جستجوی مقالات مرتبط با کلیدواژه "family therapy" در نشریات گروه "پزشکی"

Family therapy is an intervention that focuses on changing interactions between family members and tries to improve the functioning of the family as a unit consisting of individual family members. Therefore, the challenges of family therapy can exist in various cases, including relationships within the family, mental health of people, financial problems, and issues caused by lifestyle and family order. The aim of the current research is to analyze and summarize the studies that we have done in the field of dealing with various challenges of family therapy. The method of the present research was conducted as an integrated background review method, in this way, the library method and systematic review plan were used. The statistical population of this research was all scientific sources and articles in the following domestic and foreign databases with keywords related to the challenges of family therapy, 86 cases were identified as the statistical population, of which 28 documents were based on the sampling method. They were selected based on the purpose of entry and exit criteria. The search was carried out in Normagz, Mag Iran, Ensani, Jihad University Scientific Center, Science Direct, PubMed and Scopus databases in the period of 1378-1400 (2000-2022) and the keywords included family therapy. family-oriented, Iranian family and challenges. A total of 28 studies that met the necessary criteria were included in the analysis. According to the studied samples, the results were classified and analyzed in four categories: 1. Cultural challenges 2. The challenge of family-therapist identity: an identity beyond from the framework of the treatment room, 3. educational challenges and 4. the challenge of forming a therapeutic alliance. The most noteworthy point from the surveys inside and outside of Iran was mostly in the choice of research topic and method. The focus of research in Iran was on the cultural-religious concerns and mainly by analyzing the content of existing texts. While the subject range and methodology in researches outside Iran were wider and directly in the context of family meetings. It is recommended that researchers conduct similar studies relying on the opinions and direct experiences of experts.

Background &

The family is the basis of every society and in today's society where there are working women, working women have many responsibilities and find themselves in all external and internal responsibilities, so they have to take care of all matters: spouse, children, and expense management. The family is considered the most important pillar of any society, and for this reason, family-related issues are very important, family therapy is one of the treatments that can help families a lot by covering all family members. Therefore, the purpose of this research was to investigate the effectiveness of family therapy on family functioning and marital satisfaction in married female employees.

This research was conducted with the aim of determining the effectiveness of family therapy on family functioning and marital satisfaction in married female employees. The case population was married female employees of Kerman city. The sample examined in this research was 30 people who were divided into two control groups (15 people) and an experimental group (15 people) who were selected by the available sampling method and the experimental group participated in 8 one-hour therapy sessions. The data was obtained from Tavitian et al.'s family functioning questionnaire (1987) and Enrich's marital satisfaction (1989) and analyzed with the statistical method of covariance analysis. It is a 125-question questionnaire for married couples that examines communication, conflict resolution, role relationships, financial management, expectations, sex, personality compatibility, marital satisfaction, and other personal beliefs related to marriage. The test was designed by University of Minnesota family psychologists David Olson, Fournier, and Drinkman in 1989. This couple was initially created as a method to evaluate the health of married couples' relationships. The original version of the Enrich Marital Satisfaction Test had 115 questions, which due to the large number of questions that made the subjects tired, its 35-question form by Olson (1998) ), was prepared. After translating the questions, it was seen by psychological experts, and the content validity of the questionnaire was confirmed. In the next step, the questionnaire was implemented on a group of 11 people, and its reliability coefficient was calculated through the alpha coefficient, which was 93. Obtained. Due to the large amount of questions that made the subjects tired, it was decided to prepare a short form of it. In this way, first, the correlation of each question with the entire questionnaire was calculated through the correlation coefficient. Then the questions that had a relatively high correlation were selected. This selection was made equally from different scales of the questionnaire and in this way, a total of 35 questions were selected and again the reliability coefficient of the 35-question form was calculated on a group of 11 people using an alpha coefficient, which is 95/95. Obtained. After reviewing and studying the original questionnaire and calculating its reliability and validity, the mentioned method was approved by the supervisor and it was used to estimate the level of marital satisfaction.

