مقالات رزومه سهیلا رحمانی
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مقدمه
افسردگی، یکی از رایج ترین انواع اختلالات روانی است که باعث مراجعه به روان پزشکان، روان شناسان و دیگر متخصصان بهداشت روانی می شود. این پژوهش با هدف مقایسه اثربخشی درمان متمرکز بر شفقت به خود و درمان فراشناختی بر کاهش علایم افسردگی و دشواری در تنظیم هیجان در کارکنان نیروهای مسلح مبتلا به افسردگی انجام شد. < p dir="RTL">
روشدر یک طرح نیمه آزمایشی، با پیش آزمون پس آزمون همراه با گروه کنترل، تعداد 45 کارکنان نیروهای مسلح از میان مراجعه کنندگان به بخش اعصاب و روان بیمارستان های (امام حسین (ع) و بیمارستان بوعلی) واقع در شهر تهران به صورت هدف مند انتخاب شدند و به طور تصادفی به دو گروه آزمایشی، گروه آزمایش اول تحت درمان فراشناختی به صورت گروهی ((n=15 و گروه آزمایش دوم تحت درمان متمرکز بر شفقت به خود به صورت گروهی (n=15) و یک گروه کنترل (n=15) گمارده شدند. شرکت کنندگان پرسشنامه افسردگی و دشواری در تنظیم هیجان را در سه مرحله پیش آزمون، پس از آزمون و پیگیری یک ماهه تکمیل کردند. داده ها با مدل اندازه گیری مکرر چندمتغیری تحلیل شدند. < p dir="RTL">
نتایجنتایج نشان داد که در میزان افسردگی و دشواری در تنظیم هیجان در سه گروه تفاوت معنی داری به وجود آمد و مقایسه میانگین ها حاکی از اثربخشی بیشتر درمان متمرکز بر شفقت به خود نسبت به درمان فراشناخت بود.
بحث:
نتایج این پژوهش نشان داد که درمان متمرکز بر شفقت به خود می تواند در بهبود اختلالات هیجانی و تنظیم هیجان در کارکنان نیروهای مسلح مبتلا به افسردگی موثر باشد و یک روش انتخابی برای بهبود افسردگی و تنظیم هیجان در این افراد باشد.
کلید واژگان: افسردگی, درمان متمرکز بر شفقت به خود, درمان فراشناختی, دشواری در تنظیم هیجان, کارکنان نیروهای مسلح}IntroductionDepression is one of the most common types of mental disorders that makes people refer to psychiatrists, psychologists and other mental health professionals. The aim of this study was to compare the impact of self-compassion-focused therapy and metacognitive therapy on reducing depression symptoms and difficulties in regulating emotions in the armed forces personnel suffering from depression. < p >
MethodIn a quasi-experimental design with pre-test and post-test and a control group, 45 armed forces personnel referring to the psychiatric wards of Imam Hossein Hospital and Boali Hospital in Tehran were purposively selected and randomly assigned to two experimental groups and a control group. The first experimental group (n = 15) received group meta-cognitive therapy and the second experimental group (n = 15) received group self-compassion therapy. Participants completed a depression questionnaire and a difficulty in emotion regulation questionnaire in pre-test, post-test and one-month follow-up stages, and the data were analyzed using a multivariate repeated measures model. < p >
ResultsThe results showed that there was a significant difference in the rates of depression and difficulty in emotion regulation in the three groups, and the comparison of means indicated that the self-compassion-focused therapy was more effective than the metacognitive therapy.
ConclusionThe results of this study revealed that self-compassion-focused therapy can improve emotional disorders and emotion regulation in the armed forces personnel suffering from depression, and it can be a selective method for improving depression and emotion regulation in these individuals.
Keywords: depression, self-compassion-focused therapy, metacognitive therapy, difficulty in emotion regulation, armed forces personnel} -
مقدمه
پرستاران به عنوان بازوی توانمند سیستم خدمات بهداشتی و درمانی نقش به سزایی در تحول و پیشرفت امور مراقبتی، درمانی، بهبود و ارتقاء سامت ایفا می کنند. این پژوهش با هدف اثر بخشی درمان مبتنی بر شفقت به خود بر راهبردهای نظم جویی شناختی هیجان و حساسیت اضطرابی در پرستاران زن انجام گرفت.
