بررسی اثربخشی آموزش تنظیم هیجان بر تاب‌آوری و حلّ مسأله در نوجوانان تحت دیالیز

نوع مقاله: پژوهشی اصیل

نویسندگان

گروه روان شناسی،دانشکده علوم تربیتی و روان شناسی دانشگاه اصفهان، اصفهان، ایران

چکیده

نوجوانان با نارسایی مزمن کلیوی با آسیب‌های متعدّد روانی و هیجانی مواجهه هستند و تقویت تنظیم هیجان می‌تواند در کاهش فشار روانی در آن‌ها مؤثر باشد. پژوهش حاضر با هدف بررسی اثربخشی آموزش تنظیم هیجان بر بهبود تاب‌آوری و سبک‌های حلّ مسأله در نوجوانان تحت دیالیز در یک طرح نیمه آزمایشی انجام شد. 30 نوجوان تحت درمان دیالیز انتخاب و به صورت تصادفی در دو گروه آزمایش (15 n =) و کنترل (15n = ) واگذار شدند. شرکت‌کننده‌های گروه آزمایش تحت آموزش تنظیم هیجان قرار گرفتند. شرکت‌کننده‌ها پرسش‌نامه‌های تاب‌آوری و حلّ مسأله در مراحل قبل، بعد و دو ماه پس از جلسات مداخله تکمیل نمودند. داده‌ها با استفاده از روش آماری تحلیل واریانس تکراری و با استفاده از نرم‌افزار آماری SPSS انجام گرفت. برنامه‌ی آموزشی در بهبود تاب‌آوری و حل مسأله‌ی سازنده و کاهش حل مسأله‌ی غیرسازنده گروه آزمایش نسبت به گروه کنترل مؤثر است؛ یعنی گروه آزمایش نسبت به گروه کنترل نمرات تاب‌آوری و سبک حلّ مسأله‌ی سازنده افزایش و حلّ مسأله‌ی غیرسازنده کاهش یافته است. بنابراین، آموزش تنظیم هیجان می‌تواند در ارتقای تاب‌آوری و سبک حلّ مسأله‌ی سازنده در نوجوانان با بیماری مزمن کلیوی و تحت دیالیز مؤثر باشد

