Journal of Research and Health
مجله تخصصی پژوهش و سلامت
J Research Health
Medical Sciences
http://jrh.gmu.ac.ir
1
admin
2423-5717
2423-5717
8
10.29252/jrh
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
5
4
online
1
fulltext
fa
ارتقاء کیفیت زندگی و کاهش پرخاشگری در زندانیان معتاد به مواد مخدر به روش شناختی- رفتاری
The effect of cognitive-behavioral training on quality of life and aggression among drug addicted prisoners
● Psychosocial Health
مقاله اصيل پژوهشي
Orginal Article
<p>مقدمه: ارتقاء کیفیت زندگی افراد معتاد و باز گرداندن آنها به سطح مطلوب روانشناختی از جمله روش های موثر در برنامه توانمد سازی و بازتوانی افراد معتاد می باشد که می تواند اثرات مطلوبی را بدنبال داشته باشد. هدف: پژوهش حاضر با هدف اثر مداخله ای آموزش های شناختی- رفتاری بر ارتقاء کیفیت زندگی و کاهش پرخاشگری در زندانیان معتاد به مواد مخدر انجام شد. روش: این مطالعه از نوع کارآزمایی مداخله ای شاهددار بر روی 30 نفر از معتادان به مواد مخدر انجام شد. جامعه آماری شامل کلیه زندانیان معتاد به مواد مخدر در زندان مرکزی تهران در سال 1392 بودند که پس از پاسخ گویی به مقیاسهای پرخاشگری و کیفیت زندگی، 30 نفر از زندانیانی که نمره آنان در آزمون پرخاشگری بالای نقطه برش (73) و در آزمون کیفیت زندگی پایین تر از حد طبیعی (63) بودند انتخاب شد و بصورت تصادفی ساده، در دو گروه 15 نفری آزمایش و کنترل جای داده شدند. سپس گروه آزمایش به جلسات آموزش شناختی- رفتاری دعوت شدند و پس از اتمام 12 جلسه آموزش که به مدت 4 ماه طول کشید دوباره هر دو گروه پرسشنامه ها را در شرایط یکسان تکمیل و تحویل آزماینده دادند. به منظور تحلیل از نرم افزار spss.ver.18 و آزمون های لوین و کوواریانس چند متغیره استفاده شد. یافته ها: نتایج آزمون لوین نیز نشان داد که گروه های آزمایشی و کنترل قابلیت مقایسه با یکدیگر را دارند. بر این اساس نتایج تحلیل کوواریانس نشان داد که بین گروه آزمایش و کنترل در نمره کل کیفیت زندگی و پرخاشگری و همچنین زیرمقیاس های آن تفاوت معنی داری وجود دارد (0001/۰> P). نتیجه گیری: نتایج تحقیق حاضر از اهمیت آموزش های شناختی- رفتاری بر ارتقاء کیفیت زندگی و کاهش پرخاشگری در زندانیان معتاد به مواد مخدر حمایت می کند.</p>
<p>Introduction: Empowering and enhancing the life quality for drug addicts are effective steps to lead and assist them to absolute quitting of drugs. Objective: The present study was performed to observe the intervening effects of cognitive-behavioral trainings to improve quality of life and reduce aggression among drug addicts. Method: This study was an intervening controlled trial conducted on 30 cases of drug addicts. The population was the addicted prisoners in the Central Prison of Tehran in 2013. In responding to the quality of life scale and Aggression Scale, 30 drug addicts who gained a score lower than the cut off score quality of life scale in (lower than 63) and in Aggression Scale (higher than 73) were chosen and divided into control and experimental groups of 15 persons randomly. Then, before intervention sessions, both groups responded to the World Health Organization Quality of life Questionnaire (1998) and Aggression Scale (1992). The experimental group was under cognitive-behavioral trainings for12 sessions (each session 75 minutes) and control group did not receive any intervention. In order to analyzing data, the SPSS 18 software, and Levine and multivariate covariance tests were used. Results: Results of Levine test also showed that experimental and control groups are comparable to each other. Accordingly, the results of covariance analysis showed that there are significant differences in quality of life scores and aggression between the experimental and control groups (P<0/01). Conclusion: The results of the present study showed that the cognitive-behavioral trainings improve the quality of life and level of aggression among drug addicts. The results also can be used in the empowering and improving of the life quality of the quitting drug addicts.</p>
آموزش های شناختی- رفتاری, کیفیت زندگی, پرخاشگری, اعتیاد, مواد مخدر
