فصلنامه روان‌شناسی کاربردی

فصلنامه روان‌شناسی کاربردی

مقایسه اثربخشی درمان مبتنی بر ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی

نوع مقاله : مقاله پژوهشی

نویسندگان
صفیه هادیان 1
اکرم دهقانی 2
راضیه ایزدی 3
شیدا جبل عاملی 4
موسی علوی 5
1 دانشجو دکتری ، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.
2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.
3 استادیار، گروه روانشناسی ، موسسه اموزش عالی غیر انتفاعی صفاهان ، اصفهان، ایران
4 استادیار، گروه روانشناسی، واحد نجف اباد، دانشگاه آزاد اسلامی ،نجف آباد،، ایران
5 استاد تمام، گروه روان پرستاری، دانشگاه علوم پزشکی ، اصفهان، ایران
10.48308/apsy.2026.240712.1865
چکیده
هدف: تحمل پریشانی در پرستاران از عوامل محافظتی روان‌شناختی اساسی برای حرفه‌ پرستاری به شمار می‌شود؛ لذا پژوهش حاضر باهدف مقایسه اثربخشی درمان مبتنی بر ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی انجام شد.
 
روش: این مطالعه یک پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری و یک گروه کنترل  بود. از بین پرستاران شاغل در بیمارستان امام خمینی شهرستان فلاورجان 44 نفر به‌صورت نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه آزمایش و یک گروه کنترل گمارده شدند. ابزار پژوهش مقیاس تحمل پریشانی (سیمونز و گاهر، 2005) بود. دو گروه آزمایش به مدت 8 جلسه تحت درمان قرار گرفتند و گروه کنترل هیچ درمانی دریافت نکردند. داده‌ها از طریق تحلیل واریانس با اندازه‌گیری مکرر تحلیل شدند.
 
یافته‌ها: نتایج پژوهش نشان داد تفاوت بین میانگین در پس‌آزمون و پیگیری، نمرات گروه کنترل با دو گروه درمان ذهنی‌سازی و درمان دیالکتیک معنی‌دار می‌باشد (05/0> p). تفاوت بین میانگین نمرات دو گروه درمان ذهنی‌سازی و درمان دیالکتیک معنی‌دار نمی‌باشد (05/0<P).
 
نتیجه‌گیری: بنابراین می‌توان گفت هر دو روش درمانی مؤثر بوده و موجب افزایش تحمل پریشانی در پرستاران دارای مشکلات خستگی روانی شده‌اند. در ضمن بین اثربخشی دو روش درمان ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی تفاوت وجود ندارد.
کلیدواژه‌ها
پرستاران
تحمل پریشانی
خستگی روانی
درمان دیالکتیک
درمان مبتنی بر ذهنی‌سازی
موضوعات

عنوان مقاله English

Comparing Effectiveness of Mentalization-Based Therapy and Dialectical Therapy on Distress Tolerance in Nurses with Mental Fatigue Problems

نویسندگان English

Safieh Hadian 1
Akram Dehghani 2
Razieh Izadi 3
Sheida Jabalameli 4
Mousa Alavi 5
1 PhD Student, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Assistant Professor, Department of Psychology, Na.c , Islamic Azad University ،Najafabad , Iran.
3 Assistant Professor, Department of Psychology، Safahan Non-Profit Higher Education Institute, Isfahan, Iran
4 . Assistant Professor, Department of Psychology, , Najafabad Branch، Islamic Azad University ،Najafabad, , Iran.
5 Professor, Department of Psychiatric Nursing, University of Medical Sciences, Isfahan, Iran
چکیده English

Aim: This study compared the effectiveness of Mentalization-Based Therapy (MBT) and Dialectical Behavior Therapy (DBT) on distress tolerance among nurses experiencing mental fatigue.
 
Method: This quasi-experimental study used a pretest–posttest design with a control group. Forty-four nurses working at Imam Khomeini Hospital in Falavarjan were selected through purposive sampling and randomly assigned to two experimental groups and one control group. Distress tolerance was measured using the Distress Tolerance Scale. The MBT and DBT groups each received eight treatment sessions, while the control group received no intervention. Data were analyzed using repeated-measures ANOVA.
 
Results: Significant differences were observed between the experimental groups and the control group at posttest and follow-up (p < 0.05), indicating improvements in distress tolerance following both interventions. However, no significant differences were found between the MBT and DBT groups (p > 0.05), suggesting comparable effectiveness.
 
Conclusion: Both Mentalization-Based Therapy and Dialectical Behavior Therapy effectively increased distress tolerance in nurses with mental fatigue. These interventions may help improve psychological resilience and coping abilities among healthcare professionals exposed to occupational stress.

کلیدواژه‌ها English

Nurses
Distress Tolerance
Mental Fatigue
Dialectical Therapy
Mentalization-Based Therapy
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