بررسی شفقت‌درمانی (CFT) بر احساس گناه بازمانده و بهزیستی روان‌شناختی با نقش واسطه‌ای بخشش خود در سالمندان دچار ترومای ناشی از جنگ

نویسندگان
امینه جلالی
لیلا سادات مدرسی
پریسا کلاهی
ارسلان برکت
طیبه دلشاد
سهیلا رحمانی
چکیده
پژوهش حاضر با هدف بررسی اثربخشی درمان متمرکز بر شفقت (CFT) بر احساس گناه بازمانده و بهزیستی روان‌شناختی با تبیین نقش واسطه‌ای بخشش خود در سالمندان مواجه شده با ترومای جنگ (نبرد رمضان) انجام شد. این تحقیق از نوع نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون و گروه کنترل بود. جامعه آماری شامل تمامی سالمندان ساکن در شهر کرمان در دی 1404 بود که تجربه ترومای ناشی از جنگ را داشتند. نمونه مورد نظر به روش نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. گروه آزمایش مداخله شفقت‌درمانی را دریافت کرد، در حالی که گروه کنترل در لیست انتظار باقی ماند. ابزارهای پژوهش شامل پرسشنامه احساس گناه بازمانده، مقیاس بهزیستی روان‌شناختی ریف و مقیاس بخشش خود بود.نتایج تحلیل داده‌ها نشان داد که شفقت‌درمانی منجر به کاهش معنادار احساس گناه بازمانده و افزایش بهزیستی روان‌شناختی در سالمندان شده است. همچنین نتایج تحلیل مسیر تایید کرد که بخشش خود به عنوان یک متغیر واسطه‌ای، رابطه بین شفقت‌درمانی با کاهش احساس گناه و ارتقای سلامت روان را به طور مثبت تحت تأثیر قرار می‌دهد.بر اساس یافته‌های این پژوهش، شفقت‌درمانی با تقویت سازوکار بخشش خود، رویکردی کارآمد برای کاهش دردهای روانی ناشی از ترومای جنگ در دوران سالمندی است و می‌تواند به عنوان یک مداخله تخصصی در مراکز نگهداری سالمندان مورد استفاده قرار گیرد.
کلیدواژه‌ها
شفقت‌درمانی (CFT)
احساس گناه بازمانده
بهزیستی روان‌شناختی
بخشش خود
سالمندان
ترومای جنگ

عنوان مقاله English

An investigation of compassion fatigue therapy (CFT) on survivor guilt and psychological well-being with the mediating role of self-forgiveness in elderly people with war-related trauma

نویسندگان English

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

The present study aimed to investigate the effectiveness of compassion-focused therapy (CFT) on survivor guilt and psychological well-being by explaining the mediating role of self-forgiveness in elderly people exposed to war trauma (Battle of Ramadan). This study was a quasi-experimental study with a pre-test-post-test design and a control group. The statistical population included all elderly people living in Kerman city in January 1404 who had experienced war-related trauma. The sample was selected using convenience sampling and randomly assigned to two experimental and control groups. The experimental group received the compassion therapy intervention, while the control group remained on the waiting list. The research instruments included the Survivor Guilt Questionnaire, the Riff Psychological Well-Being Scale, and the Self-Forgiveness Scale. The results of data analysis showed that compassion therapy led to a significant reduction in survivor guilt and an increase in psychological well-being in the elderly. The results of the path analysis also confirmed that self-forgiveness, as a mediating variable, positively affects the relationship between compassion therapy and reducing guilt and improving mental health. Based on the findings of this study, compassion therapy, by strengthening the mechanism of self-forgiveness, is an effective approach to reducing psychological pain caused by war trauma in old age and can be used as a specialized intervention in nursing homes.

کلیدواژه‌ها English

Compassion Therapy (CFT)
Survivor Guilt
Psychological well-being
Self-Forgiveness
elderly
War Trauma
Aupperle, R. L., et al. (2022). Neurobiological correlates of survivor guilt in posttraumatic stress disorder. Chronic Stress, 6, 1-12.

