اثربخشي رفتاردرماني ديالكتيكي بر افزايش شفقت خود و بهزيستي ذهني و كاهش فشارخون افراد وابسته به مواد

The Effectiveness of Dialectical Behavior Therapy on Increasing Self-Compassion and Psychological Well-being and Decreasing Blood Pressure in Individuals with Substance Abuse

ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ رﻓﺘﺎردرﻣﺎﻧﯽ دﯾﺎﻟﮑﺘﯿﮑﯽ ﺑﺮ اﻓﺰاﯾﺶ ﺷﻔﻘﺖ ﺧﻮد و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ و ﮐﺎﻫﺶ ﻓﺸﺎرﺧﻮن اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل ﭘﺮﻓﺸﺎري ﺧﻮن ﺑﻮد. روش: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﻧﯿ ﻤﻪ آزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح آزﻣﺎﯾﺸﯽ ﭘ ﯿ ﺶآزﻣﻮن-ﭘﺲآزﻣﻮن و ﭘﯿﮕﯿﺮي ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪآﻣﺎري ﭘﮋوﻫﺶ را ﺗﻤﺎﻣﯽ اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﻣﺒﺘﻼ ﺑﻪ ﭘﺮﻓﺸﺎري ﺧﻮن ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﺷﺒﮑﻪ ﺑﻬﺪاﺷﺖ و درﻣﺎن ﺷﻬﺮﺳﺘﺎن ﺟﻢ در ﺳﺎل 1399ﺗﺸﮑﯿﻞ دادﻧﺪ. ﻓﺸﺎرﺧﻮن ﺳﺮﺧﺮﮔﯽ ﺷﺮﮐﺖ ﮐﻨﻨﺪﮔﺎن ﺑﯿﺸﺘﺮ و ﻣﺴﺎوي 140ﺑﺮ 90ﻣ ﯿﻠﯽ ﻣﺘﺮ ﺟﯿﻮه ﺑﻮد و ﺑﯿﻤﺎري آن ﻫﺎ ﺗﻮﺳﻂ ﭘﺰﺷﮏ ﺗﺎﺋﯿﺪ ﺷﺪه ﺑﻮد. از ﻣﯿﺎن آن ﻫﺎ 30 ﻧﻔﺮ ﺑﻪ ﺷﯿﻮه ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب و ﺳﭙﺲ ﺑﻪﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﮔﻤﺎرده ﺷﺪﻧﺪ. ﮔﺮوه آزﻣﺎﯾﺶ ﻃ ﯽ 10 ﺟﻠﺴﻪ 90دﻗﯿﻘﻪ ا ي ﺑﻪﺻﻮرت ﯾﮏ ﺑﺎر در ﻫﻔﺘﻪ آﻣﻮزش رﻓﺘﺎردرﻣﺎﻧﯽ دﯾﺎﻟﮑﺘﯿﮑﯽ را درﯾﺎﻓﺖ ﻧﻤﻮدﻧﺪ. اﺑﺰار ﺟﻤﻊآوري دادهﻫﺎ، ﻣﻘ ﯿﺎس ﺷﻔﻘﺖ ﺧﻮد، ﻣﻘﯿﺎس ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ و دﺳﺘﮕﺎه ﻓﺸﺎرﺳﻨﺞ ﺟﯿ ﻮها ي ﺑﻮد. دادهﻫﺎ ﭘﺲ از ﻣﺮﺣﻠﻪ ﭘﯿﮕﯿﺮي ﺑﺎ اﺳﺘﻔﺎده از روش ﺗﺤﻠﯿﻞ ﮐﻮوار ﯾﺎﻧﺲ ﭼﻨﺪ ﻣﺘﻐﯿﺮي ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ آﻣﻮزش رﻓﺘﺎردرﻣﺎﻧﯽ دﯾﺎﻟﮑﺘﯿﮑﯽ ﻣﻮﺟﺐ اﻓﺰاﯾﺶ ﻣﻌﻨﯽ دار ﺷﻔﻘﺖ ﺧﻮد و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ و ﮐﺎﻫﺶ ﻓﺸﺎرﺧﻮن ﺳﯿﺴﺘﻮﻟﯿﮏ و دﯾﺎﺳﺘﻮﻟﯿﮏ اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد ﻣﯽﺷﻮد. ﻧﺘﯿﺠﻪﮔﯿﺮ ي: ﻣﯽﺗﻮان ﻧﺘﯿﺠﻪ ﮔﺮﻓﺖ ﮐﻪ آﻣﻮزش رﻓﺘﺎردرﻣﺎﻧﯽ دﯾﺎﻟﮑﺘﯿﮑﯽ ﻧﻘﺶ ﻣﻬﻤﯽ در اﻓﺰاﯾﺶ ﺷﻔﻘﺖ ﺧﻮد و ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ و ﮐﺎﻫﺶ ﻓﺸﺎرﺧﻮن اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد دارد و ﻣﺘﻐﯿﺮ ﯾﺎدﺷﺪه ﻣﯽﺗﻮاﻧﺪ ﻣﯿﺰان ﺑﺎﻻﯾﯽ از ﺗﻐﯿﯿﺮﭘﺬﯾﺮي ﺷﻔﻘﺖ ﺧﻮد، ﺑﻬﺰﯾﺴﺘﯽ ذﻫﻨﯽ و ﻓﺸﺎرﺧﻮن ﺳﯿﺴﺘﻮﻟﯿﮏ و دﯾﺎﺳﺘﻮﻟﯿﮏ آﻧﺎن را در ﺷﺮاﯾﻂ ﻧﺎﺳﺎزﮔﺎري ﺗﺒﯿﯿﻦ ﻧﻤﺎﯾﺪ.

The aim of this study was to determine the effectiveness of dialectical behavior therapy on increasing self-compassion and psychological well-being and decreasing blood pressure in individuals with substance abuse disorders. Method: The present study was quasi-experimental with a pretest-posttest experimental design and follow-up with a control group. Participants were individuals addicted to substance abuse who referred to the health network of Jam city in 1399. Arterial blood pressure of participants was ≥140 to 90 mm/Hg and their disease was confirmed by a specialist. Among them, 30 individuals were selected by available sampling method and then randomly divided into experimental and control groups. The experimental group received dialectical behavioral therapy training in 10 sessions of 90 minutes once a week. Data collection tools were self-compassion scale, psychological well-being scale, and mercury sphygmomanometer. Data were analyzed after the follow-up step using multivariate analysis of covariance. Results: The results showed that dialectical behavior therapy training significantly increased self-compassion and psychological well-being and reduced systolic and diastolic blood pressure in individuals with substance abuse. Conclusion: It can be concluded that dialectical behavioral therapy training has an important role in increasing self-compassion and psychological well-being and decreasing blood pressure in individuals with substance abuse.