روش کاردر یک طرح نیمه آزمایشی، با پیش آزمون _ پس آزمون همراه با گروه کنترل، تعداد 30نفر از پرستان زن شاغل در بخش اعصاب و روان شاغل در بیمارستانهای (امام حسین(ع) و بیمارستان بوعلی) شهر تهران در سال 1398 به صورت هدفمند انتخاب شدند و به طور تصادفی به به طور تصادفی در دو گروه مساوی 15 نفری جایگزین شدند. سپس گروه آزمایش به مدت 8 جلسه تحت درمان متمرکز بر شفقت به خود قرار گرفت و گروه گواه مداخله ایی دریافت نکرد. شرکت کنندگان پرسشنامه حساسیت اضطرابی و پرسشنامه راهبردهای تنظیم هیجان را در سه مرحله خط پایه، پس از آزمون و پیگیری دو ماهه تکمیل کردند. داده ها با استفاده از روش تحلیل واریانس یک راهه تک متغیری و اندازه گیری مکرر با نرم افزار SPSS21 مورد تجزیه و تحلیل قرار گرفت.
یافته هانتایج تحلیل نشان داد که نمرات گروه آزمایش نسبت به گروه کنترل در متغیر حساسیت اضطرابی (بیشترین کاهش در مولفه ترس از نگرانی های بدنی) کاهش یافته همچنین بر بهبود تنظیم هیجانی [و مولفه های آن] تفاوت معناداری ایجاد شده است و در مرحله پیگیری این تفاوت حفظ شده است (01/0 > P).
نتیجه گیریاز این پژوهش چنین می توان نتیجه گیری کرد که درمان مبتنی بر شفقت به خود به دلیل کارایی بالای آن، به خصوص هنگامی که به صورت گروهی برگزار می شود، ارزان بودن و پذیرش آن توسط پرستاران راهبرد موثری برای کمک به افراد در معرض حساسیت اضطرابی و بهبود راهکارهای نظم جویی هیجان می باشد.
کلید واژگان: پرستاران, نظم جویی شناختی هیجان, حساسیت اضطرابی, درمان مبتنی بر شفقت به خود}IntroductionNurses as a powerful arm of the health care system play an important role in the evolution and progress of care, treatment, improvement, and promotion of the system. This study aimed to evaluate the effectiveness of self-compassion-based therapy on cognitive emotion regulation strategies and anxiety sensitivity in female nurses.
MethodsIn a quasi-experimental design, with pre-test-post-test with a control group, 30 female nurses working in the psychiatric ward working in hospitals (Imam Hossein (AS) and Bouali Hospital) in Tehran in 2019 to Targeted forms were selected and randomly assigned to two equal groups of 15 individuals. The experimental group then underwent compassion-focused treatment for 8 sessions and the control group did not receive any intervention. Participants completed the Anxiety Sensitivity Questionnaire and the Emotion Regulation Strategies Questionnaire in three baseline stages, after a two-month test and follow-up. Data were analyzed using univariate one-way analysis of variance and repeated measures with SPSS21 software.
ResultsThe results of the analysis showed that the scores of the experimental group decreased compared to the control group in the anxiety sensitivity variable (the greatest decrease in the fear component of physical anxiety). There was also a significant difference in improving emotional regulation the follow-up stage of this difference is maintained (P <0.01).
ConclusionIt can be concluded that self-compassionate therapy due to its high efficiency, especially when it is held in groups, cheapness, and acceptance by nurses is an effective strategy to help people exposed to anxiety sensitivity and improved emotion regulation strategies.
Keywords: Nurses, Cognitive emotion regulation, Anxiety sensitivity, Self-compassion therapy} -
Background
Diabetes can be successfully controlled by metabolic, psychological, social, and interpersonal factors. The present study aimed to determine the effectiveness of family empowerment therapy based on self-compassion on self-care and glycosylated hemoglobin in female patients with type 2 diabetes mellitus.