Basran, J. K., Pires, C., Matos, M., McEwan, K., & Gilbert, P. (2022). Fears of compassion, self-criticism, and self-reassurance: A multi-national study. Journal of Clinical Psychology, 78(5), 858-877.

Cornish, M. A., et al. (2022). A dual-process model of self-forgiveness: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 90(3), 241-255.

Davis, D. E., et al. (2024). The role of humility in self-forgiveness and mental health. The Journal of Positive Psychology, 19(2), 180-192.

Garrett, C., Smith, D. M., & Wittkowski, A. (2025). The acceptability of compassion-focused therapy in clinical populations: A metasynthesis of the qualitative literature. Frontiers in Psychiatry, 16, 1400962.

Gobodo-Madikizela, P. (2021). The intergenerational transmission of survivor guilt. Journal of Psychoanalytic Inquiry, 41(8), 540-552.

Griffin, B. J., et al. (2020). Self-forgiveness and mental health: A meta-analysis. Journal of Counseling Psychology, 67(6), 724-738.

Huppert, F. A. (2021). The Science of Well-Being. Oxford University Press.

Keyes, C. L. M., et al. (2023). The mental health continuum-short form: Update and future directions. Journal of Happiness Studies, 24, 1123-1145.

Kirby, J. N. (2020). The compassion-based interventions for families program: A pilot study. Journal of Child and Family Studies, 29, 2145–2160.

Liddell, A. J., et al. (2022). Forgiving the self: A qualitative study of the process in psychotherapy. Psychotherapy Research, 32(4), 485-499.

Lomas, T., et al. (2024). The architecture of happiness: A multidimensional model of well-being. Review of General Psychology, 28(1), 3-21.

Matos, M., et al. (2022). Be mindful to be compassionate: Exploring the role of mindfulness in compassion focused therapy. Journal of Clinical Psychology, 78(5), 841-857.

Murray, H., Pethania, Y., & Medin, E. (2021). Survivor guilt: A cognitive approach. The Cognitive Behaviour Therapist, 14, e28.

Niedtfeld, I. (2023). Survivor guilt and its relation to symptoms of posttraumatic stress disorder and depression in a clinical sample. Journal of Traumatic Stress, 36(2), 312-322.

Pethania, Y., Murray, H., & Medin, E. (2022). The relationship between survivor guilt and moral injury in healthcare workers during COVID-19. Frontiers in Psychology, 13, 856711.

Petrocchi, N., Ottaviani, C., Cheli, S., Matos, M., Baldi, B., Basran, J. K., & Gilbert, P. (2024). The Impact of Compassion-Focused Therapy on Positive and Negative Mental Health Outcomes: Results of a Series of Meta-Analyses. Clinical Psychology: Science and Practice, 31(2), 230–247.

Ryff, C. D. (2022). Well-being and health: Intersections of the science of eudaimonia with clinical and public health. World Psychiatry, 21(1), 70-71.

Seligman, M. E. (2023). PERMA and the future of positive psychology. The Journal of Positive Psychology, 18(2), 145-152.

Sommers-Spijkerman, M., Trompetter, L., Schreurs, K., & Bohlmeijer, E. (2021). Effectiveness of a guided self-help compassion-focused intervention for people with psychological distress: A randomized controlled trial. British Journal of Clinical Psychology, 60(2), 174-199.

Starck, J. G., et al. (2020). Survivor guilt: A systematic review of the literature on trauma survivors. Traumatology, 26(4), 382–395.

Steptoe, A., et al. (2020). Social isolation, loneliness, and psychological well-being in older adults. Health Psychology, 39(10), 884-892.

VanderWeele, T. J., et al. (2020). Current recommendations on the selection of measures for well-being. Preventive Medicine, 133, 106-115.

Wade, N. G., et al. (2023). The efficacy of self-forgiveness interventions: An updated meta-analysis. Journal of Counseling & Development, 101, 45-58.

Weiss, N. H., et al. (2024). Longitudinal associations between survivor guilt and PTSD symptoms among trauma-exposed adults. Journal of Anxiety Disorders, 102, 102115