现实疗法对成瘾者元认知、压力及希望的影响
The impact of reality therapy on metacognition, stress and hope in addicts.
作者信息
Karimyar Jahromi Mehdi, Mosallanejad Leili
机构信息
Assistant professor, Mental health nursing department , Research Center for Social Determinants of Health, Jahrom University of Medical Science, Jahrom, Iran.
出版信息
Glob J Health Sci. 2014 Sep 23;6(6):281-7. doi: 10.5539/gjhs.v6n6p281.
INTRODUCTION
Drug dependence is a major problem in our country and in international level. Reality therapy is an internal control system that determines why and how to choose the options that are set for our lives. This study aimed to investigate the effect of reality therapy on metacognition, stress and decline in hope in drug addicts.
MATERIALS & METHODS: This study is quasi-experimental study. Samples were chosen convenient among 60 drug addicts in Jahrom in 2012. Samples were randomly divided into two groups (each group = 30) of intervention and control groups. Control group received usual care and experimental group received reality therapy.
RESULTS
Results revealed that there was significant difference between the mean scores of metacognition and hope before and after the intervention of experimental group (p < 0.05). Also, there was statistically significant difference between the two groups from these two variables (p < 0.05).but, Stress level wasn't statistically different in two groups.
DISCUSSION
Reality therapy is a method that emphasizes the accountability and the current behavior of individuals. Setting negative emotions, reality therapy promotes metacognition and, through increasing accountability to self-behavior improves hope.
引言
药物依赖在我国乃至国际上都是一个重大问题。现实疗法是一种内部控制系统，它决定了为何以及如何选择为我们的生活所设定的选项。本研究旨在调查现实疗法对吸毒者的元认知、压力和希望下降的影响。
材料与方法
本研究为准实验研究。2012年在贾赫罗姆的60名吸毒者中方便选取样本。样本被随机分为干预组和对照组两组（每组 = 30）。对照组接受常规护理，实验组接受现实疗法。
结果
结果显示，实验组干预前后元认知和希望的平均得分存在显著差异（p < 0.05）。此外，这两个变量在两组之间也存在统计学显著差异（p < 0.05）。但是，两组的压力水平在统计学上没有差异。
讨论
现实疗法是一种强调个人责任感和当前行为的方法。通过设定负面情绪，现实疗法促进元认知，并通过增强对自我行为的责任感来改善希望。
Zotero 插件