fa اثربخشی آموزش واقعیت‌درمانی بر علائم بدریخت انگاری بدنی، اضطراب سلامت و عملکرد خودمختار در افراد تراجنسیتی تخصصي Special پژوهشي Research <p dir="RTL" style="text-align:justify"><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span b="" lang="AR-SA" mitra="" style="font-family:">مقدمه:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">افزایش علائم بدریخت‌انگاری بدنی و اضطراب سلامت و کاهش عملکرد خودمختار از مشکلات بسیار مهم افراد تراجنسیتی به شمار می‌روند. از همین روی؛ هدف از پژوهش حاضر تعیین اثربخشی آموزش واقعیت‌ درمانی بر علائم بدریخت‌انگاری بدنی، اضطراب سلامت و عملکرد خودمختار در افراد تراجنسیتی بود.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span b="" lang="AR-SA" mitra="" style="font-family:">روش</span></b><b><span b="" lang="FA" mitra="" style="font-family:"> کار</span></b><b><span b="" lang="AR-SA" mitra="" style="font-family:">:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">این پژوهش از نوع روش تحقیق نیمه‌</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تجربی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> با طرح پیش آزمون- پس آزمون با پیگیری 2 ماهه و به همراه گروه گواه بود.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">جامعه آماری این مطالعه را کلیه افراد تراجنسیتی ساکن شهر تهران در نیمه اول سال 1403 تشکیل می‌دادند. با استفاده از روش نمونه‌گیری گلوله ‌برفی 30 نفر از این افراد انتخاب شدند و با استفاده از گمارش تصادفی در دو گروه آزمایش (15 نفر) و گروه گواه (15 نفر) قرار گرفتند. در گروه آزمایش بسته آموزشی 7 جلسه‌ای واقعیت درمانی (هر جلسه 90 دقیقه) بر اساس کتاب نظریه انتخاب اجرا شد.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">گروه گواه در همان زمان به بررسی و نقد کتاب پرداختند. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">آزمودنی‌ها به پرسشنامه نگرانی از بدشکلی بدن اُستوزین و همکاران (1998)، پرسشنامه اضطراب سلامت سالکوسکیس و همکاران (2002) و پرسشنامه عملکرد خودمختار</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">وینستین و همکاران (2012) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">پاسخ دادند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">داده‌ها با بهره‌گیری از </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تحلیل واریانس مختلط و آزمون تعقیبی بونفرونی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در نرم افزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">SPSS</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> نسخه 22 تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span b="" lang="AR-SA" mitra="" style="font-family:">یافته‌ها:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نتایج نشان داد که تفاوت معنی‌داری بین دو گروه آزمایش و کنترل در میزان کاهش نمرات علائم بدریخت‌انگاری بدنی&nbsp; </span></span></span><span b="" lang="FA" mitra="" style="font-family:">(</span><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">F=(2,27)=39/417, P<0/001</span></span></span><span b="" lang="FA" mitra="" style="font-family:">) </span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و اضطراب سلامت </span></span></span><span b="" lang="FA" mitra="" style="font-family:">(</span><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">F=(2,27)=5/931, P<0/001</span></span></span><span b="" lang="FA" mitra="" style="font-family:">)</span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و افزایش نمرات عملکرد خودمختار </span></span></span><span b="" lang="FA" mitra="" style="font-family:">(</span><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">F=(2,27)=18/323, P<0/001</span></span></span><span b="" lang="FA" mitra="" style="font-family:">)</span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">&nbsp;از مرحله پیش آزمون تا مرحله پیگیری وجود دارد.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span b="" lang="FA" mitra="" style="font-family:">نتیجه‌گیری:</span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">به صورت کلی می‌توان نتیجه گرفت که روان‌شناسان و روان‌پزشکان می‌توانند از واقعیت درمانی برای کاهش علائم بدریخت‌انگاری بدنی و اضطراب سلامت و تقویت عملکرد خودمختار افراد تراجنسیتی استفاده کنند. </span></span></span></span></span></span></span></span><br> <br> &nbsp;</p> <p style="text-align:left"><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Increasing body dysmorphic symptoms and health anxiety and decreasing autonomic functioning are very important problems of transgender people.</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Therefore, the purpose of this study was to investigate the effectiveness of reality therapy training on the</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">body dysmorphic symptoms, health anxiety and autonomous functioning in transgender people.</span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This study was a semi-experimental research method with a pretest-posttest design with a 2-month follow-up and a control group. All transgender people who lived in Tehran in the second half of </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">2024</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> constituted the statistical population of this study.</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Using the snowball sampling method, 30 of these people were selected and randomly assigned to the experimental group (15 people) and the control group (15 people).</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">On the experimental group, a 7-session reality therapy training package based on choice theory book was implemented (Each session was 90 minutes).</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The subjects answered </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">body</span></span> <span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">d</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ysmorphic concern questionnaire (Oosthuizen & et al. 1998), health anxiety questionnaire (Salkovskis & et al. 2002) and autonomic functioning questionnaire </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Weinstein & et al. 2012). Data were analyzed using mixed analysis of variance and Bonferroni post hoc test in SPSS version 22.</span></span><span 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 style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span></b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The results showed that there is a significant difference between the two experimental and control groups in the reduction of body dysmorphic symptoms </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(F=(2,27)=39/417, P<0/001) </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">and health anxiety </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(F=(2,27)=5/931, P<0/001) </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">and the increase of autonomous functioning </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(F=(2,27)=18/323, P<0/001) </span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">from the pre-test stage to the follow-up stage.</span></span>&nbsp; <span lang="EN-US" 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 style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Overall, it can be concluded that psychologists and psychiatrists can use reality therapy to reduce symptoms of body dysmorphic disorder and health anxiety and enhance the autonomous functioning of transgender individuals.</span></span><span lang="EN-US" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> &nbsp;</p> افراد تراجنسیتی, اضطراب سلامت, عملکرد خودمختار, علائم بدریخت انگاری بدنی, واقعیت درمانی. Autonomous Functioning, Body Dysmorphic Symptoms, Health Anxiety, Reality Therapy, Transgenders. 86 100 http://ijpn.ir/browse.php?a_code=A-10-2523-2&slc_lang=fa&sid=1 Sina Gholami سینا غلامی 21.sinagholami@gmail.com 27900319475328460020588 27900319475328460020588 No Islamic Azad University, Central Tehran Branch دانشگاه آزاد اسلامی واحد تهران مرکزی Ezatollah Ghadampour عزت اله قدم پور ezatolahghadampour04@gmail.com 27900319475328460020589 27900319475328460020589 Yes Lorestan University, Khorramabad, Iran. دانشگاه لرستان، خرم آباد، ایران. Fateme Bavazin فاطمه باوزین dr.psychologistt1403@gmail.com 27900319475328460020590 27900319475328460020590 No Lorestan University, Khorramabad, Iran. دانشگاه لرستان، خرم آباد، ایران. Ghazal Jamshidi غزال جمشیدی sghsgh13521352@gmail.com 27900319475328460020591 27900319475328460020591 No Tehran University, Kish International Campus, Iran. دانشگاه تهران، پردیس بین المللی کیش، ایران.