مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

مقایسه اثربخشی درمان روان‌پویشی فشرده و درمان شناختی رفتاری متمرکز بر هیجان مبتنی بر مدل SPARS بر نشخوار فکری و افسردگی در زنان نابارور

نوع مقاله : مقاله پژوهشی

نویسندگان
Azita Bagheri 1
Narges Mirani Sargazi 2
Azam Mohammadi Matin 3
Mehdi Akbarzadeh 4
Fatemeh Nasripour 5
1 Department of General Psychology, Faculty of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2 Department of Educational Sciences and Psychology, Faculty of Psychology and Educational Sciences, Shiraz University, Iran.
3 Department of Educational Sciences, Faculty of Psychology and Educational Sciences, University of Birjand, Birjand, Iran.
4 Career Counseling Department, Faculty of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
5 Department of Torbat Psychology, Faculty of Medicine, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
10.22038/JFMH.2025.89522.3263
چکیده
مقدمه: افسردگی و نشخوار فکری در بین زنان نابارور شایع است و نیاز به مداخلات مؤثر دارد. این مطالعه اثربخشی درمان روان‌پویشی فشرده (IPT) و درمان شناختی رفتاری متمرکز بر هیجان مبتنی بر SPARS (EF-CBT) را بر نشخوار فکری و افسردگی مقایسه کرد.
روش‌ کار: در این مطالعه، 60 زن نابارور در تهران-ایران در سال 2024، به صورت هدفمند نمونه‌گیری و به طور تصادفی به دو گروه مداخله و یک گروه کنترل (هر کدام 20 نفر) اختصاص داده شدند. از پرسشنامه نشخوار فکری نولن-هوکسما و پرسشنامه افسردگی بک استفاده شد. IPT شامل 8 جلسه گروهی (2 جلسه در هفته، هر جلسه 60 دقیقه) بود، در حالی که EF-CBT مبتنی بر مدل SPARS شامل 12 جلسه (2 جلسه در هفته، هر جلسه 60 دقیقه) بود. گروه کنترل در لیست انتظار قرار گرفت. داده‌ها با استفاده از آزمون‌های ANCOVA، ANOVA و t-test تجزیه و تحلیل شدند.
نتایج: تفاوت‌های معناداری بین گروه‌های مداخله و کنترل در نمرات پس‌آزمون نشخوار فکری (P= 0.000، F= 175.118) و افسردگی (P= 0.000، F= 61.57) مشاهده شد. EF-CBT تأثیر بیشتری بر نشخوار فکری و افسردگی نسبت به IPT داشت.
نتیجه‌گیری: هر دو EF-CBT و IPT مبتنی بر SPARS به طور مؤثری نشخوار فکری و افسردگی را در زنان نابارور کاهش می‌دهند. آگاهی و پذیرش احساسات اساسی، بازسازی شناختی و ابراز احساسات، مکانیسم‌های کلیدی هستند. این مداخلات را می‌توان در کلینیک‌های ناباروری و مراکز مشاوره به کار برد.
کلیدواژه‌ها
درمان روان‌پویشی
ناباروری
نشخوار فکری
هیجان
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مجله اصول بهداشت روانی
دوره 28، شماره 1
بهمن و اسفند 1405
صفحه 37-44