اثربخشی برنامه آموزش روانشناختی خانواده در کاهش هیجان ابراز شده مراقبین بیماران اسکیزوفرن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی. گروه روانشناسی. دانشکده روانشناسی و علوم تربیتی. واحد مرودشت. دانشگاه آزاد اسلامی. مرودشت. ایران

2 استاد دانشگاه آزاد. گروه روانشناسی. دانشکده روانشناسی و علوم تربیتی. واحد مرودشت. دانشگاه آزاد اسلامی، مرودشت، ایران.

3 استادیار دانشگاه آزاد. گروه روانشناسی. دانشکده روانشناسی و علوم تربیتی. واحد مرودشت. دانشگاه آزاد اسلامی، مرودشت، ایران.

4 روانپزشک- بیمارستان اعصاب و روان استاد محرری شیراز. جانشین تام الاختیار رییس دانشگاه علوم پزشکی شیراز در امور اعتیاد و رییس دفتر پیشگیری

چکیده

پژوهش حاضر در قالب یک کارآزمایی بالینی (IRCT2016081729402N1) با هدف بررسی اثربخشی مداخله مبتنی بر آموزش روانشناختی خانواده در کاهش سطح هیجان ابراز شده مراقبین بیماران مبتلا به اسکیزوفرنیا انجام شد. گروه نمونه شامل خانواده­های 49 نفر از بیماران اسکیزوفرن بستری در بیمارستان اعصاب و روان استاد محرری شیراز بود، که به صورت نمونه­گیری در دسترس انتخاب و در دو گروه مداخله (24n=) و کنترل (25n=) قرار گرفتند و به پرسشنامه هیجان ابراز شده خانواده در شروع مداخله، پس از مداخله و دو ماه بعد از اتمام مداخله پاسخ دادند. برنامه آموزش خانواده برای گروه آزمایشی اجرا گردید، اما گروه کنترل هیچ مداخله خاصی دریافت نکرد. نتایج تحلیل واریانس یک راهه با اندازه­گیریهای مکرر نشان داد آموزش روانشناختی خانواده در کاهش هیجان ابراز شده خانواده موثر بوده است (031/. = لامبدای ویلکز، 895/339=F، 0001/.=P، 969/.= مجذور اتای تفکیکی چند متغیره). تحلیل واریانس یک راهه بین گروهها نیز حاکی از تفاوت معنادار میان گروه مداخله با گروه کنترل (785/38=F، 0001/.=P، 45/.= اندازه اثر) بود. یافته­های پژوهش نشان می­دهد که آموزش روانشناختی خانواده از اثر بالایی در کاهش هیجان ابراز شده خانواده برخوردار است. نتایج پیگیری دو ماهه نیز نشان از پایداری بهبود هیجان ابراز شده خانواده داشته است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of family psycho-educational program in reducing expressed emotion on schizophrenic patients' caregivers

نویسندگان [English]

  • S Fereidooni 1
  • Amir Hoshang Mehryar 2
  • H javidi 3
  • R Afshari 4
1 PhD candidate in Psychology. Department of Psychology.Faculty of Psychology and Educational Sciences.Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
2 و Professor of Azad university. Department of Psychology. Faculty of Psychology and Educational Sciences.Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
3 Assistant Professor of Azad university. Department of Psychology.Faculty of Psychology and Educational Sciences.Marvdasht Branch, Islamic Azad University, Marvdasht, Iran
4 Psychiatrist. Shiraz Psychiatry Hospital. Shiraz University of Medical Sciences. Shiraz. Iran.
چکیده [English]

Objective: The aim of this clinical trial study (IRCT2016081729402N1) is explored the effectiveness of familial psycho-educational program in inpatients suffering from schizophrenia in reducing caregivers’ expressed emotion.
Methods: In this clinical trial, we included 49 people from the family of schizophrenic inpatients, who were admitted to Shiraz Psychiatric Hospital. They were randomly divided into intervention (n=24) and control (n=25) groups. Only, in the experimental group, a psycho-educational program was arranged for their caregivers. At baseline, immediately, post-intervention and two month later, all participants completed Family Questionnaire (FQ).
Results: According to the results of the analysis of variance for repeated measures by SPSS software V.20: both groups showed decrease in post-test in FQ (Wilks' Lambda=.031; F=339.859; p=0.0001; Partial Eta Squared=.969). Also, there was a significant difference among groups (F=38.785; p=0.0001; Effect Size=0.45).
Conclusion: Our research findings indicate that using the family psycho-educational program, can decrease the expressed emotion on schizophrenic inpatients' caregivers.

کلیدواژه‌ها [English]

  • Expressed emotion
  • Familial Psycho-education
  • Schizophrenia
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