تأثیر گروه درمانی مبتنی بر پذیرش و تعهد بر کیفیت زندگی و عواطف بیماران مبتلا به صرع

نوع مقاله : Original Article(s)

نویسندگان

1 دانشجوی دکتری روانشناسی، دانشگاه آزاد اسلامی ارومیه، ارومیه، ایران

2 دانشیار، گروه روان پزشکی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی تبریز، تبریز، ایران

3 استاد، گروه روان‌پزشکی، مرکز تحقیقات فلسفه و تاریخ پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران

4 استاد، مرکز تحقیقات علوم اعصاب، دانشگاه علوم پزشکی تبریز، تبریز، ایران

چکیده

مقاله پژوهشی




مقدمه: صرع، یک بیماری مزمن ناشی از اختلال در عملکرد مغز است که تجربه هر باره این بیماری تأثیر عمیقی بر روی مبتلایان می‌گذارد. هدف از این مطالعه، بررسی تأثیر گروه‌درمانی مبتنی بر پذیرش و تعهد (Acceptance and Commitment Therapy) ACT بر روی کیفیت زندگی و عواطف بیماران مبتلا به صرع بود.
روش‌ها: روش مطالعه نیمه آزمایشی، از نوع پیش‌آزمون- پس‌آزمون با گروه گواه است. نمونه شامل 33 نفر (16 نفر گروه آزمایش و 17 نفر گروه شاهد) که به شیوه‌ی نمونه‌گیری هدفمند انتخاب شدند. مداخله در 9 جلسه برای گروه آزمایش ارائه شد. گروه شاهد، مداخله‌ای دریافت نکردند و در لیست انتظار دریافت درمان قرار گرفتند. داده‌های به دست آمده با استفاده از پرسشنامه‌ی اطلاعات جمعیت‌شناختی، پرسشنامه‌ی کیفیت زندگی بیماران مبتلاء به صرع (P-31-QOLIE) و پرسشنامه‌ی عواطف مثبت و منفی (PANAS) جمع‌آوری شده و با روش تحلیل کوواریانس مورد تحلیل قرار گرفت.
یافته‌ها: نتایج نشان می‌دهد، بین دو گروه آزمایش و گواه تحت تأثیر ACT از نظر کیفیت زندگی (0/001 = P) و عواطف منفی (0/004 = P) تفاوت معنی‌داری وجود دارد این در حالی است که بین دو گروه در متغیر عواطف مثبت تفاوت معنی‌داری وجود نداشت (0/573 = P).
نتیجه‌گیری: بر اساس یافته‌های این مطالعه، ACT یک روش درمان غیرتهاجمی و اثربخش است که می‌توان در کنار مداخلات دارویی برای ارتقاء کیفیت زندگی و کاهش عواطف منفی بیماران مبتلا به صرع استفاده نمود.

تازه های تحقیق

بهزاد شالچی:  Google Scholar, PubMed

علیرضا شفیعی کندجانی: Google Scholar, PubMed

داریوش اسکویی سوادی: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Group Training Based on Acceptance and Commitment Therapy (ACT) on Quality of Life and Affects in Patients with Epilepsy

نویسندگان [English]

  • Parinaz Ghayoumi 1
  • Behzad Shalchi 2
  • Alireza Shafiee- Kandjani 3
  • Daryoush Savadi Oskouei 4
1 Doctoral student of psychology, Islamic Azad University of Urmia, Urmia, Iran
2 Associate Professor, Department of Psychiatry, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
3 Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Professor, Neuroscience Research Center, Tabriz University of medical sciences, Tabriz, Iran
چکیده [English]

Background: Epilepsy is a chronic condition caused by a dysfunction in brain function, and each episode of the disease has a profound impact on those affected. This study aimed to examine the effect of Acceptance and Commitment Therapy (ACT) group therapy on the quality of life and emotions of patients with epilepsy.
Methods: This was a quasi-experimental study with a pre-test and post-test design, including a control group. The sample consisted of 33 participants (16 in the experimental group and 17 in the control group), selected through purposive sampling. The intervention was provided in 9 sessions to the experimental group. The control group received no intervention and was placed on a waiting list for treatment. Data were collected using demographic information questionnaires, the Quality of Life in Epilepsy Patients Questionnaire (P-31-QOLIE), and the Positive and Negative Affect Schedule (PANAS). The data were analyzed using covariance analysis.
Findings: The results show a significant difference between the experimental and control groups under the influence of ACT in terms of quality of life (P = 0.001) and negative emotions (P = 0.004), while no significant difference was observed between the two groups in positive emotions (P = 0.573).
Conclusion: Based on the findings of this study, ACT is an effective and non-invasive therapeutic method that can be used alongside medical interventions to improve the quality of life and reduce negative emotions in patients with epilepsy.

کلیدواژه‌ها [English]

  • Paitients with epilepsy
  • Acceptance and commitment therapy
  • Quality of life
  • Positive affects
  • Negative affects
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