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اثربخشی کاهش استرس مبتنی بر ذهن‌آگاهی بر پریشانی روان‌شناختی، همجوشی‌شناختی و خوددلسوزی افراد مبتلا به فشار خون بالا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران

2 استادیار گروه روان‌شناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران

3 دانشیار گروه روان‌شناسی، واحدسمنان، دانشگاه آزاداسلامی، سمنان، ایران

4 استاد تمام مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت،دانشگاه علوم پزشکی سمنان، سمنان، ایران

چکیده

زمینه و هدف: فشار خون بالا که از آن به عنوان مرگ خاموش یاد می‌شود از عوامل بسیار مهم بیماری‌های قلبی- عروقی به‌شمار می‌رود؛ از این رو هدف پژوهش حاضر تعیین اثربخشی کاهش استرس مبتنی بر ذهن‌آگاهی (MBSR) بر پریشانی روان‌شناختی، همجوشی‌شناختی و خوددلسوزی افراد مبتلا به فشار خون بالا بود.
مواد و روش‌ها: روش پژوهش، نیمه‌آزمایشی از نوع طرح پیش­آزمون- پس­آزمون بود. جامعه آماری پژوهش همه بیماران مبتلا به فشار خون شهرستان مهدی‌شهر در سال 1399 بودند. نمونه‌ این پژوهش شامل 48 نفرمبتلا به فشار خون بودند که به‌صورت در دسترس و غیرتصادفی از میان زنانی که به مراکز خدمات جامع سلامت شهرستان مهدی‌شهر مراجعه کرده بودند، با توجه به معیارهای ورود انتخاب شدند و به‌صورت تصادفی ساده درگروه گواه و آزمایش جایگزین گشتند. ابزارهای مورداستفاده شامل مقیاس تشخیصی همجوشی‌شناختی گیلاندرز، پرسش‌نامه پریشانی روان‌شناختی فرم 10 کسلر و پرسش‌نامه خوددلسوزی بود. داده‌ها با استفاده از نرم‌افزار SPSS نسخه 23 و با استفاده از آزمون‌های تحلیل کوواریانس چندمتغیره (MANCOVA) و تک‌متغیره (ANCOVA) تحلیل شدند.
یافته‌ها: نتایج نشان داد که پس از تعدیل نمرات پیش­آزمون، تفاوت معناداری بین گروه‌های موردمطالعه در متغیر پریشانی روان‌شناختی (شامل افسردگی، اضطراب و استرس)، همچنین همجوشی‌شناختی، به‌غیر از گسلش شناختی و خوددلسوزی وجود داشت.
نتیجه‌گیری: درمجموع می‌توان گفت که آموزش کاهش استرس مبتنی بر ذهن‌آگاهی بر پریشانی روان‌شناختی، همجوشی‌شناختی و ابعاد خوددلسوزی افراد مبتلا به فشارخون بالا تأثیرداشت.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Mindfulness-Based Stress Reduction on Psychological Distress, Cognitive Fusion and Self-Pity in People with Hypertension

نویسندگان [English]

  • hava shamkhanian 1
  • ameneh moazedian 2
  • Nemat Sotodehasl 3
  • Raheb Ghorbani 4

1 PhD Student in Psychology, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

2 Assistant Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

3 Associate Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

4 Professor, socialDeterminants of health Research Center, Semnan University of Medical Sciences, Semnan, Iran

چکیده [English]

Introduction: Hypertension, which is referred to as silent death, is one of the most important causes of cardiovascular disease. Therefore, the aim of this study was to determine the effectiveness of mindfulness-based stress reduction (MBSR) on psychological distress, cognitive fusion. And Self-compassionof people with high blood pressure.
Materials and Methods: The present study is applied and semi-experimental in terms of purpose and is based on a randomized controlled application with pre-test, post-test with control group. The statistical population of the study was all patients with hypertension in Mahdishahr in 1399. The sample of this study included 48 patients with hypertension who were randomly selected from the women who had referred to the comprehensive health service centers of Mehdi Shahr city, were selected according to the inclusion criteria and were randomly replaced in the control and experimental groups. Usage tools included the Gilanders Cognitive Fusion Diagnostic Scale, the Kessler Form 10 Psychological Distress Questionnaire, and the Self-Compassion Questionnaire. Data were analyzed using SPSS software version 23 using multivariate analysis of covariance (MANCOVA) and univariate analysis (ANCOVA).
Results: Findings: The results showed that after adjusting the pre-test scores, there was a significant difference between the studied groups in the variable of psychological distress (including depression, anxiety and stress), as well as cognitive fusion and self-compassion... 001/0 = p.
Conclusion: In general, it can be said that mindfulness-based stress reduction training had an effect on psychological distress, cognitive fusion and self-compassion dimensions of people with hypertension.

کلیدواژه‌ها [English]

  • Cognitive Fusion؛ Hypertension؛ Mindfulness؛ Psychological distress؛ Self-compassion
  • Stress reduction
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مجله دانشگاه علوم پزشکی سبزوار
دوره 29، شماره 5
آذر و دی 1401
صفحه 669-682
فایل ها
سابقه مقاله
  • تاریخ دریافت: 13 شهریور 1400
  • تاریخ بازنگری: 21 اسفند 1400
  • تاریخ پذیرش: 22 اسفند 1400
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