نوع مقاله : مقاله پژوهشی
نویسندگان
- کیمیا صحرائیان 1
- لیلا رازقیان جهرمی 2
- دانیال صالحی 3
- صدیقه نصیری پور 4
- شیما دهقان زاده 5
- ساناز گرمسیری نژاد 6
1 استادیار گروه روانشناسی. مرکز آموزش عالی اقلید. اقلید. ایران
2 روانپزشک. دانشکده پزشکی. دانشگاه علوم پزشکی شیراز. شیراز. ایران
3 پزشک عمومی، دانشکده پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران
4 دکتری روان شناسی تربیتی، دانشگاه سمنان، سمنان، ایران
5 کارشناسی ارشد روانشناسی بالینی، دانشکده علوم تربیتی و روانشناسی،، دانشگاه شیراز، شیراز، ایران
6 پزشک عمومی. دانشکده پزشکی. دانشگاه علوم پزشکی شیراز. شیراز. ایران
چکیده
زمینه و هدف: : یکی از مشکلات شایع در جامعه، مصرف مواد است و بسیاری از مصرفکنندگان، مشکلاتی در زمینه بهداشت روانی دارند که گاهی باعث بروز یا تشدید اختلالات روانپزشکی میشود. از مهمترین موانع برای مراجعه به مراکز درمانی، داغ ننگ مصرفکننده است که مستقیماً بر کیفیت زندگی او تأثیر میگذارد و باعث ایجاد احساسات منفی و رفتار ناسازگارانه میشود. این امر نشاندهنده اهمیت رواندرمانی برای کاهش داغ ننگ است. هدف از این پژوهش، تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت زندگی و داغ ننگ در بیماران مصرفکننده مواد بود..
مواد و روشها: پژوهش حاضر بر روی 30 بیمار مصرفکننده مواد که برای ترک اعتیاد به بیمارستان استاد محرری شهر شیراز در سال 1400 مراجعه کردهاند، انجام شد که بهطور تصادفی در دو گروه آزمون و کنترل قرار گرفتند. ابزارهای پژوهش، مقیاس کیفیت زندگی فورمن و هربرت (2009) و داغ ننگ ادراکشده لینک و فلان (2017)، بودند. گروه آزمون تحت برنامه درمانی مبتنی بر پذیرش و تعهد قرار گرفت اما گروه کنترل، مداخلهای دریافت نکرد.
یافتهها: در مقایسه با گروه کنترل، میانگین نمره کیفیت زندگی افزایش و میانگین نمره داغ ننگ کاهش یافت (001/0P<) و بین دو گروه آزمایش و کنترل در نمرات پسآزمون، تفاوت معنیدار مشاهده شد (001/0P<)..
نتیجهگیری: برنامه درمانی مبتنی بر پذیرش و تعهد در افزایش کیفیت زندگی و کاهش داغ ننگ در بیماران مصرفکننده مواد مؤثر میباشد.
تازه های تحقیق
https://scholar.google.com/citations?user=wvgZEx0AAAAJ&hl=en
https://scholar.google.com/citations?hl=en&user=0JAwWJMAAAAJ
https://scholar.google.com/citations?hl=en&user=9M0wBKMAAAAJ
https://scholar.google.com/citations?user=9M0wBKMAAAAJ&hl=en
https://scholar.google.com/citations?user=3p5MwWIAAAAJ&hl=fa
https://scholar.google.com/citations?view_op=new_articles&hl=en&imq=Sanaz+Garmsirinejad
کلیدواژهها
موضوعات
عنوان مقاله [English]
The Effectiveness of Acceptance and Commitment-Based Therapy on Quality of Life and Internal Stigma in Drug Users
نویسندگان [English]
- Kimia Sahraian 1
- leila Razeghian Jahromi 2
- Danial Salehi 3
- Sedighe Nasiripoor 4
- Shima Dehghanzadeh 5
- Sanaz Garmsirinezad 6
1 Assistant Professor. Department of Psychology, Higher Education Center of Eghlid, Eghlid, Iran
2 M.D. Shiraz university of medical science. Shiraz. Iran
3 M.D. Shiraz University of Medical Sciences, Shiraz, Iran
4 PhD of psychology. Semnan University, Semnan, Iran
5 M.A of psychology. Department of psychology, Shiraz University, Shiraz,. Iran
6 M.D. Shiraz university of medical science. Shiraz. Iran
چکیده [English]
Introduction: Drug use is a common problem in society, and many drug users experience mental health issues that may cause or exacerbate psychiatric disorders. One of the most significant obstacles to seeking treatment services is internalized stigma, which directly affects the quality of life of individuals and leads to negative feelings and maladaptive behaviors. This highlights the importance of psychological interventions aimed at reducing the sense of stigma experienced. This study aimed to determine the effectiveness of acceptance and commitment-based therapy on the quality of life and internal stigma in drug users.
