اثربخشی روان‌درمانی ‌پویشی ‌فشرده‌ کوتاه‌مدت بر بهبود تعارضات ‌درون‌روانی، پذیرش‌ بیماری و سطح هموگلوبین‌ گلیکوزیله در نوجوانان مبتلا به دیابت نوع ۱

چکیده مقاله :

با توجه به شیوع دیابت نوع 1، پژوهش حاضر با هدف بررسی اثربخشی روان‌درمانی‌پویشی‌فشرده‌کوتاه‌مدت بر بهبود تعارضات‌درون‌روانی، پذیرش‌بیماری و سطح هموگلوبین‌گلیکوزیله در نوجوانان مبتلا به دیابت نوع‌1 انجام گردید. طرح پژوهش حاضر، نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری دو ماهه با گروه کنترل و آزمایش بود. از میان نوجوانان (12 تا 18 سال) مبتلا به دیابت نوع 1 که در نیمه اول سال 1403 به انجمن‌ دیابت ‌ایران واقع در تهران مراجعه نمودند ، 40 نفر به شیوه در دسترس انتخاب شدند و به طور تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. گروه ‌آزمایش 10 تا 20 جلسه روان‌درمانی‌پویشی‌ کوتاه‌مدت را به شیوه فردی دریافت نمودند و گروه کنترل مداخله ای دریافت نکردند. داده ها با استفاده از نسخه ویرایش شده پرسشنامه تعارضات‌درون‌روانی (2020)، نسخه ‌ایرانی پرسشنامه پذیرش‌‌ دیابت (1401) و آزمایش‌ خون HbA1c جمع آوری شد. نتایج تحلیل واریانس با اندازه گیری مکرر نشان داد که روان‌درمانی ‌پویشی ‌فشرده‌کوتاه‌مدت به کاهش تعارضات ‌درون‌روانی در مرحله پس‌آزمون (001/0P<) و پیگیری (05/0P<)، افزایش پذیرش ‌دیابت در مرحله پس‌آزمون (001/0P<) و پیگیری (01/0 P<) و نیز کاهش سطح هموگلوبین‌ گلیکوزیله در مرحله پس‌آزمون (001/0 P<) و پیگیری (05/0 P<) در نوجوانان مبتلا به دیابت نوع 1 شد. بنابراین، پیشنهاد می‌گردد که از روان‌درمانی ‌پویشی‌ فشرده‌ کوتاه‌مدت به عنوان درمان ‌اصلی و یا به‌عنوان درمان مکمل در کنار سایر مداخلات درمانی جهت کاهش مشکلات روانشناختی و جسمانی نوجوانان مبتلا به دیابت نوع 1 استفاده شود.

چکیده انگلیسی :

Considering the prevalence of Type 1 diabetes, the present study aimed to examine the effectiveness of intensive short-term dynamic psychotherapy (ISTDP) in improving intrapsychic conflicts, disease acceptance, and HbA1c levels in adolescents with Type 1 diabetes. The research design was a semi-experimental pre-test/post-test study with a two-month follow-up, including both experimental and control groups. Forty adolescents (ages 12 to 18) diagnosed with Type 1 diabetes, who visited the Diabetes Association of Iran in Tehran in the first half of 2024, were selected through convenience sampling and randomly assigned to either the experimental or control group. The experimental group received 10 to 20 sessions of ISTDP on an individual basis, while the control group received no intervention. Data were collected using the modified version of the 2020 Intrapsychic Conflicts Questionnaire, the Iranian version of the Diabetes Acceptance Questionnaire (2023), and HbA1c blood tests. Repeated measures ANOVA results revealed that ISTDP significantly reduced intrapsychic conflicts at both post-test (P< 0.001) and follow-up (P<0.05), increased diabetes acceptance at post-test (P < 0.001) and follow-up (P<0.01), and decreased HbA1c levels at post-test (P<0.001) and follow-up (P<0.05) in adolescents with Type 1 diabetes. Therefore, it is recommended to use intensive short-term dynamic psychotherapy as either the primary treatment or as a complementary intervention alongside other therapeutic approaches to address psychological and physical challenges in adolescents with Type 1 diabetes.

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