Cognitive-behavioral training, quality of life, aggression, addiction, drugs
77
86
http://jrh.gmu.ac.ir/browse.php?a_code=A-10-919-1&slc_lang=fa&sid=1
Farhad
Asghari
فرهاد
اصغری
farhad.asghari@gmail.com
100319475328460012119
100319475328460012119
Yes
Ekhteyari H. Addiction as a Brain Disease. Addiction2008; 3: 3-4. [In Persian] 2- Asghari A, Abbas Poor S, Farhodiyan A. Personality dimensions affecting relapse of drug abuse in the relatives of addicts treated with methadone maintenance. Addiction Research2010; 19: 7-20. [In Persian] 3- Shamlou S. Mental Health. Tehran, Roshd Poublication; 2012. [In Persian] 4- Bizzarri JV, Sbrana A, Rucci P, et al. The spectrum of substance abuse in Bipolar disorder; Reasons for use, sensation seeking and substance sensitivity. Bipolar Disorders2007; 9: 213-220. 5- Asghari F, Janalizadeh Kokaneh S, Saadat S, Atefi Karajvandani S. Predicting the Quality of Life based on Family Function and Identity Styles: in a Sample of Iranian University Students. J. Life Sci. Biomed2014; 4(6): 564-569. 6- Ferrans CE, Powers MJ. Quality of life index: development and psychometric properties. ANS Adv Nurs Sci1985; (1):15-24. 7- Zeinali A, Wahdat R, Eisavi M. Pre-addiction Susceptibility Backgrounds in Recovered Drug Users. Iranian Journal of Psychiatry and Clinical Psychology2008; 14, 71-79. [In Persian] 8- Karimiyan N, Golzari M, Borjali A. Stress effectiveness of management of cognitive - behavioral therapy on quality of life, drug-dependent men. Journal of Clinical Psychology 2012; 8 (2): 119-138. [In Persian] 9- Krabbe PF, Koning JP, Laheji RJ, Van Cauter VM, De Long CA. Rapid detoxification from opioid dependence under general anesthesia versus standard methadone tapering. J Addi Bio 2000; 8 (3): 51-58. 10- McHugh RK, Hearon BA, Otto MW. Cognitive -behavioral therapy for substanceuse disorders, Journal of Addiction2004; 99 (2): 93- 105. 11- Ledley DR, Marx B, Hambrg R. Cognitive Behavioral Therapy For beginners Translated by Mhrvsh Shams. Tehran, Arjmand Press; 2011. [In Persian] 12- Woody GE, Munoz A. Efficacy, Efficacy, individual effectiveness, and population effectiveness in substance abuse treatment. Curr psychiatry Rep2000; 2(6):505-507. 13- Carey G. Theory and practice of counseling and psychotherapy. Translated by Sayed Yahya Mohammadi. Tehran. Arasbaran publication; 2010. [In Persian] 14- Matcham F, Rayner L, Hutton J, Monk A, Steel C, Hotopf M. Self-help interventions for symptoms of depression, anxiety and psychological distress in patients with physical illnesses: A systematic review and meta-analysis. Clin Psy Rew2014; 34: 41–157. 15- Ghahary S. Efficacy of cognitive behavioral treatment for cannabis abuse [dissertation]. Iran University of Medical Sciences2007. [In Persian] 16- Shand F, Gates J, Fawcett J. The Treatment of Alcohol Problems: A Review of the Evidence. Sydney: National Alcohol Strategy [4 screens]. Available at URL: https://ndarc.med.unsw.edu.au/. National Drug and Alcohol Research Centre. 2003. 17- Kamarzarin H, Zaree H, Boroki Milan H. The effectiveness of cognitive - behavioral therapy to increase efficacy and symptoms of drug addicted patients. Addiction Research2012; 6(22): 75-85. 18- Laudet, AB. The Case for Considering Quality of Life in Addiction Research and Clinical Practice. Addict Sci Clin Pract2011; 6(1): 44–55. 19- Buss AH, Perry M. The Aggression Questionnaire, J Perso Clin Psy1992; 63: 452-459. 20- Samani S. Study of Reliability and Validity of the Buss and Perry's Aggression Questionnaire. Iranian Journal of Psychiatry and Clinical Psychology2008; 13 (4):359-365. [In Persian] 21- Nejat S, Montazeri A, Halakuyizayini K, Kazem M, Majdzadeh SR. Validation and Normalization World Health Organization Quality of life Questionnaire. Journal of School of Public Health and Institute of Public Health Research2006; 4: 1-12. [In Persian] 22- Barnes TN, Smith SW, David MM. School-based cognitive-behavioral interventions in the treatment of aggression in the United States: A meta-analysis. Aggr Viol Beh2014; 19(4): 311-321. 