نوع مقاله : پژوهشی
نویسندگان
1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی، دانشگاه پیام نور تهران، ایران.
2 استاد دانشگاه پیام نور تهران
10.30473/ijohp.2024.66749.1297
چکیده
مقدمه: هدف از پژوهش حاضر مقایسه اثربخشی درمان پذیرش و تعهد (ACT) و درمان شناختی رفتاری (CBT) بر سازگاری روانی اجتماعی با بیماری و ناتوانی گسترش یافته بیماران مبتلا به ام اس بود. روش: پژوهش حاضرشبه آزمایشی و از نوع پیش آزمون-پس آزمون با گروه کنترل و دوره پیگیری 3 ماهه و 6 ماهه بود. جامعه آماری شامل تمامی بیماران مبتلا به ام اس شهر تهران در سال 1400 بودند. با استفاده از روش نمونه‌گیری هدفمند 60 نفر انتخاب شد و به صورت تصادفی در گروه‌های آزمایشی ACT و CBT و گروه کنترل گماشته شدند. برای ارزیابی متغیرهای پژوهش از پرسشنامه سازگاری روانی اجتماعی با بیماری دروگیتس (1986) و پرسشنامه وضعیت ناتوانی گسترش یافته (EDSS) استفاده شد. مداخله ACT شامل 8 جلسه 120 دقیقه‌ای و مداخله CBT شامل 8 جلسه یک ساعته بود. برای تجزیه و تحلیل داده‌ها از تحلیل کوواریانس و آزمون تعقیبی استفاده شد. یافته ها: نتایج پژوهش نشان داد درمان پذیرش و تعهد (ACT) در مقایسه با درمان شناختی رفتاری (CBT) در افزایش سازگاری روانی اجتماعی با بیماری (024/0=P) و کاهش ناتوانی گسترش یافته (024/0=P) اثربخشی بیشتری داشته است و این تغییرات در مراحل پیگیری نیز ثابت بوده است. نتیجه‌گیری: به طور کلی می‌توان گفت هر دو مداخله ACT و CBT به صورت معنی‌داری موجب بهبود سازگاری روانی اجتماعی با بیماری و کاهش ناتوانی گسترش یافته بیماران مبتلا به ام اس شدند ولی پیشنهاد می‌شود متخصصان برای اثربخشی بیشتر از مداخله ACT استفاده کنند.
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