کلیدواژه‌ها


Abdollahi, A., Talebi, M. A., Yaacoby, S. N., & Ismaiele, Z. (2014). Problem-solving skills and hardiness as protective factors against stress in Iranian nurses. Issues in Mental Health Nursing, 35(2), 100-107. (Persian)
Atashafrouz, A. (2017). Study of the relationship model of family function and problematic Internet with the mediating of self-control and emotional intelligence. Biannual Journal of Applied Counseling, 7(1), 65-80. (Persian)
Barberis, N., Cernaro, V., Costa, S., Montalto, G., Lucisano, S., Larcan, R., & Buemi, M. (2017). The relationship between coping, emotion regulation, and quality of life of patients on dialysis. The International Journal of Psychiatry in Medicine, 52(2), 111-123.
Beaudreau, S. A., Gould, C. E., Mashal, N. M., Huh, J. T., & Fairchild, J. K. (2019). Application of problem solving therapy for late-life anxiety. Cognitive and Behavioral Practice, 26(2), 381-394.
Berking, M., Ebert, D., Cuijpers, P., & Hofmann, S. G. (2013). Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: a randomized controlled trial. Psychotherapy and Psychosomatics, 82(4), 234-245.
Berking, M., Orth, U., Wupperman, P., Meier, L. L., & Caspar, F. (2008). Prospective effects of emotion-regulation skills on emotional adjustment. Journal of Counseling Psychology, 55(4), 485-499.
Banisi, P. (2019). Effectiveness of self-regulation strategies training on resiliency and social adjustment in students with learning disorder. Empowering Exceptional Children, 10(1), 107-115.
Blanchard-Fields, F. (2007). Everyday problem solving and emotion: An adult developmental perspective. Current Directions in Psychological Science, 16(1), 26-31.
Bolte, A., Goschke, T., & Kuhl, J. (2003). Emotion and intuition: Effects of positive and negative mood on implicit judgments of semantic coherence. Psychological Science, 14(5), 416-421.
Bonanno, G. A. (2005). Resilience in the face of potential trauma. Current Directions in Psychological Science, 14(3), 135-138.
Cal, S. F., Sá, L. R. d., Glustak, M. E., & Santiago, M. B. (2015). Resilience in chronic diseases: a systematic review. Cogent Psychology, 2(1), 1024928.
Cassidy, T. (2002). Problem-solving style, achievement motivation, psychological distress and response to a simulated emergency. Counselling Psychology Quarterly, 15(4), 325-332.
Cassidy, T., & Long, C. (1996).  Problem‐solving style, stress and psychological illness: Development of a multifactorial measure. British Journal of Clinical Psychology, 35(2), 265-277.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety, 18(2), 76-82.
Cousijn, J., Luijten, M., & Ewing, S. W. F. (2018). Adolescent resilience to addiction: a social plasticity hypothesis. The Lancet Child & Adolescent Health, 2(1), 69-78.
De Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. The Lancet, 372(9634), 246-255.
Dennis, T. A. (2007). Interactions between emotion regulation strategies and affective style: Implications for trait anxiety versus depressed mood. Motivation and Emotion, 31(3), 200-207.
Dooley, L. N., Slavich, G. M., Moreno, P. I., & Bower, J. E. (2017). Strength through adversity: Moderate lifetime stress exposure is associated with psychological resilience in breast cancer survivors. Stress and Health, 33(5), 549-557.
Faircloth, A. L. (2017). Resilience as a mediator of the relationship between negative life events and psychological well-being. European Psychologist, 19(3), 35-47.
Famulski, K., Reeve, J., De Freitas, D., Kreepala, C., Chang, J., & Halloran, P. (2013). Kidney transplants with progressing chronic diseases express high levels of acute kidney injury transcripts. American Journal of Transplantation, 13(3), 634-644.
Fitzpatrick, S. L., Schumann, K. P., & Hill-Briggs, F. (2013). Problem solving interventions for diabetes self-management and control: a systematic review of the literature. Diabetes research and Clinical Practice, 100(2), 145-161.
Fletcher, D., & Sarkar, M. (2013). Psychological resilience: A review and critique of definitions, concepts, and theory. European Psychologist, 18(1), 12-24.
Freire de Medeiros, C. M. M., Arantes, E. P., Tajra, R. D. d. P., Santiago, H. R., Carvalho, A. F., & Libório, A. B. (2017). Resilience, religiosity and treatment adherence in hemodialysis patients: a prospective study. Psychology, Health & Medicine, 22(5), 570-577.
Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and Individual Differences, 41(6), 1045-1053.
Gellis, Z. D., & Bruce, M. L. (2010). Problem-solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease. The American Journal of Geriatric Psychiatry, 18(6), 464-474.
Gillanders, S., Wild, M., Deighan, C., & Gillanders, D. (2008). Emotion regulation, affect, psychosocial functioning, and well-being in hemodialysis patients. American Journal of Kidney Diseases, 51(4), 651-662.
Golestaneh, S. M., & Teimoori, E, (2019). Investigating some of the important antecedents and consequences of teachers’ resiliency. Journal of Psychological Achievements, 26(1), 169-190.
Gratz, K. L. (2010). An acceptance-based emotion regulation group therapy for deliberate self-harm. Journal of Cognitive Psychotherapy, 26(4), 365-380.‌
Greene, R. R., Galambos, C., & Lee, Y. (2004). Resilience theory: Theoretical and professional conceptualizations. Journal of Human Behavior in the Social Environment, 8(4), 75-91.
Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: An affective science perspective. Clinical Psychological Science, 2(4), 387-401.
Hannula, M. S. (2015). Emotions in problem solving. Paper presented at the Selected regular lectures from the 12th international congress on mathematical education. (pp. 269-288). Cham, Switzerland: Springer.
Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29(5), 409-416.
Hu, T., Zhang, D., Wang, J., Mistry, R., Ran, G., & Wang, X. (2014). Relation between emotion regulation and mental health: a meta-analysis review. Psychological Reports, 114(2), 341-362.
Ifeagwazi, C. M., Chukwuorji, J. C., & Zacchaeus, E. A. (2015). Alienation and psychological wellbeing: Moderation by resilience. Social Indicators Research, 120(2), 525-544.
