fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر خودکارآمدی اجتماعی و اضطراب اجتماعی سالمندان شهرستان بردسیر مسائل ذهنی و روانشناختی سالمندان Eldely mental and psychological issues پژوهشي اصیل Original research <br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">سالمندی دوره حساسی است که بررسی ابعاد مختلف سالمت روان در آن اهمیت زیادی پیدا میکند</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">. اضطراب و خودکارآمدی </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">از عواملی است که در دوران سالمندی می‌تواند تأثیر بسزایی بر سلامت روان آنان داشته باشد. بنابراین</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">این پژوهش با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب اجتماعی و خودکارآمدی اجتماعی سالمندان <a name="_Hlk209318011">شهر بردسیر<b> </b></a>انجام شد.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش کار: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">ر</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">وش پژوهــش از نــوع نیمــه تجربــی و پیش&shy;آزمــون، پس&shy;آزمــون بــا گــروه کنتــرل بــود. جامعــه آمــاری شــامل کلیه سالمندان </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">شهر بردسیر<b> </b></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در سال 1404 بودنــد کــه 30 نفــر (15 نفر گــروه آزمایــش و 15 نفــر گــروه کنتــرل) بــه روش نمونــه&shy;گیــری در دســترس انتخــاب شــدند. ابــزار گــردآوری داده هــا پرسشـنامه&shy;هـای اضطراب اجتماعی کانور، دیویدسون و چرچیل (2000)</span></span></span></span> &nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">و خودکارآمدی اجتماعی اسمیت و بتز (2000) بـود. مداخلـه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">درمان مبتنی بر پذیرش و تعهد &nbsp;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در 10 جلسه 90 دقیقه&shy;ای و هفته&shy;ای دو بار بـر روی گـروه آزمـایش انجـام شـد و گـروه کنتـرل هیـچ&shy;گونـه مداخلـه&shy;ای دریافـت نکردنـد. تجزیـه و تحلیـل داده&shy;هـا بـا آزمـون&shy;هـای توصیفـی (میانگیـن و انحـراف اسـتاندارد) و تحلیـل کوواریانـس و بـا اسـتفاده از نـرم افـزار</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نسـخه 24 انجـام شـد. میـزان</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">کمتـر از 05/0 معنـی&shy;داری در نظـر گرفتـه شـد</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته&shy;ها: </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در متغیـر اضطراب اجتماعی، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون 74/4</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"> &plusmn; </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">92/40 و در پـس آزمـون 37/3</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">82/29 و در متغیـر خودکارآمدی اجتماعی، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون&nbsp; &nbsp;40/7</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"> &plusmn; </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">19/36 و در پـس آزمـون 43/6</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"> &plusmn; </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">59/68 بـه دسـت آمـد. نتایـج تحلیـل کوواریانـس نیـز نشـان داد کـه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">درمان مبتنی بر پذیرش و تعهد &nbsp;بر </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">اضطراب اجتماعی </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">و خودکارآمدی اجتماعی سالمندان </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">تاثیـر داشـت (01/0</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">P <</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه&shy;گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بـر اسـاس یافتـه&shy;هـای پژوهـش، تمرین&shy;های موجود در درمان مبتنی بر پذیرش و تعهد، باعث افزایش عملکرد و فعالیت&shy;های ذهنی درگیر در بازتوانی شناختی و درنتیجه بهبود توانایی&shy;های شناختی سالمندان نظیر خودکارآمدی اجتماعی و کاهش مشکلات اضطرابی از جمله اضطراب اجتماعی آنان می&shy;شو</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">د</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">.</span></span></span></span></span></span></span></span></span><br> <br> &nbsp; <br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Aging is a sensitive period in which examining various aspects of mental health becomes very important. Anxiety and self-efficacy are factors that can have a significant impact on their mental health during old age. Therefore, this study was conducted with the aim of determining the effectiveness of Acceptance and Commitment Therapy on social anxiety and social self-efficacy of the elderly in Bardsir City.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Method:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The research method was a quasi-experimental, pre-test, post-test with a control group. The statistical population included all the elderly in Bardsir city in 2025, of which 30 people (15 in the experimental group and 15 in the control group) were selected by convenience sampling. The data collection tools were the Connor, Davidson, and Churchill (2000) social anxiety questionnaire and Smith and Betts (2000) social self-efficacy questionnaire. Acceptance and commitment therapy intervention was performed on the experimental group in 10 90-minute sessions twice a week, and the control group did not receive any intervention. Data analysis was performed using descriptive tests (mean and standard deviation) and analysis of covariance using SPSS version 24. A P value of less than 0.05 was considered significant.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In the social anxiety variable, the mean and standard deviation of the experimental group at pre-test was 40.92 &plusmn; 4.74 and at post-test was 29.82 &plusmn; 3.37, and in the social self-efficacy variable, the mean and standard deviation of the experimental group at pre-test was 36.19 &plusmn; 7.40 and at post-test was 68.59 &plusmn; 6.43. The results of the analysis of covariance also showed that acceptance and commitment therapy had an effect on social anxiety and social self-efficacy of the elderly (P < 0.01).</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Based on the research findings, the exercises in acceptance and commitment therapy increase the performance and mental activities involved in cognitive rehabilitation, and as a result, improve the cognitive abilities of the elderly, such as social self-efficacy, and reduce anxiety problems, including social anxiety.</span></span></span></span></span><br> <br> &nbsp; کلید واژه­ها: درمان مبتنی بر پذیرش و تعهد, خودکارآمدی اجتماعی, اضطراب اجتماعی, سالمندان. Keywords: Acceptance and commitment therapy, social self-efficacy, social anxiety, elderly. 1 8 http://joge.ir/browse.php?a_code=A-10-752-2&slc_lang=fa&sid=1 Amirhossein tanavardi امیرحسین تانوردی tanavardi@gmail.com 10031947532846009564 10031947532846009564 No گروه روانشناسی، واحد سیرجان، دانشگاه آزاد اسلامی، سیرجان، ایران eshrat Karimi عشرت کریمی افشار 10031947532846009565 10031947532846009565 Yes گروه روانشناسی، واحد سیرجان، دانشگاه آزاد اسلامی، سیرجان، ایران