اثربخشی درمان مبتنی بر پذیرش و تعهد بر شرم از خود و ناگویی هیجانی در زنان متقاضی طلاق

پژوهش های روان شناسی بالینی و مشاوره

مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 26 مرداد 1404   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2025.88147.1651

نویسندگان

حوریه حقیقی¹؛ هادی غلام محمدی^{* 2}؛ جعفر طالبیان شریف³

¹دانش‌آموخته کارشناسی ارشد مشاوره خانواده، گروه مشاوره، موسسه آموزش عالی حکمت رضوی، مشهد، ایران.

²استادیار، گروه روانشناسی و مشاوره، دانشگاه بین‌المللی امام رضا، مشهد، ایران.

³استادیار، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

چکیده

هدف: هدف پژوهش حاضر بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر شرم از خود و ناگویی هیجانی در زنان متقاضی طلاق بود.
روش: در این پژوهش از طرح تجربی تک ­موردی از نوع خط پایۀ چندگانۀ ناهم­زمان استفاده شد. جامعه پژوهش شامل کلیه زنان متقاضی طلاق بود که در سه ماهه اول سال 1402 به مرکز مشاوره اندیشه و احساس شهر مشهد مراجعه کرده بودند.  از بین افراد مراجعه­‌کننده تعداد 3 نفر با استفاده از روش نمونه‌­گیری در دسترس مبتنی بر هدف و بر اساس داوطلب بودن آزمودنی­‌ها به­‌عنوان نمونه انتخاب شدند. آزمودنی‌­ها در طول خط پایه و درمان به پرسش­نامه­‌های شرم درونی شده کوک و ناگویی هیجانی تورنتو پاسخ دادند. داده­‌ها به روش ترسیم دیداری، شاخص تغییر پایا و فرمول درصد بهبودی تحلیل شدند.
یافته­‌ها: نتایج بررسی نشان داد که درمان مبتنی بر پذیرش و تعهد توانسته است به‌­صورت معناداری بر شرم از خود و ناگویی هیجانی  در زنان متقاضی طلاق تأثیر بگذارد و سبب بهبود آن­ها شود (P<0/05). بنابراین، می­توان از این رویکرد در جلسات درمانی زنان متقاضی طلاق استفاده کرد.
نتیجه­: یافته­‌های پژوهش حاضر نشان داد که درمان مبتنی بر پذیرش و تعهد توانسته است؛ از طریق ایجاد انعطاف‌پذیری روانشناختی، پذیرش، خودشفقتی و خودمهربانی، ذهن­‌آگاهی و کاهش اجتناب تجربه­‌ای  بر شرم از خود و ناگویی هیجانی زنان متقاضی طلاق موثر واقع شود و آن­ها را کاهش دهد. در نتیجه می­توان از درمان مذکور ( با در نظر گرفتن شرایط خاص هر مراجع و هم­چنین ملاک­های ورود و خروج مطرح شده در این پژوهش)، در جهت تقویت انعطاف­‌پذیری روانشناختی، پذیرش، خودشفقتی و خودمهربانی، ذهن‌­آگاهی و کاهش اجتناب تجربه­‌ای برای کمک به زنان با مسائل و مشکلات مشابه کمک گرفت.

کلیدواژه‌ها

درمان مبتنی بر پذیرش و تعهد؛ شرم از خود؛ ناگویی هیجانی؛ طلاق

مراجع

Abadi, H., Khodabakhsh, M., & Kiani, F. (2017). Effectiveness of Forgiveness-oriented Group Counseling based on Islamic Perspective to Restore the Marriage Relationship after Marital Infidelity. Medical Ethics Journal, 10(38), 29-36. https://doi.org/https://doi.org/10.22037/mej.v10i38.15734

Abbasi Bondaragh, S., Azmodeh, M., Ghanbari Hashem Abadi, B. A., & Hosseininasab, S. D. (2023). The Impact of Acceptance and Commitment Couples Therapy on Reducing the Marital Conflicts between Couples Applying for Divorce. Research in Clinical Psychology and Counseling, 13(1), 25-46. https://doi.org/10.22067/tpccp.2023.77768.1317

Abosaidi Moghadam, N., Sanagouye Moharer, G., & Shirazi, M. (2020). Effectiveness of Acceptance and Commitment Therapy (ACT) on feelings of loneliness, shame, and guilt in female applicants for divorce. Journal of Applied Psychology, 14(1), 35-54. https://doi.org/https://doi.org/10.52547/APSY.14.1.35

