اثربخشی درمان ذهن‌آگاهی بر نشاط ذهنی و نظم‌جویی شناختی هیجان در بیماران مبتلا به سردردهای میگرنی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی سلامت، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران.

2 استادیار ، گروه روان‌شناسی، واحد نجف‌اباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران. (نویسنده مسئول).

3 استادیار، گروه روان‌شناسی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران.

چکیده

مقدمه
بروز بیماری‌های مزمن جسمی همچون سردردهای میگرنی سبب آسیب‌های هیجانی و روان‌شناختی در بیماران می‌شود. بر این اساس نیاز است که در کنار درمان‌های پزشکی معمول، به ویژگی‌های روان‌شناختی بیماران نیز توجه کافی صورت پذیرد. بر همین اساس پژوهش حاضر با هدف بررسی اثربخشی درمان ذهن‌آگاهی بر نشاط ذهنی و نظم‌جویی شناختی هیجان در بیماران مبتلا به سردردهای میگرنیانجام گرفت.
روش کار
پژوهش حاضر نیمه­آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه گواه و دوره پیگیری دوماهه بود. جامعه آماری پژوهش شامل بیماران مبتلا به سردردهای میگرنی شهرستان شاهین‌شهر اصفهان در سه ماهه آخر سال 1397 بود. در این پژوهش تعداد 30 بیمار مبتلا به سردردهای میگرنی با روش نمونه‌گیری داوطلبانه انتخاب و با گمارش تصادفی در گروه­های آزمایش و گواه گمارده شدند (15 بیمار در گروه آزمایش و 15 بیمار در گروه گواه). گروه آزمایش مداخله درمان ذهن‌آگاهی (1) را طی دو ماه در 8 جلسه 90 دقیقه‌ای دریافت نمودند. پرسشنامه‌های مورد استفاده در این پژوهش شامل پرسشنامه نشاط ذهنی (2) و نظم‌جویی شناختی هیجان (3) بود. داده‌های حاصل از پژوهش به شیوه تحلیل واریانس با اندازه‌گیری مکرر مورد تجزیه و تحلیل قرار گرفت.
نتایج
نتایج نشان داد که درمان ذهن‌آگاهی بر نشاط ذهنی و نظم‌جویی شناختی هیجان در بیماران مبتلا به سردردهای میگرنی تأثیر معنادار دارد(001/0>p).
نتیجه­ گیری
بر اساس یافته‌های پژوهش حاضر می‌توان بیان کرد که درمان ذهن‌آگاهی با برخورداری از فنونی همانند افکار، هیجانات و رفتار آگاهانه می‌تواند به عنوان یک درمان کارآمد جهت بهبود نشاط ذهنی و نظم‌جویی شناختی هیجان در بیماران مبتلا به سردردهای میگرنی مطرح باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Mindful Therapy on Mental Vitality and Emotion Cognitive Regulation in the Patients with Migraine Headache

نویسندگان [English]

  • Akram Izadi Khah 1
  • Mojtaba Ansari Shahidi 2
  • Hasan Rezayi Jamalui 3
  • Abbas Haghayegh 3
1 PhD Student of Health Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
3 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
چکیده [English]

Introduction: The emergence of chronic diseases such as migraine headache causes emotional and psychological damages in the patients. Therefore, there should be sufficient attention to the patients’ psychological features besides common medical therapies. According to that, the present study was conducted aiming to investigate the effectiveness of mindful therapy on mental vitality and emotion cognitive regulation in the patients with migraine headache.
Materials and Methods The present study was quasi-experimental with pretest, posttest, control group and a two-month follow-up design. The statistical population of the study included the patients with migraine headache in the town of Shahin Shahr, Isfahan in the first quarter of 2019. 30 patients with migraine headache were selected through voluntary sampling method and they were randomly replaced into experimental and control groups (15 patients in the experimental and 15 in the control group). The experimental group received eight ninety-minute mindful therapy interventions (Cabat Zin, 2003) during two months. The applied questionnaires in this study included mental vitality questionnaire (Ryan and Fredrick, 1997) and emotion cognitive regulation (Granfski, et.al, 2002). The data from the study were analyzed through repeated measurement ANOVA.
Results: the results showed that mindful therapy significantly influences mental vitality and emotion cognitive regulation in the patients with migraine headache (p<0.001).
Conclusion: According to the findings of the present study it can be stated that mindful therapy can be suggested as an efficient therapy to improve mental vitality and emotion cognitive regulation in the patients with migraine headache owning techniques such as thoughts, emotions and mindful behavior.

