مقایسه اثربخشی معنادرمانی مبتنی بر اندیشه های مولانا با درمان پذیرش و تعهد در بهزیستی روان شناختی سالمندان

نویسندگان
اصغر نوروزی 1
علیرضا مرادی 2
کریم زمانی 3
جعفر حسنی 4
1 گروه روان شناسی بالینی،دانشکده روان شناسی و علوم تربیتی دانشگاه خوارزمی،
2 گروه روان شناسی بالینی،دانشکده روان شناسی و علوم تربیتی، دانشگاه خوارزمی
3 استاد ادبیات فارسی، دانشگاه تهران
4 گروه روان شناسی بالینی، دانشکده روان شناسی و علوم تربیتی، دانشگاه خوارزمی
10.29252/rph.11.3.41
چکیده
پژوهش حاضر با هدف مقایسه اثربخشی معنادرمانی مبتنی بر اندیشه­ های مولانا با درمان پذیرش و تعهد بر بهزیستی روان­شناختی سالمندان انجام شد. روش پژوهش، تجربی با طرح پیش ­آزمون- پس­ آزمون با گروه کنترل و دوره پیگیری بود. نمونه پژوهش شامل 66 نفر (46 زن و 20 مرد) بود که با روش نمونه‌گیری تصادفی ساده از میان سالمندان مراجعه ­کننده به مراکز توانبخشی سالمندان روزانه بهزیستی شهرستان ساری انتخاب و به روش تصادفی در سه گروه آزمایشی (دو گروه) و کنترل جایگزین شدند. جهت جمع ­آوری اطلاعات از پرسشنامه بهزیستی روان­شناختی استفاده شد. برای گروه آزمایشی اول معنادرمانی مبتنی بر اندیشه­ های مولانا طی 8 جلسه 75 دقیقه­ ای آموزش داده شد و برای گروه آزمایشی دوم درمان پذیرش و تعهد به مدت 8 جلسه 75 دقیقه­ ای ارائه شد و در این مدت گروه کنترل هیچ­گونه مداخله­ ای دریافت نکردند. نتایج آزمون تحلیل واریانس مختلط نشان داد معنادرمانی مبتنی بر اندیشه­ های مولانا و درمان پذیرش و تعهد موجب افزایش بهزیستی روان­شناختی و مؤلفه­ های آن در سالمندان می­شود (P<0.01). هم چنین، یافته­ ها نشان داد بین اثربخشی دو گروه معنادرمانی و درمان پذیرش و تعهد بر بهزیستی روان­شناختی سالمندان تفاوت معناداری وجود ندارد. براساس سافته ها می توان استدلال کرد که اندیشه های مولانا می تواند منبع خوبی برای غنی سازی مداخلات روان شناختی برای سالمندان محسوب شود.
کلیدواژه‌ها
معنادرمانی
اندیشه های مولانا
درمان پذیرش و تعهد
بهزیستی روان شناختی
سالمندان

عنوان مقاله English

Comparison the effectiveness of Logotherapy Based on Rumi's Thought with acceptance and commitment therapy on the psychological well-being of elderly

نویسندگان English

Asghar noruzi 1
Alireza Moradi 2
Karim Zamani 3
Jafar Hassani 4
1 kharazmi university
3 Tehran University
4 kharazmi university
چکیده English

The purpose of this study was to compare the efficacy of logotherapy based on Rumi's thoughts with acceptance and commitment therapy on the psychological well-being of the elderly. The research method was an experimental design (Pre‐test‐Post‐test Control Group Design). The population consisted of all elderly people who were 60 years old and older in Sari city in 2017, among them 66 elderly (46 women and 20 men) were selected using simple random sampling from elderly referred to centers rehabilitation of the daily welfare of elderly people in Sari city and assigned to experimental and control groups randomly. A psychological well-being questionnaire (Reef, 1989) was used to collect information. The results of the multivariate analysis of covariance showed that the logotherapy based on Rumi's thoughts and acceptance and commitment therapy can increase the psychological well-being of the elderly (P<0.01). Also, the results showed that there is no significant difference between the effectiveness of the two interventio. It could be argued that Rumi's thought could be enhance and flourish psychological treatment for the elderly.

