Therapy on Sleep Disorder and Death Anxiety in the Elderly

نویسندگان [English]

  • Shaghayegh Arab
  • Akbar Mohammadi
Dept. of Psychology, Garmsar Branch, Islamic Azad University, Garmsar, Garmsar, Iran
چکیده [English]

Death anxiety and sleep disorder seem to be of the common disorders in the elderly. Among the different treatment methods, cognitive-behavioral therapy (CBT) is considered as a potential solution in relation to reducing death anxiety and sleep disorder. Therefore, the purpose of the current study was to consider the effectiveness of CBT on sleep disorder and death anxiety in the elderly. This was a practical study in terms of its purpose and according to the nature of the research, it was a quasi-experimental study with a pretest-posttest and a control group design. The statistical population included all the elderly living in nursing homes in Sari, Iran among which one nursing home was randomly selected, and a sample of 32 people was selected among its members by convenience sampling method and based on the inclusion and exclusion criteria of the study and were randomly assigned to two experimental and control groups in the same ratio. The tools applied in the study included Baisi et al.’s Petersburg sleep questionnaires, Templer’s death anxiety scale, and Beck et al.’s CBT protocol which represented in form of eight 90-minute sessions. Data were analyzed using univariate covariance analysis (ANCOVA) in SPSS-16 software. The findings illustrated that CBT resulted in a significant decrease of sleep disorder and death anxiety in the elderly. The findings of this research indicated that using a suitable treatment method can improve the quality of sleep in the elderly and reduce the level of their death anxiety.
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کلیدواژه‌ها [English]

  • Cognitive - Behavioral Therapy
  • Sleep Disturbance
  • Death Anxiety
  • Elderly
منابع
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References
Atwood, M. E., & Friedman, A. (2020). A Systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders. International Journal of Eating Disorders, 53(3), 311-330.
Axfors, C., & Ioannidis, J. P. (2022). Infection fatality rate of COVID-19 in community-dwelling elderly populations. European Journal of Epidemiology, 37(3), 235-249.
Bala, R., & Maheshwari, S. K. (2019). Death anxiety and death depression among elderly. International Journal of Psychiatric Nursing, 5(1), 55-59.
Barthel, A. L., Pinaire, M. A., Curtiss, J. E., Baker, A. W., Brown, M. L., Hoeppner, S. S., & Hofmann, S. G. (2020). Anhedonia is central for the association between quality of life, metacognition, sleep, and affective symptoms in generalized anxiety disorder: a complex network analysis. Journal of affective disorders, 277, 1013-1021.
Buysse, D. J., Reynolds Iii, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
Cheatle, M. D., & Webster, L. R. (2015). Opioid therapy and sleep disorders: risks and mitigation strategies. Pain Medicine, 16(suppl_1), S22-S26.
Danny, J. Y., Angus, P. Y., Li, S. X., Chan, R. N., Fong, D. Y., Chan, D. K., & Siu, P. M. (2023). Effects of Tai Chi and cognitive behavioral therapy for insomnia on improving sleep in older adults: Study protocol for a non-inferiority trial. Journal of Exercise Science & Fitness, 21(1), 67-73.
Ehtshamzadeh, Parveen and Dakhilpour, Syed Ahmad. (2014), The Effectiveness of cognitive behavioral therapy group on reducing the death anxiety of cancer patients in Ahvaz city, the second national conference on research and treatment in clinical psychology, Torbat Jam, Islamic Azad University, Torbat Jam branch. [Persian]
Francis, J. (2022). Elder orphans on Facebook: Implications for mattering and social isolation. Computers in Human Behavior, 127, 107-123.
Ghamari kivi H, Zahed bablan A, Fathi D (2015). Effectiveness of GroupCognitive-Behavioral Therapy on Death Anxiety among the Breavement Elderly‌‌Man. Journal of elderly, 1 (4) :60-69 [Persian]
Guner, T. A., Erdogan, Z., & Demir, I. (2021). The effect of loneliness on death anxiety in the elderly during the COVID-19 pandemic. OMEGA-journal of Death and Dying, 13 (4), 98-106.
Hasan, F., Tu, Y. K., Yang, C. M., Gordon, C. J., Wu, D., Lee, H. C., & Chiu, H. Y. (2022). Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis. Sleep Medicine Reviews, 61(3), 101-113.
Hawes, N. J., Wiggins, A. T., Reed, D. B., & Hardin‐Fanning, F. (2019). Poor sleep quality is associated with obesity and depression in farmers. Public Health Nursing, 36(3), 270-275.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive therapy and research, 36, 427-440.
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