نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد مشاوره خانواده، گروه مشاوره خانواده، دانشکده علوم انسانی، واحد همدان، دانشگاه آزاد اسلامی، همدان، ایران

2 استادیار گروه روانشناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی، واحد همدان، همدان، ایران

3 مرکز تحقیقات اختلالات رفتاری و سومصرف مواد، دانشگاه علوم پزشکی همدان، همدان، ایران

4 گروه روانشناسی، دانشکده اقتصاد و علوم اجتماعی، دانشگاه بوعلی سینا، همدان، ایران

چکیده

زمینه و هدف: بیماری ام.اس. ﻳﻚ ﺑﻴﻤﺎری ﺳﻴﺴﺘﻢ ﻋﺼﺒﻲ‌ ﻣﺮﻛﺰی اﺳﺖ که بیماران مبتلا به آن با مشکلات مختلفی مانند ناتوانی، کاهش امید به زندگی و مشکلات عاطفی و اقتصادی درگیر هستند. به همین منظور، مطالعه حاضر با هدف پیش‌بینی گرایش به خودکشی بر اساس خودشفقت‌ورزی و انعطاف‌پذیری روان‌شناختی در زنان متأهل مبتلا به ام‌اس شهر همدان انجام شد.
مواد و روش‌ها: مطالعه حاضر یک پژوهش توصیفی از نوع همبستگی و جامعه‌ آماری آن زنان مبتلا به ام‌اس شهر همدان با تعداد 153 نفر بودند که به روش نمونه‌گیری در دسترس و بر اساس جدول نمونه‌گیری کرجسی و مورگان تعداد 110نفر انتخاب و مطالعه شدند. میزان گرایش به خودکشی، خودشفقت‌ورزی و انعطاف‌پذیری روان‌شناختی آنان توسط پرسش‌نامه‌های گرایش به خودکشی بک (۱۹۷۹)، خودشفقت‌ورزی نف (۲۰۰۳) و انعطاف‌پذیری روان‌شناختی بوند و همکاران (2011) اندازه‌گیری شد و داده‌های به‌دست‌آمده با استفاده از آزمون ضریب همبستگی پیرسون با کمک نرم‌افزار spss ویراست 25 تجزیه‌وتحلیل شد.
یافته‌ها: مقدار r به‌دست‌آمده 0/385- در سطح اطمینان بیشتر از 0/95 بوده است و این بدان معناست که با افزایش خودشفقت‌ورزی و انعطاف‌پذیری روان‌شناختی زنان، میزان گرایش به خودکشی در آنان کاهش می‌یابد.
نتیجه‌گیری: خودشفقت‌ورزی و انعطاف‌پذیری روان‌شناختی تأثیر منفی بر گرایش به خودکشی زنان مبتلا به ام‌اس داشت از این رو تدوین برنامه‌های روان‌شناختی مناسب در راستای افزایش انعطاف‌پذیری روان‌شناختی با محوریت خودشفقت‌ورزی برای این بیماران می‌تواند مفید باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Predicting Suicide Tendency Based on Self-Compassion and Psychological Flexibility in Married Women with MS

نویسندگان [English]

  • Hossein Alamdarian 1
  • Mohammad Ismail Ebrahimi 2
  • Arya Haddadi 3
  • Amirhosein Ghasemy 4

1 M.A. Department of Family Counceling, Faculty of Humanities, Hamedan branch, Islamic Azad University, Hamedan, Iran

2 Ph.D. Assistant professor of Psychology, Faculty of Humanities, Hamedan branch, Islamic Azad University, Hamedan, Iran

3 M.Sc. Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

4 M.A. Department of Psychology, Faculty of Economics and Social Sciences, Bu-Ali Sina University, Hamedan, Iran

چکیده [English]

