مقایسه اثربخشی طرحواره درمانی با ذهن آگاهی مبتنی بر کاهش استرس بر خستگی بیماران خودایمنی مبتلا به میاستنی گراویس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

2 گروه روانشناسی، دانشکده روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

3 گروه مشاوره، دانشکده علوم تربیتی و مشاوره، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

10.22034/jmpr.2024.59748.5987

چکیده

هدف از پژوهش حاضر بررسی مقایسه اثربخشی طرحواره درمانی با ذهن‌­آگاهی مبتنی بر کاهش استرس بر خستگی بیماران خودایمنی مبتلا به میاستنی گراویس بود. روش پژوهش نیمه‌­آزمایشی با طرح پیش‌­آزمون-پس‌­آزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. جامعه آماری زنان بیمار خودایمنی مبتلا به میاستنی گراویس مراجعه‌کننده به بیمارستان شریعتی شهر تهران در پاییز سال 1402 بودند. در مرحله اول با استفاده از روش نمونه‌گیری در دسترس تعداد 60 نفر انتخاب و سپس در 2 گروه آزمایش (هر گروه 20 نفر) و یک گروه کنترل (20 نفر) جایگزین شدند. سپس گروه‌‌های آزمایش تحت طرحواره درمانی (8 جلسه 90 دقیقه­‌ای) و ذهن‌­آگاهی مبتنی بر کاهش استرس (8 جلسه 90 دقیقه­‌ای) قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخله‌‏ای دریافت نکرد و در لیست انتظار باقی ماند. از مقیاس شدت خستگی (FSS) کروپ و و همکاران (1989) به منظور گردآوری اطلاعات استفاده شد. تجزیه ‌و تحلیل اطلاعات به‌دست‌آمده از اجرای پرسشنامه‌­­ها از طریق نرم‌‏افزار SPSS نسخه 28 در دو بخش توصیفی و استنباطی (تحلیل واریانس با اندازه‌­گیری مکرر و آزمون تعقیبی بنفرونی) انجام پذیرفت. نتایج نشان داد هر دو مداخله مذکور در مرحله پس‌آزمون و پیگیری نسبت به گروه کنترل اثربخشی معناداری بر کاهش خستگی داشته است (0/05>P). نتایج آزمون تعقیبی بنفرونی نشان داد که ذهن‌­آگاهی مبتنی بر کاهش استرس اثربخشی بیشتری بر کاهش خستگی داشته است (0/05>P). بر اساس نتایج پژوهش حاضر، می‌‏توان گفت که طرحواره درمانی با ذهن‌­آگاهی مبتنی بر کاهش استرس می­­توانند به عنوان شیوه‌­های درمانی مناسب برای کاهش خستگی بیماران خودایمنی مبتلا به میاستنی گراویس در مراکز مشاوره و خدمات روانشناختی به کار برده شوند و تقدم استفاده با ذهن‌­آگاهی مبتنی بر کاهش استرس است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparing the Effectiveness of Schema Therapy with Mindfulness-Based Stress Reduction on Fatigue of Autoimmune Patients with Myasthenia Gravis

نویسندگان [English]

  • Fatemeh Kazemi Mahyari 1
  • Hossein Ebrahimi Moghadam 2
  • Pantea Jahangir 3
1 PhD student, Department of Psychology, Roudhen Branch, Islamic Azad University, Roudhen, Iran
2 Department of Psychology, Faculty of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
3 Department of Counseling, Faculty of Educational Sciences and Counseling, Roudehen Branch, Islamic Azad University, Roudehen, Iran
چکیده [English]

The purpose of this study was to comparing effectiveness of schema therapy with mindfulness-based stress reduction on fatigue in autoimmune patients with myasthenia gravis. This semi-experimental study was conducted with a pretest-posttest with control group design and follow-up 2 month. The statistical population was women autoimmune patients with myasthenia gravis who referred to Shariati Hospital in Tehran city in the fall of 2023. this research, the statistical population was all women patients with myasthenia gravis in Tehran city in year 2023. In the first stage, using convenience sampling method, 60 women were selected and then randomly divided into 2 experimental groups (each group 20 women) and one control group (20 women) were replaced and experimental groups underwent schema therapy (8 sessions 90 minutes), mindfulness-based stress reduction (8 sessions 90 minutes), but the control group received no training and remained in the waiting list. To collect data fatigue severity scale (FSS) of Krupp and et al (1989). Data analysis was performed using SPSS-28 software in two sections: descriptive and inferential (analysis of variance with repeated measures and Bonferroni). The results showed that both interventions in post-test and follow up had a significant effect on fatigue severity (P

کلیدواژه‌ها [English]

  • autoimmune
  • fatigue
  • mindfulness-based stress reduction
  • myasthenia gravis
  • schema therapy
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