اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد بر بهبود کیفیت خواب سالمندان دارای درد مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی عمومی ظ، گروه مشاوره و روانشناسی ،واحد قوچان ،دانشگاه آزاد اسلامی ، قوچان، ایران.

2 دانشیار روانشناسی،گروه مشاوره و روانشناسی، واحد قوچان، دانشگاه آزاد اسلامی، قوچان ، ایران.

چکیده

مقدمه
مطالعه حاضر با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد(ACT) بر بهبود کیفیت خواب سالمندان دارای درد مزمن انجام شد. 
روش کار
این پژوهش از نوع پژوهش های نیمه آزمایشی(طرح پیش­آزمون- پس­آزمون با گروه کنترل نابرابر بود). جامعه آماری این پژوهش شامل همه سالمندان 65 سال و بالاتر مقیم خانه سالمندان در مشهد در سال 1396 بود که تعداد 24 نفر به روش نمونه گیری در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. در این پژوهش جهت اندازه گیری درد مزمن از مقیاس درد مزمن مک گیل(1975) و برای اندازه گیری کیفیت خواب از پرسشنامه کیفیت خواب پیتزبورگ(1993) استفاده گردید.مداخله درمانی طی 8 جلسه 90 دقیقه­ای بر روی گروه آزمایش اجرا گردید. پس از پایان دوره گروه درمانی، از هر دو گروه پس آزمون گرفته شد و برای تحلیل داده­ها از روش تحلیل کواریانس تک متغییره استفاده شد.
نتایج
نتایج نشان داد که درمان مبتنی بر پذیرش و تعهد به طور معنا­داری بر بهبود کیفیت­خواب سالمندان دارای درد­مزمن مؤثراست (0،05p <).
نتیجه گیری
نتایج پژوهش بیانگر است که درمان مبتنی بر پذیرش و تعهد بر بهبود کیفیت خواب  سالمندان مبتلا به درد مزمن مؤثر است. 

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Group-Based Acceptance and Commitment Therapy on the Improvement of sleep quality in elderly people With Chronic Pain

نویسندگان [English]

  • Hossein Hadi Toroghi 1
  • Shahed Masoudi 2
1 M.A. General Psychology, Department of Counseling and Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran.
2 Associate Professor, Department of Counseling and Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran.
چکیده [English]

Abstract
Introduction: This study examined the effectiveness of acceptance and commitment therapy (ACT) on the Improvement of sleep quality in elderly people With Chronic Pain was conducted.
Materials and Methods: This study was a semi-experimental (Pretest- post test plan the unequal control group) and to the effectiveness of acceptance and commitment therapy (ACT) based on the Improvement of sleep quality in elderly people With Chronic Pain. the study population included all elderly people 65  years old and older with chronic pain  at neshat old people's home in the city of Mashhad in 2018, that 24 of them voluntarily selected by convenience sampling and randomly assigned to experimental and control groups (12 people). in this study, used McGill's Chronic Pain scale (1975) and Pittsburgh Sleep Quality Questionnaire (1993). after the formation of groups, was conducted. (ACT) in 8 sessions of 90 minute. upon completion of the training program, from both groups were post test. Data for the analysis of covariance was used.
Results: Data analysis showed that "act" improving sleep quality among elderly people With Chronic Pain (p < 0/05).
Conclusion: The results indicate that acceptance and commitment therapy is effective on sleep quality in elderly people With Chronic Pain.

