اثربخشی معنادرمانی بر احساس تنهایی و ترس از مرگ در سالمندان مبتلا به بیماری‌های جسمی مزمن

نویسندگان
لیلا سادات مدرسی
پریسا کلاهی
ارسلان برکت
طیبه دلشاد
سهیلا رحمانی
امینه جلالی
چکیده
پژوهش حاضر با هدف بررسی اثربخشی معنادرمانی بر احساس تنهایی و ترس از مرگ در سالمندان مبتلا به بیماری‌های جسمی مزمن انجام شد. این مطالعه از نوع نیمه‌آزمایشی با طرح پیش‌آزمون–پس‌آزمون همراه با مرحله پیگیری و گروه کنترل بود. جامعه آماری شامل سالمندان مبتلا به بیماری‌های جسمی مزمن مراجعه‌کننده به درمانگاه‌های تخصصی شهر تهران در سال ۱۴۰۵ بود که از میان آن‌ها تعداد ۳۰ نفر به روش نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه ۱۵ نفر) قرار گرفتند. گروه آزمایش طی ۸ جلسه ۹۰ دقیقه‌ای تحت مداخله معنادرمانی قرار گرفت، در حالی که گروه کنترل مداخله‌ای دریافت نکرد. ابزارهای پژوهش شامل پرسشنامه احساس تنهایی و مقیاس ترس از مرگ بود. داده‌ها با استفاده از تحلیل واریانس با اندازه‌گیری مکرر تحلیل شد.یافته‌ها نشان داد که معنادرمانی موجب کاهش معنادار احساس تنهایی و ترس از مرگ در گروه آزمایش شد و این اثر در مرحله پیگیری نیز تا حد زیادی پایدار باقی ماند در نتیجه، معنادرمانی می‌تواند به‌عنوان یک مداخله روان‌شناختی مؤثر در کاهش احساس تنهایی و ترس از مرگ و ارتقای سلامت روان سالمندان مبتلا به بیماری‌های جسمی مزمن مورد استفاده قرار گیرد.
کلیدواژه‌ها
معنادرمانی
احساس تنهایی
ترس از مرگ
سالمندان
بیماری‌های جسمی مزمن

عنوان مقاله English

Effectiveness of Logotherapy on Loneliness and Fear of Death in Older Adults with Chronic Physical Illnesses

نویسندگان English

leyla sadat modarresi
parisa kolahi
arsalan barekat
taiebe delshad
soheila rahmani
amineh jalali
چکیده English

The present study aimed to examine the effectiveness of logotherapy on loneliness and fear of death in older adults with chronic physical illnesses. This study was a quasi-experimental design with a pretest–posttest structure, including a follow-up phase and a control group. The statistical population consisted of older adults with chronic physical illnesses referring to specialized clinics in Tehran in 2026, from whom 30 participants were selected through purposive sampling and then randomly assigned to experimental and control groups (15 participants in each group). The experimental group received logotherapy in eight 90-minute sessions, while the control group did not receive any intervention. The research instruments included a Loneliness Questionnaire and a Fear of Death Scale. Data were analyzed using repeated measures analysis of variance. The results indicated that logotherapy significantly reduced loneliness and fear of death in the experimental group, and this effect remained largely stable at the follow-up stage. Accordingly, logotherapy can be considered an effective psychological intervention for reducing loneliness and fear of death and improving the mental health of older adults with chronic physical illnesses.

کلیدواژه‌ها English

Logotherapy
Loneliness
Fear of Death
Older Adults
Chronic Physical Illnesses
Badcock, J. C., Holt-Lunstad, J., Garcia, E., Caballero, F. F., & Nixon, R. D. (2022). Loneliness and mental health: The role of social cognitive processes. Lancet Psychiatry, 9(5), 403-414.

Biazzi, M., Rossi, A., & Magnani, P. (2021). Existential therapy and the search for meaning in old age. International Journal of Existential Positive Psychology, 10(1), 45-58.

Böttche, M., Stammel, N., & Knaevelsrud, C. (2021). Treating PTSD in older survivors of war: Challenges and adaptations. European Journal of Psychotraumatology, 12(1), 1913016.

Cho, S., Kim, G., & Lee, H. (2023). The trajectory of loneliness in the elderly post-COVID-19 pandemic. Aging & Mental Health, 27(4), 712-720.

Correia, R., Curado, M. A., & Bento, T. (2023). Existential psychotherapy for elderly patients: Addressing the "End-of-Life" anxiety. Clinical Gerontologist, 46(2), 215-228.

Dadfar, M., Ross, M. W., & Lester, D. (2021). Death anxiety in older adults: A systematic review of assessments and interventions. International Journal of Mental Health, 50(2), 114-132.

Damásio, B. F., de Melo, R. P., & Silva, J. P. (2021). Meaning in life and subjective well-being in the elderly: A structural equation model. Quality of Life Research, 30(3), 805-814.

Furer, P., & Walker, J. R. (2020). Death anxiety: A cognitive-behavioral approach. Cognitive and Behavioral Practice, 27(2), 143-157.

Gardiner, C., Laud, P., Heaton, T., & Gott, M. (2021). Effectiveness of interventions to reduce loneliness and social isolation. Health & Social Care in the Community, 29(2), 375-388.

Ghaedied, K., Molavi, H., & Mousavi, S. G. (2023). The impact of existential group therapy on the mental health of war veterans. Psychology of Religion and Spirituality, 15(1), 89-98.

