اثربخشی درمان شفقت به خود مبتنی بر ذهن‌آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی- جبری دارای افکار خودکشی

دانش و پژوهش در روان شناسی کاربردی

مقاله 8، دوره 23، شماره 2 - شماره پیاپی 88، شهریور 1401، صفحه 90-105   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.30486/jsrp.2020.1913930.2697

نویسندگان

سمیرا رحمانی^{* 1}؛ سودابه بساک نژاد²؛ نسرین ارشدی³؛ ادوارد سلبی⁴

¹دانشجوی دکتری، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران،

²استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران.

³استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران

⁴دانشیار، گروه روان‌شناسی بالینی، دانشگاه روتگرز آمریکا

چکیده

اختلال وسواسی-جبری یک بیماری روان­شناختی شدید و ناتوان­کننده است که با تاثیر بر کیفیت زندگی و عملکرد کلی بیماران و اعضای خانواده آن­ها منجر به بروز مشکلات بین­فردی، احساس درماندگی و ناامیدی در بیماران می­شود. هدف این پژوهش تعیین اثربخشی درمان شفقت­به­خود مبتنی بر ذهن­آگاهی بر نیازهای بین‌فردی در مبتلایان به اختلال وسواسی-جبری دارای افکار خودکشی بود. طرح پژوهش طرح آزمایشی تک موردی از نوع خط پایه چندگانه ناهمزمان بود و نمونه پژوهش شامل 3 بیمار زن مبتلا به اختلال وسواسی- جبری شهر اهواز در سال 1398 بود. از پرسشنامه­های وسواسی-جبری (Yale-Brown obsessive-compulsive, 1989)، افکار خودکشی­­گرایانه (Rudd, 1989) و نیازهای بین­فردی (Van Orden, Cukrowicz, Witte & Joiner, 2012) استفاده شد. پروتکل درمان در 8 جلسه 90 تا 120 دقیقه انجام شد و آزمون­ها در سه مرحله خط پایه، پس­آزمون و پیگیری 3 ماهه اجرا شد و داده­ها به روش ترسیم دیداری، شاخص تغییر پایه و فرمول درصد بهبودی تحلیل شدند. داده­ها نشان داد که درمان شفقت­به­خود مبتنی بر ذهن­آگاهی بر کاهش تعلق­پذیری ازمیان­رونده و ادراک سرباربودن تاثیرگذار است و پیگیری سه ماهه نیز حاکی از پایداری تغییرات درمانی برای تعلق­پذیری ازمیان‌رونده و ادراک سربار­بودن بود. این رویکرد به وسیله ممانعت از اجتناب از افکار و هیجانات دردناک ناشی از اختلال و رشد احساس تعلق به دیگران و پیوند اجتماعی، منجر به تاب­آوری می­شود و از بروز تعلق­پذیری از­میان­رونده و ادراک سرباربودن در زمان­های پریشانی روان­شناختی جلوگیری می­نماید.

کلیدواژه‌ها

شفقت به خود مبتنی بر ذهن‌آگاهی؛ نیازهای بین‌فردی؛ مبتلایان به اختلال وسواسی-جبری؛ افکارخودکشی

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