کلیدواژه‌ها [English]

  • Group-Based Acceptance and Commitment Therapy
  • sleep quality
  • elderly
  • chronic pain

مراجع

  1. World Health Organization.Global Health and Aging,Orange Country Master Aging Plan(1rd ed.). Translated
    by:K,Mehri.,F,Akabri&M,Hassn Zadeh. Tehran: Besat publication,2014 (Persian).
    2. Orimo H, Ito H, Suzuki T, Araki A, Hosoi T, Sawabe M. Reviewing the definition of “elderly”. Geriatrics &
    gerontology international. 2006 Sep;6(3):149-58.
    3. American Psychological Association[homepage on the Internt]. Washington D.C: Older AdultsHealth and agerelated changes ,[updated 2017 january 30;cited 2017 january 30.] Available from:
    http://www.apa.org/pi/aging/resources/guides/older.aspx/
    4. Ekerdt DJ, Koss CS, Li A, Münch A, Lessenich S, Fung HH. Is longevity a value for older adults?. Journal of
    aging studies. 2017 Dec 1;43:46-52.5.Gilleard, C. (2018). Suffering: The darker side of ageing. Journal of
    Aging Studies, 44, 28-33.
    5. Seraji M, Shojaeizadeh D, Goldoost F. Quality of Life of the Elderly Residing in Zahedan (South East of Iran).
    Iranian Rehabilitation Journal. 2017 Jan 1;15(3):215-20.
    6. Simon LS. Relieving pain in America: A blueprint for transforming prevention, care, education, and research.
    Journal of pain & palliative care pharmacotherapy. 2012 Jun 22;26(2):197-8.
    7. Miler , R.Stoleting.R.Basics of anesthesia(5rd ed.). Translated by:A,Moradi Moghadam.Tehran:Rafihe
    publication ,2012(Persian)
    8. Keilani M, Crevenna R, Dorner TE. Sleep quality in subjects suffering from chronic pain. Wiener klinische
    Wochenschrift. 2018 Jan 1;130(1-2):31-6.
    9. Rezaeipandari H, Morowatisharifabad MA, Hashemi SJ, Bahrevar V. Sleep Quality among Older Adults in
    Mehriz, Yazd Province, Iran. Elderly Health Journal. 2015 Jun 15;1(1):5-11.
    10. Karaman S, Karaman T, Dogru S, Onder Y, Citil R, Bulut YE, Tapar H, Sahin A, Arici S, Kaya Z, Suren M.
    Prevalence of sleep disturbance in chronic pain. Eur Rev Med Pharmacol Sci. 2014 Sep 1;18(17):2475-81.
    11. The National Sleep Foundation (NSF).What is Good Quality Sleep Available from:
    https://sleepfoundation.org/press- release/what-good-quality-sleep(23 january 2017)
    12. Suzuki K, Miyamoto M, Hirata K. Sleep disorders in the elderly: Diagnosis and management. Journal of
    general and family medicine. 2017 Apr;18(2):61-71.
    13. Do Valle CR, Valle E, Valle L, Fior CA. Quality of life and sleep disorders in elderly. Sleep Medicine. 2013
    Dec 1;14:e291.
    14. Khan-Hudson A, Alessi CA. Sleep and quality of life in older people. InSleep and quality of life in clinical
    medicine 2008 (pp. 131-138). Humana Press.
    15. Marshansky S, Mayer P, Rizzo D, Baltzan M, Denis R, Lavigne GJ. Sleep, chronic pain, and opioid risk for
    apnea. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2017 Jul 19.
    16. 17.US Food and Drug Administration . Learning about Side Effects , Unwanted orUnexpected Drug Reactions.
    Available from: https://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm196029.htm(26 january 2017)
    17. Rochon PA. Drug prescribing for older adults. Sokol N, Dep. Ed). http://www. uptodate. com/contents/drugprescribing-for-olderadults. 2013 May 24.
    18. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds III CF. Adding psychotherapy to
    antidepressant medication in depression and anxiety disorders: a meta‐ analysis. World Psychiatry. 2014
    Feb;13(1):56-67.
    19. Scott W, Daly A, Yu L, McCracken LM. Treatment of chronic pain for adults 65 and over: Analyses of
    outcomes and changes in psychological flexibility following interdisciplinary acceptance and commitment
    therapy (ACT). Pain Medicine. 2017 Feb 1;18(2):252-64.
    20. Pielech M, Vowles KE, Wicksell R. Acceptance and commitment therapy for pediatric chronic pain: Theory
    and application. Children. 2017 Jan 30;4(2):10.