Materials and Methods: The statistical population of this research included all individuals who visited Ostad Mohrhari Hospital in Shiraz during January and February seeking help to overcome addiction. In this research, 30 drug users were randomly divided into two groups: experimental and control. Questionnaires measuring quality of life (Forman & Herbert, 2009) and perceived stigma (Leink & Falan, 2017) were utilized. The experimental group underwent a treatment program based on acceptance and commitment, while the control group did not receive any intervention.
Results: Compared to the control group, the mean quality of life score increased, and the mean stigma score decreased (P < 0.001). A significant difference was observed in the post-test scores between the experimental and control groups (P < 0.001).
Conclusion: The treatment program based on acceptance and commitment positively affected both the quality of life and the reduction of internal stigma in drug-using patients.
کلیدواژهها [English]
- Acceptance and Commitment Therapy Program
- Quality of Life
- Perceived Stigma
- Substance Abuse Patient
- Luoma JB, Kohlenberg BS, Hayes SC, Fletcher L. Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. Journal of consulting and clinical psychology. 2012 Feb;80(1):43. doi: 1037/a0026070
- Dickerson SS, Gruenewald TL, Kemeny ME. When the social self is threatened: Shame, physiology, and health. Journal of personality. 2004 Dec;72(6):1191-216. doi:10.1111/j.1467-6494.2004.00295.x
- Tangney JP, Stuewig J, Mashek DJ. Moral emotions and moral behavior. Annu. Rev. Psychol. 2007 Jan 10;58:345-72. doi:10,1146/annurev.psych.56,091103,070145
- Myers B, Parry CD. Access to substance abuse treatment services for black South Africans: findings from audits of specialist treatment facilities in Cape Town and Gauteng. African Journal of Psychiatry. 2005;8(1):15-9. doi:4314/ajpsy.v8i1.30179
- Saloner B, Bandara S, Bachhuber M, Barry CL. Insurance coverage and treatment use under the Affordable Care Act among adults with mental and substance use disorders. Psychiatric services. 2017 Jun 1;68(6):542-8. doi: 1176/appi.ps.201600182
- Gul M, Aqeel M. Acceptance and commitment therapy for treatment of stigma and shame in substance use disorders: a double-blind, parallel-group, randomized controlled trial. Journal of Substance Use. 2021 Jul 4;26(4):413-9. doi:10.1080/14659891.2020.1846803
- Shahar B, Szepsenwol O, Zilcha‐Mano S, Haim N, Zamir O, Levi‐Yeshuvi S and et al. A wait‐list randomized controlled trial of loving‐kindness meditation programme for self‐ Clinical psychology & psychotherapy. 2015 Jul;22(4):346-56. doi:10.1002/cpp.1893
- Leaviss J, Uttley L. Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological medicine. 2015 Apr;45(5):927-45. doi:10.1017/S0033291714002141
- Albertson ER, Neff KD, Dill-Shackleford KE. Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness. 2015 Jun;6:444-54. doi:10.1007/s12671-014-0277-3
- Ashford RD, Brown AM, Canode B, McDaniel J, Curtis B. A mixed-methods exploration of the role and impact of stigma and advocacy on substance use disorder recovery. Alcoholism Treatment Quarterly. 2019; 37(4): 462-480. doi:10.1080/07347324.2019.1585216
- Livingston JD, Milne T, Fang ML, Amari E. The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction.2012; 107(1): 39-50. doi:10.1111/j.1360-0443.2011.03601.x
- Yang L, Wong LY, Grivel MM, Hasin DS. Stigma and substance use disorders: an international phenomenon. Current opinion in psychiatry. 2017; 30(5): 378. doi: 1097/YCO.0000000000000351
- Luoma JB, Kohlenberg BS, Hayes SC, Bunting K, Rye AK. Reducing self-stigma in substance abuse through acceptance and commitment therapy: Model, manual development, and pilot outcomes. Addiction Research & Theory. 2008; 16(2): 149-165. doi:10.1080/16066350701850295
- Chang, J, Dubbin L, Shim J. Negotiating substance use stigma: the role of cultural health capital in provider–patient interactions. Sociology of health & illness. 2016; 38(1): 90-108. doi:10.1111/1467-9566.12351
- Dindo L, Van Liew JR, Arch J. Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics. 2017;14(3): 546-553. doi: 1007/s13311-017-0521-3
- Masuda A, Hayes SC, Fletcher LB, Seignourel PJ, Bunting K, Herbst SA and et al. Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders. Behaviour research and therapy. 2007; 45(11): 2764-2772. doi:10.1016/j.brat.2007.05.008
- Lee EB, An W, Levin ME, Twohig MP. An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders. Drug and alcohol dependence. 2015; 155, 1-7. doi:10.1016/j.drugalcdep.2015.08.004
- Luoma JB, Platt MG. Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current opinion in Psychology. 2015; 2: 97-101. doi:10.1016/j.copsyc.2014.12.016.