Introduction: Multiple sclerosis is a debilitating disease that affects patients with a variety of problems, including reduced function, reduced life expectancy, and emotional and economic problems. For this purpose, the present study was conducted with the aim of predicting suicidal ideation based on self-compassion in married women with MS in Hamadan.
Materials and Methods: The present study was a descriptive correlational study and its statistical population was 153 women with MS in Hamadan who were selected by convenience sampling method and 110 people were selected and studied based on Krejcie and Morgan sampling table. Suicidal tendencies, self-compassion, and psychological resilience were assessed by Beck's Suicide Tendency (1979), Nef's Self-compassion (2003), and Bond & etal (2011) Psychological Flexibility Questionnaires. Data were analyzed using Pearson correlation coefficient test using SPSS software version 25.
Results: The value of r was -0.385 in the confidence level was more than 0.95 and this means that with increasing self-compassion of women, their suicidal tendency decreases.
Conclusion: Self-compassion and psychological flexibility had a negative effect on the tendency of women with MS to commit suicide, so developing appropriate psychological programs to increase psychological flexibility centered on self-compassion for these patients can be useful.

کلیدواژه‌ها [English]

  • Self-compassion
  • Suicide
  • Multiple Sclerosis
  1. Cree BAC, Arnold DL, Chataway J, Chitnis T, Fox RJ, Pozo Ramajo A, Murphy N, Lassmann H. Secondary Progressive Multiple Sclerosis: New Insights. Neurology. 2021;97(8):378-388. doi: 10.1212/WNL.0000000000012323.
  2. Timkova V, Mikula P, Fedicova M, Szilasiova J, Nagyova I. Psychological well-being in people with multiple sclerosis and its association with illness perception and self-esteem. Mult Scler Relat Disord. 2021;54:103114. doi: 10.1016/j.msard.2021.103114.
  3. Knowles LM, Esselman EC, Turner AP, Phillips KM, Herring TE, Alschuler KN, Ehde DM. Depressive Symptoms and Suicidal Ideation in Progressive Multiple Sclerosis Compared With Relapsing-Remitting Multiple Sclerosis: Results From a Cross-sectional Survey. Arch Phys Med Rehabil. 2021;102(4):694-701. doi: 10.1016/j.apmr.2020.09.385.
  4. Ding OJ, Kennedy GJ. Understanding Vulnerability to Late-Life Suicide. Curr Psychiatry Rep. 2021;23(9):58. doi: 10.1007/s11920-021-01268-2.
  5. Cleare S, Gumley A, O'Connor RC. Self-compassion, self-forgiveness, suicidal ideation, and self-harm: A systematic review. Clin Psychol Psychother. 2019 ;26(5):511-530. doi: 10.1002/cpp.2372.
  6. Thomason S, Moghaddam N. Compassion-focused therapies for self-esteem: A systematic review and meta-analysis. Psychol Psychother. 2021;94(3):737-759. doi: 10.1111/papt.12319.
  7. Suh H, Jeong J. Association of Self-Compassion With Suicidal Thoughts and Behaviors and Non-suicidal Self Injury: A Meta-Analysis. Front Psychol. 2021;12:633482. doi: 10.3389/fpsyg.2021.633482.
  8. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. doi: 10.1016/j.brat.2005.06.006.
  9. Sevier-Guy LJ, Ferreira N, Somerville C, Gillanders D. Psychological flexibility and fear of recurrence in prostate cancer. Eur J Cancer Care (Engl). 2021;30(6):e13483. doi: 10.1111/ecc.13483.
  10. Krejcie RV, Morgan DW. Determining sample size for research activities. Educational and psychological measurement. 1970;30(3):607-10.doi: 10.1177/001316447003000308.
  11. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979;47(2):343-52. doi: 10.1037//0022-006x.47.2.343.
