مجله علوم پزشکی پارس

اثر روان درمانی یکپارچه نگر بر تصویر بدنی، خوردن آگاهانه، رضایت از درمان و درمانگر در زنان چاق

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی،واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران

2 دانشیار،گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران

3 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی ، کرج، ایران

4 دانشیار، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران

5 استادیار،گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی ، کرج، ایران

چکیده

مقدمه: امروزه، چاقی یکی از معضلات سلامتی و عامل خطرساز برای بسیاری از بیماری ها است و با افزایش شیوع چاقی به راهبردهای روانشناختی موثر برای مقابله با این مشکل نیاز می باشد. پژوهش حاضر با هدف تعیین اثربخشی روان درمانی یکپارچه نگر بر تصویر بدنی، خوردن آگاهانه و رضایت از درمان و درمانگر در افراد چاق انجام گرفت.
روش کار: این پژوهش شبه تجربی با طرح پیش آزمون،  -پس آزمون با گروه کنترل و  پیگیری بعد گذشت 3 ماه از مداخله بود. 30  نفر زنان چاق به صورت تصادفی ساده در دو گروه مداخله (15 نفر) و گروه کنترل (15 نفر) قرار گرفتند. مداخله آموزشی به مدت 9 جلسه 90 دقیقه‌ای بر روی گروه آزمایش انجام شد و در گروه کنترل هیچ مداخله‌ای انجام نشد. برای جمع‌آوری داده‌ها از پرسشنامه های تصویر بدنی، خوردن آگاهانه و رضایت از درمان و درمانگر قبل و بعد از مداخله استفاده شد. به منظور تجزیه و تحلیل داده ها از آزمون آماری تحلیل کوواریانس استفاده شد.
یافته ها: براساس تحلیل کوواریانس مشخص گردید که گروه آزمایش و گروه شاهد بعد از مداخله از لحاظ متغیرهای تصویر بدنی، خوردن آگاهانه و رضایت از درمان و درمانگر تفاوت معنی داری با هم دارند. میانگین نمره هر سه متغیر (تصویر بدنی، خوردن آگاهانه، رضایت از درمان و درمانگر) در هر دو گروه تحت مطالعه در پیش آزمون تفاوتی با هم نداشتند (p>0.05)، ولی در پس آزمون و پیگیری تفاوت معنی دار (p=0.001) و بهبود شرایط مشاهده شد. تفاوت بین نمره میانگین دو گروه در پس آزمون در متغیر تصویر بدنی و مرحله پیگیری به ترتیب 8.40 و 6.260؛ در متغیر خوردن آگاهانه 28.86- و 32.33- ؛ و برای متغیر رضایت از درمان و درمانگر 2.53 و 4.80 بود.
نتیجه گیری: روان درمانی یکپارچه نگر می تواند بر روی تصویر بدنی، خوردن آگاهانه و رضایت از درمان و درمانگر افراد تاثیر داشته باشد و با استفاده از این روش ممکن است بتوان نگرش افراد چاق را در این موارد تغییر داد و بهبود بخشید.
 

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Integrative Psychotherapy on Body Image, Mindful Eating and Satisfaction of Therapy and Therapist in Obese women

نویسندگان [English]

  • Khadijeh Babakhani 1
  • Shahram Vaziri 2
  • Biuok Tajeri 3
  • Farah Lotfikashani 4
  • Tahereh Ranjbarpour 5

1 PhD Student in Health Psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran

2 Associate Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran

4 Associate Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

5 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran

چکیده [English]

Introduction: Nowadays, obesity is one of the health problems and risk factors for many diseases and with increasing
prevalence of obesity necessary to prioritize effective psychological strategies to deal with this problem. The purpose of this study was to determine the effect of intervention integrative psychotherapy on body image, mindful eating, and satisfaction of treatment and therapist in obese individuals.
Materials and Methods: This quasi-experimental study with pre- and post-test design with control group and follow-up structure was performed 3 months after intervention. Thirty obese women were selected and randomly divided
into two groups; intervention (n = 15) and control (n = 15). Intervention of training was done in nine session of 90 minutes for experimental group and the control group received any intervention. Body image, mindful eating and satisfaction of treatment and therapist questionnaires, were used for data collection before and after the intervention. Co-variance test were used for statistical analysis of data.
Results: Findings of the analysis of variance indicated that there is a significant difference in body image and mindful eating and satisfaction with therapy and therapist after intervention between two groups. There were no difference the mean values of the variables (body image, mindful eating, satisfaction with therapy and therapist) at pre-test phase between two study groups, but in post-test and follow-up phases there was a significant difference (p= 0.001) and improvement was observed. The difference of mean values of two groups in body image at post- test and follow-up phase respectively was 8.40 and 6.260 scores, in mindful eating variable was -28.86 and -32.33 scores, follow-up phase and for satisfaction of therapy and therapist variable was 2.53 and 4.80 scores.
Conclusion: Integrative psychotherapy can affect the body image, mindful eating and satisfaction of therapy and
therapist of people and by using this method, the attitudes of obese women may be able to changed and improve.

کلیدواژه‌ها [English]

  • Psychotherapy
  • Integrative
  • Obesity
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مجله علوم پزشکی پارس
دوره 17، شماره 3 - شماره پیاپی 49
مهر 1398
صفحه 7-16