Amini, P., & Hasanzadeh, R. (2021). The Effectiveness of Acceptance and Commitment Therapy (ACT) on Internalized Shame of Abused Women. Women and Family Studies, 52(14), 57-68. https://doi.org/10.30495/jwsf.2021.1908695.1494

Araghi, Y., Bazzazian, S., Amirimajd, M., & Ghamari, M. (2020). Comparing the effectiveness of meta-cognitive education group and acceptance and commitment therapy on hopelessness of divorcing demanding couples. Counseling Culture and Psycotherapy, 11(43), 237-266. https://doi.org/https://doi.org/10.22054/qccpc.2020.50396.2329

Arian, M., Masoumi, R., & Shojaei, S. F. (2021). Feelings of Shame and Guilt in Patients with Cancer and Their Family Caregivers. International Journal of Cancer Management, 14(8). https://doi.org/https://doi.org/10.5812/ijcm.117159

Atapour, N., Falsafinejad, M. R., Ahmadi, K., & Khodabakhshi-Koolaee, A. (2021). A study of the processes and contextual factors of marital infidelity. Practice in Clinical Psychology, 9(3), 211-226. https://doi.org/http://dx.doi.org/10.32598/jpcp.9.3.758.2

Babakhani, V. (2020). The effectiveness of Acceptance and Commitment Therapy (ACT) on enduring the distress and self-control of betrayed women. Iranian Journal of Family Psychology, 7(1), 121-132. https://doi.org/10.52547/ijfp.7.1.121

Bagby, R. M., Parker, J. D. A., Onno, K. A., Mortezaei, A., & Taylor, G. J. (2021). Development and psychometric evaluation of an informant form of the 20-item Toronto alexithymia scale. J Psychosom Res, 141, 110329. https://doi.org/10.1016/j.jpsychores.2020.110329

Balderrama-Durbin, C., Stanton, K., Snyder, D. K., Cigrang, J. A., Talcott, G. W., Smith Slep, A. M., Heyman, R. E., & Cassidy, D. G. (2017). The risk for marital infidelity across a year-long deployment. Journal of Family Psychology, 31(5), 629. https://doi.org/https://psycnet.apa.org/doi/10.1037/fam0000281

Besharat, M. A., Khalili Khezrabadi, M., & Rezazadeh, S. M. R. (2021). The mediating role of difficulty of emotion regulation in the relationship between early maladaptive schemas and marital problems. Iranian Journal of Family Psychology, 3(2), 27-44. https://doi.org/https://20.1001.1.22285516.1396.8.29.9.8

Brown, K. W., Berry, D., Eichel, K., Beloborodova, P., Rahrig, H., & Britton, W. B. (2022). Comparing impacts of meditation training in focused attention, open monitoring, and mindfulness-based cognitive therapy on emotion reactivity and regulation: Neural and subjective evidence from a dismantling study. Psychophysiology, 59(7), e14024. https://doi.org/10.1111/psyp.14024

Candel, O.-S., & Turliuc, M. N. (2019). Insecure attachment and relationship satisfaction: A meta-analysis of actor and partner associations. Personality and Individual Differences, 147, 190-199. https://doi.org/https://doi.org/ 10.1016/j.paid.2019.04.037

Carpenter, T. P., Tignor, S. M., Tsang, J.-A., & Willett, A. (2016). Dispositional self-forgiveness, guilt-and shame-proneness, and the roles of motivational tendencies. Personality and Individual Differences, 98, 53-61. https://doi.org/https://doi.org/10.1016/j.paid.2016.04.017

Crosby, J. M., & Twohig, M. P. (2016). Acceptance and commitment therapy for problematic internet pornography use: A randomized trial. Behavior Therapy, 47(3), 355-366. https://doi.org/ https://doi.org/ 10.1016/j.beth.2016.02.001

Darvish Baseri, L., & DashtBozorgi, Z. (2017). Effectiveness of Group Therapy Based on Acceptance and Commitment on Cognitive Emotion Regulation and Alexithymia of Patients with Type 2 Diabetes [Research]. Journal of Nursing Education, 5(1), 7-14. https://doi.org/10.21859/ijpn-05012

Davarniya, R., Zahrakar, K., Asadpour, E., Mohsenzadeh, F., & Kasaee Esfahani, A. (2019). The Effectiveness of Group Counselling based on Compassion-Focused Therapy (CFT) on Rumination in Women Affected by Marital Infidelity [Research]. Armaghane Danesh, 24(5), 950-967. https://doi.org/10.52547/armaghanj.24.5.ضمیمه2.950

