مقایسه اثربخشی معنویت درمانی و ذهن آگاهی بر سطح کورتیزول و تاب آوری بیماران مبتلا به مولتیپل اسکلروزیس (MS)

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد بین الملل کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

2 استاد گروه روانشناسی، واحد بین الملل کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

3 دانشیار گروه روانشناسی بالینی، دانشگاه علامه طباطبایی، تهران، ایران

4 دانشیار گروه روانشناسی بالینی، دانشگاه خوارزمی، تهران، ایران

چکیده

مقدمه: مبتلا شدن به بیماری های مزمن نظیر ام‌اس می‌تواند به نومیدی و ایجاد احساسات و افکار منفی منجر شوند و باعث کاهش کیفیت زندگی فرد شود. تحقیق حاضر با هدف مقایسه اثربخشی معنویت درمانی و آموزش ذهن آگاهی بر سطح کورتیزول و تاب‌آوری بیماران مبتلا به ام‌اس انجام شد.
روش کار: روش پژوهش حاضر نیمه آزمایشی و طرح پیش‌آزمون و پس‌آزمون با گروه کنترل بود. جامعۀ آماری در این پژوهش شامل تمامی بیماران مراجعه کننده به انجمن ام‌اس تهران که با استفاده از روش نمونه گیری در دسترس 60 بیمار انتخاب شد و به صورت تصادفی به سه گروه جایگزین شدند.
یافته‌ها: نتایج تحلیل کورایانس نشان داد که مداخله معنویت درمانی و ذهن‌آگاهی بر سطح کورتیزول و تاب-آوری موثر بود (001/0 ≥p). نتایج مقایسه نیز نشان داد که معنویت درمانی تاثیر بیشتری بر سطح کورتیزول و تاب‌آوری بیماران دارد (001/0 ≥p).
نتیجه‌گیری: هر دو روش معنویت درمانی و ذهن‌آگاهی بر بیماران ام اس مفید بود اما معنویت درمانی بر بهبود کورتیزول و تاب‌آوری بیماران ام اس تاثیر بیشتری داشت.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the effectiveness of spirituality therapy and mindfulness on cortisol level and resiliency in patients with multiple sclerosis (MS)

نویسندگان [English]

  • Hoda Karimi 1
  • Hasan Ahadi 2
  • Ahmad Borjali 3
  • Mohammad Hatami 4
1 Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
2 professor, Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
3 associate professor, Department clinical psychology allameh tabataba,i university, Tehran, Iran.
4 associate professor Department of Clinical Psychology, Kharazmi University, Tehran, Iran
چکیده [English]

Introduction: Chronic diseases such as MS can lead to despair, negative emotions and thoughts, and decrease the quality of life. The purpose of this study was to compare the effectiveness of spirituality therapy and mindfulness training on cortisol levels and resiliency in patients with MS.
Methods: The present study was a quasi-experimental and pre-test and post-test design with control group. The statistical population of this study included all patients referring to MS Association of Tehran who were selected using available sampling method and 60 patients were randomly divided into three groups.
Results: The results of covariance analysis showed that spirituality and mindfulness intervention were effective on cortisol level and resiliency (p < 0.001). Comparison results also showed that spirituality therapy had more effect on cortisol level and resiliency (p < 0.001).
Conclusion: Both mindfulness and mindfulness methods were useful in MS patients, but spirituality had more effect on cortisol improvement and resiliency in MS patients.

کلیدواژه‌ها [English]

  • Spirituality Therapy
  • Mindfulness
  • Cortisol
  • Resiliency
  • Multiple Sclerosis