کلیدواژه‌ها [English]

  • Mindful therapy
  • mental vitality
  • emotion cognitive regulation
  • migraine headache

مراجع

References
 
1.             Kabat‐Zinn J. Mindfulness‐based interventions in context: past, present, and future. Clin Psychol Sci Pract 2003; 10:144-56.
2.             Ryan RM, Frederick C. On energy, personality, and health: Subjective vitality as a dynamic reflection of well‐being. J Personal 1997; 65:529-65.
3.             Garnefski N, Van Den Kommer T, Kraaij V, Teerds J, Legerstee J, Onstein E. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non‐clinical sample. Eur J Personal 2002; 16:403-20.
4.             Talarska D, Zgorzalewicz-Stachowiak M, Michalak M, Czajkowska A, Hudaś K. Functioning of women with migraine headaches. Sci World J 2014; 2014:492350.
5.             Lambert GA, Zagami AS. Does somatostatin have a role to play in migraine headache? Neuropeptides 2018; 69:1-8.
6.             Wu MF, Yang YW, Chen YY. The effect of anxiety and depression on the risk of irritable bowel syndrome in migraine patients. J Clin Neurosci 2017; 44:342-5.
7.             Bohm PE, Stancampiano FF, Rozen TD. Migraine headache: updates and future developments. Mayo Clin Proc 2018; 93:1648-53.
8.             Tomé-Pires C, Solé E, Racine M, Galán S, Castarlenas E, Jensen MP, et al. The relative importance of anxiety and depression in pain impact in individuals with migraine headaches. Scand J Pain 2016; 13:109-13.
9.             Narimani M, Bagiyankoulemarz M, Mehdinejad Moghadam B. The comparison of unlogicul believes and self-skilfullness and psychological best lining in patients who are affected to migraine and healthy person. Quart J Health Psychol 2015; 4:7-20.
10.          Amiri F, Veiskarami HA, Sepahvandi AM. Effectiveness of emotion cognitive regulation on emotional creativity and mental happiness of high school gifted students. J Analyt Cognit Psychol 2018; 9:47-57.
11.          Ju H. The relationship between physical activity, meaning in life, and subjective vitality in community-dwelling older adults. Arch Gerontol Geriatrics 2017; 73:120-4.
12.          Vlachopoulos SP, Karavani E. A cross-gender situational test of the needs universality hypothesis. Hellenic J Psychol 2009; 6:207-22.
13.          Sylvester B. Well-being in valleyball players. Pschol Sport Exer 2011; 30:1-7.
14.          Hosini A, Khormaee F, Asar Zadegan F, Hesami A, Taghavi MR, Mohammadi N. The comparison of cognitive emotion regulation strategies among patient with migrain headache, tention headache and normal individuals. Quart J Health Psychol 2014; 3:89-101.
15.          Rashidi M, Oelkers-Ax R, Sharma A, Bertsch K, Weisbrod M. Perception of facial expressions of emotion in migraine. Brain Res 2018; 1686:42-7.
16.          Garnefski N, Koopman H, Kraaij V, ten Cate R. Brief report: cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. J Adolesc 2009; 32:449-54.
17.          Kraaij V, Garnefski N. The behavioral emotion regulation questionnaire: development, psychometric properties and relationships with emotional problems and the cognitive emotion regulation questionnaire. Personal Individ Differ 2019; 137:56-61.
18.          Li D, Li D, Wu N, Wang Z. Intergenerational transmission of emotion regulation through parents' reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects. Child Youth Serv Rev 2019; 101:113-22.
19.          Foladchang M, Hasanneia S. The effectiveness of emotional regulation on happiness and self -efficacy of female- headed households. Quart J Women Soc 2015; 5:89-106.
