مقایسه تأثیر درمان مبتنی بر پذیرش و تعهد و طرح‌واره درمانی مبتنی بر پذیرش و تعهد بر تصویر بدن و عزت‌نفس جنسی زنان دیالیزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه علوم تربیتی، دانشگاه آزاد اسلامی واحد مشهد، مشهد، ایران

2 دانشیار روانشناسی بالینی، دانشگاه حکیم سبزواری، سبزوار، ایران

3 استادیار، گروه علوم تربیتی، دانشگاه آزاد اسلامی واحد مشهد، مشهد، ایران

چکیده

هدف: مطالعه حاضر باهدف مقایسه تأثیر درمان مبتنی بر پذیرش و تعهد و طرح‌واره درمانی مبتنی بر پذیرش و تعهد بر تصویر بدن و عزت‌نفس جنسی زنان دیالیزی انجام شد.
روش: پژوهش حاضر از نوع نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری این پژوهش مشتمل بر کلیه زنان دیالیزی متأهل مراجعه‌کننده به انجمن حمایت از بیماران دیالیزی شهر مشهد در بازه زمانی دی‌ماه سال 1400 تا خردادماه سال 1401 بود که 45 نفر به روش نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در سه گروه شامل دو گروه آزمایش (درمان مبتنی بر پذیرش و تعهد و طرح‌واره درمانی مبتنی بر پذیرش و تعهد) و یک گروه کنترل جایگزین شدند. داده‌ها از طریق پرسش‌نامه­های نگرانی از تصویر بدن لیتلتون، آکسوم و پوری (Littleton et al., 2005) و عزت‌نفس جنسی زنان – فرم کوتاه دویل زینا و شوارز (Doyle Zeanah & Schwarz, 1996) به دست آمد. برای تجزیه‌وتحلیل داده‌ها از تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی در نرم‌افزار 25Spss- استفاده شد.
یافته‌ها: نتایج نشان داد ‌درمان مبتنی بر پذیرش و تعهد و طرح‌واره درمانی مبتنی بر پذیرش و تعهد در مقایسه با گروه کنترل بر تصویر بدن و عزت‌نفس جنسی زنان دیالیزی مؤثر هستند (05/0 P<). بعلاوه، طرح‌واره درمانی مبتنی بر پذیرش و تعهد به‌صورت معنی‌داری مؤثرتر از درمان مبتنی بر پذیرش و تعهد بود (05/0 P<)؛ بنابراین، کار هم‌زمان بر روی طرح­واره­ها و استفاده از فنون پذیرش و تعهد می­تواند منجر به خودانگاره بدنی بهتر و عزت‌نفس جنسی بالاتر و درنتیجه بهبود اعتمادبه‌نفس و ارتباط زناشویی در زنان دیالیزی گردد.
 