  12. Alizadeh Birjandi, Z., Janbozorgi, M., Rasoolzadeh Tabatabaee, S., Fathi Ashtiani, A. The Factor Structure, Reliability, and Validity of the Persian Version of the Suicidal Desire Scale Based on Interpersonal Suicide Theory (IPTS) in Iranian Students. Research in Clinical Psychology and Counseling, 2021; 11(1): 101-114. doi: 10.22067/tpccp.2021.36567.0 (Persian)
  13. Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and identity. 2003;2(2):85-101.DOI: 10.1080/15298860309032
  14. Sheivandi, K. Designing and Developing a Model of relational and occupational Consequences of Covid19 pandemic anxiety with the Mediating Role of Self compassion in Nurses of Tehran Hospitals. Clinical Psychology Studies, 2021; 12(45): -. doi: 10.22054/jcps.2022.64536.2665 (Persian)
  15. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T, Zettle RD. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011;42(4):676-88. doi: 10.1016/j.beth.2011.03.007.
  16. Soltani E, Bahrainian SA, Masjedi Arani A, Farhoudian A, Gachkar L. Psychometric Properties of the Persian Version of the Social Anxiety - Acceptance and Action Questionnaire. Iran J Psychiatry Behav Sci. 2016;10(2):e3753. Published 2016 May 28. doi:10.17795/ijpbs.3753 (Persian)
  17. Kaniuka AR, Kelliher-Rabon J, Chang EC, Sirois FM, Hirsch JK. Symptoms of anxiety and depression and suicidal behavior in college students: Conditional indirect effects of non-suicidal self-injury and self-compassion. Journal of College Student Psychotherapy. 2020;34(4):316-38.DOI: 10.1080/87568225.2019.1601048
  18. Dolezal S, Winterowd C, Farra A. The Relationship of Self-Compassion and Suicide Risk Factors in American Indian/Alaska Native People. Am Indian Alsk Native Ment Health Res. 2021;28(1):103-124. doi: 10.5820/aian.2801.2021.103.
  19. azari S, Haddadi A, Ebrahimi M I. The Effect of Cognitive-Behavioural Stress Management Training on Reducing Depressive Symptoms in Women with Premenstrual Syndrome. hrjbaq. 2021; 7 (1) :32-42. doi: 10.52547/hrjbaq.7.1.32. (Persian)
  20. Haddadi A, Ebrahimi M E. The Effect of Yalom Group Therapy on Resiliency and Communication Skills in Students. hrjbaq. 2020; 5 (3) :188-198. doi: 10.29252/hrjbaq.5.3.188. (Persian)
  21. Zhang H, Watson-Singleton NN, Pollard SE, Pittman DM, Lamis DA, Fischer NL, Patterson B, Kaslow NJ. Self-Criticism and Depressive Symptoms: Mediating Role of Self-Compassion. Omega (Westport). 2019 ;80(2):202-223. doi: 10.1177/0030222817729609.
  22. Horney K. Our inner conflicts: A constructive theory of neurosis. Routledge; 2013.
  23. Gilbert P. Introducing compassion-focused therapy. Advances in Psychiatric Treatment. Cambridge University Press; 2009;15(3):199–208.
  24. Haddadi A, Ebrahimi M E, Zamani N, Zarabian N. Effects of Yalom Group therapy on the Resilience and Meaning in Life of the Nurses in Covid-19 Centers. Avicenna J Neuro Psycho Physiology. 2021; 8 (4) :209-214. doi: 10.32592/ajnpp.2021.8.4.107. (Persian)
  25. Afshari E, Ebrahimi MI, Haddadi A. The Effect of Acceptance and Commitment Group Therapy on Emotional Divorce and Self-efficacy of Working Couples. Journal of Community Health Research. 2022;11(4): 327–36.https://doi.org/10.18502/JCHR.V11I4.11734 (Persian)
  26. Zamani N, Haddadi A. The Effect of Dialectical Behavior Therapy Skills on Reducing the Risky Behaviors of Patients with Borderline Semi-Clinical Symptoms. Hrjbaq. 2019; 5 (1) :64-70. doi: 10.29252/hrjbaq.5.1.64. (Persian)
  27. Haddadi A, Yazdi-Ravandi S, Moradi A, Hajaghaie E. Comparison of the Resilience of the Medical Staff During the COVID-19 Pandemic in Response to The Effects of Yalom Group Psychotherapy and Acceptance and Commitment Group Therapy. Journal of Research and Health. 2023;13(3):9-.http://jrh.gmu.ac.ir/article-1-2197-en.html (Persian)