اثربخشی شناخت‌درمانی مبتنی بر ذهن‌‌آگاهی بر رضایت زناشویی و نشانه‌های افسردگی در زنان مبتلا به اختلال افسردگی پس از زایمان

زمینه و هدف: افسردگی پس از زایمان به طور جدی بر زندگی فرد و خانواده اش اثر نامطلوب دارد. ذهن آگاهی برای تصحیح راه های غلط تفکر در گذشته است. هدف پژوهش حاضر، تعیین اثربخشی گروه درمانی شناختی مبتنی بر ذهن آگاهی بر رضایت زناشویی و شدت نشانه های افسردگی در زنان مبتلا به اختلال افسردگی پس از زایمان بود.روش بررسی: پژوهش حاضر، از نوع نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه گواه بود. جامعۀ آماری این پژوهش را زنان مبتلا به اختلال افسردگی پس از زایمان مراجعه کننده به بیمارستان مادر شهرستان یزد در سال 1396 تشکیل دادند که از بین آنان 30 نفر به شیوۀ نمونه گیری در دسترس انتخاب شدند و در دو گروه آزمایش و گواه بررسی شدند. ابزار پژوهش، شامل پرسش نامۀ افسردگی بک و پرسش نامۀ رضایت زناشویی انریچ بود. داده ها با استفاده از آمار توصیفی (میانگین و انحراف معیار) و آمار استنباطی (تحلیل کوواریانس) با نرم افزار spss نسخۀ 23 تجزیه وتحلیل شد.یافته ها: یافته های این پژوهش حاکی از آن بود که گروه درمانی شناختی مبتنی بر ذهن آگاهی، باعث کاهش نشانه های افسردگی (پس آزمون گروه آزمایش: 5٫87±27و گواه: 6٫60±29٫87 و 0٫001>p) و افزایش رضایت زناشویی در زنان مبتلا به اختلال افسردگی پس از زایمان می شود (پس آزمون گروه آزمایش: 12٫23±97٫33 و گواه: 13٫38±86٫82، 0٫001>p).نتیجه گیری: با توجه به یافته های این پژوهش و اثربخشی درمان شناختی رفتاری مبتنی بر ذهن آگاهی بر افسردگی و رضایت زناشویی زنان مبتلا به افسردگی پس از زایمان، استفاده از این روش به متخصصان در این زمینه توصیه می شود.

MindfulnessBased Group Therapy on Marital Satisfaction and Decreasing signs of Postpartum Depression in Women with Postpartum Depression Disorders

Background & Objective: Postpartum depression is a form of depression that may appear shortly after childbirth. This depression is seen in 5–25% of women. Severe insomnia, mood instability and tiredness are common symptoms of the disease. Delusional beliefs and suicidal thoughts (as opposed to newborns) may arise. Therefore, based on the danger condition for mother and child’s life, it may be considered urgent. Symptoms of childbirth and postpartum depression include: anger, feeling unprofitable, failing or guilty, crying, impatient (sensitive), restlessness, sadness, fatigue, inflammation, mood fluctuation are these symptoms. Other symptoms occur with sadness after delivery (which can be accompanied by a feeling of loneliness, anxiety, confusion and obsessive–compulsive disorder) disappear from a few days to a few weeks. Such symptoms are severe and durable with postpartum depression. It may interfere with patient ability to function and can include different range of symptoms: feelings of numbness or falling, fear of harm to self or to the baby, distracted focus and thinking, lack of pleasure in life, reduced interest to sexual intercourse, increased or no attention to the baby, weight loss, avoid from family or friends, headaches, chest pain, increased breathing may occur, although these are not the main symptoms of depression. Signs and symptoms associated with postpartum insanity are rare. These symptoms are more severe and usually start early. The purpose of this study was investigate the effectiveness of mental–based group therapy on marital satisfaction and decreasing signs of postpartum depression in women with postpartum depression disorders referring to maternal hospital in Yazd.Methods: This study was a semi–experimental design pretest– posttest with control group. The statistical population was women with postpartum depression disorders referring to maternal hospital in Yazd (Yazd province, center of Iran) at 2017. A total of 30 female were selected using available sampling. Subject were randomly divided to experimental and control group. The subject in experimental group were treated by mindfulness based on cognitive therapy in 9 sessions. The questionnaires of Beck depression (1996) and Enrich marital satisfaction was done in pretest and posttest. The Beck depression inventory (BDI, BDI–1A, BDI–II), created by Beck that is a 21–question multiple–choice self–report and one of the most widely used psychometric tests for measuring the severity of depression. Its development marked a shift among mental health professionals, who had until then, viewed depression from a psychodynamic perspective, instead of it being rooted in the patient’s own thoughts. In its current version, the BDI–II is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest to sex.Results: The findings of this study indicated that mindfulness–based cognitive group therapy reduced the symptoms of depression (experimental group post–test: 27±5.87 and control: 29.87±6.60, p<0.001) and increased marital satisfaction in affected women. Postpartum depressive disorder (Experimental group: 97.33±12.23 and control: 86.82±13.38, p<0.001).Conclusion: Based on the result of this study use of mindfulness based on cognitive therapy were recommended to psychologist and experts in this area.