Journal of Client-Centered Nursing Care
نشریه مراقبت پرستاری مددجو محور
JCCNC
Medical Sciences
http://jccnc.iums.ac.ir
1
admin
24764132
24764132
10.32598
en
jalali
1400
10
1
gregorian
2022
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1
8
1
online
1
fulltext
en
The Mediating Role of Psychological Wellbeing in the Relationship Between Defense Mechanisms and Therapeutic Alliance Among Therapists and Psychiatric Nurses
عمومى
General
پژوهشي
Research
<strong>Background:</strong> The effectiveness of psychotherapy relies on the therapeutic alliance, so it is essential to identify the variables related to this concept. The present study investigated the relationship between defense mechanisms and therapeutic alliance with the mediating role of psychological wellbeing in therapists and psychiatric nurses.<br>
<strong>Methods:</strong> This research was a descriptive-correlational study that adopted Structural Equation Modeling (SEM). The statistical population comprised all therapists, psychiatric nurses, and counselors licensed by the Psychology and Counseling Organization of Iran in 2019. A sample of 255 was selected via the convenience sampling method. The research instruments included the defense style questionnaire, Ryff’s psychological wellbeing scale (short form), and the working alliance inventory (short form). The obtained data were analyzed by the Pearson correlation coefficient and path analysis in AMOS software v. 24.<br>
<strong>Results:</strong> Immature (β=-0.35, P<0.001) and neurotic defense mechanisms (β=-0.22, P<0.001) demonstrated significant negative correlations with the therapeutic alliance, while mature defense mechanisms (β=0.38, P<0.001) and psychological wellbeing (β=0.24, P<0.001) showed significant positive correlations with therapeutic alliance. The path analysis revealed the mediating role of psychological wellbeing in the relationships between immature (β=-0.11, P<0.01), mature (β=0.14, P<0.01), and neurotic (β=-0.09, P<0.01) defense mechanisms with therapeutic alliance.<br>
<strong>Conclusion:</strong> The present study results confirmed the model’s goodness of fit. Therapists’ defense mechanisms and psychological wellbeing should be taken into account when designing measures to improve the psychotherapy and counseling outcome.
Defense mechanisms, Therapeutic alliance, Mental health, Psychiatric nursing
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http://jccnc.iums.ac.ir/browse.php?a_code=A-10-399-1&slc_lang=en&sid=1
Saba
Jafari
jafarisba@yahoo.com
10031947532846007411
10031947532846007411
No
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
Amin
Rafiepour
rafiepooramin@gmail.com
10031947532846007412
10031947532846007412
Yes
Department of Psychology, Payame Noor University, Tehran, Iran.
Afsaneh
Taheri
taheriafs@gmail.com
10031947532846007413
10031947532846007413
No
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
Mehrdad
Sabet
sabetmrdad@gmail.com
10031947532846007414
10031947532846007414
No
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.