جلد 12 - شماره سال ۱۴۰۱
جلد (12): 32 |
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Fadai Bashi A, Tajeri B, Salehi M. Evaluating the Effectiveness of Mindfulness-Based Cognitive Therapy in Reducing Stress on Childhood Abuse Symptoms, Depression, and Chronic Pain Relief of Women Living in Sari City, Iran. MEJDS 2022; 12 :32-32
URL: http://jdisabilstud.org/article-1-1954-fa.html
URL: http://jdisabilstud.org/article-1-1954-fa.html
فدایی باشی آتنا، تاجری بیوک، صالحی مهدیه. بررسی اثربخشی شناخت‌درمانی مبتنی‌بر کاهش استرس بر نشانگان بدرفتاری دوران کودکی، افسردگی و بهبود درد مزمن زنان شهر ساری. مجله مطالعات ناتوانی. 1401; 12 () :32-32
آتنا فدایی باشی1 
، بیوک تاجری*2 ، مهدیه صالحی1
، بیوک تاجری*2 ، مهدیه صالحی1
1- گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی
2- گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی
2- گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی
چکیده: (1611 مشاهده)
زمینه و هدف: درد مزمن می‌تواند باعث مشکلات متعدد روان‌شناختی مانند اضطراب، افسردگی و ناامیدی شود. پژوهش حاضر با هدف تعیین اثربخشی شناخت‌درمانی مبتنی‌بر کاهش استرس بر نشانگان بدرفتاری دوران کودکی، افسردگی و بهبود درد مزمن در زنان شهر ساری انجام گرفت.
روش‌بررسی: روش پژوهش، نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری دوماهه با گروه گواه بود. جامعهٔ آماری پژوهش را تمامی زنان مبتلا به درد مزمن شهر ساری در سال ۱۳۹۸ تشکیل دادند. از بین افراد واجد شرایط داوطلب، بیست نفر از زنان انتخاب شدند و به‌صورت تصادفی در دو گروه ده‌نفری آزمایش و گواه قرار گرفتند. صرفاً گروه آزمایش در هشت جلسهٔ نوددقیقه‌ای و هفته‌ای یک‌بار به‌مدت دو ماه، آموزش شناخت‌درمانی را دریافت کرد. به‌منظور گردآوری داده‌ها، سیاهۀ نشانگان بدرفتاری روان‌شناختی دوران کودکی (کوتس و مسمن-مور، ۲۰۱۴)، سیاههٔ چندوجهی درد مزمن (کرنز و همکاران، ۱۹۹۴) و مقیاس خودارزیابی افسردگی (زانگ، ۱۹۶۵) به‌کار رفت. تجزیه‌و‌تحلیل داده‌ها با استفاده از روش تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی در نرم‌افزار SPSS نسخهٔ ۲۲ در سطح معناداری ۰٫۰۵ صورت گرفت.
یافته‌ها: اثرهای گروه، زمان و تعامل بین زمان و گروه بر متغیرهای نشانگان بدرفتاری دوران کودکی، افسردگی و درد مزمن معنادار بود (۰٫۰۰۱>p). در گروه شناخت‌درمانی، نمرات متغیرهای نشانگان بدرفتاری دوران کودکی و افسردگی در مراحل پس‌آزمون و پیگیری درمقایسه با پیش‌آزمون به‌طور معناداری کاهش یافت و برای متغیر درد مزمن به‌طور معناداری افزایش (بهبود) یافت (۰٫۰۵>p). تفاوت معناداری در نمرات متغیرهای نشانگان بدرفتاری دوران کودکی و افسردگی بین پس‌آزمون و پیگیری مشاهده نشد و تفاوت معناداری در نمرات متغیر درد مزمن بین دو مرحلۀ مذکور وجود داشت (۰٫۰۵>p). برای هر سه متغیر، نتایج، تداوم اثربخشی مداخله در مرحلۀ پیگیری را نشان داد.