Khan, M. J., Younas, T., & Ashraf, S. (2016). Problem solving styles as predictor of life satisfaction among university students. Pakistan Journal of Psychological Research, 31(1), 209-222.
King, D. K., Glasgow, R. E., Toobert, D. J., Strycker, L. A., Estabrooks, P. A., Osuna, D., & Faber, A. J. (2010). Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care, 33(4), 751-753.
Kim, Y., & Evangelista, L. S. (2010). Relationship between illness perceptions, treatment adherence, and clinical outcomes in patients on maintenance hemodialysis. Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association, 37(3), 271.
Massah, O., Sohrabi, F., A’azami, Y., Doostian, Y., Farhoudian, A., & Daneshmand, R. (2016). Effectiveness of gross model-based emotion regulation strategies training on anger reduction in drug-dependent individuals and its sustainability in follow-up. International Journal of High Risk Behaviors & Addiction, 5(1), 211-221.
McMurran, M., Egan, V., Blair, M., & Richardson, C. (2001). The relationship between social problem-solving and personality in mentally disordered offenders. Personality and Individual Differences, 30(3), 517-524.
Mestre, J. M., Núñez-Lozano, J. M., Gómez-Molinero, R., Zayas, A., & Guil, R. (2017). Emotion regulation ability and resilience in a sample of adolescents from a suburban area. Frontiers in Psychology, 8, 1980.
Mlinac, M. E., & Schwabenbauer, A. (2018). Psychological resilience. In B. Resnick, L. P. Gwyther., & K. A. Roberto (Eds),   Resilience in aging (pp. 81-104). Cham, Switzerland: Springer.
Mohammadi, F., Sahebi, A. (2001). Problem solving syle in depressed and comparative people.  Journal of Psychological Science, 1(1), 24-42. (persian).
Moradikia, H., Sattarpour Iranaghi, F., & Emamgholian, S. (2017). Compare the effectiveness of emotion regulation and resilience training on psychological well-being of mothers of students with intellectual disability. Iranian Journal of Health Education and Health Promotion, 5(3), 213-223. (persian)
Ochsner, K. N., & Gross, J. J. (2008). Cognitive emotion regulation: Insights from social cognitive and affective neuroscience. Current Directions in Psychological Science, 17(2), 153-158.
Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological resilience, positive emotions, and successful adaptation to stress in later life. Journal of Personality and Social Psychology, 91(4), 730-749.
Özkan, Y. (2018). Anxiety, depression, problem solving and stress management in patients with ankylosing spondylitis. Meandros Medical and Dental Journal, 19(1), 57-63.
Reyhani, T., Shojafar, A., Modares Gharavi, M., Vaghee, S., Kazemeini, T., & Shayan, S. (2016). Effects of Emotion Regulation Training on Attachment Style of Primiparous Pregnant Women with Insecure Attachment. Evidence Based Care, 6(1), 19-28.
Sarkar, M., & Fletcher, D. (2017). How resilience training can enhance wellbeing and performance. In M. F. Crane (Eds), Managing for Resilience (2nd Ed.). Abingdon, England: Taylor & Francis.
Schuppert, H. M., Timmerman, M. E., Bloo, J., van Gemert, T. G., Wiersema, H. M., Minderaa, R. B., . . . Nauta, M. H. (2012). Emotion regulation training for adolescents with borderline personality disorder traits: a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1314-1323.
Shakeri Nia, I., & Mohammad Pour, M. (2006). The Relationship between Psychological Hardiness and Resilience with Mental Health among Male Climbers in Rasht. Iranian Journal of Medical Ethics and History, 3, 38-49. (Persian).
Sehehni Yailagh, M., Allipour Birgani, S., Payandan, T., Behroozi, N. (2011). The Comparison of Resiliency, Mental Health, Aggression and Academic Performance of Female Students of Divorced and Non-Divorced Families. Biannual Journal of Applied Counseling, 1(1), 79-104. (Persian)
Thompson, R. A. (1991). Emotional regulation and emotional development. Educational Psychology Review, 3(4), 269-307.
Trompetter, H. R., de Kleine, E., & Bohlmeijer, E. T. (2017). Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy. Cognitive Therapy and Research, 41(3), 459-468.
Troy, A. S., & Mauss, I. B. (2011). Resilience in the face of stress: Emotion regulation as a protective factor. Resilience and Mental Health: Challenges Across the Lifespan, 1(2), 30-44.
von Davier, A. A., & Halpin, P. F. (2013). Collaborative problem solving and the assessment of cognitive skills: Psychometric considerations. ETS Research Report Series, 2013(2). Retrieved from: https://www.ets.org/Media/Research/pdf/RR-13-41.pdf.
Wade, S. L., Karver, C. L., Taylor, H. G., Cassedy, A., Stancin, T., Kirkwood, M. W., & Brown, T. M. (2014). Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury. Rehabilitation Psychology, 59(1), 1-15.
Walsh, K., Cvirka, G., & Homer, M. (2019). Long-term retention of applied knowledge and problem-solving skills after completing an online learning module on infectious diseases. Education in the Health Professions, 2(1), 40-58.
Winnicki, E., Brakeman, P., Lee, M., & Nguyen, S. (2019). Hemodialysis in Adolescents. In M. N. Haddad, E. Winnicki,  & S. Nguyen, (Eds.), Adolescents with Chronic Kidney Disease: From Diagnosis to End-Stage Disease (2nd Ed.). Cham, Switzerland: Springer.
Zarei, E., Mirzaie, M., & Sadeghi fard, M. (2018). Providing a model to determine the role of communication skills and problem solving skills in preventing from mental and social damages by mediated family conflicts. Counseling Culture and Psychotherapy, 9(35), 1-26. (Persian)
Zhang, M., Xv, G., Luo, C., Meng, D., & Ji, Y. (2016). Qigong Yi Jinjing promotes pulmonary function, physical activity, quality of life and emotion regulation self-efficacy in patients with chronic obstructive pulmonary disease: a pilot study. The Journal of Alternative and Complementary Medicine, 22(10), 810-817.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
© 2020 by the authors. Licensee SCU, Ahvaz, Iran. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0 license) (http://creativecommons.org/licenses/by-nc/4.0/).