20.          Kirwan M, Pickett SM, Jarrett NL. Emotion regulation as a moderator between anxiety symptoms and insomnia symptom severity. Psychiatry Res 2017; 254:40-7.
21.          Fakhri MK, Bahar A, Amini F. Effectiveness of mindfulness on happiness and blood sugar level in diabetic patients. J Mazandaran Univ Med Sci 2017; 27:94-104.
22.          Shafiei F, Amini M. Efficacy of mindfulness-based Stress reduction on reducing catastrophizing and pain intensity in patients suffering chronic musculoskeletal pain. Anesthesiol Pain 2017; 8:1-10.
23.          Khosravi E, Ghorbani M. Effectiveness of mindfulness-based stress reduction on perceived stress and blood pressure among the hypertensive women. Feyz J 2016; 20:361-8.
24.          Zare H, Mohammadi N, Motaghi PM, Afshar H, Poorkazem L. Effectiveness of modified mindfulness-based cognitive therapy on catastrophizing, acceptance and severity of pain in Fibromyalgia patients. Quart J Health Psychol 2014; 3:97-117.
25.          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. J Shahid Sadoughi Univ Med Sci 2014; 21:795-807.
26.          Mun CJ, Okun MA, Karoly P. Trait mindfulness and catastrophizing as mediators of the association between pain severity and pain-related impairment. Personal Individ Differ 2014; 66:68-73.
27.          Ahola Kohut S, Stinson J, Davies-Chalmers C, Ruskin D, van Wyk M. Mindfulness-based interventions in clinical samples of adolescents with chronic illness: A systematic review. J Alternat Complement Med 2017; 23:581-9.
28.          Birtwell K, Dubrow-Marshall L, Dubrow-Marshall R, Duerden T, Dunn A. A mixed methods evaluation of a mindfulness-based stress reduction course for people with Parkinson's disease. Complement Ther Clin Pract 2017; 29:220-8.
29.          Hess D. Mindfulness-based interventions for hematology and oncology patients with pain. Hematol Oncol Clin 2018; 32:493-504.
30.          Gumport NB, Dong L, Lee JY, Harvey AG. Patient learning of treatment contents in cognitive therapy. J Behav Ther Exper Psychiatry 2018; 58:51-9.
31.          Majeed MH, Ali AA, Sudak DM. Mindfulness-based interventions for chronic pain: Evidence and applications. Asian J Psychiatry 2018; 32:79-83.
32.          Dowsey M, Castle D, Knowles S, Monshat K, Salzberg M, Nelson E, et al. The effect of mindfulness training prior to total joint arthroplasty on post-operative pain and physical function: a randomised controlled trial. Complement Ther Med 2019; 46:195-201.
33.          Zimmermann FF, Burrell B, Jordan J. The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: a systematic review. Complement Ther Clin Pract 2018; 30:68-78.
34.          Milyavskaya M, Koestner R. Psychological needs, motivation, and well-being: A test of self-determination theory across multiple domains. Personal Individ Differ 2011; 50:387-91.
35.          Sheikholeslami R, Daftarchi E. The prediction of student's subjective vitality by goal orientations and basic psychological needs. J Psychol 2015; 19:147.
36.          Yousefi F. The relationship of cognitive emotion regulation strategies with depression and anxiety in students of special middle schools for talented students in Shiraz. J Excep Child 2007; 6:871-92.
37.          Almardani Someeh S, Narimani M, Mikaeeli N, Basharpoor S. The comparison of intolerance of uncertainty, emotion regulation in obsessive-compulsive disorder patients and normal individuals. J Psychol Stud 2017; 13:77-94.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 62، شماره 5
آذر-دی98- دوره 62- شماره5
آذر و دی 1398
صفحه 1764-1774

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