Davis, S., Ferrar, S., Sadikaj, G., Binik, Y., & Carrier, S. (2017). Shame, catastrophizing, and negative partner responses are associated with lower sexual and relationship satisfaction and more negative affect in men with Peyronie's disease. Journal of sex & marital therapy, 43(3), 264-276. https://doi.org/https://doi.org/ 10.1080/0092623X.2016.1147511

Donovan, S., & Emmers-Sommer, T. M. (2012). Attachment style and gender as predictors of communicative responses to infidelity. Marriage & family review, 48(2), 125-149. https://doi.org/https://doi.org/10.1080/01494929.2011.626670

El Frenn, Y., Akel, M., Hallit, S., & Obeid, S. (2022). Couple’s Satisfaction among Lebanese adults: validation of the Toronto Alexithymia Scale and Couple Satisfaction Index-4 scales, association with attachment styles and mediating role of alexithymia. BMC psychology, 10(1), 13. https://doi.org/ https://doi.org/10.1186/s40359-022-00719-6

Fatollahzadeh, S., Kianimoghadam, A. S., Bahri, R., Khesali, M., Pour Seyyed Aghaei, Z., & Masjedi Arani, A. (2023). The Effectiveness of Compassion-Focused Therapy on Resilience, Shame, Internal Self-criticism, and Quality of Life of Patients with Vitiligo [Research Article]. Iran J Psychiatry Behav Sci, 17(4), e137483. https://doi.org/10.5812/ijpbs-137483

Feizikhah, F., Hassanzadeh, R., & Abbasi, G. (2021). Comparing the Effects of Acceptance and Commitment Therapy and Resilience Training on Emotional Divorce in Women Referring to Family Courts [Original Research Article]. Middle Eastern Journal of Disability Studies, 11(0), 66-66. http://jdisabilstud.org/article-1-2379-en.html

Fietz, J., Valencia, N., & Silani, G. (2018). Alexithymia and autistic traits as possible predictors for traits related to depression, anxiety, and stress: A multivariate statistical approach. Journal of evaluation in clinical practice, 24(4), 901-908. https://doi.org/https://doi.org/10.1111/jep.12961

Hayati, M., & Soleymani, S. (2019). The consequences of divorce for the divorced Person: A qualitative study. Rooyesh, 7(11), 273-288. https://doi.org/https://dorl.net/dor/20.1001.1.2383353.1397.7.11.19.8

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change, 2nd ed. Guilford Press.

Huang, C.-Y., Sirikantraporn, S., Pichayayothin, N. B., & Turner-Cobb, J. M. (2020). Parental attachment, adult-child romantic attachment, and marital satisfaction: An examination of cultural context in Taiwanese and Thai heterosexual couples. International Journal of Environmental Research and Public Health, 17(3), 692. https://doi.org/https://doi.org/10.3390/ijerph17030692

 Kargar, S., Davoodi, A., & Mozafari, M. (2019). Prediction of Sexual Satisfaction of Womens based on Their Feeling of Guilt and Shame and Difficulties in Emotion Regulation. Quarterly Journal of Woman and Society, 10(39), 115-126. https://doi.org/https://doi.org/20.1001.1.20088566.1398.10.39.8.1

Karukivi, M., Tolvanen, M., Karlsson, L., & Karlsson, H. (2014). Is alexithymia linked with marital satisfaction or attachment to the partner? A study in a pregnancy cohort of parents-to-be. Comprehensive psychiatry, 55(5), 1252-1257. https://doi.org/https://doi.org/10.1016/j.comppsych.2014.03.019

Li, S., Chen, Z., Yong, Y., Xie, J., & Li, Y. (2023). Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis. Compr Psychiatry, 127, 152426. https://doi.org/10.1016/j.comppsych.2023.152426

Luminet, O., Nielson, K. A., & Ridout, N. (2021). Having no words for feelings: alexithymia as a fundamental personality dimension at the interface of cognition and emotion. In (Vol. 35, pp. 435-448): Taylor & Francis.

