درمان اختلال استرس پس از ضربه در زنان با تجربه خیانت همسر

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روان‌شناسی دانشگاه تربیت مدرس

2 دانشیارروان‌شناسی دانشگاه تربیت مدرس

3 استاد روان‌شناسی دانشگاه خوارزمی

4 دانشیار روان‌شناسی دانشگاه علامه طباطبائی

چکیده

استرس­پس­از­ضربه و افسردگی، شایع­ترین بیماری­های مرتبط با حادثه آسیب­زا هستند. هدف پژوهش حاضر تشخیص اثربخشی درمان مواجهه روایی بر کاهش علائم استرس­پس­از­ضربه و افسردگی همبود است. درمان مواجهه­روایی دربرگیرنده بسیاری از مؤلفه­های مواجهه­سازی است و البته توجه مضاعفی دارد بر مستندسازی روشن فجایعی که قربانی متحمل شده­است. در این مطالعه 24 نفر از زنان تهرانی با تجربه خیانت همسر و دارای استرس­پس­از­ضربه و افسردگی، با گمارش تصادفی در گروه­های کنترل و آزمایش قرار­گرفتند. همه افراد، مورد مصاحبه­بالینی قرار­گرفتند، سپس مقیاس تجدیدنظرشده تأثیررویداد (IES-R) و سیاهه‌افسردگی بک (BDI) را تکمیل­کردند؛ گروه آزمایش هشت جلسه درمان را پشت­سر گذاشتند و افراد هر دوگروه مقیاس و سیاهه را دوباره بلافاصله پس از درمان و سه ماه پس از آن تکمیل نمودند. داده­ها با استفاده از آزمون تحلیل واریانس اندازه­های مکرر مورد تجزیه و تحلیل قرارگرفت. نتایج تحلیل آماری نشان داد استرس‌پس‌از‌ضربه و دومولفه از سه­مولفه آن (افکارناخواسته و برانگیختگی) در گروه آزمایش بلافاصله پس از درمان و سه ماه پس از آن به طور معنادار کاهش پیدا کرده­است. افسردگی نیز در گروه آزمایش بلافاصله پس از درمان به طور معنادار کاهش پیدا کرده و سیر نزولی خود را تا سه ماه بعد حفظ کرده­است. برطبق این پژوهش درمان حاضر می­تواند در حیطه مسائل اجتماعی و برای درمان استرس پس‌از‌ضربه نیز به صورت مؤثر به کار گرفته شود. موفقیت این درمان را در بستر فرهنگ ایرانی می­توان مدیون جنبه روایی درمان تلقی کرد. پژوهش حاضر هم­چنین تأیید می­کند که روابط فرازناشویی، می­تواند منجر به استرس­پس­از­ضربه در فرد قربانی شود.

کلیدواژه‌ها


عنوان مقاله [English]

Narrative Exposure Therapy for Reducing Post-Traumatic Stress Disorder in Iranian Betrayed Wives

نویسندگان [English]

  • Mona Shivarani 1
  • Parviz Azadfallah 2
  • Alireza Moradi 3
  • Hosein Eskandari 4
1 Ph. D. Candidate of Psychology, Tarbiat Modares University.
2 Associate Professor of Psychology, Tarbiat Modares University,
3 Professor of Psychology, Kharazmi University
4 Associate Professor of Psychology, AllamehTabataba’i University
چکیده [English]

PTSD and depression are most prevalent disorders in traumatic events. This research studies reducing symptoms of PTSD and comorbid depression through narrative exposure therapy (NET). NET incorporated many of exposure elements with additional focus of clearly documenting the atrocities endured. 24 betrayed women with PTSD and depression were randomized in experiment and control groups. Participants were clinically interviewed and filled out impact of event scale-revised (IES-R) and Beck Depression inventory (BDI) for three times; once before and once after 8 sessions of experiment group’s therapy. Third time was three months after therapy. Data were analyzed using repeated measures variances analysis. PTSD and its two parameters (intrusion & hyperarousal) significantly reduce in experiment group, immediately after therapy and in three months follow up. Depression also reduces significantly immediately after therapy and continues to reduce three months after therapy. According to this study, NET is beneficial therapy for PTSD even in social fields. NET successfulness in Iranian culture is ascribed to narrative aspect of NET. This study endorses that extra-marital relationship causes PTSD in victims.

کلیدواژه‌ها [English]

  • Post-traumatic stress disorder
  • Depression
  • Narrative exposure therapy
  • Infidelity
  • Extra-marital relationship

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