fa مقایسه اثربخشی معنا درمانی و روایت درمانی گروهی بر احساس تنهایی و اضطراب مرگ زنان سالمند مسائل ذهنی و روانشناختی سالمندان Eldely mental and psychological issues پژوهشي اصیل Original research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">احساس تنهایی و اضطراب مرگ از دغدغه&shy; های اساسی در دوران سالمندی است که می &shy;تواند کیفیت زندگی و سلامت روان را تحت تاثیر قرار دهد. بهره&shy; گیری از مداخلات روان&shy;درمانی مبتنی بر معنا و روایت&shy; درمانی به عنوان رویکردهایی موثر می&shy; تواند نقش مهمی در ارتقای سلامت روان سالمندان ایفا کند.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش&shy; کار: </span></span></b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="font-weight:normal">پژوهش حاضر با طرح نیمه &shy;آزمایشی پیش &shy;آزمون-پس&shy; آزمون همراه با پیگیری دوماهه انجام شد. جامعه آماری شامل</span></span></span></span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تمامی بانوان سالمند بالای 60 سال عضو</span></span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مراکز توانبخشی روزانه تحت نظارت سازمان بهزیستی در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">شهر دزفول در سال 1404 بود. تعداد 45 نفر از داوطلبان به صورت تصادفی در سه گروه معنادرمانی، روایت&shy; درمانی و کنترل به طور مساوی قرار گرفتند. مداخلات شامل هشت جلسه 90 دقیقه&shy;&shy; ای هفتگی بود. ابزار گردآوری داده &shy;ها شامل نسخه سوم مقیاس احساس تنهایی و پرسش&shy;نامه اضطراب مرگ بود. داده &shy;ها با آزمون تحلیل واریانس اندازه&shy; گیری مکرر در نرم&shy;افزار </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="color:black">SPSS</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> نسخه 26 تحلیل شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته &shy;ها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج نشان داد که هر دو مداخله معنادرمانی و روایت&shy; درمانی گروهی بر کاهش احساس تنهایی و اضطراب مرگ گروه نمونه تاثیر معنادار دارند و این تاثیر در مرحله پیگیری دو ماهه نیز پایدار ماند. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">همچنین، در دو گروه آزمایش بین پیش &shy;آزمون و پس &shy;آزمون و همچنین، بین پیش &shy;آزمون و دوره پیگیری تفاوت معناداری مشاهده شد (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">01/0></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)؛ اما بین نوع مداخله معنادرمانی و روایت &shy;درمانی تفاوت معنی &shy;داری مشاهده نشد (05/0<</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه&shy; گیری: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">معنادرمانی و روایت &shy;درمانی هردو می&shy; توانند احساس تنهایی و اضطراب مرگ سالمندان را کاهش دهند. به کارگیری این رویکردها در مراکز سالمندی به عنوان مداخلات روان&shy;شناختی موثر در راستای ارتقای سلامت روان سالمندان پیشنهاد می&shy; شود.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></span></span></span></span><span style="font-size:12.0pt"><span style="font-family:" timesnewromanps-boldmt=""><span style="color:black">Loneliness</span></span></span><span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and death anxiety are one of the major concerns in old age and can negatively affect quality</span></span></span></span></span></span> <span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">of life and mental health. </span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">Therefore, the use of psychotherapy interventions based on</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">compassion and meaning can play an important role in promoting the mental health of older adults.</span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b> <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">The present study was conducted using a quasi-experimental pretest&ndash;posttest design with</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">a two-month follow-up</span></span></span></span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span> <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">The statistical population consisted of all older</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">women (with an age range of 60 to up years) residing in</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">nursing homes in Dezful, Iran in 2025. A total of 45 volunteers were randomly assigned to three groups: logo</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">therapy, narrative therapy, and control</span></span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">. </span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">The interventions included eight weekly sessions lasing</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">90 minutes each.</span></span></span></span></span></span> <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">Data collection instruments included the Loneliness Scale Version 3 and Death Anxiety Questionnaire.</span></span></span></span></span></span> <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">Data were analyzed using repeated measures</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">analysis of variance in SPSS version 26.</span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal"> The</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">results indicated that </span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">logo</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">therapy and</span></span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal"> narrative therapy had a statistically</span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal">significant effect </span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">on reducing </span></span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">loneliness</span></span></span><span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and death anxiety </span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">in</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">older women. Furthermore, the positive effects of the</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">intervention were maintained during the two-month</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">follow-up phase.</span></span></span></span></span></span></span><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Also, in the two experimental groups, a significant difference was observed between the pre-test and post-test, as well as between the pre-test and the follow-up period (p<0.01); but no significant difference was observed between the type of <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">logo</span></span></span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">therapy</span></span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> intervention and <span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">narrative therapy</span></span></span></span></span></span> (p<0.05).</span></span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></span></span></span></span><span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Both </span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">logo</span></span></span></span></span></span></span><b> </b><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal">therapy and</span></span></span></span></span></span></span><span class="fontstyle01" style="font-family:" timesnewromanps-boldmt=""><span style="color:black"><span style="font-weight:bold"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-weight:normal"> narrative </span></span></span></span></span></span><span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">therapy can reduce </span></span></span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">loneliness</span></span></span><span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and death anxiety in the elderly.</span></span></span></span></span></span> <span bmitra="" class="fontstyle21" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The use of these approaches in elderly care centers is suggested as effective psychological interventions to improve the mental health of elderly.</span></span></span></span></span></span><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></b></span></span></span></span><br> &nbsp; احساس تنهایی, اضطراب مرگ, معنادرمانی, روایت درمانی, زنان سالمند. Loneliness, Death Anxiety, Logo Therapy, Narrative Therapy, older women. 0 0 http://joge.ir/browse.php?a_code=A-10-929-1&slc_lang=fa&sid=1 Farnaz Ardeshirzadeh فرناز اردشیرزاده 5268519581@iau.ir 10031947532846009602 10031947532846009602 No , Islamic Azad University, Dezful Branch دانشگاه آزاد اسلامی واحد دزفول Saeed Moshtaghi سعید مشتاقی moshtaghisaeed@iau.ac.ir 10031947532846009603 10031947532846009603 Yes Department of Psychology, Dez. C., Islamic Azad University, Dezful, Iran. گروه روانشناسی، واحد دزفول، دانشگاه آزاد اسلامی، دزفول، ایران.