نتیجه‌گیری: شناخت‌درمانی مبتنی‌بر کاهش استرس بر کاهش نشانگان بدرفتاری دوران کودکی، کاهش افسردگی و بهبود درد مزمن در زنان مبتلا به درد مزمن در شهر ساری مؤثر است.
نوع مطالعه: مقاله پژوهشی اصیل |
موضوع مقاله:
روانشناسی
فهرست منابع
1. Fleurmond J. Is it all in the head? the Psychological effects of chronic pain and the effectiveness of modern therapies. Ethn Dis. 2005;15(3):47–8.
2. Pozek JP, Beausang D, Baratta JL, Viscusi ER. The acute to chronic pain transition: can chronic pain be prevented? Med Clin North Am. 2016;100(1):17–30. [DOI]
3. Cavanaugh JM, Weinstein JN. Low back pain: epidemiology, anatomy and neurophysiology. In: Wall PD, Melzack R; editors. Textbook of pain. London: Churchill Livingstone; 1994.
4. Andrasik F, Blanchard EB. Biofeedback treatment of muscle contraction headache. Biofeedback: Studies in Clinical Efficacy. 1987, pp.281–315.
5. Romano C, Lloyd A, Nair S, Wang JY, Viswanathan S, Vydyanathan A, et al. A randomized comparison of pain control and functional mobility between proximal and distal adductor canal blocks for total knee replacement. Anesth Essays Res. 2018;12(2):452–8. [DOI]
6. Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769–81. [DOI]
7. Teasell RW, White K. Clinical approaches to low back pain. Part 1. Epidemiology, diagnosis, and prevention. Can Fam Physician. 1994;40:481–6.
8. Maher PC, Underwood PM, Buchbinder PR. Non-specific low back pain. The Lancet. 2017;389(10070):736–47. [DOI]
9. Olbrich D. Psychological and psychosocial factors in chronic backache. Findings and social medicine consequences. Versicherungsmedizin. 2003;55(2):70–5.
10. Turk DC, Gatchel R. Ravan shenasi dard: rouykard haye control va darman: rahnamaye motakhasesan balini [Pain psychology: control and treatment approaches: a guide for clinicians]. Asghari Moghaddam MA. (Persian translator). Tehran: Roshd pub; 2003.
11. Weiser S, Cedraschi C. Psychosocial issues in the prevention of chronic low back pain—a literature review. Baillière’s Clinical Rheumatology. 1992;6(3):657–84. [DOI]
12. Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702–9. [DOI]
13. Baena ÁC, Martínez S, Ibatá L, Abella P. Evidence-based recommendations for the management of low back pain. Archives in Family Medicine. 2018;20(3):57–145.
14. Frymoyer JW. Clinical perspectives. New Perspectives on Low Back Pain. 1989.
15. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012;85(4):343–50.
16. Pulliam CB, Gatchel RJ, Gardea MA. Psychosocial differences in high risk versus low risk acute low-back pain patients. J Occup Rehabil. 2001;11:43–52. [DOI]
17. Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American college of physicians. Annals of Internal Medicine. 2017;166(7):514–30. [DOI]
18. Van Vuuren B, Zinzen E, Van Heerden HJ, Becker P, Meeusen R. Psychosocial factors related to lower back problems in a South African manganese industry. J Occup Rehabil. 2005;15(2):215–25.
19. Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148–56.
20. Ackerman MD, Stevens MJ. Acute and chronic pain: Pain dimensions and psychological status. J Clin Psychol. 1989;45(2):223–8. [DOI]
21. Kamimura A, Nourian MM, Assasnik N, Franchek-Roa K. Depression and intimate partner violence among college students in Iran. Asian Journal of Psychiatry. 2016;23:51–5. [DOI]
22. Kimbrel NA, Meyer EC, DeBeer BB, Gulliver SB, Morissette SB. A 12-month prospective study of the effects of PTSD-depression comorbidity on suicidal behavior in Iraq/Afghanistan-era veterans. Psychiatr Res. 2016;243:97–9. [DOI]
23. Mahati K, Bhagya V, Christofer T, Sneha A, Shankaranarayana Rao BS. Enriched environment ameliorates depression-induced cognitive deficits and restores abnormal hippocampal synaptic plasticity. Neurobiol Learn Mem. 2016;134:379–91. [DOI]
24. Fischer B, Murphy Y, Kurdyak P, Goldner EM. Depression –a major but neglected consequence contributing to the health toll from prescription opioids? Psychiatry Res. 2016;243:331–4. [DOI]
25. Liang L, Zhou D, Yuan C, Shao A, Bian Y. Gender differences in the relationship between internet addiction and depression: a cross-lagged study in Chinese adolescents. Comput Hum Behav. 2016;63:463–70. [DOI]
26. Top ED, Karaçam Z. Effectiveness of structured education in reduction of postpartum depression scores: a quasi-experimental study. Arch Psychiatr Nurs. 2016;30(3):356–62. [DOI]
27. Block JA. Acceptance or change of private experiences: a comparative analysis in college students with public speaking anxiety [PhD dissertation]. [Albany, USA]: State University of New York At Albany; 2002.
28. Frisch MB. Quality of life therapy. In: Wood AM, Johnson J, Wood A; editors. The Wiley handbook of positive clinical psychology. Chichester, West Sussex Malden, MA Oxford: Wiley Blackwell; 2016.
29. Heshmati F, Elmy Manesh N, Heshmati R. Structural relationship of behavioral activation and inhibition system, dispositional mindfulness and chronic pain. Health Psychology. 2018;6(4):120–37. [Persian] [Article]
30. Anchorena MN, Ghiglione F, Nader M. Psychometric properties of the Five Facet Mindfulness Questionnaire in an Argentine sample. Archives of Assessment Psychology. 2017;7(1):29–41.
31. Khoshkhatti N, Amiri majd M, Bazzazian S, Yazdinezhad A. The effectiveness of mindfulness-based cognitive therapy on symptoms of anxiety, depression and stress in renal patients under Hemodialysis. Iranian Journal of Nursing Research. 2020;14(6):9–17 [Persian] [Article]
32. Abdolghadery M, Kafee M, Saberi A, Aryapouran S. The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic low back pain.
33. Journal of Shahid Sadoughi University of Medical Sciences. 2014;21(6):795–807. [Persian] [Article]
34. Norouzi H, Hashemi E. The efficacy of mindfulness-based cognitive therapy (mbct) on emotion regulation among patients with breast cancer. Iranian Journal of Breast Disease. 2017;10(2):38. [Persian]
35. Zung WWK. Zung self-rating depression scale and depression status inventory. In: Sartorius N, Ban TA, editors. Assessment of depression. Berlin: Springer, Heidelberg; 1986. pp:221–31. [DOI]
36. Sedighi S, Najarzadegan M, Ghasemzadeh H, Khodabandeh M, Khazaei M, Mirzadeh M, et al. Factor structure and psychometric properties of Zung self-rating depression scale in a population of women with a sick child. Int J Pediatr. 2020;8(7):11581–6. [DOI]
37. Coates AA, Messman-Moore TL. A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse Negl. 2014;38(1):103–13. [DOI]
38. Nazari H, Farhadi A. Predicting depression symptoms following childhood psychological maltreatment: the mediating role of early maladaptive schemas and difficulties in emotion regulation. J Mazandaran Univ Med Sci. 2016;26(136):85–98. [Persian] [Article]
39. Kerns RD, Rosenberg R, Jacob MC. Anger expression and chronic pain. J Behav Med. 1994;17:57–67. [DOI]
