اثربخشی درمان مبتنی بر ذهنی‌سازی بر تحمل پریشانی و ناگویی هیجانی در زنان با تعارضات زناشویی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 گروه روان‌شناسی، دانشکده علوم انسانی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران

3 گروه روان‌شناسی، دانشکده علوم انسانی، واحد خلخال، دانشگاه آزاد اسلامی، خلخال، ایران

10.22034/jmpr.2025.68549.6762

چکیده

هدف پژوهش حاضر بررسی اثربخشی درمان مبتنی بر ذهنی‌سازی بر تحمل پریشانی و ناگویی هیجانی در زنان با تعارضات زناشویی بود. این مطالعه به روش نیمه‌­آزمایشی با استفاده از طرح پیش‌آزمون و پس‌آزمون با گروه گواه انجام شد. جامعه آماری شامل کلیه‌ی زنان با تعارضات زناشویی در شهر اردبیل در سال ۱۴۰۳ بود که به مراکز خدمات روان‌شناسی و مشاوره در شهر اردبیل مراجعه کرده بودند. از میان آن‌ها، ۳۰ نفر به شیوه نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه ۱۵ نفر) جای‌ داده شدند. گروه آزمایش طی هشت جلسه ۹۰ دقیقه‌ای، مداخله‌ی درمان مبتنی بر ذهنی‌سازی را دریافت کرد؛ درحالی‌که گروه کنترل هیچ مداخله‌ای دریافت نکرد. ابزارهای پژوهش شامل مقیاس تحمل پریشانی و ناگویی هیجانی بود که در دو مرحله پیش‌آزمون و پس‌آزمون مورد استفاده قرار گرفتند. یافته‌ها با استفاده از تحلیل کوواریانس نشان داد که درمان مبتنی بر ذهنی‌سازی منجر به افزایش معنادار تحمل پریشانی و کاهش ناگویی هیجانی در گروه آزمایش نسبت به گروه کنترل شد (0/001=p). بر اساس این نتایج، می‌توان نتیجه گرفت که مداخله‌ی مبتنی بر ذهنی‌سازی روشی مؤثر برای بهبود تحمل پریشانی و ناگویی هیجانی در زنان با تعارضات زناشویی است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Mentalization-Based Therapy on Distress Tolerance and Alexithymia in Women with Marital Conflicts

نویسندگان [English]

  • Behzad Taghipuor 1
  • Hesam Vaseghi 2
  • Elham Ahadi 3
  • Latifeh Dida 3
  • Parisa Seraj Mohammadi 2
  • Fariba Abdi 2
1 Department of Psychology, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2 Department of Psychology, Faculty of Human Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran
3 Department of Psychology, Faculty of Human Sciences, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran
چکیده [English]

The present study aimed to examine the effectiveness of mentalization-based therapy on distress tolerance and alexithymia in women experiencing marital conflicts. This semi-experimental study employed a pretest-posttest control group design. The statistical population consisted of all women with marital conflicts in Ardabil city in 2024 who had referred to psychological and counseling centers. From this population, 30 individuals were selected through convenience sampling and were randomly assigned to experimental and control groups (15 participants in each group). The experimental group received eight 90-minute sessions of mentalization-based therapy, while the control group received no intervention. The research instruments included the Distress Tolerance Scale and the Toronto Alexithymia Scale, which were administered in both pretest and posttest stages. The data were analyzed using analysis of covariance (ANCOVA). The findings indicated that mentalization-based therapy led to a significant increase in distress tolerance and a significant reduction in alexithymia in the experimental group compared to the control group (P = 0.001). Based on the results, it can be concluded that mentalization-based therapy is an effective approach for improving distress tolerance and reducing alexithymia in women with marital conflicts.

کلیدواژه‌ها [English]