- Gul M, Aqeel M. Acceptance and commitment therapy for treatment of stigma and shame in substance use disorders: a double-blind, parallel-group, randomized controlled trial. Journal of Substance Use.2021; 26(4): 413-419. doi:10.1080/14659891.2020.1846803
- Sarkar S, Balhara YP, Kumar S, Saini V, Kamran A, Patil V and et al. Internalized stigma among patients with substance use disorders at a tertiary care center in India. Journal of Ethnicity in Substance Abuse. 2019; 18(3): 345-358. doi:10.1080/15332640.2017.1357158
- Delaware, A. Research Methods in Psychology and Educational Sciences, Tehran: Editing Publishing. 2004. [Persian]
- Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy. 2009; 77-101.
- WHOQOL Group. Development of the WHOQOL: rationale and current status. J Mental Health. 2015; 23(3): 24-56. doi:10.1080/00207411.1994.11449286
- Yang S, Kuo P, Su S, Wang J, Lin M. Development and Psychometric Properties of the Dialysis Module of the WHOQOL-BREF Taiwan Version. Journal of the Formosan Medical Association. 2006; 105(4): 299-309. doi:10.1016/S0929-6646(09)60121-2
- Hosseinian S, Qasemzadeh S, Niknam M. Predicting the quality of life of female teachers based on the variables of emotional intelligence and spiritual intelligence. Journal of Job and Organizational Counseling. 2012; 3 (9): 42-60.
- Pourkamali T, Yazdkhasti F, Orizi H, Chitsaz A. Comparison of the effectiveness of Dosaho method and massage therapy in increasing happiness, social adjustment, hope, quality of life and mental health of patients with Parkinson's. Journal of Health Psychology. 2016; 6 (22): 162-145.
- King M, Dinos S, Shaw J, Watson R, Stevens S, Passetti F and et al. The stigma scale: Development of a standardised measure of the stigma of mental illness. The British Journal of Psychiatry. 2007; 190(3):248-54. doi:10.1192/bjp.bp.106.024638
- Momeni F, Moshtagh N, Poorshahbaz A. Effectiveness of cognitive-behavioral group therapy on improving quality of life in opiate addicts under methadone maintenance treatment. J Res on Addic. 2013;7(27):79-92.
- Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cognitive and Behavioral Practice.2009;16(4): 430–42. doi:10.1016/j.cbpra.2008.12.009
- Peterson DB, Eifert HG. Using acceptance and commitment therapy to treat infertility stress. Cognitive and Behavioral Practice.2011;18(4):577–87. doi:10.1016/j.cbpra.2010.03.004
- Narimani M, Alamdari E, Abolghasemi.The study of the efficiency of acceptance and commitment-based therapy on the quality of Infertile women’s life. J Family Counselling & Psychotherapy. 2014; 4(3):387-405. DOR: 1001.1.22516654.1393.4.3.2.5
- Mohabbat Bahar S, Akbari ME, Maleki F, Moradi Joo M. The effectiveness of group psychotherapy based on acceptance and commitment on quality of life in women with breast cance. Journal of Thought & Behavior in Clinical Psychology. 2014; 9(34):17-26.
- Wicksell KR, Kanstrup M, Kemani MA, Holmstrom L, Olsson G. Acceptance and commitment therapy for children and adolescents with physical health concerns. Current Opinion Psychology. 2015;2:1-5. doi:1016/j.copsyc.2014.12.029
- Harris, R. Getting unstuck in ACT: A clinician's guide to overcoming common obstacles in acceptance and commitment therapy. New Harbinger Publications. 2013.
- Pak R, Abdi R. Effectiveness of acceptance and commitment therapy (ACT) on disease acceptance and experiential avoidance in patients with multiple sclerosis (MS). Contemporary Psychology, Biannual Journal of the Iranian Psychological Association. 2017; 12(1): 63-72. (Persian) https://bjcp.ir/browse.php?a_code=A-10-2158-1&slc_lang=en&sid=1