اثربخشی طرح‌واره درمانی بر مدیریت حل تعارض زنان دارای افکار خودکشی

خودکشی، از مهم‌ترین شاخص‌های بهداشت روانی یک جامعه محسوب می‌شود و عوامل متعدد اقتصادی، اجتماعی، روانی در بروز آن دخیل هستند. این پژوهش با هدف بررسی اثربخشی رویکرد طرح‌واره درمانی بر مدیریت حل تعارض در زنان دارای افکار خودکشی مراجعه‌کننده به بیمارستان خورشید اصفهان انجام شد. طرح پژوهش نیمه‌آزمایشی از نوع پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعۀ آماری شامل کلیۀ زنان دارای افکار خودکشی مراجعه‌کننده به بیمارستان خورشید در شهر اصفهان بود. نمونه‌گیری به روش تصادفی ساده انجام شد و 30 زن دارای افکار خودکشی مراجعه‌کننده به بیمارستان خورشید اصفهان در سال 1400 انتخاب و به‌صورت تصادفی به گروه‌های آزمایش و کنترل گمارده شدند. ابزار سنجش شامل پرسشنامۀ سبک مدیریت تعارض بود. گروه آزمایش در هشت جلسه به‌صورت هفته‌ای دو بار بستۀ آموزشی طرح‌واره درمانی را دریافت کردند. طول مدت جلسات 90 دقیقه بود. نتایج تحلیل کوواریانس نشان‌دهندۀ آن بود که رویکرد طرح‌واره‌ درمانی بر مدیریت تعارض زنان دارای افکار خودکشی اثربخش بوده است  و این رویکرد درمانی توانسته است، ابعاد حل تعارض شامل کنترل، راه‌‌حل مداری و عدم رویارویی را در زنان دارای افکار خودکشی در مرحله پس‌آزمون بهبود بخشد. نتایج پژوهش حاکی از آن بود که رویکرد طرح‌واره درمانی بر بهبود ارتباطات و مدیریت صحیح شیوه‌های حل تعارض در زنان دارای افکار خودکشی موثر بود؛ درنتیجه با برگزاری جلسات گروهی طرح‌واره درمانی برای این زنان تا حدودی از این آسیب اجتماعی جلوگیری می‌شود.

the effectiveness of the schema therapy on conflict resolution management in women with suicidal thoughts

suicide is one of the most important indicators of mental health in a society, and many economic, social, psychological and individual factors are involved in its occurrence. the aim of this  research was investigation the effectiveness of schema therapy approach on conflict resolution management in women with suicidal thoughts referred to khurshid hospital in isfahan. the research design was a semi-experimental pre-test post-test type with a control group. the statistical population included all of the women with suicidal thoughts in isfahan city. sampling was done by simple random method and 30 women with suicidal thoughts referred to khurshid hospital were selected, and randomly assigned to experimental and control groups. the measurement instrument included the robbins’ conflict management style questionnaire. the experimental group received package of young et al’ schema therapy training package in 8 sessions twice a week. the duration of the sessions was 90 minutes. the results of covariance analysis showed that schema therapy approach was effective on the conflict management of women with suicidal thoughts and this therapy approach was able to improve the dimensions of conflict resolution styles including control, circuit solution, and non-confrontation. improve competition in women with suicidal thoughts in the post-test stage. the results indicate that schema therapy approach is effective in improving communication and correct management of conflict resolution in women with suicidal thoughts. as a result, it is possible to prevent this social harm to some extent by holding group therapy sessions for these women. introductionsuicide is considered one of the most important indicators of mental health of a society, which is caused by several factors, such as age, gender, marital status, economic factors, family, substance abuse, conflict and divorce between parents, lack of social support, and physical unemployment and psychological factors, especially depression, are involved in this issue (kwan et al., 2021). women constitute almost half of the people in a society, and statistics show that the rate of suicide attempts in women is three times that of men, but the rate of success in suicide is four times that of women (kochanek smith, 2004). people with suicidal thoughts are those who intellectually or in the form of mental rumination are involved with the concepts of suicide, death, worthlessness of life and self, but have not acted on it (khosravi, 2011). psychologists believe that suicide is related to weak self-confidence and feelings of emptiness in humans (chang et al., 2021). however, humans are social creatures, and investigating the causes and social factors of suicide and what happens in interpersonal communication is also of great importance. people have different communication methods, aspirations, political and religious views, and cultural backgrounds. in different societies, the existence of such differences leads to the creation of differences between individuals and groups (robbins, 1983/2011). conflict resolution styles are responses or a set of patterned behaviors that people use when dealing with conflict and disagreement (hocker, 2000). schema therapy, with the aim of helping to form a healthy mentality, is one of the fundamental methods of psychotherapy to help people face stressful situations and act in the best way to solve the problem (karkanis et al., 2017). moazeni et al., (2017) found in their study that schema therapy reduces the intensity of depressive symptoms and suicidal thoughts in patients with resistant depression. the research results of wojcik et al., (2022) showed that schema therapy reduced depressive symptoms and improved maladaptive schemas in patients with post-traumatic stress disorder (wojcik et al., 2022). regarding the relationship between schema therapy and conflict resolution management, alami et al.’s research (2019) showed that schema therapy has led to the reduction of conflicts in couples applying for divorce. also, qanatir’s research (2021) showed that schema therapy improves conflict resolution styles and increases empathy in conflicted couples. this research was aimed at this goal; determining the effectiveness of the schema therapy approach on conflict resolution management methods (including control, circuit solution and non-confrontation) in women with suicidal thoughts referring to khorshid shahr hospital in isfahan.  methodthe design of this research was a semi-experimental pre-test-post-test type with a control group. sampling was done by simple random method and 30 women with suicidal thoughts referred to khorshid hospital of isfahan in 1400 were selected and randomly assigned to experimental and control groups. the experimental group received schema therapy intervention (young et al., 2003) for 8 sessions of 90 minutes twice a week, and the control group did not receive any intervention. robbins’ conflict management style questionnaire (1994): this questionnaire was created by robbins in 1994 and has 30 questions and five conflict management methods in the dimensions of control strategy (competition), non-confrontation and non-confrontation (avoidance) and solution orientation (cooperation and compromise) in a 7-option likert scale. it measures from always=1 to never=7 (robbins, 1994).  resultsdescriptive findings including the mean and standard deviation of the conflict management variable and its dimensions (control, orbital solution and non-confrontation) in the pre-test and post-test phases for the experimental and control groups are given in table 1.  table 1. mean, standard deviation of conflict management and its dimensions in experimental and control groupscontrolexamination         statistical indicatorssubscalesstandard deviationaveragestandard deviationaveragethe level21/35115/9319/31115/66pre- testconflict resolution20/56115/8016/88127/86post-test9/2727/809/0827/93pre- testcontrol9/2827/936/3731/33post-test14/5341/3311/4841/13pre- testcircuit solution14/0341/4010/1245/60post-test12/1646/808/6646/60pre- testnon-confrontation12/0946/466/6750/93post-test before univariate covariance analysis, scores of conflict management variables and its dimensions were tested for normality and homogeneity of variances. the results of the kolmgrove-smirnov test showed that the variables of conflict management and dimensions of control, orbital solution and non-confrontation were significantly 0.2, 0.2, 0.09 and 0.2 in the experimental group and 0.2, 0.2 respectively. 0, 0.2 and 0.1 in the control group, which are all higher than 0.05, have a normal distribution. also, the results of levin’s test showed that the variables of conflict management and