اثربخشي درمان راه حل محور بر خودكنترلي شناختي و بهزيستي ذهني در زنان بدسرپرست با آمادگي به اعتياد

The Effectiveness of Solution-Based Therapy on Cognitive Self-Control and Mental Well-Being in Mistreated Women with Addiction Readiness

ﻫﺪف از ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن راه ﺣﻞ ﻣﺤﻮر ﺑﺮ ﺧﻮدﮐﻨﺘﺮﻟﯽ ﺷﻨﺎﺧﺘﯽ و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ در زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ ﺑﺎ آﻣﺎدﮔﯽ ﺑﻪ اﻋﺘﯿﺎد ﺑﻮد. روش : روش ﭘﮋوﻫﺶ ﺷﺒﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘ ﺮل ﺑﻮد. ﺟﺎﻣﻌﻪي آﻣﺎري ﭘﮋوﻫﺶ ﺣﺎﺿﺮ را ﺗﻤﺎﻣﯽ زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﻣﺮﮐﺰ ﺑﻬﺰﯾﺴﺘﯽ اﺳﺘﺎن ﺗﻬﺮان در ﺳﺎل 1399ﺗﺸﮑﯿﻞ دادﻧﺪ. ﺑﺮاي ﻏﺮﺑﺎل ﮐﺮدن زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ داراي آﻣﺎدﮔﯽ اﻋﺘﯿﺎد، از ﭘﺮﺳﺶﻧﺎﻣﻪي آﻣﺎدﮔﯽ اﻋﺘﯿﺎد زرﮔﺮ اﺳﺘﻔﺎده ﺷﺪ و از 200زن ﺑﺪﺳﺮﭘﺮﺳﺘﯽ ﮐﻪ اﯾﻦ ﭘﺮﺳﺶﻧﺎﻣﻪ را ﺗﮑﻤﯿﻞ ﮐﺮده ﺑﻮدﻧﺪ، 30ﻧﻔﺮ ﺑﺎ ﺑﺎﻻﺗﺮﯾﻦ ﻧﻤﺮه اﻧﺘﺨﺎب )ﻧﻘﻄﻪ ﺑﺮش= ﻧﻤﺮات ﺑﺎﻻﺗﺮ از 54( و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ در ﮔﺮوه آزﻣﺎﯾﺶ ) 15ﻧﻔﺮ( و ﮔﺮوه ﮐﻨﺘﺮل ) 15ﻧﻔﺮ( ﺟﺎﯾﮕﺰﯾﻦ ﺷﺪﻧﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﮔﺮوه آزﻣﺎﯾﺶ، 8ﺟﻠﺴﻪ ﺑﺮﻧﺎﻣﻪي راه ﺣﻞ ﻣﺤﻮر را درﯾﺎﻓﺖ ﻧﻤﻮدﻧﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از روش آﻣﺎري ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮي ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ آﻣﻮزش درﻣﺎن راه ﺣﻞ ﻣﺤﻮر ﺑﺮ ﺧﻮدﮐﻨﺘﺮﻟﯽ ﺷﻨﺎﺧﺘﯽ و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ ﺑﺎ آﻣﺎدﮔﯽ ﺑﻪ اﻋﺘﯿﺎد ﺗﺎﺛﯿﺮ داﺷﺖ. زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ ﺑﺎ آﻣﺎدﮔﯽ ﺑﻪ اﻋﺘﯿﺎد در ﮔﺮوه آزﻣﺎﯾﺶ ﻧﺴﺒﺖ ﺑﻪ زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ در ﮔﺮوه ﮐﻨﺘﺮل در ﭘﺲآزﻣﻮن، ﺑﻪ ﻃﻮر ﻣﻌﻨﺎداري ﺧﻮدﮐﻨﺘﺮﻟﯽ ﺷﻨﺎﺧﺘﯽ ﮐﻤﺘﺮ و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ ﺑﯿﺸﺘﺮي داﺷﺘﻨﺪ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺮ ﭘﺎﯾﻪ ﯾﺎﻓﺘﻪ ﻫﺎي اﯾﻦ ﭘﮋوﻫﺶ ﻣﯽﺗﻮان ﻧﺘﯿﺠﻪ ﮔﺮﻓﺖ ﮐﻪ ﻣﺪاﺧﻠﻪ راه ﺣﻞ ﻣﺤﻮر روﺷﯽ ﻣﻨﺎﺳﺐ ﺑﺮاي ﺑﻬﺒﻮد ﺧﻮدﮐﻨﺘﺮﻟﯽ ﺷﻨﺎﺧﺘﯽ و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ در زﻧﺎن ﺑﺪﺳﺮﭘﺮﺳﺖ اﺳﺖ

The aim of this study was to determine the effectiveness of solution-based therapy on cognitive self-control and mental well-being in mistreated women with addiction readiness. Method: The research method was quasi-experimental with pretest-posttest design with a control group. The statistical population of the present study included all mistreated women referred to the Welfare Center of Tehran province in 2020. To screen mistreated women with addiction readiness, the Zargar Addiction Readiness Questionnaire was used, and out of 200 mistreated women who filled out this questionnaire, 30 were selected with the highest score (cut-off point= scores above 54) and randomly assigned into the experimental (n = 15) and control (n = 15) groups. The participants in the experimental group received 8 sessions of a solution-based program. Data were analyzed using multivariate analysis of covariance. Results: The results showed that the solution-based therapy training had a significant effect on cognitive self-control and mental well-being in mistreated women with addiction readiness. Mistreated women with addiction readiness in the experimental group had significantly less cognitive self-control and more mental well-being in the post-test than those in the control group. Conclusion: Based on the findings of this study, it can be concluded that the solution-based intervention is an appropriate way to improve cognitive self-control and mental well-being in mistreated women.