اثربخشی درمان گروهی تلفیقی پذیرش و تعهد و شفقت به خود بر تحمل پریشانی و تاب‌آوری خودکشی در زنان متأهل دارای تجربه خشونت خانگی

نویسندگان
فاطمه قاسم پور
معصومه طاهری
شیدا اسمعیل زاده
سیده فاطمه اسماعیل پور
سهیلا اسگندانی
چکیده
پژوهش حاضر با هدف تعیین اثربخشی درمان گروهی تلفیقی پذیرش و تعهد و شفقت به خود بر تحمل پریشانی و تاب‌آوری خودکشی در زنان متأهل دارای تجربه خشونت خانگی انجام شد. روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری همراه با گروه کنترل بود. جامعه آماری شامل زنان متأهل دارای تجربه خشونت خانگی مراجعه‌کننده به مراکز مشاوره شهر اصفهان در سال ۱۴۰۳ بود که ۳۰ نفر از آنان به روش نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه مداخله (۱۵ نفر) و کنترل (۱۵ نفر) جایگزین شدند. گروه مداخله طی ۸ جلسه ۹۰ دقیقه‌ای تحت درمان گروهی تلفیقی پذیرش و تعهد و شفقت به خود قرار گرفت و گروه کنترل در فهرست انتظار باقی ماند. داده‌ها با استفاده از مقیاس تحمل پریشانی و مقیاس تاب‌آوری خودکشی جمع‌آوری و با روش تحلیل واریانس آمیخته با اندازه‌گیری مکرر در نرم‌افزار SPSS نسخه ۲۸ تحلیل شد. یافته‌ها نشان داد اثر متقابل زمان و گروه بر تحمل پریشانی (نمره کل و مؤلفه‌های تحمل، جذب، ارزیابی و تنظیم) و تاب‌آوری خودکشی (نمره کل و مؤلفه‌های محافظ درونی و ثبات هیجانی) معنادار بود . همچنین نتایج نشان داد تغییرات ایجادشده در گروه مداخله در مرحله پیگیری یک‌ماهه پایدار باقی مانده است. بر اساس یافته‌های پژوهش، درمان گروهی تلفیقی پذیرش و تعهد و شفقت به خود می‌تواند با افزایش انعطاف‌پذیری روان‌شناختی، کاهش اجتناب تجربه‌ای و بهبود تنظیم هیجان، به‌عنوان مداخله‌ای مؤثر برای افزایش تحمل پریشانی و تاب‌آوری خودکشی در زنان دارای تجربه خشونت خانگی مورد استفاده قرار گیرد.
کلیدواژه‌ها
درمان پذیرش و تعهد
شفقت به خود
تحمل پریشانی
تاب‌آوری خودکشی
خشونت خانگی

عنوان مقاله English

The effectiveness of integrated group therapy of acceptance and commitment and self-compassion on distress tolerance and suicide resilience in married women with domestic violence experience

نویسندگان English

Fatemeh Ghasempour
Masoumeh Taheri
Sheyda Esmailzadeh
Seyede fateme esmaeilpour
Soheila Esgandani
چکیده English

The present study aimed to determine the effectiveness of integrated group therapy of acceptance, commitment, and self-compassion on distress tolerance and suicide resilience in married women with domestic violence experience. The research method was a quasi-experimental design with a pre-test, post-test, and follow-up design with a control group. The statistical population included married women with domestic violence experience referring to counseling centers in Isfahan in 1403, of which 30 were selected through purposive sampling and randomly assigned to two intervention groups (15 people) and control groups (15 people). The intervention group underwent 8 90-minute sessions of integrated group therapy of acceptance, commitment, and self-compassion, while the control group remained on the waiting list. Data were collected using the Distress Tolerance Scale and the Suicide Resilience Scale and analyzed using a mixed analysis of variance with repeated measures in SPSS version 28. The findings showed that the interaction effect of time and group on distress tolerance (total score and components of tolerance, absorption, appraisal, and regulation) and suicide resilience (total score and components of internal protection and emotional stability) was significant (P<0.05). The results also showed that the changes made in the intervention group remained stable at the one-month follow-up stage. Based on the findings of the study, group therapy combined with acceptance and commitment and self-compassion can be used as an effective intervention to increase distress tolerance and suicide resilience in women with domestic violence experience by increasing psychological flexibility, reducing experiential avoidance, and improving emotion regulation.

کلیدواژه‌ها English

Acceptance and commitment therapy
self-compassion
distress tolerance
suicide resilience
domestic violence
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