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سیفی آوارسین, عزیز, پیرخائفی, علیرضا, کلهرنیا گلکار, مریم. (1403). اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و عملکرد انطباقی بیماران مبتلا به فشار خون بالا. هنرهای کاربردی, 16(4), 97-109. doi: 10.22075/jcp.2024.35094.2964
عزیز سیفی آوارسین; علیرضا پیرخائفی; مریم کلهرنیا گلکار. "اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و عملکرد انطباقی بیماران مبتلا به فشار خون بالا". هنرهای کاربردی, 16, 4, 1403, 97-109. doi: 10.22075/jcp.2024.35094.2964
سیفی آوارسین, عزیز, پیرخائفی, علیرضا, کلهرنیا گلکار, مریم. (1403). 'اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و عملکرد انطباقی بیماران مبتلا به فشار خون بالا', هنرهای کاربردی, 16(4), pp. 97-109. doi: 10.22075/jcp.2024.35094.2964
سیفی آوارسین, عزیز, پیرخائفی, علیرضا, کلهرنیا گلکار, مریم. اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و عملکرد انطباقی بیماران مبتلا به فشار خون بالا. هنرهای کاربردی, 1403; 16(4): 97-109. doi: 10.22075/jcp.2024.35094.2964

اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و عملکرد انطباقی بیماران مبتلا به فشار خون بالا

روان‌شناسی بالینی: نوآوری‌ها در پژوهش و عمل
مقاله 7، دوره 16، شماره 4 - شماره پیاپی 64، دی 1403، صفحه 97-109    اصل مقاله (1023.29 K)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2024.35094.2964
نویسندگان
عزیز سیفی آوارسین1؛ علیرضا پیرخائفی* 2؛ مریم کلهرنیا گلکار3
1گروه روانشناسی سلامت، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی
2گروه روانشناسی بالینی، واحد گرمسار، دانشگاه آزاد اسلامی، گرمسار، ایران
3گروه روان‌شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
تاریخ دریافت: 31 مرداد 1403،  تاریخ بازنگری: 07 آذر 1403،  تاریخ پذیرش: 01 بهمن 1403 
چکیده
مقدمه: فشارخون بالا به عنوان یک بیماری شایع مزمن، علاوه بر بعد جسمی بر عملکرد روانی بیماران نیز می‌تواند تأثیرگذار باشد. از این‌رو، در پژوهش حاضر، اثربخشی درمان رفتاری-شناختی بر استرس ادراک‌شده و مهارت‌های انطباقی بیماران مبتلا به فشار خون بالا بررسی شد.
مواد و روش‌ها: این پژوهش از نوع نیمه آزمایشی و با طرح پیش‌آزمون، پس‌آزمون و پیگیری سه ماهه بود. نمونۀ آماری شامل 36 نفر از بیماران مبتلا به فشارخون بالا مراجعه کننده به مراکز درمانی شهر تهران در سال 1402 بود که با روش نمونه‌گیری هدفمند برگزیده شده و به صورت تصادفی در دو گروه 18 نفری آزمایش و کنترل جایگزین شدند. ابزار پژوهش، شامل مقیاس‌های استرس ادراک‌شده (PSS) و عملکرد انطباقی (APS) بود.
یافته‌ها: نتایج تحلیل واریانس با اندازه‌گیری مکرر نشان داد که درمان شناختی-رفتاری بعد از آخرین جلسۀ درمان توانست موجب کاهش استرس ادراک‌شده (53/16=F) و افزایش عملکرد انطباقی (15/27=F) در بیماران مبتلا به فشارخون بالا شود. همچنین اثر درمان شناختی-رفتاری پس از سه ماه بعد از آخرین جلسۀ درمان نیز در بیماران ماندگار بود (0/001>P).
نتیجه‌گیری: نتایج حاکی از تأثیر مثبت درمان گروهی شناختی-رفتاری در کاهش فشار روانی و افزایش عملکردهای انطباقی بیماران مبتلا به فشارخون بود. بنابراین پیشنهاد می‌شود در کنار درمان روتین پزشکی، از این روان‌درمانی جهت ارتقای سلامت روان این بیماران استفاده شود.
کلیدواژه‌ها
درمان شناختی-رفتاری؛ استرس ادراک‌شده؛ عملکرد انطباقی؛ فشارخون
عنوان مقاله [English]
The Effectiveness of Cognitive-Behavioral Therapy on Perceived Stress and Adaptive Performance in Patients with Hypertension
نویسندگان [English]
Aziz Seyfi Avarsin1؛ Alireza Pirkhaefi2؛ Maryam Kalhornia-Golkar3
1Department of Health Psychology, UAE Branch, Islamic Azad University, Dubai. United Arab Emirates
2Department of Clinical Psychology, Garmsar Branch, Islamic Azad University, Garmsar, Iran
3Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
چکیده [English]
Introduction: Hypertension, as a common chronic illness, can affect not only the physical well-being of patients but also their psychological functioning. Therefore, this study aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on perceived stress and adaptive performance in patients with hypertension.
Methods: This semi-experimental study employed a pretest-posttest design with a three-month follow-up. The statistical sample included 36 patients with hypertension who visited medical centers in Tehran in 2023. They were selected through purposive sampling and were randomly assigned to two groups of 18, one experimental and one control group. The research instruments included the Perceived Stress Scale (PSS) and the Adaptive Performance Scale (APS).
Results: The results of repeated measures ANOVA showed that CBT, after the last therapy session, was able to reduce perceived stress (F = 16.53) and increase adaptive performance (F = 27.15) in patients with hypertension. Also, the effect of CBT was also lasting in patients three months after the last therapy session (P < 0.001).
Conclusion: The findings indicate the positive impact of CBT in reducing psychological stress and enhancing adaptive performance in patients with hypertension. Therefore, it is recommended to use this psychotherapy alongside routine medical treatment to improve the mental health of these patients.
کلیدواژه‌ها [English]
Cognitive-Behavioral Therapy, Perceived Stress, Adaptive Performance, Hypertension
مراجع
منابع

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