کلیدواژه‌ها English

logo therapy
on Rumi's thoughs
Acceptance and commitment therapy
Psychological well-being
elderly
1. Organization WHO. Available from:http://www.who.org. 2008.
2. Khord M. Effectiveness of consensus and narrative memorization on decreasing depression symptoms in elderly women living in elderly homes Quarterly Journal of Family Counseling and Psychotherapy. 2011; 1(3):366-381. [Persian]
3. Cheng H, Furnham A. The associations between parental socio-economic conditions, childhood intelligence, adult personality traits, social status and mental well-being. Social indicators research. 2014;117(2):653-64.
4. Ryff CD, Keyes CLM. The structure of psychological well-being revisited. Journal of Personality and Social Psychology. 1995; 69:719-27.
5. Linley AP, Maltby J, Wood AP, Osborne G, Hurling R. Measuring happiness: The higher order factor structure of subjective and psychological well-being measures. Personality and Individual Differences. 2009; 47:878-84.
6. Coward DD, Reed PG. Self-Transcendence: a resource for healing at the end of life. Issues in Mental Health Nursing. 1996; 17:275-88.
7. Ryff CD, Singer B, Love GD, Essex MJ. Resilience in adulthood and later life: Defining features and dynamic processes. In J Lomranz (Ed), Handbook of aging and mental health: An integrative approach. 1998:69-96.
8. Keyes CLM. Mental illness and or mental health? Investigating axioms of the complete state Model of Health. Journal of Consoling and clinical psychology. 2005; 73:539-48.
9. Compton WC. Toward a tripartite factor structure of mental health: Subjective well-being, personal growth, and religiosity. Journal of Psychology. 2001; 135:486-500.
10. Luleci E, Hey W, Subasi F. Assessing Selected Quality of Life Factors of Nursing Home Residents in Turkey. Arch Gerontology Geriatric. 2008; 46:57-66.
11. Zanjiran Sh, Borjali A, Karasekian A. The Effectiveness of Teaching Group Therapy on the Quality of Life and General Health of Older Women. Razi Medical Journal. 2014; 127:39-51. [Persian]
12. Martin P, Smyer MA. The experience of micro- and macro events: A life-span analysis. Research on Aging. 1990;12:294-310.
13. Nawabi Nejad Sh. Advice and guidance of the group. Tehran: Sam. 2009.
14. Woolf DM. Psychology of Religion. Translated by Mohammad Dehghani,Tehran: Roshd. 1996.
15. Taghiyareh F, A'vani GhR. Human health and illness from the perspective of Jalaluddin Mohammad Molavi: An existentialist approach. Psychology and Religion. 2013; 6:62-39. [Persian]
16. Taqhiyareh F, Eskandari H, A'vani Gh R, Delavar A, Sohrabi F. Developing an Existential Psychotherapy Package on the Basis of Mowlana’s Thoughts and Evaluating Its Effectiveness in Depression Treatment and Ego Development Level Improvement. Clinical Psychology Studies. 2012; 9:1-24. [Persian]
17. Foruzanfar B. Description of Masnavi. Tehran: Scientific and Cultural Publications. 2007. [Persian]
18. Shahidi SJ. Description of Masnavi. Tehran: Information Institute. 2007. [Persian]
19. Zamani K. Comprehensive description of Masnavi. Tehran: Information Institute. 2008. [Persian]
20. McCloskey G, Perkins LA, Divner BV. Assessment and Intervention for Executive Function Difficulties (School-Based Practice in Action). New York: Routledge. 2009;1.
21. Irandoost F, Neshatdoost HT, Nadi MA, Safari S. The effectiveness of Acceptance and Commitment Therapy (ACT) on the rate of chronic pain and pain catastrophizing in women with chronic low back pain. Journal of Research in Psychological Health. 2014;8(3):31-40. [Persian]
22. Forman EM, Herbert JD. New directions in cognitive behavior therapy: acceptance based therapies, chapter to appear in w. o’donohue, je. fisher, (eds), cognitive behavior therapy: Applying empirically supported treatments in Hoboken, NJ: Wiley. 2008; 2:263-5.
23. Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy. 2004; 35:639-65.
24. Brown KW, Ryan R. The benefits of being present: Acceptance and Commitment Training and Its role in psychological wellbeing. Journal of Personality and Social Psychology. 2003; 84:822-48.
25. Kanter JW, Baruch DE, Gaynor ST. Acceptance and Commitment Therapy and Behavioral ivation for the Treatment of Depression: Description and Comparison. The Behavior Analyst. 2006; 29:161-85.
26. Ossman WA, Wilson KG, Storaasli RD, McNeill, JW. A Preliminary Investigation of the Use of Acceptance and Commitment Therapy in Group Treatment for Social Phobia [Investigación Preliminar del Uso de la Terapia de Aceptación y Compromiso en el Tratamiento Grupal de la Fobia Social]. International. Journal of Psychology and Psychological Therapy. 2006; 6:397-416.
27. Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. NY: Guilford. 1999;3.
28. Pourfaraj OM. The effectiveness of acceptance and commitment group therapy in social phobia of students. Knowledge and Health. 2011;6(2):1-5. [Persian]
29. Junkin SE, Yoga and self-esteem. exploring change in middle-age women. A Thesis Submitted to the College of Graduate Studies and Research in Partial Fulfillment of the Requirements for the Degree of Master of Science in the College of Kinesiology University of Saskatchewan Saskatoon August. 2007:72-6.
30. Karekla M, Constantinou M. Religious coping and cancer: proposing an acceptance and commitment therapy approach. Cognitive Behavioral Practice. 2010;17:371-81.
31. Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on depression in patient s with type 2 diabetes. Journal of Research Behavior Science. 2013;11(2):121-8.
32. Garaei Ardakani Sh, Azadfalah P, Tolaei A. The Effectiveness of Acceptance Approach and Therapeutic Commitment in Reducing the Severity of Pain Experience in Women with Chronic Headache Disorder. Clinical Psychology. 2014 ;2 (14) :39-50.
33. Mohammadi MR, Rahgozar M, Bagheri Yazdi SA, Mesgarpour B, Maleki BA, Hoseini SH, et al. An epidemiological study of psychiatric disorders in Golestan province. J Gorgan Uni Med Sci. 2004;6 (1):67-77. [Persian]
34. Folke F, Parling T, Melin L. Acceptance and commitment therapy for depression: A preliminary randomized clinical trial for unemployed on long-term sick leave. Cogn Behav Pract. 2012;19 (4):583-594.
35. Woidneck MR. Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress among Adolescents. [PhD thesis Of Philosophy in Psychology] [Logan,Utah]: Utah state university. 2012.
36. Masuda A, Tully EC. The Role of Mindfulness and Psychological Flexibility in Somatization, Depression, Anxiety, and General Psychological Distress in a Nonclinical College Sample. Journal of Evidence-Based Complementary & Alternative Medicine. 2012;17 (1):66-71.
37. Springer KW, Pudrovska T, Hauser RM. Does psychological well-being change with age? Longitudinal tests of age variations and further exploration of the multidimensionality of Ryff’s model of psychological well-being. Social science Research. 2011;40 (1):392-8.
38. Darvizeh Z, Kahaki F. Relationship between marital adjustment and psychological well-being. Socio-psychological studies of women (Women's Studies). 2011;6 (1):104-91. [Persian]
39. Ashkani F, Heydari H. Effects of emotional adjustment on psychological welfare and attributional styles of students with learning disabilities in primary school. Journal of Learning Disabilities. 2014;4 (1):119-25. [Persian]
40. Darvishpoor Kakhki A. Spiritual well-being in the Iranian older people: A qualitative study. History of Medicine Journal. 2015;7 (25):11-32. [Persian]
41. KordNoughabi R, Delphanbiranvand A, Arbalo Z. Older people's attitudes about wisdom and its components (wisdom Psychology). Journal of Aging Psychology. 2016;1 (3):157-67. [Persian]
42. Sohrabi M, Abedanzade R, Shetab Boushehri N, Parsaei S, Jahanbakhsh H. The relationship between Psychological Well-being and Mental Toughness among Elders: Mediator Role of Physical Activity. Salmand. 2016;11 (4):538-48. [Persian]
43. Shirazi M, Manoochehri H, Zagheri M, Zayeri F, Alipour V. The Association of Chronic Pain Acceptance, Life Style and Restriction Related Chronic Pain in Elderlies. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2016;24 (3):148-58[Persian].
44. Manouchehri H, Shirazi M, Zagheri Tafreshi M, Zayeri F. Development and psychometric evaluation of chronic pain acceptance instrument in the elderly. Journal of Anesthesiology and Pain. 2015;5 (2):33-47. [Persian]
45. Nourozi A. Design and Codification of Packet of Logotherapy Based on Rumi's Thoughts (LBRT). elders center SARAY MEHR. 2017. [Persian]
46. Hayes, S. C., Pistorello, J. L, M. E. Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist. 2012;40 (7):976-1002.
47. Rebecca P, Jiaqing O. Association between Caregiving in Life, Life Satisfaction and Quality of life, Beyond 50 in an Asian Sample: Age as a Moderator. Social Indicators Research. 2011;8 (3):525-34.
48. Speke V, Nyklicek I, Cuijpers P, Pop V. Predictor of outcome of group and internet based cognitive behavior therapy. Journal of affective disorder. 2008;9 (4):97-137.
49. Breitbar W, Gibson C, Berg A. Psychotherapeutic intervention at the end of life: a focus on meaning and spirituality. Psychiatry Jan. 2004;49 (6):336-72.