The research results showed that family therapy affects family functioning and marital satisfaction in married female employees. Family therapy was used as a fixed factor and family functioning as a covariate variable. According to the significant level in the interaction (fixed factor * covariate variable), it was observed that the covariance relationship between these two variables is significant. Its effect is equal to 6202.185 and the hypothesis is confirmed. In other words, family therapy has a significant effect on family functioning in married female employees (P<0.05). Family therapy was used as a fixed factor and life satisfaction as a covariate variable. According to the significant level in the interaction (fixed factor * covariate variable), it was observed that the covariance relationship between these two variables is significant and its effect is equal to 206.980 and the hypothesis is confirmed. In other words, family therapy has a significant effect on increasing life satisfaction in married female employees (P<0.05).

According to the results obtained from the research, it can be said that the use of family therapy helps a lot in improving family problems. Today, knowing the factors affecting divorce and preventing it is considered a mental health priority. The family plays an all-encompassing role in determining the level of mental health of its members, and due to its wide range of actions, it strongly affects the psychological functions of a person. Researchers believe that the existence of defects in communication, especially the lack of active listening skills, leads to an increase in emotional arousal and its frequency, resulting in the loss of marital satisfaction and has adverse effects on the functioning of the couple's communication patterns. It emphasizes the role of the emotional system of the family in the health and quality of the relationships of the members of the family system. According to Boen, the main source of chronic anxiety and suffering from psychological disorders and family problems, which reduces constructive marital communication, is the emotional system of the family. When people are in stressful situations, most of the time, they hardly have the ability to distinguish between their emotional and rational systems, and they show more emotional reactions than rational reactions to the environment. In the current research and in the process of intervention with the Bueni approach, it was tried by using different therapeutic strategies such as triangulation, increasing awareness of triangles that sometimes appear in the family, in order to improve the relationship between family members and as a result, reduce blame and increase responsibility. Reducing emotional distance and fusion, managing emotions and using problem-solving in the face of interpersonal challenges, and becoming aware of the cyclical cause-and-effect relationship process in the formation and continuation of conflict based on family system concepts, these factors increase the ability of people to Acceptance of the difficulty they will face increases and leads to their emotional self-awareness. The result was an increase in insight into the subjects' own communication patterns and subsequently the application of methods to strengthen them, which can lead to the improvement of family functioning and the improvement of life satisfaction in the individual.

Family assessment and family therapy interventions are among the skills that a psychiatrist must learn. We aimed to design a blended family therapy training course for implementation in psychiatry residency program.
Course design was based on the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. This course was implemented in a blended approach with weekly  face to face and virtual sessions. At the end of the course, the attitude and satisfaction of the learners was measured through an online questionnaire.
The family therapy course was conducted from December 2021 to June 2022 consisting of 21 face-to-face sessions. All residents agreed that teaching family therapy concepts is highly needed in the psychiatry course. According to the residents' responses, the family therapy course increased knowledge and changed their approach to patients. However, the majority of residents believed that this course did not improve their skills. More than half of the residents believed that the provided content was practical, suitable for their needs and of high quality. But only four of the them agreed that the contents were matched to their capabilities.
In this study, the stages of designing and implementing the family therapy course for psychiatric residents were explained. Family therapy training, like any other skill, needs to be accompanied by more practical exercises with more supervision and observation. Further studies are needed to evaluate the impact of the program on the satisfaction, knowledge and skills of residents in a larger sample.

Social adjustment includes individual's adaptation to their social environment, which may be achieved by changing themselves or the environment. The aim of this study was to compare the effectiveness of individual counseling based on compassion therapy with family therapy counseling according to Bowen's emotional system on social adjustment of depressed adolescent girls.

In a quasi-experimental (pre-test/post-test and follow-up) study with a control group, 30 female volunteers of 14-17 years old who were studying in public schools in Tehran city were randomly divided into three groups (two experimental and one control). Bell Adjustment Inventory (1961) was completed in four stages (pre test, post-test, two-month follow-up, and six-month follow-up). After collection, data was analyzed using a multivariate covariance analysis.

The results showed that both individual counseling based on compassion therapy and family therapy based on Bowen's emotional system were effective in reducing the non-adjustment of adolescent girls (p<0.001). The results also indicated that non-adjustment and its components significantly decreased in the family therapy group in comparison with the individual counseling group (p<0.001).

According to the results of this study, individual counseling based on compassion therapy was more effective on girls' social adjustment than family therapy based on Bowen's emotional system.

