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مقایسه اثربخشی بهزیستی درمانی با درمان مبتنی بر پذیرش و تعهد بر اضطراب مرگ سالمندان
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نویسنده
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حسین نظری نرگس ,نجات حمید ,صفاریان طوسی محمدرضا
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منبع
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روان شناسي پيري - 1401 - دوره : 8 - شماره : 1 - صفحه:25 -38
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چکیده
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سالمندی با محدودیت و ناتوانی بسیاری همراه است که میتواند مولد اضطراب مرگ در آنها باشد. بنابراین پژوهش حاضر با هدف مقایسه اثربخشی بهزیستی درمانی با درمان مبتنی بر پذیرش و تعهد بر اضطراب مرگ سالمندان مرکز نگهداری روزانه سالمندان انجام شد. پژوهش حاضر نیمه آزمایشی از نوع پیشآزمونپسآزمونپیگیری با گروه کنترل بود. جامعۀ آماری پژوهش حاضر، شامل سالمندان عضو مراکز روزانه با اضطراب مرگ بودند. از بین این افراد، تعداد 45 نفر به روش نمونهگیری در دسترس انتخاب شدند و با گمارش تصادفی در سه گروه 15 نفری قرار گرفتند. گروههای آزمایش تحت هشت جلسه 90 دقیقهای بهزیستی درمانی یا درمان مبتنی بر پذیرش و تعهد قرار گرفتند و برای گروه کنترل اقدامی صورت نگرفت. ابزار جمعآوری دادهها شامل مقیاس اضطراب مرگ تمپلر بود. نتایج تحلیل کوواریانس تک متغیری نشان داد که بهزیستی درمانی و درمان مبتنی بر پذیرش و تعهد در مقایسه با گروه کنترل بر کاهش اضطراب مرگ سالمندان اثر معنادار داشتهاند. با این حال، تفاوت معناداری بین اثربخشی دو گروه بر کاهش اضطراب مرگ وجود نداشت. طبق نتایج، میتوان از بهزیستی درمانی و درمان مبتنی بر پذیرش و تعهد در جهت بهبود اضطراب مرگ در سالمندان استفاده کرد.
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کلیدواژه
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اضطراب مرگ، بهزیستی درمانی، درمان مبتنی بر پذیرش و تعهد، سالمند
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آدرس
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دانشگاه آزاد اسلامی واحد مشهد, گروه علوم تربیتی, ایران, دانشگاه آزاد اسلامی واحد مشهد, گروه علوم تربیتی, ایران, دانشگاه آزاد اسلامی واحد مشهد, گروه علوم تربیتی, ایران
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پست الکترونیکی
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saffarianreza1965@gmail.com
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The Comparison of The Effectiveness of Well‐Being Therapy with Acceptance and Commitment Therapy on Death Anxiety in The Elderly
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Authors
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Hossein Nazari Narges ,Nejat Hamid ,Saffarian Tosi Mohammadreza
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Abstract
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The elderly seems to be associated with many limitations and disabilities which can cause them to feel death anxiety. Therefore, the current study aimed to compare the effectiveness of well‐being therapy with acceptance and commitment therapy on death anxiety in the elderly. It was a quasiexperimental study with pretestposttestfollowup design with a control group. The statistical population of the present study included the community dwelling elderly members of day care centers with death anxiety, among whom 45 were selected using the convenience sampling method and assigned randomly into three groups, with each group containing 15 people. The experimental groups underwent eight 90minute sessions of well‐being therapy or acceptance and commitment therapy, and no action was taken for the control group. Data collection tool included the Templer’s Death Anxiety Scale. The results of Univariate Analysis of Covariance (ANCOVA) indicated that well‐being therapy and acceptance and commitment therapy had a significant effect on reducing death anxiety compared to the control group. However, there was no significant difference between the effectiveness of the two experimental groups. According to the results, wellbeing therapy and acceptance and commitment therapy can be applied to improve the death anxiety in the elderly.ReferencesAbdollahpour, M., Hafezi, F., Ehteshamzadeh, P., Naderi, F., & Pasha, R. (2019). Comparing the effectiveness of narrative therapy and ACT, in quality of life and existential anxiety on elders. Journal of Applied Psychological Research, 10(3), 133146.Ahmadi, A., Ghaemi, F., & Farrokhi, N. (2019). Effectiveness of mindfulness education and commitment and acceptance therapy on psychological distress and death anxiety in cancer patients in Isfahan. Journal of Psychological Science, 72(17), 951956. [Persian]Azeem, F., & Naz, M. A. (2015). Resilience, death anxiety, and depression among institutionalized and noninstitutionalized elderly. Pakistan Journal of Psychological Research, 4(2), 111130.Baharvandi, B., Kazemian Moghadam, K. K., & Rashidi, H. H. (2020). The Effectiveness of compassionfocused therapy on ambiguity tolerance and death anxiety in the elderly. Aging, 6(1), 1326. [Persian]Bala, R., & Maheshwari, S. K. (2019). Death anxiety and death depression among elderly. International Journal of Psychiatric Nursing, 5(1), 5559.Dinarvand, N., & Barghi Irani, Z. (2021). The Comparison of the effectiveness of metacognitive therapy and spiritual therapy on cognitive dissonance and feeling loneliness in the elderly living in nursing Homes. Aging Psychology, 7(2), 