بررسی اثربخشی شناخت‌درمانی مبتنی‌بر ذهن‌آگاهی بر کاهش علائم افراد مبتلا به نشانگان سوگ پیچیده

زمینه و هدف: سوگ پیچیده از اختلال های شایع بوده که دارای تبعات و ناتوانی های روان شناختی است. این امر لزوم مداخلات روان شناختی را در این بیماران، ضروری می سازد؛ بنابراین پژوهش حاضر با هدف بررسی اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر سوگ پیچیدهٔ افراد بانشانه های سوگ پیچیده انجام شد.روش بررسی: طرح این پژوهش، تجربی تک موردی از نوع خط پایهٔ چندگانه بود. سه نفر زن مبتلا به سوگ پیچیده ازطریق پرسشنامهٔ سوگ پیچیده، به روش نمونه گیری هدفمند، از بین بیماران مرکزهای مشاورهٔ شهر اهواز انتخاب شدند. ورود بیماران به درمان، پس از احراز شرایط درمان بود. کارایی درمان شناختی مبتنی بر ذهن آگاهی، در طی سه مرحلهٔ خط پایه و درمان و پیگیری، با استفاده از پرسشنامهٔ سوگ پیچیده پریگرسون و ماسیچواسکی (1995) بررسی شد. تحلیل داده ها به روش ترسیم دیداری و شاخص تغییر پایا (rci) و فرمول درصد بهبودی صورت گرفت.یافته ها: نتایج نشان داد درمان شناختی مبتنی بر ذهن آگاهی در کاهش نشانگان سوگ پیچیده در افراد مبتلا به سوگ پیچیده هم از نظر آماری در سطح (0٫01>p) و هم از نظر بالینی معنا دار بود.نتیجه گیری: روش شناخت درمانی مبتنی بر ذهن آگاهی در کاهش نشانگان و بهبود علائم سوگ پیچیده از کارایی لازم برخوردار است.

MindfulnessBased Cognitive Therapy on Symptom of Complicated Grief on People with Symptoms of Complicated Grief

Background & Objective: Lose a loved person is considered as painful experiences, but most people cope well with their loss and do not need professional help. Their experiences involve feelings of sadness, a deep sense of pain, and the perception of their life never being the same compared to before the loss. However, reviews showed that the process of grieving in individuals who experience grief after the loss of loved ones may be harder, which can impair their cognitive, emotional, and behavioral functioning. This bereavement can be associated with physical decline, mental health problems, change in social roles, cognitive deficits, and fewer relationships with others, which make the grieving process more difficult. For some, the grieving process may be distorted termed complicated grief, which is a form of chronic grief with intense separation distress related to the loss. The resulting syndrome of complicated grief causes substantial distress and functional impairment even years after a loss, yet knowing when and how to intervene can be a challenge. As a result, grief work will be one of the common challenges that social workers, psychologists,and grieved people will face. Providing a mindfulness based cognitive therapy for people with complicated grief can be a benefit for their individual growth in understanding a sense of bereavement and for the purpose of social interconnection. This Therapy will cover bereavement life with a concept of mindfulness and how it can be utilized for people in their day–to–day lives. Overall, the goal for this project for participants was to learn coping skills, gain knowledge in the mechanism of mindfulness during the grieving process and how they can integrate mindfulness principles into their grieving process to better facilitate their coping with their loss.Methods: In the present study, we used multiple baseline experimental single case study design. Three women with complicated grief were selected from patients of counseling service centers by using purposeful sampling method, along with inventory of complicated grief (ICG). This questionnaire describe an emotional, cognitive, or behavioral state associated with complicated grief. The ICG consists of 19 items and answers are given on a 5–point scale ranging from never (0) to always (5). ICG gives a possible range of 0–76 with high scores indicating high levels of CG. The ICG has shown high internal consistency, testretest reliability. In this study, Cronbach’s alpha was calculated at 0.92. Patients underwent the treatment process subsequent to obtaining treatment requirements. The efficacy of mindfulness–based cognitive therapy was carried out in threephase of intervention (baseline, treatment and follow–up) by using the Inventory of complicated grief. In this project, Data analyzed with visuals inspection, improvement percentage, and reliable change index (RCI) strategies. In addition, to examine the efficacy of this psychological intervention (MBCT), it used the six indices of Ingram (2000). These six indices include the magnitude of change, the universality of change, the generality of change, the generality of change, stability, and acceptability.Results: Finding showed mindfulnessbased cognitive therapy is both clinically and statistically (p<0.01) significant efficient in the reduction of people with symptoms of complicated griefConclusion: Mindfulness–based cognitive therapy has appropriate efficacy in the symptom reduction of people suffering from complicated grief.