مقایسه اثربخشی درمان پذیرش و تعهد، طرحواره درمانی هیجانی و دارودرمانی بر وجوه درد بیماران مبتلا به فیبرومیالژیا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران

2 استادیار گروه روانشناسی دانشگاه علوم توانبخشی و سلامت اجتماعی ، تهران، ایران

3 گروه پزشکی، دانشگاه علوم پزشکی ارتش، تهران، ایران

4 دانشیار گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران

چکیده

مقدمه: فیبرومیالژیا سندرم درد اسکلتی-عضلانی مزمن است که با درد در سطح گسترده، نقاط حساس، خستگی و اختلال خواب مشخص می‌شود و جنبه روانی فرد را نیز تحت تاثیر قرار می‌دهد؛ برای درمان بیماران مبتلا به فیبرومیالژیا می‌توان علاوه بر دارودرمانی از رواندرمانی نیز بهره برد. این پژوهش با هدف مقایسه اثربخشی درمان پذیرش و تعهد، طرحواره درمانی هیجانی و دارودرمانی بر وجوه درد بیماران مبتلا به فیبرومیالژیا انجام شد.
روش کار: روش پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون-پس آزمون با دو گروه آزمایشی و گروه کنترل بود. از جامعه زنان مبتلا به اختلال فیبرومیالژیا سطح شهر تهران با استفاده از روش نمونه‌گیری در دسترس 45 نفر به عنوان نمونه انتخاب شد و به صورت تصادفی در سه گروه پژوهشی جایگزین شدند. برای سنجش وجوه درد از پرسشنامه چندوجهی درد (کرنز و همکاران، 1985) استفاده شد. برای گروه‌های آزمایش از مداخله‌های درمان پذیرش و تعهد، طرحواره درمانی هیجانی و دارودرمانی استفاده شد. داده‌های پژوهش با استفاده از تحلیل اندازه‌گیری مکرر و آزمون تعقیبی تحلیل شد.
یافته‌ها: نتایج پژوهش نشان داد که تلفیق درمان پذیرش و تعهد با دارودرمانی، اثربخش‌تر از دارودرمانی به تنهایی بود (p≤0/005). همچنین تلفیق طرحواره‌درمانی هیجانی با دارودرمانی موثرتر از دارودرمانی بود (p≤0/005). بین تلفیق درمان پذیرش و تعهد با دارودرمانی و تلفیق طرحواره‌درمانی با دارودرمانی تفاوت معنی‌دار نبود (p≥0/005).
بحث و نتیجه‌گیری: به منظور بهبود بیماران مبتلا به فیبرومیالژیا می‌توان از درمان پذیرش و تعهد و همچنین طرحواره‌درمانی هیجانی در کنار دارودرمانی بصورت تلفیقی بهره برد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the effectiveness of acceptance and commitment therapy, emotional schema therapy and drug therapy on the pain aspects of patients with fibromyalgia

نویسندگان [English]

  • zahra dadbin 1
  • Neda Alibeygi 2
  • Kamran Azma 3
  • Fariborz Bagheri 4
1 PhD student, Department of Psychology, Science and Research branch, Islamic Azad University, Tehran, Iran
2 Assistant Professor, Department of Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3 Department of Medicine, Aja University of Medical Sciences, Tehran, Iran
4 Associate Professor, Department of Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran
چکیده [English]

Introduction: Fibromyalgia is a chronic musculoskeletal syndrome characterized by widespread pain, hotspots, fatigue, and sleep disturbances that also affects the psychological aspect of the individual; In addition to medication, psychotherapy can be used to treat patients with fibromyalgia. this study was conducted to compare the effectiveness of acceptance and commitment therapy, emotional schema therapy and drug therapy on the pain aspects of patients with fibromyalgia.
Methods: The research method was quasi-experimental with pre-test-post-test design with two experimental and control groups. From the community of women with fibromyalgia disorder in the city of Tehran in 1397-1398, 45 people were selected as a sample using the available sampling method and were randomly assigned to three research groups. A multifaceted (Cranes et al,1985) pain questionnaire was used to measure pain. Acceptance and commitment interventions, emotional schema therapy and medication were used for the experimental groups. The research data were analyzed using repeated measurements and follow-up tests.
Results: The results showed that the combination of acceptance and commitment therapy with drug therapy was more effective than drug therapy alone (p≤0/005). Also, combining schema, emotional therapy with drug therapy was more effective than drug therapy (p≤0/005). There was no significant difference between the combination of acceptance and commitment therapy with drug therapy and the combination of treatment plan and drug therapy (p≥0/005).
Conclusion: In order to improve patients with fibromyalgia, it is possible to use the treatment of acceptance and commitment, as well as emotional therapy plan along with medication.

کلیدواژه‌ها [English]

  • Fibromyalgia
  • Medication
  • Acceptance and Commitment Therapy
  • Emotional Schema Therapy

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 1
فروردین و اردیبهشت 1400
صفحه 2682-2695

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