مجله سلامت و مراقبت
دوره 25، شماره 1 - ( بهار 1402 )
جلد 25 شماره 1 صفحات 18-7 |
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Ethics code: IR.IAU.URMIA.REC.1401.061
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Ghazanfari N, Khademi A, Mahmoud Alilou M, Etemadinia M, Dousti R. The Effectiveness of a One-day Workshop Based on Cognitive Behavioral Therapy on Rumination and Interactive Quality of Women with Postpartum Depressive Disorder. JHC 2023; 25 (1) :7-18
URL: http://hcjournal.arums.ac.ir/article-1-1420-fa.html
URL: http://hcjournal.arums.ac.ir/article-1-1420-fa.html
غضنفری نسیم، خادمی علی، محمود علیلو مجید، اعتمادی نیا مهین، دوستی ریتا. تاثیر کارگاه یک روزه مبتنی بر درمان رفتاری- شناختی بر نشخوار فکری و کیفیت تعاملی بانوان مبتلا به اختلال افسردگی پس از زایمان. مجله سلامت و مراقبت. 1402; 25 (1) :7-18
گروه روانشناسی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران
چکیده: (986 مشاهده)
زمینه و هدف: نشخوار فکری و کیفیت تعاملی ضعیف از شایعترین مشکلات روانشناختی زنان مبتلا به اختلال افسردگی پس از زایمان است. این پژوهش با هدف تعیین تاثیر کارگاه یک روزه مبتنی بر درمان رفتاری- شناختی بر نشخوار فکری و کیفیت تعاملی بانوان مبتلا به اختلال افسردگی پس از زایمان انجام شد.
روش کار: طرح پژوهشی این مطالعه، نیمه تجربی از نوع پیش آزمون- پس آزمون با گروه کنترل و مرحله پیگیری بود. از بین زنان مبتلا به اختلال افسردگی پس از زایمان شهرستان سلماس که در سال 1401 جهت دریافت خدمات روانشناختی به مراکز بهداشت ارجاع داده شده بودند، تعداد 50 نفر به شیوه نمونهگیری در دسترس انتخاب و در دو گروه کنترل و آزمایش (25 نفر گروه آزمایش و 25 نفر گروه کنترل) بهصورت تصادفی جایدهی شدند. برای گروه آزمایشی، کارگاه یک روزه مبتنی بر درمان رفتاری شناختی اجرا شد. قبل از مداخله و در فواصل دو هفته و دو ماه بعد از پایان جلسات آموزشی، مقیاس پاسخهای نشخواری و پرسشنامه کیفیت روابط بهعنوان پس آزمون و پیگیری تکمیل شدند. دادهها با استفاده از آزمون تحلیل واریانس با اندازهگیری مکرر در نرمافزار spss-26مورد تجزیه و تحلیل قرار گرفت.
یافتهها: میانگین نمرات نشخوار فکری در مراحل قبل، بعد و پیگیری در گروه آزمایش بـه ترتیـب 42/16، 36/6 و 36/96 و در گروه کنترل به ترتیب 40/12، 41/36 و 41/44 بود. همچنین میانگین نمرات کیفیت تعاملی در مراحل قبل، بعد و پیگیری در گروه آزمایش بـه ترتیـب 20/40، 28/28 و 29/40 و در گروه کنترل به ترتیب 21/28، 20/72 و 20/32 بود. نتایج آزمون تحلیل واریانس با اندازهگیری مکرر نشان داد که که کارگاه یک روزه مبتنی بر درمان رفتاری- شناختی بر نشخوار فکری و کیفیت تعاملی در مراحل پسآزمون و پیگیری، تاثیر معنیداری داشته است (0/001 <p).
نتیجه گیری: با توجه به تاثیر مثبت مداخله فوق در این مطالعه، به نظر می رسد مشاوران و روانشناسان میتوانند برای بهبود نشخوار فکری و کیفیت تعاملی زوجین بانوان مبتلا به اختلال افسردگی پس از زایمان از این روش استفاده نمایند.
