اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﭼﻨﺪوﺟﻬﯽ Lazarus ﺑﺮ ﻧﺎﻫﻤﺎﻫﻨﮕﯽ ﺷﻨﺎﺧﺘﯽ و رﺿﺎﯾﺖ ﺟﻨﺴﯽ در زﻧﺎن داراي ﺳﺒﮏ دﻟﺒﺴﺘﮕﯽ دوﺳﻮﮔﺮا

The Effectiveness of Lazarus Multimodal Therapy on Cognitive Dissonance and Sexual Satisfaction in Women with Ambivalent Attachment Style

ﻣﻘﺪﻣﻪ: ﯾﮑﯽ از ﻣﻬﻢﺗﺮﯾﻦ ﻋﻮاﻣﻠﯽ ﺗﺄﺛﯿﺮﮔﺬار ﺑﺮ ﮐﯿﻔﯿﺖ و ﭘﺎﯾﺪاري راﺑﻄﻪ زوﺟﯿﻦ رﺿﺎﯾﺖ ﺟﻨﺴﯽ اﺳﺖ. اﯾﻦ ﭘﮋوﻫﺶ ﺑـﺎ ﻫـﺪف ﺗﻌﯿـﯿﻦ اﺛﺮﺑﺨﺸﯽ درﻣﺎن Lazarus ﺑﺮ ﻧﺎﻫﻤﺎﻫﻨﮕﯽ ﺷﻨﺎﺧﺘﯽ و رﺿﺎﯾﺖ ﺟﻨﺴﯽ در زﻧﺎن داراي ﺳﺒﮏ دﻟﺒﺴﺘﮕﯽ دوﺳﻮﮔﺮا اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن، ﭘﺲآزﻣﻮن و ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ زﻧـﺎن ﻣﺘﺄﻫـ ﻞ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﻣﺮﮐﺰ ﻃﺐ زﻧﺎﺷﻮﯾﯽ ﺑﯿﻤﺎرﺳﺘﺎن اﻣﺎم ﺧﻤﯿﻨﯽ)ره( ﺷﻬﺮ ﺗﻬﺮان در ﺳﺎل 1399 ﺑﻮد. ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿـﺮي در دﺳـﺘﺮس ﺗﻌﺪاد 30 ﻧﻔﺮ اﻧﺘﺨﺎب و در ﮔﺮوهﻫﺎي آزﻣﺎﯾﺶ )15 ﻧﻔﺮ( و ﮐﻨﺘﺮل )15 ﻧﻔﺮ( ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﺑﺎ ﭘﺮﺳﺸـﻨﺎﻣﻪ ﺳـﺒﮏ دﻟﺒﺴـﺘﮕﯽ ) Hazan و Shaver، 1987( ﻏﺮﺑﺎﻟﮕﺮي ﻧﻤﻮﻧﻪﻫﺎ اﻧﺠﺎم ﺷـﺪ. ﭘﺮﺳﺸـﻨﺎﻣﻪ ﻫـﺎي ﻧﺎﻫﻤـﺎﻫﻨﮕﯽ ﺷـﻨﺎﺧﺘﯽ ) Harmon-Jones و ﻫﻤﮑـﺎران، 2008( و رﺿﺎﯾﺖ ﺟﻨﺴﯽ )Larson و ﻫﻤﮑﺎران، 1998( ﺑﺮاي ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن در ﭘﯿﺶآزﻣﻮن و ﭘﺲآزﻣﻮن ﺑﻪ ﮐﺎر ﮔﺮﻓﺘﻪ ﺷﺪ. در ﮔـﺮوه آزﻣﺎﯾﺶ، درﻣﺎن ﭼﻨﺪوﺟﻬﯽ Lazarus در 8 ﺟﻠﺴﻪ )ﻫﻔﺘﻪاي 1 ﺟﻠﺴﻪ ﺑﻪ ﻣﺪت 90 دﻗﯿﻘـﻪ اﺟـﺮا ﮔﺮدﯾـﺪ. ﭘـﺲ از ﭘﺎﯾـﺎن آﻣـﻮزش از ﮔﺮوهﻫﺎ ﭘﺲآزﻣﻮن ﮔﺮﻓﺘﻪ ﺷﺪ. دادهﻫﺎ ﺑﺎ روشﻫﺎي آزﻣﻮنﻫﺎي t )ﻣﺴﺘﻘﻞ و زوﺟﯽ( و ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮي ﺗﺤﻠﯿﻞ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮات ﻧﺎﻫﻤﺎﻫﻨﮕﯽ ﺷﻨﺎﺧﺘﯽ، رﺿﺎﯾﺖ ﺟﻨﺴﯽ و ﻣﺆﻟﻔﻪﻫﺎي آنﻫﺎ در زﻧﺎن، از ﭘﯿﺶآزﻣﻮن ﺗﺎ ﭘﺲآزﻣـﻮن ﺗﻔـﺎوت ﻣﻌﻨﯽداري وﺟﻮد داﺷﺖ )0/05

Introduction: One of the most important factors affecting the quality and stability of a couple's relationship is sexual satisfaction. This study aimed to determine the effectiveness of Lazarus Multimodal Therapy on cognitive dissonance and sexual satisfaction in women with ambivalent attachment style. Materials and Methods: The research was quasi-experimental with a pre-test and post-test design and a control group. The statistical population included all married women admitted to the Marital Medicine Center of Imam Khomeini Hospital in Tehran in 2020. By available sampling, 30 people were selected and divided into experimental (n=15) and control (n=15) groups. Samples were screened using the Attachment Style Questionnaire (Hazan and Shaver, 1987). Cognitive dissonance questionnaire (Harmon-Jones et al., 2008), sexual satisfaction questionnaire (Larson et al., 1998) were used to examine the effectiveness of the therapy in pre-test and post-test. In the experimental group, Multimodal Therapy was performed in 8 sessions (1 session per week lasting 90 minutes). At the end of the training, a post-test was taken from the groups. Data were analyzed using a t-test (independent and paired) and multivariate analysis of covariance. Results: The results showed that there was a significant difference between the mean scores of cognitive dissonance, sexual satisfaction, and their components in women, in the pre-test and the post-test (p<0.05). Moreover, Lazarus Multimodal Therapy reduced cognitive dissonance and increased sexual satisfaction in the subjects of the experimental group (p<0.05). Conclusion: Lazarus multimodal therapy can affect psychological constructs such as cognitive dissonance and sexual satisfaction of women with ambivalent attachment style. It is recommended that more research be done to increase external credibility.