اثربخشی طرحواره درمانی مبتنی بر ذهنیت بر تحریف‌های شناختی و اسنادهای علّی در دانشجویان دختر پرستاری و مامایی مبتلا به اضطراب سلامت

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

2 گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

3 استادیار، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

چکیده

هدف: پژوهش حاضر با هدف بررسی اثربخشی طرحواره درمانی مبتنی بر ذهنیت بر تحریف‌های شناختی و اسنادهای علّی در دانشجویان دختر پرستاری و مامایی مبتلا به اضطراب سلامت انجام شد. روش پژوهش: طرح پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون - پس‌آزمون و پیگیری سه‌ماهه با گروه گواه است. جامعه آماری شامل کلیه دانشجویان پرستاری و مامایی مبتلا‌به اضطراب سلامت دانشگاه‌های آزاد واحد گیلان در سال 1400 بود. از این بین تعداد 30 نفر به روش نمونه‌گیری در دسترس انتخاب و در گروه آزمایش (طرحواره درمانی مبتنی بر ذهنیت) و گواه به‌ صورت تصادفی جایگزین شدند (15 نفر در هر گروه). طرحواره درمانی مبتنی بر ذهنیت در 10 جلسه 90 دقیقه‌ای براساس بسته آموزشی یانگ و همکاران (2003) در گروه‌ آزمایش انجام شد. داده‌ها با استفاده از پرسشنامه تحریفات شناختی الیس (1986) و پرسشنامه سبک اسنادی پیترسون و همکاران (1982) جمع‌آوری شد. داده‌ها با استفاده از نرم‌افزار SPSS-22 و از طریق آزمون تحلیل واریانس با اندازه­گیری مکرر تحلیل شد. یافته ­ها: نتایج پژوهش نشان داد که طرحواره درمانی مبتنی بر ذهنیت بر تحریف‌های شناختی (59/3=F و 035/0=P) و اسنادهای علّی (30/40=F و 001/0>P) دانشجویان پرستاری و مامایی مبتلا‌ به اضطراب سلامت اثربخش است. نتیجه ­گیری: با توجه‌ به نقش باورها و افکار در اضطراب سلامت پیشنهاد می‌شود که درمانگران، طرحواره درمانی مبتنی بر ذهنیت را در کاهش علائم تحریفات شناختی و اسنادهای علّی مدنظر قرار دهند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Mindfulness-Based Schema Therapy on Cognitive Distortions and Causal Attributions in Nursing and Midwifery Students with Health Anxiety

نویسندگان [English]

  • Shabnam Navidi Poshtiri 1
  • Ramezan Hasanzadeh 2
  • Seyedeh Olia Emadian 3
1 1. PhD student, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
2 Department of psychology, Sari Branch, Islamic Azad University, Sari, Iran
3 Assistant Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
چکیده [English]

Aim: The aim of this study was to investigate the effectiveness of mindfulness-based schema therapy on cognitive distortions and causal attribution in nursing and midwifery students with health anxiety. Method: The research design is quasi-experimental with pre-test-post-test design and three-month follow-up with the control group. The statistical population included all nursing and midwifery students with health anxiety in Guilan Branch of Azad University in 2021. Among them, 30 people were selected by available sampling method and were randomly replaced in the experimental group (mentality-based schema therapy) and the control group (15 people in each group). Mentally based schema therapy was performed in 10 sessions of 90 minutes based on Young et al. (2003) training package in the experimental group. Data were collected using Ellis's Cognitive Distortion Questionnaire (1986) and the Attribution Style Questionnaire of Peterson et al. (1982). Data were collected using cognitive distortions by Ellis, Peterson et al. Data were analyzed using SPSS-22 software and repeated measures analysis of variance. Results: The results showed that mentally based schema therapy was effective on cognitive distortions (F= 3.59, P= 0.035) and causal attributions (F=40.30, P<0.001) of nursing and midwifery students with health anxiety. Conclusion: Considering the role of beliefs and thoughts in health anxiety, it is suggested that therapists consider mindfulness-based therapeutic schemas in reducing the symptoms of cognitive distortions and causal attributions.

کلیدواژه‌ها [English]