روش کار: طرح پژوهشی این مطالعه، نیمه تجربی از نوع پیش آزمون- پس آزمون با گروه کنترل و مرحله پیگیری بود. از بین زنان مبتلا به اختلال افسردگی پس از زایمان شهرستان سلماس که در سال 1401 جهت دریافت خدمات روانشناختی به مراکز بهداشت ارجاع داده شده بودند، تعداد 50 نفر به شیوه نمونهگیری در دسترس انتخاب و در دو گروه کنترل و آزمایش (25 نفر گروه آزمایش و 25 نفر گروه کنترل) بهصورت تصادفی جایدهی شدند. برای گروه آزمایشی، کارگاه یک روزه مبتنی بر درمان رفتاری شناختی اجرا شد. قبل از مداخله و در فواصل دو هفته و دو ماه بعد از پایان جلسات آموزشی، مقیاس پاسخهای نشخواری و پرسشنامه کیفیت روابط بهعنوان پس آزمون و پیگیری تکمیل شدند. دادهها با استفاده از آزمون تحلیل واریانس با اندازهگیری مکرر در نرمافزار spss-26مورد تجزیه و تحلیل قرار گرفت.
یافتهها: میانگین نمرات نشخوار فکری در مراحل قبل، بعد و پیگیری در گروه آزمایش بـه ترتیـب 42/16، 36/6 و 36/96 و در گروه کنترل به ترتیب 40/12، 41/36 و 41/44 بود. همچنین میانگین نمرات کیفیت تعاملی در مراحل قبل، بعد و پیگیری در گروه آزمایش بـه ترتیـب 20/40، 28/28 و 29/40 و در گروه کنترل به ترتیب 21/28، 20/72 و 20/32 بود. نتایج آزمون تحلیل واریانس با اندازهگیری مکرر نشان داد که که کارگاه یک روزه مبتنی بر درمان رفتاری- شناختی بر نشخوار فکری و کیفیت تعاملی در مراحل پسآزمون و پیگیری، تاثیر معنیداری داشته است (0/001 <p).
نتیجه گیری: با توجه به تاثیر مثبت مداخله فوق در این مطالعه، به نظر می رسد مشاوران و روانشناسان میتوانند برای بهبود نشخوار فکری و کیفیت تعاملی زوجین بانوان مبتلا به اختلال افسردگی پس از زایمان از این روش استفاده نمایند.
نوع مطالعه: نیمه تجربی |
موضوع مقاله:
بارداری و زایمان
دریافت: 1401/8/19 | پذیرش: 1402/3/10 | انتشار: 1402/3/10
دریافت: 1401/8/19 | پذیرش: 1402/3/10 | انتشار: 1402/3/10
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56. Ehring T. Thinking too much: rumination and psychopathology. World Psychiatry. 2021; 20(3):441-442.
57. Perestelo-Perez L, Barraca J, Penate W, Rivero-Santana A, Alvarez-Perez Y. Mindfulness-based interventions for the treatment of depressive rumination: systematic review and meta-analysis. International Journal of Clinical and Health Psychology. 2017; 17(3):282-295.
58. O'Mahen HA, Karl A, Moberly N, Fedock G. The association between childhood maltreatment and emotion regulation: two different mechanisms contributing to depression? Journal of Affective Disorders. 2015; 174(5):287-295.
59. Fu CW, Liu JT, Tu WJ, Yang JQ, Cao Y. Association between serum 25‐hydroxyvitamin D levels measured 24 hours after delivery and postpartum depression. BJOG: An International Journal of Obstetrics & Gynaecology. 2015; 122(12):1688-1694.
60. Qi W, Liu Y, Lv H, Ge J, Meng Y, Zhao N, et al. Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy and Childbirth. 2022; 22(1):1-10.
61. Nunes C, Martins C, Leal A, Pechorro P, Ferreira LI, Ayala-Nunes L. The ENRICH Marital Satisfaction (EMS) Scale: a psychometric study in a sample of Portuguese parents. Social Sciences. 2022; 11(3):1-11.
62. Patoo M, Haghighat F, Hassanabadi H. A study of the role of marital relationship quality in predicting subjective well-being and happiness of university students. Journal of Woman and Family Studies. 2014; 2(1):7-24 [Persian].