Momeni, K., Karami, J., & Hoveyzizadehgan, N. (2018). The relationship between sensation seeking, positive and negative affect, alexithymia and marital infidelity. Journal of Health and Care, 19(4), 221-231. https://doi.org/http://hcjournal.arums.ac.ir/article-1-897-fa.html

Mushy, R. B., & Mbonile, M. J. (2017). Adaptation Strategies to Climate Change among Smallholder Farmers in Moshi Rural District, Tanzania. Journal of the Geographical Association of Tanzania, 38(1), 1-15. https://doi.org/  https://doi.org/10.56279/jgat.v38i1.116

Najari, F., Niknam, M., & Dokaneifard, F. (2023). Comparison of the efficacy of acceptance and commitment based therapy (ACT) and schema therapy on forgiveness in women after infidelity. Journal of psychologicalscience, 22(124), 827-843. https://doi.org/https://doi.org/10.52547/JPS.22.124.827

Ouyang, Y., Ding, D., & Xu, X. (2022). problem behaviors of adolescents: The role of family socioeconomic status, parental educational expectations, and adolescents’ confidence in the future. International Journal of Environmental Research and Public Health, 19(23), 15442. https://doi.org/https://doi.org/10.3390%2Fijerph192315442

Panahi, M. S., Hoseinzadeh, A., Razaghpour, M., & Hosieni, N. (2018). Formulating a model for the relationship between alexithymia, social support, loneliness, and marital satisfaction: Path analysis model. Journal of family medicine and primary care, 7(5), 1068-1073. https://doi.org/https://doi.org/10.4103/jfmpc.jfmpc318

Pugach, C. P., Campbell, A. A., & Wisco, B. E. (2020). Emotion regulation in posttraumatic stress disorder (PTSD): Rumination accounts for the association between emotion regulation difficulties and PTSD severity. J Clin Psychol, 76(3), 508-525. https://doi.org/10.1002/jclp.22879

Sabour, S., & Kakabraee, K. (2016). The Effectiveness of Acceptance and Commitment Therapy on Depression, Stress and Indicators of Pain in Women with Chronic Pain [Research]. Iranian Journal of Rehabilitation Research in Nursing, 2(4), 1-9. https://doi.org/10.21859/ijrn-02041

Sadeghi, M., Naeimeh, M., & Alivandvafa, M. (2021). Effectiveness of Acceptance and Commitment Therapy (ACT) in Couple Burnout, Alexithymia, and Quality of Life of Women Affected by Marital Infidelity. Journal of Applied Family Therapy, 2(3), 73-91. https://doi.org/10.22034/aftj.2021.296762.1146

Stockton, D., Kellett, S., Berrios, R., Sirois, F., Wilkinson, N., & Miles, G. (2019). Identifying the underlying mechanisms of change during acceptance and commitment therapy (ACT): A systematic review of contemporary mediation studies. Behavioural and cognitive psychotherapy, 47(3), 332-362. https://doi.org/https://doi.org/10.1017/S1352465818000553

Szasz, P. L., Szentagotai, A., & Hofmann, S. G. (2011). The effect of emotion regulation strategies on anger. Behaviour research and therapy, 49(2), 114-119. https://doi.org/https://doi.org/10.1016/j. brat.2010.11.011

Waller, E., & Scheidt, C. E. (2006). Somatoform disorders as disorders of affect regulation: a development perspective. Int Rev Psychiatry, 18(1), 13-24. https://doi.org/10.1080/09540260500466774

Younesi, S., Abbasi Asl, M., Khazan, K., & Kazemi, J. (2016). The Effectiveness of Education Acceptance-Commitment Theory (ACT) to Reducing Alexithymia of Divorcing Women [Research]. Quarterly Journal of Social Work, 5(3), 5-13. http://socialworkmag.ir/article-1-123-en.html

Zakeri, F., & Rezaei, M. (2022). The Role of Alexithymia and Dysfunctional Reactions in Predicting Marital Intimacy. Practice in Clinical Psychology, 10(4), 329-342. https://doi.org/https://doi.org/10.32598/jpcp.10.4.850.1      

Zare Baghbidi, M., & Etemadifard, A. (2020). Determining the Mediating Role of Communication Skills in the Relationship between alexithymia and marital burnout of divorce client Couples in Yazd. Social Psychology Research, 10(38), 135-150. https://doi.org/https://doi.org/10.22034/spr.2020.114700

Zarei, S., & Hosseingholi, F. (2014). The prediction of marital commitment based on self-conscious affects (shame and guilt) and self-differentiation among married university students. Family Counseling and Psychotherapy, 4(1), 113-135. https://doi.org/https://20.1001.1.22516654.1393.4.1.6.5

Zekariazadeh Khatir, Z., fakhri, M., & haydari, s. (2022). The Effectiveness of Acceptance and Commitment Therapy on Marital Tension and Forgiveness among Women Seeking Divorce. Applied Family Therapy Journal (AFTJ), 3(2), 378-393. https://doi.org/10.61838/kman.aftj.3.2.19