23- Daunic AP, Smith SW, Brank EM, Penfield RD. Classroom-based cognitive–behavioral intervention to prevent aggression: Efficacy and social validity. J Sch Psy2006; 44(2): 123-139. 24- kazemeini T, Hashem Abadi B, Moddares Goravi M, Esmaeili Zadeh M. The Effectiveness of Cognitive-Behavior Group Therapy (CBGT) in Reduction of Driving Anger and Aggression. Journal of Clinical Psycology2011; 3 (2):1-11. [In Persian] 25- Lotfi Kashani F, Mojtabai M, Alimehdi M. Comparison of the Effectiveness of Cognitive – behavior Therapy, Methadone Therapy, and the Combination Method on Reducing Depression in Addicts. Knowledge & Research in Applied Psychology2013; 14(4):19-26. [In Persian] 26- Milani, A, Nikmanesh Z, Farnam A. Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Reducing Aggression of Individuals at the Juvenile Correction and Rehabilitation Center. Int J High Risk Behav Addict2013; 2(3): 126–131. 27- Vatankhaah H, Rahmani MA, Hashemizadeh S. The Effectiveness of Cognitive-Behavioral Training on General Health and Reducing Aggression in Women with Premenstrual Syndrome. Inte j cont res bus2013; 4(9): 1098-1104. 28- Oraki M. Examine the relationship between anger, self-efficacy, coping skills, and a desire to use drugs in the group of opiate dependent clients. Journal of Research on Addiction2011; 5(18): 39-54. [In Persian] 29- Zhuang SM, An SH, Zhao Y. Effect of cognitive behavioural interventions on the quality of life in Chinese heroin-dependent individuals in detoxification: a randomised controlled trial. J Clin Nurs2014; 23(9-10):1239-1248. 30- Khayam Nekouei Z, Yousefy A, Manshaee G. Cognitive-behavioral therapy and quality of life: An experience among cardiac patients. J Educ Health Promot2012; 1(2): 1-4. 31- Heslop K, Newton J, Baker C, Burns G, Carrick-Sen D, Soyza AD. Effectiveness of Cognitive Behavioural Therapy (CBT) Interventions for Anxiety in Patients With Chronic Obstructive Pulmonary Disease (COPD) Undertaken by Respiratory Nurses. BMC Pulm Med2013; 13(62): doi:10.1186/1471-2466-13-62. 32- Hofmann SG, Wu JQ, Boettcher H. Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. J Con Clin Psy2014; 82(3): 375-391. 33- Ebrahim Shariati M, Izadikhah Z, Molavi H, Salehi M. Comparison of the effectiveness of cognitive behavioral group therapy and quality of life therapy on self efficacy among addicts. J Res Behave Sci2013; 11(4):279-288. [In Persian] 34- Karimi S, Kakabaraee K, Yazdanbakhsh K, Moradi GR. Effect of cognitive behavioral therapy on subjective well-being of patients with cardiovascular diseases. J Kermanshah Univ Med Sci2014; 18(3): 147-156. 35- Davazdahemamy MH, Mehrabi A, Attari A, Roshan R. The Effectiveness of Cognitive-Behavioral Stress Management Training on Glycemic Control, Psychological Distress and Quality of Life in People with Type2 Diabetes. Iranian Journal of Clinical Psychology2012; 1(1): 57-64. 36- Olatunji BO, Cisler JM, Deacon BJ. Efficacy of Cognitive Behavioral Therapy for Anxiety Disorders: A Review of Meta-Analytic Findings. Psy Clin Nor Am2010; 33: 557–577. doi:10.1016/j.psc.2010.04.002 37- Beck AT, Wright FD, New Man CF, Liese, BS. Cognitive therapy of substance abuse, New York , Guilford Press; 1993.
Bahman
Akbari
بهمن
اکبری
100319475328460012120
100319475328460012120
No
Islamic Azad University, Rasht
Ruhollah
Shadman
روح الله
شادمان
guilan.sad@gmail.com
100319475328460012121
100319475328460012121
No
Islamic Azad University, Rasht
Sajjad
Saadat
سجاد
سعادت
sajjadsaadat69@gmail.com
100319475328460012122
100319475328460012122
No
University of Isfahan, Isfahan