63. Sanford K. Communication during marital conflict: when couples alter their appraisal, they change their behavior. Journal of Family Psychology. 2006; 20(2):256-65.
64. Farajnia S, Hosseinian S, Shahidi SH, Sadeghi MA. Predicting the marital commitment in couples: the role of sexual function and quality of relationship. Journal of Counseling Research. 2013; 12(48):122-42 [Persian].
65. Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatria Polska. 2016; 50(6):1135-46.
66. Gremigni P, Mariani L, Marracino V, Tranquilli AL, Turi A. Partner support and postpartum depressive symptoms. Journal of Psychosomatic Obstetrics & Gynecology. 2011; 32(3):135-40.
67. Wang F, Zhu H, Yang X, Liao F. Effects of internet-based cognitive behavioral therapy on postpartum depression: a protocol for systematic review and meta-analysis. Medicine. 2022; 101(9):1-5.
68. Dein S. Cognitive behavioral therapy in the palliative care setting. European Journal of Palliative Care. 2005; 12(4):174-76.
69. Moayedfar H, Yaghubi H, Hassan Abadi H, Mahdavian A. Comparing the effects of rumination-focused cognitive-behavioral therapy and classic cognitive behavioral therapy on rumination and depression symptoms. Middle Eastern Journal of Disability Studies. 2020; 10(18):27-35 [Persian].
70. Zadhoosh S, Neshat Doust HT, Kalantari M, Rasolzade Tabatabaee SK. Comparison of the efficacy of cognitive-behavior group therapy with religious advice and classic cognitive- behavior group therapy on the quality of marital relationship of women. Journal of Family Research. 2011; 7(1):55-68 [Persian].
71. Durães RS, Khafif TC, Lotufo-Neto F, Serafim AD. Effectiveness of cognitive behavioral couple therapy on reducing depression and anxiety symptoms and increasing dyadic adjustment and marital social skills: an exploratory study. The Family Journal. 2020; 28(4):344-55.
72. Watkins PL, Clum GA, editors. Handbook of Self-Help Therapies. Taylor & Francis; 2007.
73. Buhrman M, Skoglund A, Husell J, Bergström K, Gordh T, Hursti T, et al. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behavior Research and Therapy. 2013;51(6):307-15.
74. Van Lieshout RJ, Layton H, Savoy CD, Xie F, Brown JS, Huh K, et al. In-person 1-day cognitive behavioral therapy-based workshops for postpartum depression: a randomized controlled trial. Psychological Medicine. 2023; 53(4):1-11.
75. Hill C, Creswell C, Vigerland S, Nauta MH, March S, Donovan C, et al. Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: a consensus statement with recommendations from the iCBT Lorentz workshop group. Internet Interventions. 2018; 12(2):1-10.
76. Horrell L, Goldsmith KA, Tylee AT, Schmidt UH, Murphy CL, Bonin EM, et al. One-day cognitive-behavioral therapy self-confidence workshops for people with depression: randomized controlled trial. The British Journal of Psychiatry. 2014; 204(3):222-33.
77. Rosenberg K. One-day workshop beneficial for postpartum depression. The American Journal of Nursing. 2022; 122(2):49-50.
78. Van Lieshout RJ, Layton H, Savoy CD, Brown JS, Ferro MA, Streiner DL, et al. Effect of online 1-day cognitive behavioral therapy-based workshops plus usual care vs usual care alone for postpartum depression: a randomized clinical trial. JAMA Psychiatry. 2021;78(11):1200-207.
79. Oystein Berle J, Spigset O. Antidepressant use during breastfeeding. Current Women's Health Reviews. 2011; 7(1):28-34.
80. Park SH, Kim JI. Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics. 2023;307(5):1331-45.
81. Ahmadi kani Golzar A, Golizadeh Z. Validation of Edinburgh Postpartum Depression Scale (EPDS) for screening postpartum depression in Iran. Iranian Journal of Psychiatric Nursing. 2015; 3(3):1-10 [Persian].
82. Valencia PD, Paredes-Angeles R. Revisiting the factor structure of the ruminative response scale: a bifactor Approach. Trends in Psychology. 2022; 30(2):1-18.
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