fa اثربخشی درمان مبتنی بر ذهنی‌سازی بر روابط آبژه و احساس شرم و گناه در روابط متعارض مادر-فرزندی زنان و مامایی Obstetrics & Gynocology پژوهشي اصیل Original Atricle <span style="font-size:11pt"><span style="line-height:101%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">یکی از مشکلات در دوران نوجوانی، وجود تعارض با والدین می‌باشد که روابط آبژه و به دنبال احساس شرم و گناه را در آنان ایجاد می‌کند. این پژوهش به‌منظور </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">نعیین اثربخشی درمان مبتنی بر ذهنی‌سازی بر روابط آبژه و احساس شرم و گناه در روابط متعارض مادر- فرزندی </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">انجام شد</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">. </span></span></span></span><span lang="FA" style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:104%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش کار:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش این مطالعه نیمه تجربی و به روش پیش‌آزمون- پس‌آزمون با گروه شاهد بود. جامعه آماری این پژوهش شامل کلیه </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">مادران و نوجوانان دارای روابط متعارض مراجعه‌کننده به مراکز مشاوره شهر شیراز در سال 1401 بودند. 30 نفر از جامعه مذکور به عنوان نمونه با روش نمونه‌گیری در دسترس انتخاب شدند و به‌طور تصادفی در دو گروه آزمایشی (15 نفر) و شاهد (15 نفر) قرار گرفتند.</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black"> از پرسشنامه‌های تعارض والد- فرزند اسدی و همکاران (1390)، روابط آبژه بل (1995) و احساس شرم و گناه کوهن و همکاران (2011) برای جمع‌آوری اطلاعات استفاده شد. گروه آزمایش تحت مداخله آموزش کارکردهای اجرایی به مدت 13 جلسه هفته‌ای دو بار و به مدت 60 دقیقه قرار گرفتند و گروه شاهد هیچ‌گونه آموزشی دریافت نکردند. داده‌های پژوهش با استفاده از کورایانس مورد تحلیل قرار گرفت</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">. </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:104%"><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:102%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته‌ها:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">میانگین </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black"> انحراف استاندارد گروه آزمایش در پس‌آزمون در متغیر روابط آبژه از 37/1 </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black"> 5/1 به 28/6 </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black"> 4/3 و در متغیر احساس شرم و گناه از 60/3 </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black"> 5/1 به 51/2 </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black"> 9/1 کاهش یافت. نتایج نشان داد در مرحله پس‌آزمون، میانگین نمرات </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">روابط آبژه و احساس شرم و گناه </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">در گروه آزمایش در مقایسه با گروه شاهد به صورت معنی‌داری کاهش یافت </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">(0/01 ></span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه‌گیری:</span></span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> درمان مبتنی بر ذهنی‌سازی بر بهبود روابط آبژه و کاهش احساس شرم و گناه مؤثر بود.<b> </b></span></span></span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بنابراین این نوع درمان را می‌توان برای کاهش تعارض روابط نوجوان و مادر</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">پیشنهاد کرد</span></span></span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">.</span></span></span></span> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Introduction:</span></span></span></b> <span lang="EN" style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">One of the problems during adolescence is the existence of conflict with parents, which creates object relationships and feelings of shame and guilt in them. This research was conducted to determine the effectiveness of treatment based on the mentalization of object relations and feelings of shame and guilt in conflicting mother-child relationships</span></span></span><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Methods:</span></span></span></b> <span lang="EN" style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">This research method was semi-experimental and pre-test-post-test with a control group. The statistical population of this research included all mothers and adolescents with conflicting relationships who were referred to counseling centers in Shiraz in 2022. By using the available sampling method, 30 people from the mentioned community were selected as a sample and were randomly divided into two experimental (15 people) and control (15 people) groups. Asadi et al.&#39;s parent-child conflict questionnaires (2010), Bell&#39;s object relations (1995), and Cohen et al.&#39;s (2011) feelings of shame and guilt were used to collect information. The experimental group underwent executive function training for 13 sessions twice a week for 60 minutes, and the control group did not receive any training. The research data was analyzed using correlation</span></span></span><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Results: </span></span></span></b><span lang="EN" style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">The mean &plusmn; standard deviation of the experimental group in the post-test in the variable of object relations from 1.5 &plusmn; 1.37 to 28.6 &plusmn; 4.3 and in the variable of shame and guilt from 5 &plusmn; 1.60 to 5.60 &plusmn; 3. 51.2 &plusmn; 9.1 decreased. The results showed that in the post-test stage, the mean scores of object relations and feelings of shame and guilt in the experimental group decreased significantly compared to the control group (P < 0.01)</span></span></span><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">.</span></span></span></span></span></span></span></span><br> <b><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Conclusions:</span></span></span></b> <span lang="EN" style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Treatment based on mentalization was effective in improving object relationships and reducing feelings of shame and guilt. Therefore, this treatment can be suggested to reduce the conflict between adolescents and mothers</span></span></span><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">.</span></span></span> درمان مبتنی بر ذهنی‌سازی؛ روابط آبژه؛ احساس شرم و گناه؛ تعارض والد- فرزند Treatment based on mentalization, Object relations, Feelings of shame and guilt, Parent-child conflict 279 286 http://jams.arakmu.ac.ir/browse.php?a_code=A-10-7531-1&slc_lang=fa&sid=1 Parvin Roosta پروین روستا roosta@gmail.com 4600319475328460091927 4600319475328460091927 No PhD Student of Clinical Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran دانشجوی دکتری روانشناسی بالینی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران Sayed Abdollah sadat Bahreinian سید عبدالمجید بحرینیان 1860952690@iau.ir 4600319475328460091928 4600319475328460091928 Yes Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran گروه روانشناسی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران Ghasem Ahi قاسم آهی ahi-gh@yahoo.com 4600319475328460091929 4600319475328460091929 No Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran گروه روانشناسی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران Mohammad Hassan Ghanifar محمدحسن غنی فر ghanifar.m@gmail.com 4600319475328460091930 4600319475328460091930 No Assistant Professor, Department of Psychology, Birjand Branch, Azad University of Psychology, Birjand, Iran استادیار، گروه روانشناسی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران