اثربخشی درمان متمرکز بر شفقت بر شفقت خود بیماران مبتلا به مولتیپل اسکلروزیس مرد شهر اصفهان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 گروه روان شناسی تربیتی ، دانشگاه آزد اسلامی واحد مبارکه ، اصفهان ، ایران

2 دانشجوی کارشناسی ارشد روانشناسی بالینی دانشگاه آزاد اسلامی واحد نجف آباد، اصفهان، ایران

چکیده

هدف: پژوهش حاضر، بررسی اثربخشی گروه درمانی به شیوه درمان متمرکز برشفقت، بر شفقت خود بیماران مرد مولتیپل اسکلروزیس شهراصفهان بود.روش: در این مطالعه که یک کار نیمه آزمایشی از نوع پیش آزمون- پس آزمون با گروه کنترل بود. نمونه مورد مطالعه به روش نمونه گیری در دسترس و از مردان مراجعه کننده به انجمن ام اس انتحاب شد که از میان آنها تعداد 30 نفر به طور تصادفی، به دو گروه 15 نفره آزمایش و کنترل تقسیم شدند. در مرحله ی پیش آزمون به منظور سنجش میزان شفقت خود، از پرسشنامه شفقت خود استفاده شد. گروه آزمایش تحت درمان متمرکز بر شفقت طی 8 جلسه ی 90 دقیقه ای قرار گرفت و گروه کنترل، هیچ گونه درمانی دریافت نکرد. در مرحله پس از آزمون پرسشنامه فوق روی هر دو گروه مجددا اجرا شد. داده‌ها با استفاده از روش تحلیل واریانس کواریانس مورد تجزیه وتحلیل قرار گرفت.یافته‌ها : نتایج پژوهش به خوبی نشان داد که در مرحله پس آزمون، نمره شفقت خود گروه آزمایش نسبت به گروه کنترل به طور معنا داری افزایش یافت. بنا براین گروه درمانی، درمان متمرکز بر شفقت در افزایش شفقت خود در مردان مبتلا به بیماری مولتیپل اسکلروزیس موثر بوده است.نتیجه گیری: نتایج بر اهمیت کاربرد این مداخلات در شفقت خود افراد مبتلا به بیماری مولتیپل اسکلروزیس و ارائه افق‌های جدید در مداخلات بالینی بیماران تاکید دارد.

کلیدواژه‌ها


Alicke, M. D., & Sedikides, C. (2009). Self-enhancement and self-protection: What they are and what they do. European Review of Social Psychology, 20, 1-48.

Ashworth, F. Clarke, A. Jones, L. Jennings, C. Longworth, C. An exploration of compassion focused therapy following acquired brain injury, Psychology and Psychotherapy: Theory Research and Practice, 2015, 88, 143-162.

Bradley WG, Daroff RB, Fenichel GM, Jankovic J. 2012, Clinical practice. Philadelphia: Butler Worth- Heinemann.

Brajkovic L, Bras M, Milunovic V, Busic I, Boban M. The Connection between Coping Mechanisms, Depression, Anxiety and Fatigue in Multiple Sclerosis. Collegium ntropologicum 40-135: (2) 33; 2009.

Chwastiak LA, Ehde DM. Psychiatric Issues in Multiple Sclerosis. Psychiatric Clinic NorthAm. 18-803 : 4(30); 2007.

Esterling BA, L’Abate L, Murray EJ, Pennebaker JW. Empirical foundations for writing in prevention and psychotherapy: Mental and physical health outcomes. Clinical psychology review. 1999; 19(1): 79-96.

Etemadifar,M., & Ashtari, F(2012). Diagnosis and treatment of multiple sclerosis. Isfahan charbagh company. (Persian).

Feldman C, Kuyken W. 2011, Compassion in the landscape of suffering. Contem Buddh 12: 143–155.

Gedizluglu M, Mavioglu H, Uzunel F. 2003, Impact of multiple sclerosis on family and employment. Int JMS core serial on line. Oct 2(3).

Ghorbani N, Watson PJ, Chen Z, Norballa F. 2012, Self-compassion in Iranian Muslims: relationships with integrative self-knowledge, mental health, and religious orientation. Int J Psychol Relig 22: 106-118.

Gilbert, P. (2005). Compassion and cruelty: A biopsychosocial approach. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 9-74). Hove, UK: Routledge.

Gilbert P. Compassion: Conceptualization, Research and use in psychotherapy, New York: Routledge publication; 2005.

Gilbert P. Irons C. Focused therapies and compassionate mind training for shame and self-attacking. In: Gilbert P. ed. Compassion: Conceptualizations, research and use in psychotherapy. London: Routledge publications; 2005. P. 263-325.

Halper J. 2004, The evaluation of nursing care in multiple sclerosis. Int J MS Care. 2(1): 40-48.

Hansen M. Cancer nursing. Principles and practice. 5 th ed. London: Jones& Bartlet. 2000.

Holland NJ, Halper J. 2005, multiple sclerosis: a selfcare guide to wellness. New York: Demos Medical Publishing. p. 1-10.

Kirchner T, Lara S. Stress and depression symptoms in patients with multiple sclerosis: the mediating role of the loss of social functioning. Acta Neurol Sc 2012; 12(4): 215-21.

Kloss JD, Lisman SA. An exposure‐ based examination of the effects of written emotional disclosure. British Journal of Health Psychology. 2002; 7(1);

Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887-904.

Lee, W. K. (2013). Self-compassion as a moderator of the relationship between academic burn-out and psychological health in Korean cyber university students.Personality and Individual Differences, 54, 899–902.

Liu XJ, Ye HX, Li WP, Dai R, Chen D, Jin M. Relationship between Psychological Factors and Onest of Multiple Sclerosis. Eur J Neurol 2009; 6-130: 3(62).

Lutz, a., slagter, h. A., dunne, j. D., & Davidson, r. J. (2008). Attention regulation And monitoring in meditation. Trends in Cognitive sciences, 12, 163–169.

Neff, K. D. (2003a). The development and validation of a scale to measure self- compassion. Self and Identity, 2, 223-250.

Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85-

Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to

  • oneself. Human Development, 52, 211-214. Neff, K. D. (2011). Self-compassion, Self-esteem
Phillips CJ. The cost of multiple sclerosis and the cost effectiveness of disease-modifying agents in its treatment. CNS Drugs 2004; 18(3): 561-74.

Poser CM. The diagnosis and management of multiple sclerosis.J Acta Neural Scand 2005.199-201 :(3)112;

Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48, 757-76.

Jonsson B, Koblet G, Miltenloarger C. 2000, Health Economics, Economic Evaluation and clinical practice outcomes. Research in multiple sclerosis. September 35

psy.unsw.edu [homepage on the internet. Australia. Psychology Department. Available from

MacBeth A, Gumley A. 2012, Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clin Psychol Rev 32: 545-552.

Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887-904.

Moradipanah F. The effects of light music on stress and anxity of cardiac catheterism patients. [Ms thesis]. Tarbiat Modarres University. Tehran. 2005.

Neff, K. D. (2003a). The development and validation of a scale to measure self- compassion. Self and Identity, 2, 223-250.

Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85- 102.

Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Human Development, 52, 211-214.

Neff, K. D. (2011). Self-compassion, Self-esteem

Neff KD, Rude SS, Kirkpatrick K. An examination of self-compassion in relation to positive psychological functioning and personality traits. J Res Pers 2007; 41: 139-154.

Pauley G, McPherson S. The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychol Psychother 2010; 83: 129-143.

Rezaie, O., Mirzaie, Q.M.,& Dolatshahie., B.(2010). The personality styles in multiple sclerosis. Cong of Iran psychology.( Persian).

Van Dam, N.T, Sheppard, S. C., Forsyth, J., & Earleywine, M. (2011). Self-slife in mixed anxiety and depression. Journal of Anxiety Disorders, 25, 123-130.

Vosoughi R, Freedman MS. Therapy of MS. J Neurol neuros: Atlas mult. 2008; (112):85-365. (Persian).