trauma

Introduction: The purpose of this study was to evaluate the effectiveness of acceptance and commitment therapy on reducing anxiety, depression and post-traumatic stress disorder in women affected by spousal extramarital relationships.
Methods: This is a quasi-experimental study with a pretest-posttest design with control group. The statistical population of the study consisted of all couples affected by extramarital affairs who referred to Birjand Welfare Counseling Center in the second half of 1997. Of these, 30 subjects who met the inclusion criteria were selected through available sampling and randomly assigned to either experimental (n = 15) and control (n = 15) groups. Intervention method was based on commitment and acceptance therapy with 8 sessions of training to the experimental group and the control group received no treatment. Data were collected using the Kian et al. Traumatic Stress Questionnaire (3) and the Lovebond and Lovebond Depression Anxiety Inventory (21). Data analysis was performed using covariance
analysis.
Results: The results of the present study showed an increase in the mean scores of the variables of anxiety, depression and post-traumatic stress in the experimental group at post-test compared to the intervention group (P <0.01).
Conclusion: The results of this study indicate that acceptance and commitment therapy is effective in reducing anxiety, depression and post-traumatic stress disorder in women affected by spouse trans marital relations.
 

خالصه
مقدمه:پژوهش حاضر با هدف اثربخشي درمان مبتني بر پذيرش و تعهد بر کاهش اضطراب،
افسردگي واسترس پس از سانحه زنان آسیبديده از روابط فرا زناشويي همسر انجام شد.
روش کار:پژوهش نیمه آزمايشي با طرح پیشآزمون–پسآزمون با گروهکنترل است. جامعه
آماری پژوهش را کلیه زوجین آسیبديده از روابط فرا زناشويي که در ششماهه دوم سال79به
مرکز مشاوره بهزيستي شهر بیرجند مراجعه کردند، تشكیل داد. از اينبین تعداد30نفر که شرايط
ورود به پژوهش را داشتند، به شیوه در دسترس انتخاب و به طور تصادفيبه دو گروه آزمايش (65
نفر) و کنترل (65نفر) منتسب شدند. روش اجرای مداخلهی درمان مبتني بر تعهد و پذيرش بهصورت
آموزش در8جلسه به گروه آزمايش بود و گروه گواه هیچ درماني دريافت نكردند. برای گردآوری
دادهها از پرسشنامهاسترس پس از سانحهکیان و همكاران (3)و پرسشنامه افسردگي، اضطراب
الويبوند و الويبوند (26) استفاده شد. تجزيهوتحلیل دادهها با کمک تحلیل کوواريانس انجام شد.
نتایج:نتايج مطالعه حاضر، افزايش میانگین نمرات در متغیرهای اضطراب، افسردگي واسترس پس از
سانحه را در گروه آزمايش در مرحله پسآزمون نسبت بهگروه مداخله نما نشان داد (06/0>p.)
نتیجه گیری:نتايج پژوهش بیانگر آن است که درمان مبتني بر پذيرش و تعهد بر کاهش اضطراب،
افسردگي واسترس پس از سانحه زنان آسیبديده از روابط فرا زناشويي همسر مؤثر است.
کلمات کلیدی:درمان مبتني بر پذيرش و تعهد، اضطراب، افسردگي، استرس پس از سانحه، روابط
 

Research findings across a variety of samples (e.g., clinical, shelter, hospital) estimate that 31% to 84% of women who have experienced intimate partner violence (IPV) exhibit symptoms of posttraumatic stress disorder (PTSD). The current study sought to further investigate the abuse-trauma link by examining the relationship between lifetime trauma exposure, type of abuse (i.e., physical, psychological), and perspective-taking abilities (i.e., here-there, now-then). The role of experiential avoidance in the development of PTSD symptoms was also examined. Results indicated that lifetime trauma exposure (β = .31) and psychological abuse (β = .34) were significant predictors of PTSD symptomatology. Additionally, analyses revealed that experiential avoidance (β = .65) was a significant predictor of PTSD symptoms that partially mediated the relationship between IPV and PTSD symptomatology. Implications of findings are discussed as well as future suggestions for research examining type of IPV and PTSD.

The authors, researchers at the National University of Ireland and University of Leicester, explored the experiences of abuse of older women and caretakers in three European countries and investigated services available to abused older women. Just less than 20% of our sample of women older than the age of 59 had experienced some form of financial, psychological, or physical abuse. Of those mistreated, 24% reported abuse ongoing over years, and 39% reported distressing effects persisting for years. European support services are only beginning to focus on this problem, and further research is needed to define the best practices.

The authors, researchers at the National University of Ireland and University of Leicester, explored the experiences of abuse of older women and caretakers in three European countries and investigated services available to abused older women. Just less than 20% of our sample of women older than the age of 59 had experienced some form of financial, psychological, or physical abuse. Of those mistreated, 24% reported abuse ongoing over years, and 39% reported distressing effects persisting for years. European support services are only beginning to focus on this problem, and further research is needed to define the best practices.