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تاب‌آوری زنان مبتلا به ام اس: یک مرور نظام‌مند

نوع مقاله : مروری

نویسندگان

1 دانشیار، گروه جامعه شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه اصفهان.

2 کارشناسی ارشد مطالعات زنان، گروه جامعه‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه اصفهان.

10.30473/hpj.2025.70392.5999

چکیده

مقدمه: تاب‌آوری افراد مبتلا به ام اس در سطح پایینی قرار دارد. توجه ویژه به ارتقا تاب‌آوری در سال‌های اخیر به عنوان مکمل درمانی، پژوهش‌های متعددی را به سوی خود جلب کرده است. نبود پژوهش مروری و جمع‌بندی این نیاز پژوهشی را ایجاد کرد لذا این پژوهش به بررسی عوامل تاثیر‌گذار بر تاب‌آوری زنان مبتلا به بیماری ام اس می‌پردازد.
روش: این پژوهش از نوع مروری و جست وجوی نظام‌مند است. کلیه مقالات مرتبط با تاب‌آوری زنان ایرانی مبتلا به بیماری ام اس در ده سال گذشته در شش پایگاه داده‌ایی فارسی با کلید‌واژه‌های تاب‌آوری، زنان، ام اس، مالتیپل اسکلروزیس جستجو شد. با توجه به معیار‌های ورود و خروج، 18مقالة مرتبط وارد پژوهش شد.
یافته‌ها: موقعیت جغرافیایی پژوهش‌ها در 9 استان و تمرکز مطالعاتی در این حوزه در سال‌های 1399 و 1401 است که نشان اهمیت موضوع تاب‌آوری در سال‌های اخیر است. بیش‌ترین روش پژوهش استفاده شده، نیمه‌آزمایشی است. با بررسی مقالات، عوامل تاب‌آوری به 7 دسته که شامل راهبرد‌های کنترل ذهن، پذیرش و شفقت، بهزیستی روان‌، معنا درمانی، ورزش درمانی، معنویت درمانی و بخشودگی تقسیم‌بندی شدند.
نتیجه‌گیری: شناخت عوامل موثر تاب‌آوری زنان می‌تواند به بهبود خدمات حمایتی بیماری مزمن کمک‌کند. در ادامه پیشنهادهای متناسبی نیز در سه سطح رویکردی (ایجاد پژوهش‌های بین‌رشته‌ایی)، پژوهشی (بهره‌گیری از روش‌های کیفی و ترکیبی) و ساختاری ارائه شده‌اند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Resilience in Women with Multiple Sclerosis: A Systematic Review

نویسندگان [English]

  • Ali Ghanbari Borzian 1
  • Zahra Lotfi forushani 2

1 Assistant Professor, Department of Sociology, Faculty of Literature and Humanities, University of Esfahan, Iran.

2 M.A. Student in Gender Studies, Faculty of Literature and Humanities, University of Esfahan, Iran.

چکیده [English]

Objective: Resilience in individuals with multiple sclerosis (MS) is generally at a low level. Recent years have witnessed increased attention to enhancing resilience as a complementary therapeutic approach, attracting numerous research studies. However, the lack of a comprehensive review and summarization of this research gap necessitated the current study, which aims to investigate factors influencing the resilience of women with MS. Method: This systematic review and systematic search were conducted between October and November 2023. All relevant articles related to the resilience of Iranian women with MS in the past decade were searched in six Persian databases using keywords such as resilience, women, MS, and multiple sclerosis. Following entry and exit criteria, 18 relevant articles were included in the research. Results: The geographical distribution of studies covered 9 provinces, with a concentration of research in 1399 and 1401, indicating the recent importance of the resilience topic. The predominant research method was quasi-experimental, while qualitative and in-depth studies received less attention. Through the analysis of articles, resilience factors were categorized into seven groups, including mind control strategies, acceptance and compassion, mental well-being, meaning therapy, Pilates exercise, spiritual therapy, and forgiveness. The strategies for mind control include cognitive-behavioral therapies, cognitive therapies, and mindfulness. The focus of these approaches is to manage negative thoughts related to the illness and foster a positive outlook. Acceptance and compassion involve accepting and committing, showing compassion to oneself, and integrating acceptance with compassion. This approach is centered on the individual's inner world, emphasizing self-awareness, self-acceptance, and kindness towards oneself.Psychological well-being encompasses positive psychology interventions, cognitive-behavioral stress management, and stress control skill development. This approach concentrates on enhancing resilience in the psychological dimension of the illness. Meaning-centered therapy involves creating interventions for life meaning. It addresses the sense of emptiness post-illness, employing methods to bring meaning into the individual's life.Pilates exercise contributes to the improvement of both physical and mental well-being in patients. Group spiritual therapy aims to establish purpose and meaning in life, fostering a sense of the divine presence in the individual's life. Forgiveness includes strategies for dealing with challenges and illness-related problems and improving social interactions. The positive impact of resilience includes improved quality of life, adaptability, patience, tolerance, and sometimes reduction in the severity of the disease. Conclusion: It is suggested that, due to the lack of research on resilience in patients in the growing Iranian society, future studies should employ diverse qualitative methods and various item analyses. One limitation of this study is the examination of resilience in women with MS. It is recommended to investigate resilience in men as well.

کلیدواژه‌ها [English]

  • "Multiple Sclerosis"
  • "Resilience"
  • " Women"
  • " Systematic Review"
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روانشناسی سلامت
دوره 13، شماره 52
اسفند 1403
صفحه 125-138
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