40. Asghari A, Nicholas MK. An investigation of pain self-efficacy beliefs in Iranian chronic pain patients: a preliminary validation of a translated English-language scale. Pain Medicine. 2009;10(4):619–32. [DOI]
41. Dobson KS, Hollon SD, Dimidjian S, Schmaling KB, Kohlenberg RJ, Gallop RJ, et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression. J Consult Clin Psychol. 2008;76(3):468–77. [DOI]
42. Yousefy A, Khayam Nekouei Z. Basis of cognitive-behavioral trainings and its applications in recovery of chronic diseases. Iranian Journal of Medical Education. 2011;10(5):792–800. [Persian] [Article]
43. Naghibi F, Ahadi H, Tajeri B, Seairafi MR. Effectiveness of mindfulness-based stress reduction training on psychological symptoms, pain in patients with thalassemia major. Adv Cogn Sci. 2020;22(2):45–53. [Persian] [DOI]
44. Jafari D, Salehi M, Mohamadkhani P. Comparing the effectiveness of cognitive therapy based on mindfulness with group therapy of behavioral activation in depression rate and quality of life of depressed people. Thoughts and Behavior in Clinical Psychology. 2013;8(29):7–16. [Persian] [Article]
45. Shahni R, Shairi MR, Asghari Moghaddam MA, Naseri M, Delavari M. The effectiveness of cognitive-behavioral treatment of pain on reduction of negative emotions and pain severity in patients with chronic pain. Journal of Psychological Achievements. 2011;18(2);1–20. [Persian] [Article]
46. Hamidpour H. Examination of efficacy and effectiveness of mindfulness–based cognitive therapy in treatment and preventation of relapse and recurrence of dysthymia. Research in Psychological Health . 2007;1(2):25–36. [Persian]
47. Ostad Noroozi M, Zemestani M. Comparative study of the relationship between childhood traumas with personality function and pathological traits in patients with borderline personality disorder and non-patient group. Shenakht Journal of Psychology and Psychiatry. 2021;7(6):85–99. [Persian] [DOI]
48. Miller GE, Rohleder N, Cole SW. Chronic interpersonal stress predicts activation of pro- and anti-inflammatory signaling pathways 6 months later. Psychosom Med. 2009;71(1):57–62. [DOI]
49. Tyrka AR, Burgers DE, Philip NS, Price LH, Carpenter LL. The neurobiological correlates of childhood adversity and implications for treatment. Acta Psychiatr Scand. 2013;128(6):434–47. [DOI]
50. Esmaeilzadeh Meshki P, Zeinali A. The role of childhood abuse experiences in predicting emotional schemas in adulthood. J Child Ment Health. 2020;7(3):128–41. [Persian] [DOI]
51. Evans S, Ferrando S. Findler M, Stowell C, Smart C, Haglin D. Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord. 2008;22:716-21. [DOI]
52. Williams JMG, Teasdale JD, Segal ZV, Soulsby J. Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. J Abnorm Psychol. 2000;109(1):150–5. [DOI]
53. Carney RM, Freedland KE, Stein PK, Skala JA, Hoffman P, Jaffe AS. Change in heart rate and heart rate variability during treatment for depression in patients with coronary heart disease. Psychosom Med. 2000;62(5):639–47. [DOI]
54. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ, Anderson ML, Hawkes RJ, et al. Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial. JAMA. 2016;315(12):1240–9. [DOI]
55. Masumian S, Shairi MR, Hashemi M. The effect of mindfulness-based stress reduction on quality of life of the patients with chronic low back pain. Anesthesiology and Pain. 2013;4(1):25–37. [Persian]
56. Shafiei F, Amini M. Efficacy of mindfulness-based stress reduction on reducing catastrophizing and pain intensity in patients suffering chronic musculoskeletal pain. Anesthesiology and Pain. 2017;8(1):1–10. [Persian] [Article]
57. Eccleston C, Crombez G. Pain demands attention: A cognitive–affective model of the interruptive function of pain. Psychol Bull. 1999;125(3):356–66. [DOI]
58. Dick BD, Rashiq S. Chronic low back pain: review of treatment practices and standards. J Behav Anal Health Sports Fit Med. 2008;1(1):19–25. [DOI]
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