مقایسه اثربخشی الگوی فعال‌سازی رفتاری مبتنی بر ارزش‌ها و ذهن‌آگاهی بر مکانیسم‌های مقابله در بیماران دیابتی

نویسندگان

  • آرزو صفریانی گروه روانشناسی سلامت، واحد بین المللی کیش، دانشگاه آزاد اسلامی، کیش، ایران نویسنده https://orcid.org/0000-0003-3890-4294
  • علیرضا جعفری گروه روانشناسی بالینی، واحد بین المللی کیش، دانشگاه آزاد اسلامی، کیش، ایران https://orcid.org/0000-0001-9968-8578
  • مهرداد ثابت گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران نویسنده https://orcid.org/0000-0003-3890-4294

کلمات کلیدی:

الگوی فعالسازی رفتاری مبتنی بر ارزش‌ها, ذهن‌آگاهی, مکانیسم‌های مقابله, بیماران دیابتی

چکیده

مقدمه و هدف: دیابت به‌عنوان یک بیماری مزمن، علاوه بر پیامدهای جسمانی، با فشارهای روان‌شناختی مداومی همراه است که می‌تواند نحوه استفاده بیماران از مکانیسم‌های مقابله‌ای را تحت تأثیر قرار دهد. پژوهش حاضر با هدف مقایسه اثربخشی الگوی فعال‌سازی رفتاری مبتنی بر ارزش‌ها و ذهن‌آگاهی بر مکانیسم‌های مقابله مسئله‌مدار، هیجان‌مدار و اجتناب‌مدار در بیماران دیابتی انجام شد.

روش‌شناسی: این پژوهش کاربردی و نیمه‌آزمایشی با طرح پیش‌آزمون–پس‌آزمون–پیگیری و گروه گواه انجام شد. جامعه آماری شامل زنان مبتلا به دیابت مراجعه‌کننده به مراکز درمانی شهرستان میانه بود که از میان آنان 45 نفر به‌صورت هدفمند انتخاب و به‌طور تصادفی در سه گروه 15 نفره فعال‌سازی رفتاری مبتنی بر ارزش‌ها، ذهن‌آگاهی و گواه جایگزین شدند. هر دو مداخله طی هشت جلسه گروهی اجرا شدند و مرحله پیگیری دو ماه پس از مداخله انجام گرفت. داده‌ها با پرسشنامه مقابله با موقعیت‌های فشارزا (CISS) جمع‌آوری و با تحلیل واریانس آمیخته و آزمون تعقیبی بونفرنی در نرم‌افزار SPSS تحلیل شدند.

یافته‌ها: اثر گروه بر مقابله مسئله‌مدار (F=8.711, p=.001)، هیجان‌مدار (F=8.656, p=.001) و اجتناب‌مدار (F=9.573, p=.001) معنادار بود. همچنین، اثر زمان و تعامل زمان×گروه برای مقابله مسئله‌مدار (F=519.705 و F=140.803)، هیجان‌مدار (F=203.291 و F=53.808) و اجتناب‌مدار (F=252.136 و F=66.320) معنادار بود (p=.001). آزمون بونفرنی نشان داد هر دو مداخله در مقایسه با گروه گواه موجب افزایش معنادار مقابله مسئله‌مدار و کاهش معنادار مقابله هیجان‌مدار و اجتناب‌مدار شدند، درحالی‌که تفاوت معناداری بین دو مداخله مشاهده نشد (p=1.000). اثرات درمانی در مرحله پیگیری نیز حفظ شدند.

نتیجه‌گیری: فعال‌سازی رفتاری مبتنی بر ارزش‌ها و ذهن‌آگاهی هر دو می‌توانند به‌طور مؤثری الگوی مقابله بیماران دیابتی را به سمت راهبردهای سازگارانه‌تر سوق دهند. با توجه به اثربخشی مشابه این دو رویکرد، می‌توان از آن‌ها به‌عنوان مداخلات روان‌شناختی مکمل در کنار مراقبت‌های پزشکی دیابت استفاده کرد.

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صفریانی آ. ., جعفری ع., & ثابت م. (1406). مقایسه اثربخشی الگوی فعال‌سازی رفتاری مبتنی بر ارزش‌ها و ذهن‌آگاهی بر مکانیسم‌های مقابله در بیماران دیابتی. روان‌شناسی انگیزش، رفتار و سلامت, 1-21. https://www.jpmbh.com/index.php/jpmbh/article/view/517