  • alexithymia
  • distress tolerance
  • marital conflicts
  • mentalization
  • women
Bateman, A. W., &Fonagy, P. (2019). Handbook of Mentalizing in Mental Health Practice (2nd ed). American Psychiatric Publishing.
Chung, H., Kim, G., Kim, D.-I., &Hur, J.-W. (2025). The double‑edged sword of distress tolerance: Exploring the role of distress overtolerance in nonsuicidal self‑injury. Comprehensive Psychiatry, 141, Article 152610. https://doi.org/10.1016/j.comppsych.2025.152610
Davies, R. N., & Griffin, K. (2025). A systematic review of alexithymia in young people and their parents. Journal of Affective Disorders, 390, Article 119855. https://doi.org/10.1016/j.jad.2025.119855
DocalMillán, M., RiverosMunévar, F., AcuñaArango, L. M., Campos‑García, Á. X., & Cabrera‑García, V.E. (2025). Mediation of anxiety and coping strategies between severe discipline and interparental conflict with parenting stress. Heliyon, 11(1), 1–9. Article e41405.https://doi.org/10.1016/j.heliyon.2024.e41405
Dong, S., Dong, Q., & Chen, H. (2022). Mothers' parenting stress, depression, marital conflict, and marital satisfaction: The moderating effect of fathers' empathy tendency. Journal of Affective Disorders, 299, 682–690. https://doi.org/10.1016/j.jad.2021.12.079
Farrukh, M., Abas, B., Ghazzawi, I., &Rafiq, M. (2024). From bad bosses to weakened marriages: The role of abusive supervision in emotional exhaustion, work–family conflict and marital strain. Management Decision, 63(7), 2597–2615. https://doi.org/10.1108/MD-01-2024-0198
Fonagy, P., Simes, E., Yirmiya, K., Wason, J., Barrett, B., Frater, A., Cameron, A., Butler, S., Hoare, Z., McMurran, M., Moran, P., Crawford, M., Pilling, S., Allison, E., Yakeley, J., & Bateman, A. (2025). Mentalisation-based treatment for antisocial personality disorder in males convicted of an offence on community probation in England and Wales (Mentalization for Offending Adult Males, MOAM): A multicentre, assessor-blinded, randomised controlled trial. The Lancet Psychiatry, 12(3), 208–219. https://doi.org/10.1016/S2215-0366(24)00445-0
Hosseinzadeh, R., Taghipour, B., Ahadi, E., Seraj Mohammadi, P., & Abdi, F. (2023). Comparison of alexithymia, loneliness, and self-compassion in girls with and without sexual abuse. Journal of Clinical Psychology, 15(4), 39–46. Doi: 10.22075/jcp.2024.32765.2802 [In Persian]
Hestbaek, E., Mikkelsen, P. A., Thomas, R. E., Sleed, M., Holm, C., Corlin, A. B., Sørensen, P., Væver, M. S., &Simonsen, S. (2025). A mentalization-based parenting intervention (Lighthouse Parenting Programme) for parents with various mental disorders in adult mental health service: A feasibility study. Mental Health & Prevention, 38, 200415. https://doi.org/10.1016/j.mhp.2025.200415
Jia, L., Zhang, Y., & Yu, S. (2024). Relation between Interparental Conflict and Non‑Suicidal Self‑Injury in Adolescents: Mediating Role of Alexithymia and Moderating Role of Resilience. International Journal of Mental Health Promotion, 26(10), 837–846. https://doi.org/10.32604/ijmhp.2024.053586
Kocyigit, M., &Uzun, M. (2025). Emotion regulation and couple burnout in marriage: A moderated moderation model of authenticity, sex of parents and having children. Current Psychology, 44(5), 3564–3578. https://doi.org/10.1007/s12144-024-07253-1
Lin, L., Lin, H., Zhou, R., Liu, B., Liu, K., & Jiang, R. (2025). Surviving and thriving: Assessing quality of life and psychosocial interventions in mental health of head and neck cancer patients. Asian Journal of Surgery, 48(3), 1634–1642. https://doi.org/10.1016/j.asjsur.2024.11.048
Luyten, P., Campbell, C., Moser, M., &Fonagy, P. (2024). The role of mentalizing in psychological interventions in adults: Systematic review and recommendations for future research. Clinical Psychology Review, 108, 102380.https://doi.org/10.1016/j.cpr.2024.102380
Luyten, P., Mayes, L. C., Nijssens, L., &Fonagy, P. (2020). The mentalizing approach to parenting support: Evidence and clinical applications. Development and Psychopathology, 32(1), 389–403. https://doi.org/10.1017/S0954579419000764
Midgley, N., Allison, E., &Fonagy, P. (2021). Group-based mentalization-focused interventions for parents: A systematic review. Clinical Child Psychology and Psychiatry, 26(1), 84–101. https://doi.org/10.1177/1359104520972570
McGonigal, L. E., &Herres, J. (2025). Distress tolerance mediates the association between parental responses to distress during childhood and distress during college. Journal of Affective Disorders, 388, Article 119540. https://doi.org/10.1016/j.jad.2025.119540
Pillsworth, E. G., Hahnel-Peeters, R. K., & Barrett, H. C. (2023). The role of parent-offspring conflict in Shuar partner choice and marital practices. Evolution and Human Behavior, 44(6), 639–651. https://doi.org/10.1016/j.evolhumbehav.2023.11.002
Simons, J.S & Gaher, R.M. (2005). The distress tolerance scale: Development & validation of a self report measure. Motivation & Emotion, 20(9), 83-102.
Sharp, C., & Fonagy, P. (2018). Mentalization-based treatment for personality disorders: A practical guide. Oxford University Press. https://doi.org/10.1093/med/9780199608596.001.0001
Taghipuor, B., Sharifi, S. F., Barzegaran, R., Seyedi, S. N., & Ebadi Vahid, L. (2023). The effectiveness of compassion-based mindfulness training on distress tolerance and emotional inhibition in students with generalized anxiety disorder. Journal of New Psychological Researches, 18(20), 23–29. Doi: 10.22034/jmpr.2023.16511 [In Persian]
Taylor, G. J., Bagby, R. M., & Parker, J. D. (1999). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge University Press.
Théorêt, V., Hébert, É., & Hébert, M. (2024). Investigating the role of alexithymia in the association between cumulative childhood maltreatment and teen dating violence victimization. Journal of Psychiatric Research, 173, 192–199. https://doi.org/10.1016/j.jpsychires.2024.03.030
Wilson, S. J., Syed, S. U., Yang, I. S., & Cole, S. W. (2024). A tale of two marital stressors: Comparing proinflammatory responses to partner distress and marital conflict. Brain, Behavior, and Immunity, 120, 898–907. https://doi.org/10.1016/j.bbi.2024.05.003
Xiong, Z., Wu, X., Yang, J., Zou, J., Zhong, Q., & Dai, Y. (2025). Association and interaction between resilience and psychological distress in disabled elderly–caregiver dyads: An actor–partner interdependence model. Geriatric Nursing, 62(Part B), 245–252.