کلیدواژه‌ها

موضوعات


References
Aalami, M., Taimory, S., & Ahi, G. (2020). The effectiveness of an integrated approach of schema therapy based acceptance and commitment therapy on marital conflicts and divorce tendency in divorce applicant couples. Journal of Research in Behavioural Sciences, 18(1), 132-141. https://doi.org/10.52547/rbs.18.1.13 (In Persian)
Abdollahzadeh, H., & Kabirinasab, Y. (2019). The Effectiveness of acceptance and Commitment Therapy on internalized Shame and Sexual self-esteem of Women with Breast Cancer after Mastectomy Surgery. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 7(28), 184-199. https://doi.org/10.30473/hpj.2019.43575.4221 (In Persian)
Aguiar, R., Pei, M., Qureshi, A. R., & Lindholm, B. (2019). Health‐related quality of life in peritoneal dialysis patients: A narrative review. Seminars in dialysis,
Akbari, M., Lotfi Kashani, F., & Vaziri, S. (2017). The efficacy of four-factor psychotherapy on increasing sexual self-esteem in breast cancer survivors. Iranian Quarterly Journal of Breast Disease, 10(1), 48-60. http://ijbd.ir/article-1-605-en.html (In Persian)
Álvarez-Villarreal, M., Velarde-García, J. F., Chocarro-Gonzalez, L., Pérez-Corrales, J., Gueita-Rodriguez, J., & Palacios-Ceña, D. (2019). Body changes and decreased sexual drive after dialysis: a qualitative study on the experiences of women at an ambulatory dialysis unit in Spain. International journal of environmental research and public health, 16(17), 3086. https://doi.org/10.3390/ijerph16173086
Arntz, A., & Van Genderen, H. (2020). Schema therapy for borderline personality disorder. John Wiley & Sons. https://books.google.com/books
Asadpour, E., & Veisi, S. (2019). The effectiveness of acceptance and commitment therapy on marital satisfaction, sexual self-esteem and burnout martial among women with type 2 diabetes. Journal of Arak University of Medical Sciences, 21(7), 8-17. http://jams.arakmu.ac.ir/article-1-5174-en.html (In Persian)
Basak Nejad, S., & Ghafari, M. (2007). Relation between body dysmorphic concern and psychological disorders in students of university. J Behav Sci Res Cent, 1(2), 179-187. https://www.behavsci.ir/article_67573_d69219a5ff35c8ea2cc3b115befabcf0.pdf
Bennett, R., & Oliver, J. E. (2019). Acceptance and commitment therapy: 100 key points and techniques. Routledge. https://www.taylorfrancis.com/books/mono/10.4324/9781351056144/acceptance-commitment-therapy-richard-bennett-joseph-oliver
Dąbrowska-Bender, M., Dykowska, G., Żuk, W., Milewska, M., & Staniszewska, A. (2018). The impact on quality of life of dialysis patients with renal insufficiency. Patient preference and adherence, 12, 577-583. https://doi.org/10.2147/PPA.S156356
Doyle Zeanah, P., & Schwarz, J. C. (1996). Reliability and validity of the sexual self-esteem inventory for women. Assessment, 3(1), 1-15. https://doi.org/10.1177/107319119600300101
Farokhi, S., & Shareh, H. (2014). Psychometric Properties of the Persian Version of the Sexual Self-Esteem Index for Woman-Short Form. Iranian Journal of Psychiatry & Clinical Psychology, 20(3). https://ijpcp.iums.ac.ir/article-1-2240-en.html (In Persian)
Farrell, J. M., & Shaw, I. A. (2017). Experiencing schema therapy from the inside out: A self-practice/self-reflection workbook for therapists. Guilford Publications. https://books.google.com/books
Fassbinder, E., & Arntz, A. (2021). Schema therapy. In Handbook of cognitive behavioral therapy: Overview and approaches, Vol. 1 (pp. 493-537). American Psychological Association. https://psycnet.apa.org/books/record/2021-23707-000
Fogelkvist, M., Gustafsson, S. A., Kjellin, L., & Parling, T. (2020). Acceptance and commitment therapy to reduce eating disorder symptoms and body image problems in patients with residual eating disorder symptoms: A randomized controlled trial. Body image, 32, 155-166. https://doi.org/10.1016/j.bodyim.2020.01.002
Gillen, M. M., & Markey, C. H. (2019). A review of research linking body image and sexual well-being. Body image, 31, 294-301. https://doi.org/10.1016/j.bodyim.2018.12.004
Grecucci, A., Messina, I., & Dadomo, H. (2018). Decoupling internalized dysfunctional attachments: a combined ACT and schema therapy approach. Frontiers in psychology, 9, 2332. https://doi.org/10.3389/fpsyg.2018.02332
Greenberg, M. R. (2017). Hazardous waste sites: The credibility gap. Routledge. https://doi.org/10.4324/9780203790236.
Griffiths, C., Williamson, H., Zucchelli, F., Paraskeva, N., & Moss, T. (2018). A systematic review of the effectiveness of acceptance and commitment therapy (ACT) for body image dissatisfaction and weight self-stigma in adults. Journal of contemporary psychotherapy, 48, 189-204. https://doi.org/10.1007/s10879-018-9384-0
Gucer, B., & Kantarci, G. (2020). Body Image Perception of Chronic Kidney Disease Patients and Its Impact on Their Personal Relationships. TURKISH JOURNAL OF NEPHROLOGY, 29(2). https://doi.org/10.5152/turkjnephrol.2020.3601
Gustafson. (2020). Reclaim Your Life: Acceptance & Commitment Therapy in 7 Weeks: Strategies to Manage Depression, Anxiety, PTSD, OCD, and More. Rockridge Press. https://www.amazon.com/Reclaim-Your-Life-Acceptance-Commitment/dp/1646112474/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=
Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications. https://lccn.loc.gov/2009023487
