Middle Eastern Journal of Disability Studies

fa بررسی اثر بخشی درمان شناختی رفتاری متمرکز بر تروما بر پریشانی روانشناختی و کیفیت زندگی زنان قربانی خشونت خانگی Investigating the efficacy of trauma-focused cognitive behavioral therapy on psychological distress and quality of life Women victims of domestic violence روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article زمینه و هدف: خشونت خانگی علیه زنان، یکی از مشکلات بهداشت روانی است. هدف از پژوهش حاضر، بررسی اثربخشی درمان شناختی رفتاری متمرکز بر تروما بر کیفیت زندگی و پریشانی روانشناختی زنان قربانی خشونت خانگی بود. روش بررسی: روش پژوهش  نیمهآزمایشی با طرح پیش‌آزمون و پس‌آزمون با مرحله پیگیری بود. جامعه آماری پژوهش شامل زنان 20 الی 45 ساله قربانی خشونت خانگی بود که به مراکز اورژانس شهرستان بابلسر از تاریخ 20 آذر تا 20 اسفند سال 1402 مراجعه کرده بودند. از میان آنها 32 نفر داوطلب واجد شرایط با توجه به ملاک‌های ورود به پژوهش توسط روش نمونهگیری دردسترس وارد مطالعه شدند و بهصورت تصادفی در دو گروه آزمایش و گواه قرار گرفتند (هر گروه 16 نفر). اعضای گروه آزمایش در معرض 8 جلسه مقابله درمانی گروهی قرار گرفتند و گروه گواه هیچ مداخلهای دریافت نکردند. اطلاعات به دست آمده با استفاده از پرسشنامه پریشانی روانشناختی  (کسلر و همکاران، 2003) و کیفیت زندگی (سازمان بهداشت جهانی، 1996) جمع‌آوری و به وسیله تحلیل واریانس با اندازه‌گیری مکرر در سطح معناداری 05/0 تحلیل شد. یافته‌ها: نتایج تحلیل واریانس با اندازه‌گیری مکرر نشان داد که، اثر درمان شناختی رفتاری متمرکز بر تروما بر پریشانی روانشناختی (001/0>p) و کیفیت زندگی (001/0>p)) معنادار بوده و در دوره‌پیگیری سه ماهه نیز اثر خود را حفظ کردند. نتیجه‌گیری: با توجه به یافته‌های پژوهش حاضر، به نظر می‌رسد درمان شناختی رفتاری متمرکز بر تروما در کاهش مشکلات هیجانی زنان قربانی خشونت خانگی موثر است.   Background & Objectives: The family is one of the most important and fundamental social institutions and is a dynamic element in the social structures of society. Therefore, achieving a healthy society is overshadowed by the health of the family, and the health of the family is also conditional on the mental health of its members. Therefore, during the marriage, conflicts may occur between the couple and affect their psychological state, which causes a breakdown in the family system and paves the way for all kinds of mental and physical disabilities. In families with higher levels of incompatibility, there is also a higher likelihood of conflict and violence. Domestic violence is one of the most important issues that has been investigated by many people. Domestic violence occurs all over the world and in all social, economic and religious groups, and the most common type is violence committed by a spouse. This violence takes many forms, including physical violence, sexual abuse, emotional abuse, control, intimidation, stalking and economic deprivation. The reporting rate of domestic violence varies around the world and is reported in all socio-economic groups. Empirical evidence has shown that domestic violence has negative consequences on relationship quality and emotional and sexual emotions, and limits couples' personal growth, productivity, and physical and mental health. Psychology and quality of life of women victims of domestic violence was. Methods: The research method was quasi-experimental with a pre-test and post-test design with a follow-up phase. The statistical population of the study included women aged 20 to 45 victims of domestic violence who visited the emergency centers of Babulsar city from December 20 to March 20, 2024. Among them, 32 eligible volunteers were included in the study according to the eligibility criteria by the available sampling method and were randomly assigned to two test and witness groups (16 people each). Members of the experimental group were exposed to 8 sessions of group confrontation therapy and the control group received no intervention. Data were collected using the Psychological Distress Questionnaire (Kessler et al., 2003) and Quality of Life (World Health Organization, 1996) and analyzed by repeated-measures analysis of variance at a significance level of 0.05.  Results: The findings showed that before the intervention between the mean (standard deviation) of the psychological distress scores of the two test groups (1.19+28.18) and the witness (27.43+1.19) and between the mean (standard deviation) of the quality of life scores Two test groups (1.92+65.93) and witness (64.50+1.39) No significant difference was observed (0.05<p). however="">26.62+1.45) and the witness (28.25+1.42) as well as the mean (standard deviation) scores of quality of life in the intervention group (69.81+1.92) and witnessed (61.68+1.01) significant difference was observed (0.05>P). In other words, the mean psychological distress in the experimental group decreased from 18/28 to 62/26 and the mean quality of life in the experimental group increased from 65.93 to 69.81. In other words; The results of the repeated-measures analysis of variance showed that the effect of trauma-focused cognitive behavioral therapy on psychological distress and quality of life was significant (0.05>p). Also, trauma-focused cognitive behavioral therapy maintained its effectiveness in the experimental group participants during the three-month follow-up period.</p).> Conclusion: According to the results of the study, the application of trauma-focused non-pharmacological cognitive behavioral therapy intervention is effective in reducing psychological distress and increasing quality of life in women victims of domestic violence and improves their psychological problems; Therefore, the implementation of a trauma-focused cognitive behavioral therapy program in treatment and counseling centers for women victims of domestic violence is recommended.   درمان شناختی رفتاری متمرکز بر تروما, پریشانی روانشناختی, کیفیت زندگی, خشونت خانگی. trauma-focused cognitive behavioral therapy, psychological distress, quality of life, domestic violence. 0 0 http://jdisabilstud.org/browse.php?a_code=A-11-3864-2&slc_lang=fa&sid=1 sara golamnezhad سارا غلام نژاد SH.PAYAM94@GMAIL.COM 100319475328460067171 100319475328460067171 No Islamic Azad University دانشگاه آزاد اسلامی Bahram Mirzaian بهرام میرزائیان bahrammirzaian@iau.ac.ir 100319475328460067172 100319475328460067172 Yes Islamic Azad University دانشگاه آزاد اسلامی Asgar Norouzi اصغر نوروزی 2091474029@iau.ac.ir 100319475328460067173 100319475328460067173 No Islamic Azad University دانشگاه آزاد اسلامی