  • Schema therapy based on mentality
  • cognitive distortions
  • causal documents
References
Aydın, A., & Akgün, B. M. (2021). Interpersonal cognitive distortions and family role performances in spouses during COVID‐19 pandemic process in Turkey. Perspectives in psychiatric care.
Cook, S. I., Meyer, D., & Knowles, S. R. (2019). Relationships between psychoevolutionary fear of evaluation, cognitive distortions, and social anxiety symptoms: A preliminary structural equation model. Australian Journal of Psychology, 71(2), 92-99.
Ellis, T. E. (1986). Toward a cognitive therapy for suicidal individuals. Professional Psychology: Research and Practice, 17(2), 125.
Giesbers, A. S., Schouteten, R. L., Poutsma, E., van der Heijden, B. I., & van Achterberg, T. (2021). Towards a better understanding of the relationship between feedback and nurses’ work engagement and burnout: A convergent mixed-methods study on nurses’ attributions about the ‘why’of feedback. International Journal of Nursing Studies, 117, 103889.
Gollust, S. E., Cunningham, B. A., Bokhour, B. G., Gordon, H. S., Pope, C., Saha, S. S.,... & Burgess, D. J. (2018). What causes racial health care disparities? A mixed-methods study reveals variability in how health care providers perceive causal attributions. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018762840.
Işık, O., Tengilimoğlu, D., Tosun, N., Zekioğlu, A., & Tengilimoğlu, O. (2021). Evaluating the Factors (Stress, Anxiety and Depression) Affecting the Mental Health Condition of Nurses During the COVID-19 Pandemic. Evaluation & the Health Professions, 01632787211062660.
Karakaş, M., & Çingöl, N. (2021). The relationship of childhood trauma experiences with cognitive distortions and sense of coherence in nursing students. Perspectives in psychiatric care.
Katz, D., & Toner, B. (2013). A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness, 4(4), 318-331.
Kim, J. H., Choo, W., & Song, H. O. (2020, November). Puzzle mix: Exploiting saliency and local statistics for optimal mixup. In International Conference on Machine Learning (pp. 5275-5285). PMLR.
Lee, Y., Jeon, Y. W., Im, E. O., & Baek, J. M. (2021). Causal attributions and quality of life of Korean breast cancer survivors. Asian Nursing Research, 15(1), 53-59.
Li, Y., & He, Q. (2021). Is Mental Illness like Any Other Medical Illness? Causal Attributions, Supportive Communication and the Social Withdrawal Inclination of People with Chronic Mental Illnesses in China. Health Communication, 36(14), 1949-1960.
McLaughlin, E., Lefaivre, M. J., & Cummings, E. (2010). Experimentally-induced learned helplessness in adolescents with type 1 diabetes. Journal of pediatric psychology, 35(4), 405-414.
Mokhtari, R., Moayedi, S., & Golitaleb, M. (2020). COVID‐19 pandemic and health anxiety among nurses of intensive care units. International journal of mental health nursing, 29(6), 1275.
Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. (1982). The attributional style questionnaire. Cognitive therapy and research, 6(3), 287-299.
Pozos-Radillo, B. E., de Lourdes Preciado-Serrano, M., Acosta-Fernández, M., de los Ángeles Aguilera-Velasco, M., & Delgado-García, D. D. (2014). Academic stress as a predictor of chronic stress in university students. Psicología educativa, 20(1), 47-52.
Raftar Aliabadi, M. R., & Shareh, H. (2022). Mindfulness-based schema therapy and forgiveness therapy among women affected by infidelity: A randomized clinical trial. Psychotherapy Research, 32(1), 91-103.
Roelofs, J., Muris, P., & Lobbestael, J. (2016). Acting and feeling like a vulnerable child, an internalized “bad” parent, or a healthy person: The assessment of schema modes in non-clinical adolescents. Journal of personality disorders, 30(4), 469-482.
Ruz, M. E. A., Al-Akash, H. Y., & Jarrah, S. (2018). Persistent (anxiety and depression) affected academic achievement and absenteeism in nursing students. The open nursing journal, 12, 171.
Sadock, B. J., Sadock, V. A. and Ruiz, P. (2015). Selective serotonin reuptake inhibitors. s of Psychiatry, LWW.
Shahmoradi, Z., Khaleghipour, S., & Masjedi, M. (2019). Comparing Effectiveness of “Schema Therapy” and “Mindfulness-Based Cognitive Therapy” on Maladaptive Schemas and General Health in Patients with Vitiligo. Journal of Health Promotion Management, 7(6), 42-52.
Smith, C. E., Kajumba, M., Bobholz, S., Smith, P. J., Kaddumukasa, M., Kakooza-Mwesige, A.,... & Koltai, D. C. (2021). Pluralistic and singular causal attributions for epilepsy in Uganda. Epilepsy & Behavior, 114, 107334.
Tsaras, K., Papathanasiou, I. V., Vus, V., Panagiotopoulou, A., Katsou, M. A., Kelesi, M., & Fradelos, E. C. (2018). Predicting factors of depression and anxiety in mental health nurses: a quantitative cross-sectional study. Medical Archives, 72(1), 62.
Weiner, B. (2010). The development of an attribution-based theory of motivation: A history of ideas. Educational psychologist, 45(1), 28-36.
Yazdanpanah, A., Ghasemi, A., Siamian, H., & Javadian, M. (2011). The study of the attributional style of the students studying in Mazandaran University of Medical Sciences in 2008-2009. Journal of Mazandaran University of Medical Sciences, 21(82), 84-88.
Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach. Professional Resource Press/Professional Resource Exchange.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy. New York: Guilford, 254.
Yüksel, A., & Bahadir‐Yilmaz, E. (2019). Relationship between depression, anxiety, cognitive distortions, and psychological well‐being among nursing students. Perspectives in psychiatric care, 55(4), 690-696.
Zandi Payam, A., & Mirzaeidoostan, Z. (2019). Online game addiction relationship with cognitive distortion, parenting style, and narcissistic personality traits in students. Iranian Journal of Psychiatry and Clinical Psychology, 25(1), 72-83.