اثربخشی طرح‌واره‌درمانی گروهی بر افزایش رضایت زناشویی و کاهش فرسودگی زناشویی زنان مبتلا به پرخوری عصبی

هدف و زمینه: پرخوری عصبی اختلالی روان شناختی است که با حالت های عودکننده مبنی بر خوردن افراطی و رفتارهای جبرانی نامناسب برای پیشگیری از افزایش وزن، توصیف می شود؛ بنابراین هدف پژوهش حاضر تعیین اثربخشی طرحواره درمانی گروهی بر افزایش رضایت زناشویی و کاهش فرسودگی آن در زنان مبتلا به پرخوری عصبی بود.روش بررسی: طرح پژوهش نیمه آزمایشی از نوع پیش آزمون و پس آزمون با گروه کنترل بود. جامعهٔ هدف را تمامی زنان مبتلا به پرخوری عصبی شهر تهران تشکیل دادند. از افراد مراجعه کننده به کلینیک چاقی و لاغری و دیابت سلامت، چهل نفر به روش نمونه گیری دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و کنترل (هر گروه 20 نفر) قرار گرفتند. نمونه ها پرسشنامهٔ رضایت زناشویی انریچ و مقیاس فرسودگی زناشویی پاینز (cbm) را تکمیل کردند. طرح واره درمانی به تعداد ده جلسه و به مدت دو ساعت در هفته اجرا شد.یافته ها: نتایج تحلیل کوواریانس چندمتغیره نشان داد با کنترل اثر نمرات پیش آزمون، میانگین نمرهٔ کل فرسودگی زناشویی گروه آزمایش در مرحلهٔ پس آزمون به طور معناداری کمتر از میانگین نمرهٔ فرسودگی زناشویی در گروه کنترل است (0٫05>p). همچنین براساس یافته ها، میانگین نمرهٔ کل رضایت زناشویی گروه آزمایش در مرحلهٔ پس آزمون به صورت معناداری بیشتر از میانگین آن در گروه کنترل به دست آمد (0٫05>p).نتیجه گیری: تاثیر طرح واره درمانی به شکل گروهی در افزایش رضایت زناشویی و کاهش فرسودگی آن، دارای مفاهیم نظری و عملی مهمی است که می تواند در کلینیک های مشاوره و رژیم درمانی استفاده شود.

Schema therapy as a group on marital satisfaction and couple burnout among the women with bulimia

Background & Objectives: Neurological overdose is a psychological disorder characterized by extreme eating disorders and inappropriate compensatory behaviors to prevent weight gain. Having mental disorders, including nervous overcrowding is considered a crisis for the whole family. Among the aspects affected by this crisis, marital satisfaction and marital boredom require special attention. Several approaches have been proposed to treat and correct inefficient beliefs, one of which is schema therapy. The schema therapy developed by Yang et al (1990 –1990) is a modern and integrated therapy. Schema therapy provides a framework that recognizes behaviors and interpersonal interactions associated with eating pathology in a specific way. The schema–based model for eating disorders, including nerve birth, suggests that compensatory processes and schemes play a central role in eating disorders. Therefore, the aim of this study was to determine the effectiveness of group schematic therapy on increasing marital satisfaction and reducing marital burning in women with bulimia.Methods: This study designed as a quasi–experimental pretest and post–test with the control group. The study population was women (18–40) with neurological overcharge who had referred to the weight gain/loss and diabetes clinic in Tehran (capital city of Iran) and were exposed to medical nutritional interventions. Totally, 68 people were diagnosed to be affected by an extreme eating disorders. These people at least once a month reported compassionate behaviors such as deliberate vomiting, the arbitrary use of diarrhea and urinary tract medication and extreme sports. To this end, 40 people were selected by available sampling method from the people who referred to the Obstetrics and Gynecologic Clinic, and randomly 20 subjects divided in the experimental group and 20 in the control group. Anrich’s marital satisfaction questionnaire and Paynes’s burnout married scale (CBM) was completed. The experimental group was trained the schema therapy program for 10 sessions 2 hours per week, while the control group did not receive any training in this period. After the end of the sessions, Anrich’s marital satisfaction questionnaire and Paynes’s burnout married scale was performed for the second time in two groups as post–test. Eventually, data were analyzed using descriptive statistics, multivariate covariance analysis with SPSS16 software.Results: The results of multivariate analysis showed that by controlling the effect of pre–test scores, the mean score of total marital boredom of the experimental group in the posttest stage was significantly lower than the mean score of marital burnout in the control group (p<0.05). In addition, results of multivariate covariance analysis showed that by controlling the effect of pre–test scores, the mean total score of marital satisfaction in the experimental group was significantly higher in the experimental group than the mean marital satisfaction scores in the control group (p<0.05).Conclusion: Considering the results of the research obtained, it may be stated that schema therapy has been led to a reduction in marital burnout and increased marital satisfaction and its subcomponent in women affected by nervous bulimia.