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., & Abdelalim, A. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789-1858. https://doi.org/10.1016/S0140-6736(18)32279-7
Javaheri, M. H., Shoghi, B., & Babakhanlou, A. (2018). The effectiveness of acceptance and commitment therapy on sexual self-esteem and marital commitment in couples with turbulent relationships. Journal of Psychology New Ideas, 2(6), 1-10. http://jnip.ir/article-1-156-en.html (In Persian)
Keskin, G., Babacan Gümüş, A., & Taşdemir Yiğitoğlu, G. (2019). Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure. Journal of Clinical Nursing, 28(1-2), 257-269. https://doi.org/10.1111/jocn.14602
Lameire, N. H., Levin, A., Kellum, J. A., Cheung, M., Jadoul, M., Winkelmayer, W. C., Stevens, P. E., Caskey, F. J., Farmer, C. K., & Fuentes, A. F. (2021). Harmonizing acute and chronic kidney disease definition and classification: report of a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference. Kidney international, 100(3), 516-526. https://doi.org/10.1016/j.kint.2021.06.028
Lev, A., & McKay, M. (2017). Acceptance and Commitment Therapy for Couples: A clinician's guide to using mindfulness, values, and schema awareness to rebuild relationships. New Harbinger Publications. https://psycnet.apa.org/record/2017-15578-000
Lin, J., Scott, W., Carpenter, L., Norton, S., Domhardt, M., Baumeister, H., & McCracken, L. M. (2019). Acceptance and commitment therapy for chronic pain: protocol of a systematic review and individual participant data meta-analysis. Systematic reviews, 8(1), 1-10. https://doi.org/10.1186/s13643-019-1044-2
Littleton, H. L., Axsom, D., & Pury, C. L. (2005). Development of the body image concern inventory. Behaviour research and therapy, 43(2), 229-241. https://doi.org/10.1016/j.brat.2003.12.006
Matoff, M. (2018). Circumstances to integrate acceptance and commitment therapy with short-term psychodynamic psychotherapies. Cogent psychology, 5(1), 1453595. https://doi.org/10.1080/23311908.2018.1453595
McKay, M., Greenberg, M. J., & Fanning, P. (2020). The ACT Workbook for Depression and Shame: Overcome Thoughts of Defectiveness and Increase Well-Being Using Acceptance and Commitment Therapy. New Harbinger Publications. https://www.amazon.com/ACT-Workbook-Depression-Shame-Defectiveness/dp/1684035546
McKay, M., Lev, A., & Skeen, M. (2012). Acceptance and commitment therapy for interpersonal problems: Using mindfulness, acceptance, and schema awareness to change interpersonal behaviors. New Harbinger Publications. https://contextualscience.org/publications/acceptance_and_commitment_therapy_for_interpersona
Nelson, C. J., Saracino, R. M., Napolitano, S., Pessin, H., Narus, J. B., & Mulhall, J. P. (2019). Acceptance and commitment therapy to increase adherence to penile injection therapy-based rehabilitation after radical prostatectomy: pilot randomized controlled trial. The journal of sexual medicine, 16(9), 1398-1408. https://doi.org/10.1016/j.jsxm.2019.05.013
Nikpour, F., Khalatbari, J., Rezaei, O., & Jomehri, F. (2021). The comparing effectivness of schema therapy and acceptance/commitment therapy on forgiveness among divorced women. Journal of psychologicalscience, 20(100), 597-607. http://psychologicalscience.ir/article-1-983-fa.html (In Persian)
Ostadian Khani, Z., Hasani, F., Sepahmansour, M., & Keshavarzi Arshadi, F. (2020). The effectiveness of acceptance and commitment therapy on body image flexibility and affect control in women with binge eating disorder. Iranian Journal of Rehabilitation Research, 6(3), 94-102. http://ijrn.ir/article-1-538-en.html. (In Persian)
Quinlan, E., Deane, F. P., & Crowe, T. (2018). Pilot of an acceptance and commitment therapy and schema group intervention for mental health carer's interpersonal problems. Journal of Contextual Behavioral Science, 9, 53-62. https://doi.org/10.1016/j.jcbs.2018.06.006
Riahi, M. E. (2011). Gender differences in the level of body image satisfaction. Women in Development & Politics, 9(3), 5-33. https://doi.org/10.1080/14681994.2018.1529411
Roediger, E., Zarbock, G., Frank-Noyon, E., Hinrichs, J., & Arntz, A. (2020). The effectiveness of imagery work in schema therapy with couples: A clinical experiment comparing the effects of imagery rescripting and cognitive interventions in brief schema couples therapy. Sexual and Relationship Therapy, 35(3), 320-337. https://doi.org/10.1080/14681994.2018.1529411
Romagnani, P., Remuzzi, G., Glassock, R., Levin, A., Jager, K. J., Tonelli, M., Massy, Z., Wanner, C., & Anders, H.-J. (2017). Chronic kidney disease. Nature reviews Disease primers, 3(1), 1-24. https://doi.org/10.1038/nrdp.2017.88
Rostamkhani, F., Ghamari, M., Babakhani, V., & Merghati, K. (2020). The effect of acceptance and commitment therapy on sexual function in postmenopausal women. J Health Care, 22(2), 102-113. https://doi.org/10.52547/jhc.22.2.102 (In Persian)
Shahabi, S., & Sanagouye-Moharer, G. (2019). The effect of group schema therapy on marital adjustment and marital intimacy in couples in Kerman. Salamat Ijtimai (Community Health), 6(2), 236-243. https://doi.org/10.22037/ch.v6i3.22565 (In Persian)
Van Vreeswijk, M., Broersen, J., & Schurink, G. (2014). Mindfulness and schema therapy: A practical guide. John Wiley & Sons. https://www.amazon.com/Mindfulness-Schema-Therapy-Practical-Guide/dp/1118753178
CAPTCHA Image