مراجع

  1. Lazzarotto A, Margoni M, Franciotta S, Zywicki S, Riccardi A, Poggiali D, Anglani M, Gallo P. Selective Cerebellar Atrophy Associates with Depression and Fatigue in the Early Phases of Relapse-Onset Multiple Sclerosis. The Cerebellum. 2020 Jan 2:1-9.
  2. Kasper, D., Braunwald, E., Fauci, A., Houser, S.,Longo, D., Jameson, J.(2005). Harrison's principles ofInternal Medicine, th edition, New York, Mc Grow- Hill Co .2(16). P,2461.
  3. Smeltzer S, Bare B, Hinkle J, Cheever K.(2010). Text book of Medical Surgical Nursing, edition, Philadelphia, Lippincott, Williams and Wilkins Co , 2(12) p1956.
  4. Bruce, S., Rabinb, M. (2002). Can stress participate in pathogenesis of auto immune disease? JAH; 30 (4): 71-75.
  5. Abedini E, Ghanbari B, TalebianSharif J. The Effectiveness of Hope Group Therapy on Hope and Depression in Women with MS Clinical Psychology, 2016; 8 (2): 1-11. 2017.2231
  6. Tintore M, Vidal-Jordana A, Sastre-Garriga J. Treatment of multiple sclerosis—success from bench to bedside. Nature Reviews Neurology. 2019 Jan;15(1):53-8.
  7. Masoodi R (MSc), Khayeri F (MSc), Safdari A (PhD). Effect of self- care program based on the Orem frame work on self-concept in multiple sclerosis patients. J Gorgan Univ Med Sci. 2010; 12 (3) :37-44
  8. Thompson AG, Sheldon R, Poole N, Varela R, White S, Jones P, Mulley C, Berg A, Blain CR, Agrawal N. A new way of rapidly screening for depression in multiple sclerosis using Emotional Thermometers. Acta neuropsychiatrica. 2019 Mar 27:1-8.
  9. Kumpfer KL, Alvarado R. Family-strengthening approaches for the prevention of youth problem behaviors. American Psychologist. 2003 Jun;58(6-7):457.
  10. Richards PS, Hardman RK, Berrett ME. Spiritual approaches in the treatment of women with eating disorders. American Psychological Association; 2007.
  11. Sajadi M, Niazi N, Khosravi S, Yaghobi A, Rezaei M, Koenig HG. Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. Complementary therapies in clinical practice. 2018 Feb 1; 30:79-84.
  12. Pargament KI, Saunders SM. Introduction to the special issue on spirituality and psychotherapy. Journal of Clinical Psychology. 2007 Oct;63(10):903-7.
  13. hune-Boyle IC, Stygall JA, Keshtgar MR, Newman SP. Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Soc Sci Med 2006; 63:151-64.
  14. Fischer P, Ai AL, Aydin N, Frey D, Haslam SA. The relationship between religious identity and preferred coping strategies: An examination of the relative importance of interpersonal and intrapersonal coping in Muslim and Christian faiths. Review of General Psychology. 2010 Dec;14(4):365-81.
  15. Revheim N, Greenberg WM. Spirituality matters: Creating a time and place for hope. Psychiatric rehabilitation journal. 2007;30(4):307.
  16. Wielgosz J, Goldberg SB, Kral TR, Dunne JD, Davidson RJ. Mindfulness Meditation and Psychopathology. Annual review of clinical psychology. 2019 May 7;15:285-316.
  17. Ludwig DS, Kabat-Zinn J. Mindfulness in medicine. Jama. 2008 Sep 17;300(11):1350-2.
  18. Ma SH, Teasdale JD. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of consulting and clinical psychology. 2004 Feb;72(1):31.
  19. Crane R. Mindfulness-based cognitive therapy: Distinctive features. Routledge; 2017 Sep 19.
  20. Calmes CA, Roberts JE. Repetitive thought and emotional distress: Rumination and worry as prospective predictors of depressive and anxious symptomatology. Cognitive Therapy and Research. 2007 Jun 1;31(3):343-56.
  21. Foley E, Baillie A, Huxter M, Price M, Sinclair E. Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. Journal of consulting and clinical psychology. 2010 Feb;78(1):72.
  22. Aghabagheri H, Mohammadkhani P, Omrani S, Farahmand V. The Effectiveness of Mindfulness-Based Cognitive Group Therapy on Increased Mental Well-Being and Hope in MS Patients. Clinical Psychology, 2012; 4 (1): 23-31.
  23. Mohammadi F, Mohammadkhani P, Dolatshahi B, Asghari M A. The Effects of “Mindfulness Meditation for Pain Management” on the Severity of Perceived Pain and Disability in Patients with Chronic Pain. Salmand: Iranian Journal of Ageing. 2011; 6 (1)
  24. Richards PS, Bergin AE. Religious and spiritual assessment. A spiritual strategy for counseling and psychotherapy. 2005:219-49.
  25. Kabat-Zinn J. Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences. 2003 Jul 1;8(2):73.

 

 

مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 5
آذر و دی 1399
صفحه 2757-2767

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