Iranian Journal of Health Psychology

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Effectiveness of Cognitive Behavioral Therapy for Quality of Life among Women with HIV

Document Type : research

Authors

1 Associate Professor of social work, Faculty of Social Sciences, Allameh Tabataba'i University, Tehran, Iran

2 M.A in Social work, Faculty of social sciences, Allameh Tabataba'i University, Tehran, Iran.

3 Assistant Professor of social work, West Texas A&M University, USA

4 Associate Professor of social welfare, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Abstract

Objective: Women living with HIV (WLWH) experience various psychosocial challenges, which negatively affect
their quality of life (QOL). The current study examines the outcomes of women living with HIV (WLWH), who
receive cognitive behavioral group therapy (CBGT) for improving quality of life in Tehran, Iran.
Method: The design of the study is a randomized clinical trial (RCT). Sixty women with HIV were randomly assigned
into control and intervention groups, with 30 participants for each group. A 10-session cognitive behavioral group
therapy was provided only to the intervention group. The control group participated in 3 sessions without special
training. To assess the effectiveness of the intervention, quality of life was measured using the Multidimensional
Quality of Life Questionnaire for HIV/AIDS (MQoL-HIV) before and one month after intervention delivery. Pre-test
and post-tests were compared using t-test analysis.
Results: After 10 weeks of training, the Mean±SD QOL score significantly increased in the intervention group. Based
on covariance analysis, the intervention group had a significantly higher QOL score than the control group after the
intervention P<0.05.
Conclusion: Due to the low quality of life among WLWH, CBGT can be helpful in providing psychological
rehabilitation to improve the quality of life of this group. 

Keywords

Article Title [Persian]

اثربخشی درمان شناختی-رفتاری بر کیفیت زندگی زنان مبتلاء به اچ آی وی

Authors [Persian]

  • منصور فتحی 1
  • لیلا عبدالملکی 2
  • سارا مکی علمدری 3
  • سید حسین محقق کمال 4

1 دانشیار گروه مددکاری اجتماعی دانشگاه علامه طباطبائی

Abstract [Persian]

مقدمه: زنان مبتلاء به اچ آی وی با چالش های متعدد روانی- اجتماعی مواجه هستند که بر کیفیت زندگی آن ها تاثیر منفی گذاشته است. هدف پژوهش حاضر بررسی اثربخشی مداخله شناختی- رفتاری در ارتقای کیفیت زندگی زنان مبتلا به اچ آی وی است.
روش: روش پژوهش حاضر، آزمایشی و به صورت اجرای پیش‌آزمون-پس‌آزمون بر روی دو گروه آزمایش و کنترل است. جامعه آماری مورد مطالعه را زنان مبتلا به بیماری اچ آی وی تحت پوشش انجمن احیای ارزش های شهر تهران تشکیل می دهد. 120 نفر، پرسشنامه استاندارد کیفیت زندگی چندبعدی مربوط به بیماران مبتلا به ایدز را تکمیل نمودند، از بین آن ها، 60 نفری را که کم ترین نمره را به دست آورده بودند، انتخاب و به صورت کاملا تصادفی در دو گروه آزمایش و کنترل (هر کدام 300نفر) قرار گرفتند. پرسشنامه بر روی هر دو گروه اجرا شد. گروه آزمایش به مدت 10 جلسه، طبق پروتکل تحت آموزش قرار گرفت. گروه کنترل در 3 جلسه بدون آموزش خاصی شرکت نمودند. در این مدت گروه کنترل هیچ مداخله ای دریافت نکرد و پس از پایان جلسات، پس آزمون بر روی هر دو گروه اجرا شد تا اثربخشی و مقایسه گروه ها مورد بررسی قرار گیرد. از آزمون های تحلیل کوواریانس و تی تست برای تجزیه وتحلیل اطلاعات و آزمون فرضیه ها بهره گرفته شد.
یافته ها: بعد از 10 جلسه آموزش، یافته ها نشان داد که میانگین نمرات گروه آزمایش در کیفیت زندگی و ابعاد آن به طور معناداری افزایش یافته است و بین دو گروه کنترل و آزمایش (زنان مبتلا به اچ آی وی) از نظر میزان کیفیت زندگی تفاوت معناداری وجود دارد. P<0.05
نتایج نشان داد که رویکرد شناختی- رفتاری به عنوان یکی از مداخلات درمانی از قابلیت خوبی در توانبخشی روانی- اجتماعی و ارتقای کیفیت زندگی زنان مبتلا به اج آی وی برخوردار است.

Keywords [Persian]

  • اچ آی وی /ایدز
  • درمان گروهی
  • درمان شناختی –رفتاری
  • کیفیت زندگی
  • زنان
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Iranian Journal of Health Psychology
Volume 6, Issue 1 - Serial Number 15
March 2023
Pages 69-79
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