تاثیرطرحواره درمانی هیجانی گروهی بر میزان خودکارآمدی و درد در بیماران مبتلا به رماتیسم مفصلی

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 گروه روانشناسی سلامت، دانشگاه آزاد اسلامی کرج، البرز، ایران

3 استادیار گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

4 گروه روانشناسی دانشگاه آزاد اسلامی کرج، البرز، ایران

5 متخصص اعصاب و روان، بیمارستان معتمدی، تهران،‌ایران

چکیده

مقدمه: هدف این مطالعه بررسی تاثیرطرحواره درمانی هیجانی گروهی بر میزان خودکارآمدی و درد در بیماران مبتلا به رماتیسم مفصلی بوده است. ‌‌
روش کار: روش پژوهش حاضر نیمه آزمایشی ‌‌و طرح پژوهش بصورت پیش آزمون- پس آزمون- پیگیری با گروه گواه گسترش یافته ‌می‌باشد. ‌‌جامعه آماری شامل کلیه بیماران مبتلا به رماتیسم مفصلی مراجعه کننده به درمانگاه‌‌های روماتولوژی و بخش‌های روماتولوژی بیمارستان‌‌های شهر شیراز بود. ‌‌45 بیمار مبتلا به بیماری رماتیسم مفصلی،‌‌ ‌‌بصورت تصادفی در 3 گروه آزمایشی، ‌‌پلاسیبو و کنترل قرار گرفتند. ‌‌پرسشنامه‌های خودکارآمدی شرر و درد مک گیل،‌‌ ‌‌قبل از اجرای مداخله طرحواره درمانی هیجانی گروهی، ‌‌پس از اجرای مداخله درمانی و 3 ماه پس از اتمام مداخله درمانی توسط هر سه گروه شرکت کنندگان تکمیل گردید. مداخله طی 16 جلسه بمدت دو ساعت و نیم برگزار گردید. ‌‌برای تجزیه و تحلیل داده‌ها از روش‌های تحلیل واریانس چند متغیره، تحلیل واریانس یکطرفه، تست تعقیبی توکی، ‌‌آزمون مجذور کای و تحلیل واریانس با اندازه‌‌‌گیری مکرر استفاده گردید. ‌‌
یافته‌ها: نتایج نشان داد که طرحواره درمانی هیجانی بر افزایش میزان خودکارآمدی و کاهش میزان درد در بیماران مبتلا به رماتیسم مفصلی اثر معناداری داشت و این اثر پس از پیگیری 3 ماهه ماندگار بود (005/0≥p).
نتیجه‌گیری: طرحواره درمانی هیجانی ‌می‌تواند یک مداخله روانشناختی اثربخش برای کاهش درد وافزایش خودکارآمدی در بیماران مبتلا به رماتیسم مفصلی باشد. ‌‌

کلیدواژه‌ها

عنوان مقاله [English]

The effect of group emotional schema therapy on self-efficacy on self-efficacy and pain in patients with rheumatoid arthritis

نویسندگان [English]

  • Marieh Hossaini 1
  • Hasan Ahadi 2
  • Farhad Jomehri 3
  • Adis kraskian Mojembari 4
  • Morvarid Ahadi 5
1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
2 Department of Health Psychology, Islamic Azad University of Karaj, Alborz, Iran
3 Assistant Professor, Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
4 Department of Psychology, Islamic Azad University, Karaj, Alborz, Iran
5 Neurologist, Motamedi Hospital, Tehran, Iran
چکیده [English]

Intrudoction: The aim of this study was to determine the efficacy of group emotional schema therapy on self-efficacy and pain in patients with rheumatoid arthritis.
Methods: The research method is semi-experimental, and the research design is pre-test, post-test, follow-up with expanded control group. The statistical population included all patients with rheumatoid arthritis referring to rheumatology clinics and rheumatology departments of Shiraz hospitals. 45 patients with rheumatoid arthritis were randomly assigned into 3 experimental, placebo and control groups. Sherer General Self-Efficacy Questionnaire and McGill Pain Questionnaire were completed by all three groups of participants, before the intervention of emotional Schemas group therapy on the experimental group, after intervention and 3 months later. For data analysis, multivariate analysis of variance, one-way analysis of variance (ANOVA), tukey post hoc test, Chi-square test and repeated measures analysis of variance, were used.
Findings: The results showed that emotional schemas group therapy had a significant effect on increasing self-efficacy and reducing pain (sensory, emotional, cognitive, miscellaneous and general components) in patients with rheumatoid arthritis, and their effects remained after 3 months follow up (p <0.05).
Conclution: According to findings it can be concluded that emotional schemas group therapy can be used as a useful intervention to increase self-efficacy and decrease pain in patients with rheumatoid arthritis.

کلیدواژه‌ها [English]

  • Rheumatoid arthritis
  • Emotional schemas therapy
  • self-efficac

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 5
آذر و دی 1400
صفحه 4145-4159

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