درمان یکپارچۀ شناختی، بین‌فردی و سیستمی افسردگی زنان: ساخت بسته و بررسی اثربخشی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روان‌شناسی بالینی، دانشکده ۀ روان‌شناسی و علوم اجتماعی، واحد رودهن، دانشگاه آزاد اسلامی تهران، ایران.

2 دانشیار، گروه روان‌شناسی، دانشکدۀ روان‌شناسی و علوم اجتماعی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران.

3 گروه روان‌شناسی بالینی، مؤسسۀ عالی آموزش و پژوهش مدیریت و برنامه‌ریزی، تهران، ایران.

چکیده

هدف از پژوهش حاضر، ساخت و بررسی اثربخشی بستۀ یکپارچۀ درمان شناختی، بین‌فردی و سیستمی بر علائم افسردگی و مهارت‌های مقابله‌ای زنان افسرده بود. طرح پژوهش از نوع طرح‌های آزمایشی گسترش‌یافتۀ پیش‌آزمون-پس‌آزمون چندگروهی بود. جامعۀ آماری پژوهش زنانی بودند که در سال 1398-1397 به مرکز درمان آتیه در شهر تهران مراجعه کرده بودند که از این میان 60 نفر به‌صورت نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در چهار گروه 15 نفره قرار گرفتند. پس از گروه‌بندی، گروه اول درمان شناختی، گروه دوم درمان بین‌فردی، گروه سوم درمان سیستمی و گروه چهارم بستۀ یکپارچۀ درمان شناختی، بین‌فردی و سیستمی را در 12 جلسۀ 90 دقیقه‌ای، هفته‌ای یک بار دریافت کردند. برای جمع‌آوری اطلاعات از پرسشنامۀ افسردگی بک-ویرایش دوم (BDI-II) و مقیاس راهبردهای مقابله‌ای (CRI) استفاده شد. داده‌ها به شیوۀ تحلیل واریانس آمیختهبا استفاده از نرم‌افزار آماری SPSS-23 تجزیه و تحلیل شدند. یافته‌ها نشان داد آموزش بستۀ یکپارچۀ درمان تأثیر معناداری بر کاهش علائم افسردگی و بهبود مهارت‌های مقابله‌ای زنان افسرده در پس‌آزمون دارد (P<0.001). (اما این نتایج برای مرحلۀ پیگیری تأیید نشد. پژوهش حاضر از به‌کارگیری بسته‌های درمان یکپارچه برای بهبود افسردگی حمایت می‌کند.

کلیدواژه‌ها


عنوان مقاله [English]

Integrated Cognitive, Interpersonal, and Systemic Treatment for Women with Depression: Development and Efficacy Evaluation

نویسندگان [English]

  • Rohullah Haddadi 1
  • Mina Mojtabaei 2
  • Amirhoushang Mehryar 3
1 Department of Clinical Psychology, Faculty of Psychology and Social Sciences, Islamic Azad University, Roodehen Branch, Tehran, Iran.
2 Department of Psychology, Faculty of Psychology and Social Sciences, Islamic Azad University, Roodehen Branch, Tehran, Iran.
3 Department of Clinical Psychology, Institute of Management and Planning Studied. Tehran. Iran.
چکیده [English]

The purpose of this research was to develop and evaluate the efficacy of an integrated package of cognitive, interpersonal, and systemic therapy on the depressive symptoms and coping skills of women with depression. The research design is an extended pre-test-post-test design with multiple groups. The statistical population of the study consisted of the women referred to the Atieh treatment center in Tehran in 2017 and 2018, and 60 of them were randomly divided into four groups of 15 participants.Following grouping, the first group received cognitive therapy, the second group received interpersonal therapy, the third group received systemic therapy, and the fourth group received an integrated bundle of cognitive, interpersonal, and systemic therapy over the course of 12 weekly 90-minute sessions. Data was collected using the Beck Depression Inventory-Second Edition (BDI-II) and the Coping Responses Scale (CRI). The data were analyzed using SPSS-23 statistical software and mixed variance analysis. Post-test results indicated that integrated treatment package training has a significant impact on reducing depressive symptoms and enhancing coping skills among depressed women (P<0.001), but these results were not substantiated during the follow-up phase. This study is founded on the utilization of integrated treatment packages to improve Depression supports services.
 

کلیدواژه‌ها [English]

  • Depression
  • Effectiveness
  • Integrated Cognitive-Interpersonal-Systemic Treatment
  • Package Construction
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دوره 14، شماره 2
1402
صفحه 231-255
  • تاریخ دریافت: 03 مهر 1400
  • تاریخ بازنگری: 01 اسفند 1400
  • تاریخ پذیرش: 21 اسفند 1400
  • تاریخ اولین انتشار: 01 مرداد 1402
  • تاریخ انتشار: 01 مرداد 1402