197181. [Persian]ElGilany, A. H., Saleh, N. M. H., Mohamed, H. N. A. E. A., & Elsayed, E. B. M. (2017). Prevalence of insomnia and its associated factors among rural elderly: a communitybased study. International Journal of Advanced Nursing Studies, 6(1), 5667.Fava, G. A., Ruini, C., Rafanelli, C., Finos, L., Salmaso, L., Mangelli, L., & Sirigatti, S. (2005). Wellbeing therapy o generalized anxiety disorder. Psychotherapy and psychosomatics, 74(1), 2630.Ghadimi, M., Mirzaian, B., Shahidi, M. (2021). Efficacy of wellbeing therapy on stress of infertility and rumination among women with infertility. Community Health, 8(4), 103114. [Persian]Golestanifar, S., & DashtBozorgi, Z. (2021). Comparing the effectiveness of acceptance and commitment therapy and wellbeing therapy on life expectancy and psychological health in elderly nonclinical depressed patients. Journal of Rafsanjan University of Medical Sciences, 20 (3), 297312. [Persian]Guidi, J., & Fava, G. A. (2021). Conceptual and clinical innovations of wellbeing therapy. International Journal of Cognitive Therapy, 14(1), 196208.Hajatpour, R., & Rashidi, H. H. (2021). The Effectiveness of acceptance and commitment therapy on irrational beliefs and death attitude in the elderly. Aging Psychology, 7(1), 4354. [Persian]Haroon, W., Khawaja, A. O., & Ghayas, S. (2018). Ego integrity, physical health status and death anxiety in older adults. Journal of Behavioural Sciences, 28(1), 1832.Hashemi, Z., Afshari, A., & Einy, S. (2020). The effectiveness of acceptance and commitment education on improving the mental health and quality of life of elderly people with cancer. Iranian Journal of Health Education and Health Promotion, 8(2), 160171. [Persian]Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.Iranmanesh, R., & Dasht Bozorgi, Z. (2019). The Effect of healthoriented lifestyle training on psychological wellbeing, blood pressure and death anxiety of elderly women. Aging Psychology, 4(4), 263273.Khazaei, A., Shamsipour, H., & Davazdah Emamy, M. H. (2018). The effectiveness of Group wellbeing Therapy on marital satisfaction and psychological wellbeing among housewives. Shenakht Journal of Psychology & Psychiatry, 5(5), 4352. [Persian]Kim, Y. (2019). Factors influencing death anxiety in communitydwelling elderly: based on the ecology theory. The Korean Journal of Hospice and Palliative Care, 22(1), 3038.Maghsoudi, Z., Razavi, Z., Razavi, M., & Javadi, M. (2019). Efficacy of acceptance and commitment therapy for emotional distress in the elderly with type 2 diabetes: A randomized controlled trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 2137. [Persian]Menzies, R. E., Zuccala, M., Sharpe, L., & DarNimrod, I. (2018). The effects of psychosocial interventions on death anxiety: A metaanalysis and systematic review of randomized controlled trials. Journal of Anxiety Disorders, 59, 6473.Mirzaei Dostan, Z., Zargar, Y., & Zandi Payam, A. (2019). The effectiveness of acceptance and commitmentbased therapy on death anxiety and mental health of HIVinfected women in Abadan. Iranian Journal of Psychiatry and Clinical Psychology, 25(1), 213. [Persian]Pandya, A. K., & Kathuria, T. (2021). Death anxiety, religiosity and culture: Implications for therapeutic process and future research. Religions, 12(1), 61.Pirhayati, Z., & Barghi Irani, Z. (2017). The Effectiveness of acceptance and commitmentbased treatment on mental health and cognitive function in elderly people with agerelated macular degradation. Aging Psychology, 3(2), 137146. [Persian]Pirnia, B., Mansour, S., Najafi, E., & Reyhani, R. (2016). Effectiveness of Well Being Therapy on Symptoms of Anxiety, Stress and Depression in Men on TherapeuticCommunity. Community Health Journal, 10(4), 4756. [Persian]Rajabi, G. H., & Bahrani, M. (2002). Factor analysis of death anxiety scale questions. Journal of Psychology, 5(4), 33144. [Persian]Ruini, C., & Fava, G. A. (2012). Role of well‐being therapy in achieving a balanced and individualized path to optimal functioning. Clinical Psychology & Psychotherapy, 19(4), 291304.Ryff, C. D. (1996). Psychological wellbeing: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and psychosomatics, 65(1), 1423.Sadri Demichi, E., & Ramezani, S. (2016). Effectiveness of existential therapy on loneliness and death anxiety in the elderly. Aging Psychology, 2(1), 121. [Persian]Safari Mousavi, S., Ghazanfari, F., & Mirdrikund, F. (2019). The Effectiveness of acceptance and commitment therapy on death anxiety in women with inflammation in Khorramabad. Journal of Clinical Nursing and Midwifery, 4(3), 234 241. [Persian]Seo, Y., & Shin, S. (2019). The relationship among attitudes toward the withdrawal of lifesustaining treatment, death anxiety, and death acceptance among hospitalized elderly cancer patients. Asian Oncology Nursing, 19(3), 142149.Sharma, P., Asthana, H. S., Gambhir, I. S., & Ranjan, J. K. (2019). Death anxiety among elderly people: role of gender, spirituality and mental health. Indian Journal of Gerontology, 33(3), 240254.Templer, D. I. (1970). The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2), 165177.Thompson, B. A., & Schary, D. P. (2021). Wellbeing therapy: An approach to increase athlete wellbeing and performance. Journal of Sport Psychology in Action, 12(1), 110.
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Keywords
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