MethodsIn a randomized controlled clinical trial with control group, pre-test, and post-test, 60 women with type 2 diabetes referred to the endocrinology department of Imam Hossein Hospital in Tehran province from December 2018 to April 2019 were randomly selected from the 73 patients narrowed down according to the inclusion criteria. Afterwards, they were randomly assigned to experimental and control groups. The experimental group (n=30) was treated with family empowerment therapy based on self-compassion for eight weekly 90-minute sessions while the control group (n=30) received usual hospital treatments. Data collection instrument was Summary of Diabetes Self-Care Activities; glycosylated hemoglobin measurements were performed in three phases of baseline, after intervention, and three-month follow-up and analyzed by multivariate repeated measures analysis of variance and Bonfroni post-hoc test using the SPSS-21 software.
ResultsThe results of repeated measures analysis of variance showed significant differences after the intervention between the experimental and control groups regarding self-care (P0.001=, F=561.086) and glycosylated hemoglobin (P=0.001, F=304.953); furthermore, comparison of the means indicated the effectiveness of the treatment in improving self-care and reducing glycosylated hemoglobin levels in the experimental group compared to the control group. Moreover, the Bonferroni test results showed that in the pretest stage, there was no significant difference between the two groups in terms of self-care (P=0.447) and glycosylated hemoglobin (P=0.887); however, in the post-test and follow-up stages, the two groups showed were significantly different concerning self-care (P=0.001) and glycosylated hemoglobin (P=0.001), implying the effectiveness of the intervention and the sustainability of its effects.
ConclusionsThe results of the present study revealed that family empowerment therapy based on self-compassion can be effective in improving self-care and reducing glycosylated hemoglobin in women with type 2 diabetes.
Keywords: Self-care_Type 2 diabetes mellitus_Family empowerment therapy based on self-compassion_Glycosylated hemoglobin} -
BackgroundAttending to psychological status in patients with breast cancer, because of expanded damage and mortality in these patients, is important. The present study investigated the effectiveness of Solution-Focused Brief Therapy (SFBT) on depression and Perceived Stress in Patients with breast cancer.Materials and MethodsThis research was a semi-experimental with pretest, post-test and follow-up (1 month), which was conducted from November to February, 2016. In this study, 30 patients with breast cancer who attended Imam Hossein Hospital in Tehran city were selected by convenience sampling method and randomly were assigned in 2 experimental (n=15) and control groups (n=15) and Cohen's Perceived Stress Scale and Center Epidemiological Studies Depression Scale were administrated as pretest. Experimental group received 8 sessions of Solution-Focused Brief Therapy SFBT and control group received no intervention. At the end, post-test was administrated on two groups and, repeated measure multi-variable method was used for data analysis by SPSS-21 software.ResultsThe results of the present study indicated that there were significant differences between the experimental and control groups after administrating SFBT. Thus, the mean of depression and perceived stress of experimental group decreased (P<0.001).ConclusionThe result of study that showed SFBT is effective in decreasing depression and perceived stress in patients with breast cancer. Therefore, in order to improve the positive psychological state in these patients psychological screening must be performed and if needed clinical trials and appropriate intervention be considered.Keywords: Breast cancer, Depression, Perceived stress, Solution-focused brief therapy (SFBT)}
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BackgroundThe present study aimed to compare the effectiveness the metacognition treatment (MCT) and mindfulness-based cognitive therapy (MBCT) on anxiety, depression, and stress in the females with breast cancer.MethodsThe planning of this study is through a quasi-experimental method of pretest and posttest type with control group. The target society of the research included every cancer patient who admitted to Tehran hospitals for breast cancer. Through assigned randomly, 12 patients were selected for the MCT group and 12 patients for the MBCT group, and the other were assigned control group. The data collection tools included depression, anxiety and stress scale - 21 items (DASS-21) questionnaire. For statistical analysis, descriptive tests and repeated measures analysis of variance were performed.ResultsData analysis with repeated multivariate measurements illustrated that there is a significant difference in the rate of depression, anxiety and stress, in three groups.ConclusionAccording to our results, MBCT was more effective compared to metacognitive therapy.Keywords: Mindfulness-based cognitive therapy, Metacognition therapy, Anxiety, Depression, Stress, Breast cancer, Female}
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