Women with emotional divorce are more at risk of extramarital relationships and violence, and the cognitive-behavioral therapy is one of the most effective ways to prevent and reduce emotional divorce issues and improve marital relationships. The aim of this study was to investigate the effect of cognitive-behavioral therapy on attitudes toward extramarital affairs and violence in women with emotional divorce.

This was a quasi-experimental study with pre-test, post-test and follow-up design with experimental and control groups. The statistical population was women with emotional divorce who referred to psychological services clinics in Dezful in 2018, from which 40 people were selected by convenience Sampling method and randomly replaced in two equal groups (20 people in each group). The experimental group received cognitive-behavioral therapy for 16 sessions of 120 minutes in three months and the control group was placed on a waiting list for training. Data were collected using by Demographic Characteristics Questionnaires, Emotional Divorce Scale, Domestic Violence Against Women Questionnaire and Attitudes Toward Infidelity Scale and analyzed by repeated measures analysis of variance in SPSS-24 software.

The results showed that before treatment there was no significant difference between the experimental and control groups in terms of attitudes toward extramarital relationships and marital violence (P <0.05), but after treatment there was a significant difference between the groups in terms of both variables and changes remained stable in the experimental group over time from post-test to follow-up (P <0.001). According to the results, cognitive-behavioral therapy reduces attitudes toward extramarital relationships (F = 6.278,P = 0.018) and violence against women (F = 21.987, P = 0.0001) in women with emotional divorce.

The results showed the effect of cognitive behavioral therapy on reducing attitudes to extramarital relationships and marital violence in women with emotional divorce. Therefore, it is recommended that counselors and family psychologists use cognitive behavioral therapy along with other methods such as couple therapy and family therapy to reduce attitudes to extramarital relationships and marital violence in women with emotional divorce.

Depression and anxiety are variables that undermine adolescentschr('39') mental health. The aim of this study was to determine the effectiveness of family mode deactivation therapy, cognitive behavioral therapy, and acceptance-commitment therapy on depression and anxiety of adolescent girls.

The research method was quasi-experimental, and the research design was four groups in three stages: pre-test, post-test, and two-month follow-up. Among mothers of 120 adolescent girls aged 14-18 years, in Isfahan in the summer of 2019, the mothers of 60 adolescent were assigned to three experimental groups and one control group (each group with 15 adolescents) based on inclusion and exclusion criteria. Kovas depression inventory and the Cattle anxiety questionnaire were used. Family mode deactivation therapy, cognitive behavioral therapy, and acceptance-commitment therapy groups received therapy in 10 sessions. The data were analyzed by repeated measure analysis of variance and post-hoc Bonferroni test.

The results showed that in depression and anxiety, there was a significant difference between family mode deactivation therapy, cognitive behavioral therapy, and acceptance-commitment therapy compared with the control group (p<0.01). There was also no significant difference between the three treatments in depression, but there was a significant difference in anxiety between family mode deactivation therapy and cognitive behavioral therapy (p<0.01).

This study showed that family mode deactivation therapy, cognitive behavioral therapy, and acceptance-commitment therapy were among the therapies that can treat depression and anxiety in adolescent girls.

The aim of this study was to compare the effectiveness of individual counseling based on compassion therapy with family therapy counseling based on differentiation of girls.

The present study was a quasi-experimental study in which two experimental groups and one control group were used with pre-test, post-test and follow-up test. The statistical population included all adolescent girls aged 17-14 years in 1998-99, who were studying in public schools in 19 education districts of Tehran. The sampling method was multi-stage cluster method in which 30 people were randomly divided into two The experimental group and a control group were replaced. The data collection tool was a differentiation questionnaire. The differentiation questionnaire was completed four times by the adolescents in the sample group before the beginning of counseling sessions, after the end of treatment, two months after treatment (first follow-up), and six months after the end of treatment (second follow-up). Initially, Bowen-based family therapy counseling was provided for the first group and individual compassion-based counseling for the second group. During this period, the control group did not receive any counseling or psychological training. After data collection, analysis of covariance was analyzed.

The results showed that in the individual counseling group based on compassion therapy compared to the family therapy group based on Bowen emotional system, the degree of differentiation and its subscales have increased significantly.

According to the research results, it is suggested to use compassion therapy and family therapy methods based on Bowenchr('39')s emotional system to improve the differentiation of students in psychology and counseling centers, schools, universities and other cases.