fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر درآمیختگی افکار، تنظیم هیجان و اضطراب سلامت دختران دارای سندرم درد قاعدگی عمومى General پژوهشی-کمی Quantitative-Research <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span b="" style="font-family:" titr=""><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> اکثر زنان در سنین باروری اختلالات مرتبط با چرخه قاعدگی به نام سندرم پیش از قاعدگی را تجربه می‌کنند. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">این پژوهش با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر درآمیختگی افکار، تنظیم‌هیجان و اضطراب‌ سلامت دختران دارای سندرم پیش از قاعدگی انجام شد.</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></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 b="" style="font-family:" titr=""><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش کار:</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> این پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون_پس‌آزمون و گروه گواه بود. جامعه آماری پژوهش تمامی دختران مقطع متوسطه دوم شهر گرگان در سال تحصیلی 1402-1401 بودند </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">که تعداد 30 دانش‌آموز به صورت خوشه‌ای چند مرحله‌ای انتخاب شدند و به صورت تصادفی در 2 گروه آزمایش و گواه (هر گروه 15) نفر جایدهی شدند. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ابزار پژوهش شامل پرسشنامه‌های غربالگری پیش از قاعدگی </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Steiner</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">، درآمیختگی افکار </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Wells</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">، دشواری در تنظیم‌هیجان </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Garnefski</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">&nbsp;Kraaij</span></span></span><span style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> و اضطراب‌ سلامت </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Salkovskis</span></span></span><span style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> بود. تجزیه و تحلیل داده‌ها با نرم‌افزار </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">spss-24</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> و روش‌های آماری تحلیل کوواریانس تک‌متغیره در سطح معناداری </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">05/0</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">p</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انجام شد.</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 b="" style="font-family:" titr=""><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> نتایج پژوهش نشان داد که میانگین نمرات پیش‌آزمون متغیرهای درآمیختگی افکار، تنظیم‌هیجان و اضطراب‌سلامت قبل از مداخله در گروه آزمایش به ترتیب 67/129، 92/111، 85/162 بود که پس از مداخله به 66/93، 02/78، 84/146 تغییر یافت. به عبارت دیگر درمان مبتنی بر پذیرش و تعهد بر درآمیختگی افکار (001/0</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">، تنظیم‌هیجان (001/0</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> و اضطراب ‌سلامت (001/0</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> دختران دارای سندرم پیش از قاعدگی موثر بود.</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 b="" style="font-family:" titr=""><b><span lang="FA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتایج پژوهش حاکی از آن است که درمان مبتنی بر پذیرش و تعهد منجر به کاهش درآمیختگی افکار، دشواری در تنظیم‌هیجان و اضطراب ‌سلامت دختران دارای سندرم پیش از قاعدگی گردید. بکارگیری این درمان</span></span></span>&nbsp;<span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">توسط متخصصان بهداشت روان و درمانگران در حیطه توان‌بخشی دختران دارای سندرم پیش از قاعدگی توصیه می&shy;شود</span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span light="" segoe="" style="font-family:" ui="">.</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:107%"><span b="" style="font-family:" titr=""><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Most women of reproductive age experience disorders related to the menstrual cycle called premenstrual syndrome. This research was conducted with the aim of determining the effectiveness of treatment based on acceptance and commitment on mixing thoughts, regulation of excitement and health anxiety of girls with premenstrual syndrome.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span b="" style="font-family:" titr=""><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methodology:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> This was a semi</span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">-experimental study with a pre-test and post-test design with a control group</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The statistical population of the research was all the girls who were studying in the second stage of secondary school in Gorgan in the academic year 2022-2023, 30 female students of the second secondary level were selected in a multi-stage cluster and randomly placed in 2 experimental and control groups (15 people in each group). The research tools included Steiner&#39;s premenstrual screening questionnaires, Wells&#39; thought confusion, Garnefski and Kraaij&#39;s difficulty in regulating excitement, and Salkovskis&#39; health anxiety. Data analysis was done with SPSS-24 software and statistical methods of univariate covariance analysis at a significance level of p<0.05.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span b="" style="font-family:" titr=""><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Findings:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The results of the research showed that the pre-test Averages of the variables of mixing of thoughts, emotion regulation and health anxiety before the intervention in the experimental group were 129.67, 111.92, and 162.85 respectively, and after the intervention, it was 93.66, 78.02, and 146.84. were changed In other words, treatment based on acceptance and commitment is effective on mixing thoughts (P<0.001), emotion regulation (P<0.001) and health anxiety (P<0.001) in girls with premenstrual syndrome.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span b="" style="font-family:" titr=""><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The results of the research indicate that the treatment based on acceptance and commitment led to a reduction in confusion of thoughts, difficulty in regulating excitement and health anxiety in girls with premenstrual syndrome. The use of this treatment is recommended by mental health specialists and therapists in the field of rehabilitation of girls with premenstrual syndrome.</span></span></span></span></span></span> درمان مبتنی بر پذیرش و تعهد, درآمیختگی افکار, تنظیم‌هیجان, سندرم پیش از قاعدگی, اضطراب سلامت ACT, Integration of Thoughts, Emotion Regulation, PMS, Health Anxiety 11 21 http://jne.ir/browse.php?a_code=A-10-1749-1&slc_lang=fa&sid=1 Mojtaba Aghili سید مجتبی عقیلی dr_aghili1398@yahoo.com 100319475328460027881 100319475328460027881 Yes گروه علمی، دانشگاه پیام نور، تهران، ایران Yalda Haghparast یلدا حق پرست mitra_namazi@yahoo.com 100319475328460027882 100319475328460027882 No کارشناس ارشد روانشناسی، دانشگاه پیام نور، گلستان، ایران Ensiyeh Babaee انسیه بابایی En.babaee@gmail.com 100319475328460027883 100319475328460027883 No استادیار، گروه روانشناسی و علوم تربیتی، دانشگاه پیام نور، تهران، ایران