اﺛﺮﺑﺨﺸﯽ اﻟﮕﻮي ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻨﯽﺳﺎزي(MBT-A) ﺑﺮﮐﯿﻔﯿﺖ رواﺑﻂ ﺧﺎﻧﻮاده و رﻓﺘﺎر آﺳﯿﺐ ﺑﻪ ﺧﻮد در ﻧﻮﺟﻮاﻧﺎن دﺧﺘﺮ

The Effectiveness of Mentalization Based Therapy (MBT-A) on Increasing the Quality of Family Relationships and Reducing Self harm in Teenage Girls

زﻣﯿﻨﻪ و ﻫﺪف آﺳــﯿﺐ ﺑﻪ ﺧﻮد ﺑﻪﻣﺜﺎﺑﻪ ﯾﮏ ﻋﻤﻞ ﻋﻤﺪي ﺻــﺪﻣﻪ ﺑﻪ ﺧﻮد ﺑﺪون ﻓﮑﺮ ﺑﻪ ﺧﻮدﮐﺸــﯽ ﺗﻌﺮﯾﻒ ﻣﯽﺷــﻮد. ﭘﮋوﻫﺶ ﺣﺎﺿـﺮ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ اﻟﮕﻮي ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻨﯽﺳﺎزي ﺑﺮ اﻓﺰاﯾﺶ ﮐﯿﻔﯿﺖ رواﺑﻂ ﺧﺎﻧﻮاده و ﮐﺎﻫﺶ رﻓﺘﺎر آﺳﯿﺐ ﺑﻪ ﺧﻮد در ﻧﻮﺟﻮاﻧﺎن دﺧﺘﺮ اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ ﭘﮋوﻫﺶ از ﻧﻮع ﻃﺮحﻫﺎي ﻣﺪاﺧﻠﻪاي ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﮥ آﻣﺎري ﭘﮋوﻫﺶ را ﻫﻤﮥ داﻧﺶآﻣﻮزان ﻧﻮﺟﻮان دﺧﺘﺮ ﺷﻬﺮ اﯾﻮان در ﺳﺎل 96-97 ﺗﺸﮑﯿﻞ دادﻧﺪ ﮐﻪ از ﻣﯿﺎن آنﻫﺎ 30ﻧﻤﻮﻧﮥ در دﺳﺘﺮس اﻧﺘﺨﺎب و ﺑﻪﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﺟﺎﯾﮕﺰﯾﻦ ﺷﺪﻧﺪ. ﻣﺪاﺧﻠﻪ ﺷﺎﻣﻞ 8 ﺟﻠﺴﻪ آﻣﻮزش اﻟﮕﻮي ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻨﯽﺳﺎزي ﺑﻮد. ﺑﺮاي ﮔﺮدآوري دادهﻫﺎ از ﭘﺮﺳﺶﻧﺎﻣﻪﻫﺎي ذﻫﻦﺧﻮاﻧﯽ از روي ﺗﺼﺎوﯾﺮ ﭼﺸﻢﻫﺎ، ﺧﻮدآﺳﯿﺒﯽ ﻋﻤﺪي و ﮐﯿﻔﯿﺖ راﺑﻄﻪ اﺳﺘﻔﺎده ﺷﺪ. دادهﻫﺎ از ﻃﺮﯾﻖ ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ و آزﻣﻮن ﺧﯽ 2 ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ ﮐﯿﻔﯿﺖ رواﺑﻂ ﺧﺎﻧﻮاده و ذﻫﻨﯽﺳﺎزي ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد دارد)0/001 < P(. ﺗﻔﺎوت ﻣﻌﻨﺎداري ﺑﯿﻦ ﻓﺮاواﻧﯽ اﻗﺪام ﻣﺠﺪد آﺳﯿﺐ ﺑﻪ ﺧﻮد در 2 ﮔﺮوه ﻣﺸﺎﻫﺪه ﺷﺪ)0/05

Introduction: Self-harm is defined as a deliberate act of self-harm without thinking of suicide. The purpose of this study was to investigate the Mentalization Based Therapy on increasing the quality of family relationships and reducing their self-harm behavior in adolescent girls. Materials and Methods: This research was a pretest-posttest-interventional pattern with control group. The statistical population of the study consisted of all adolescent girls from Avan in 2017-18. Of these, 30 available samples were selected and randomly divided into two experimental and control groups. The intervention included 8 training sessions on the Mentalization Based Therapy. Reading the Mind in the Eyes Test, Quality of relationship inventory and Deliberate Self-Harm Inventory were used. Data were analyzed using covariance analysis and Chi square test. Results: Showed that there is a significant difference between the mean quality of family relationships and the mentality of the experimental and control group (P <0.001). Also, there was a significant difference between the frequency of self- harm in two groups (0.05) > P). Conclusion: A positive change in mentalization and improvement in family relationships can reduce self-harm. The results of the research are based on the Mentalization Based Therapy of the quality of family relationships and self-harm behavior in adolescent girls.