    21. Roberts SL, Sedley B. Acceptance and Commitment Therapy with older adults: Rationale and case study of an
    89-year-old with depression and generalized anxiety disorder. Clinical Case Studies. 2016 Feb;15(1):53-67.
    22. Lin J, Klatt LI, Mccracken LM, Baumeister H. Psychological flexibility mediates the effect of an online-based
    acceptance and commitment therapy for chronic pain: an investigation of change processes. Pain. 2018 Apr
    1;159(4):663-72.
    23. Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and commitment therapy (ACT) for
    chronic pain. The Clinical journal of pain. 2017 Jun 1;33(6):552-68.
    24. Meadows, G. Acceptance and Commitment Therapy for Insomnia (ACT-I). Association for Contextual
    Behavioral Science.availablefrom:https://contextualscience.org/acceptance_and_commitment_therapy_for_insomnia_act(accessed
    6 Feb2006)
    25. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975 Sep 1;1(3):277-
    99.
    26. Dworkin RH, Turk DC, Revicki DA, Harding G, Coyne KS, Peirce-Sandner S, Bhagwat D, Everton D, Burke
    LB, Cowan P, Farrar JT. Development and initial validation of an expanded and revised version of the Shortform McGill Pain Questionnaire (SF-MPQ-2). PAIN®. 2009 Jul 1;144(1-2):35-42.
    27. Khosravi M, Sadighi S, Moradi S, Zendehdel K. Persian-McGill pain questionnaire; translation, adaptation and
    reliability in cancer patients: a brief report. Tehran University Medical Journal. 2013 Apr 1;71(1).
    28. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new
    instrument for psychiatric practice and research. Psychiatry research. 1989 May 1;28(2):193-213.
    29. Heydari A, Ehteshamzadeh P, Marashi M. The relationship between insomnia severity, sleep quality, sleepless
    and impaired mental health and academic performance of girls. Journal Woman Culture. 2010;1(4):65-76.
    30. Hayes SC. Get out of your mind and into your life: The new acceptance and commitment therapy. New
    Harbinger Publications; 2005 Nov 1.
    31. Vowles KE, Sorrell JT. Life with chronic pain: an acceptance based approach. Therapist guide and patient
    workbook. Unpublished manuscript. 2007.
    32. Hayes , s . About ACT, Association for Contextual Behavioral Science. Available from
    https://contextualscience.org/act(accessed 6 February 2017)
    33. Saif,A.Introduction and Cognitive Therapies of First ,Second,and Third Generations with Emphosis on
    Acceptance and Commitment Therapy(1rd ed.).Tehran:Didavar publication;2017(Persian)
    34. American Pain Society. Study Shows Pain Coping Success with Acceptance and Commitment Therapy:News
    from The Journal of Pain Available from: http://americanpainsociety.org/about-us/press-room/coping-successacceptance-commitment(22 January 2014)
    35. Daly-Eichenhardt A, Scott W, Howard-Jones M, Nicolaou T, McCracken LM. Changes in sleep problems and
    psychological flexibility following interdisciplinary acceptance and commitment therapy for chronic pain: an
    observational cohort study. Frontiers in psychology. 2016 Aug 31;7:1326.
    36. Kato T. Impact of psychological inflexibility on depressive symptoms and sleep difficulty in a Japanese
    sample. SpringerPlus. 2016 Dec;5(1):712.
    37. Ong JC, Ulmer CS, Manber R. Improving sleep with mindfulness and acceptance: a metacognitive model of
    insomnia. Behaviour research and therapy. 2012 Nov 1;50(11):651-60.
    38. Lundh LG. The role of acceptance and mindfulness in the treatment of insomnia. Journal of Cognitive
    Psychotherapy. 2005 Apr 1;19(1):29-39.
    39. Petkus AJ, Wetherell JL. Acceptance and commitment therapy with older adults: Rationale and considerations.
    Cognitive and behavioral practice. 2013 Feb 1;20(1):47-56.
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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 3
مرداد و شهریور 1399
صفحه 2295-2301

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