Giel, R., Schermuly, A. C., & Buiting, H. M. (2022). The interaction between war trauma and loneliness in refugee elders. Journal of Geriatric Psychiatry, 37(6), 541-550.

Graham, C. D., Gouick, J., Krahé, C., & Gillanders, D. (2023). Psychological flexibility as a mediator of change in ACT for trauma. Behaviour Research and Therapy, 160, 104230.

Hawkley, L. C., Buecker, S., Kaiser, T., & Luhmann, M. (2020). Loneliness in the older population: A global perspective. Nature Reviews Psychology, 1(4), 212-224.

Hicks, J. A., Kim, J., & Kim, E. (2025). The existential function of meaning in life in late adulthood. Personality and Social Psychology Review, 29(1), 34-52.

Hofmann, S. G., Hayes, S. C., & Lorscheid, D. (2022). The efficacy of ACT: An updated meta-analysis of randomized controlled trials. Psychotherapy and Psychosomatics, 91(2), 73-83.

Horesh, D., & Brown, A. D. (2025). Traumatic stress across the lifespan: New insights into war-related PTSD. Annual Review of Clinical Psychology, 21, 145-168.

Iverach, L., Menzies, R. G., & Menzies, R. E. (2020). Death anxiety and its role in existential psychotherapy. Clinical Psychology Review, 82, 101915.

Iverach, L. (2025). Managing death anxiety in clinical settings: 2025 Guidelines. Clinical Psychology: Science and Practice, 32(1), 12-25.

Karam, E. G., Salamoun, M. M., & Yeretzian, J. S. (2024). War trauma and its long-term impact on the cognitive health of the elderly. World Psychiatry, 23(1), 112-124.

Kuwert, P., Spitzer, C., & Freyberger, H. J. (2023). Fifty years later: The persistence of war trauma in elderly survivors. Journal of Traumatic Stress, 36(2), 345-356.

Lau, B. H., Ng, T. K., & Ho, G. H. (2024). Death anxiety, religious coping, and well-being in late life. Psychology of Religion, 16(2), 201-215.

Li, Y., Wang, J., & Xu, H. (2020). ACT-based interventions for depression in elderly nursing home residents. International Psychogeriatrics, 32(8), 951-962.

Li, J. B., Dou, K., & Nie, Y. G. (2024). The longitudinal relationship between meaning in life and mental health in aging. Journal of Happiness Studies, 25(1), 12-28.

Lim, M. H., Smith, G. L., & Arroll, B. (2025). Loneliness and cognitive decline: A 5-year longitudinal study. Alzheimer's & Dementia, 21(1), 104-118.

Maercker, A. (2024). Cultural and existential aspects of trauma in elderly populations. Journal of Cross-Cultural Psychology, 55(3), 321-338.

Martela, F., & Steger, M. F. (2020). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. The Journal of Positive Psychology, 15(5), 571-580.

Menzies, R. E., Sharpe, L., & Dar-Nimrod, I. (2023). Death anxiety and its relationship to trauma-related disorders. Journal of Abnormal Psychology, 132(4), 481-492.

Petkus, A. J., Gum, A., & Steinberg, L. (2024). ACT for late-life anxiety disorders: A randomized controlled trial. The American Journal of Geriatric Psychiatry, 32(3), 289-301.

Pillemer, K., Lachs, M. S., & Berman, E. (2024). Intergenerational interventions to combat loneliness in the elderly. The Gerontologist, 64(2), 156-168.

Rayner, M., & Vitali, D. (2022). Short-term existential therapy in modern clinical practice. Counselling and Psychotherapy Research, 22(3), 612-622.

Russo-Netzer, P., Icekson, T., & Shoshani, A. (2023). Finding meaning in the aftermath of trauma: A qualitative study of war survivors. Journal of Loss and Trauma, 28(5), 412-429.

Scimeca, G., Muscatello, M. R., & Bruno, A. (2022). The impact of existential distress on death anxiety in the elderly. Frontiers in Psychology, 13, 854612.

Scott, W., McCracken, L. M., & Trost, Z. (2023). Acceptance and Commitment Therapy for chronic pain and trauma in older adults. European Journal of Pain, 27(1), 145-158.

Shariatmadar, A. (2025). New frontiers in existential interventions for geriatric populations. Journal of Aging Studies, 68, 101150.

Smith, M. L., Hawkley, L. C., & Cacioppo, J. T. (2024). Loneliness and its association with mortality in war-exposed older adults. Social Science & Medicine, 315, 115201.

Solomon, Z., & Lavi, T. (2020). The price of war: A 30-year follow-up of veterans with PTSD. Psychological Medicine, 50(12), 1982-1991.

Steger, M. F. (2023). Meaning in life and its role in psychological resilience. Current Opinion in Psychology, 49, 101518.

Taghiabadi, M., Kavosi, A., & Ghaedi, K. (2022). Predictors of death anxiety among Iranian elderly war survivors. Journal of Death and Dying, 85(3), 642-658.

Vos, J. (2022). Meaning-centered therapy for trauma survivors: A clinical manual. Routledge Publishing.

Vos, J. (2024). The effectiveness of existential therapies: A systematic review and meta-analysis. Journal of Humanistic Psychology, 64(1), 78-105.

Wetherell, J. L., Afari, N., & Rutledge, T. (2021). Acceptance and Commitment Therapy for PTSD in military veterans. Journal of Traumatic Stress, 34(1), 103-113.

Zhang, M., Wang, Y., & Liu, X. (2025). Digital ACT interventions for seniors: Accessibility and outcomes. Journal of Medical Internet Research, 27, e54210.