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اثربخشی ذهنآگاهی بر مکانیزمهای دفاعی، سیستمهای مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشارخون | ||
| روانشناسی سلامت | ||
| دوره 13، شماره 49، خرداد 1403، صفحه 115-128 اصل مقاله (1.24 M) | ||
| نوع مقاله: علمی- پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2024.66701.5720 | ||
| نویسندگان | ||
| سید مجتبی عقیلی* 1؛ سیده الهام سیدی2 | ||
| 1استادیار گروه روانشناسی، دانشگاه پیامنور، تهران، ایران. | ||
| 2کارشناس ارشد روانشناسی دانشگاه پیام نور گلستان، ایران | ||
| چکیده | ||
| مقدمه: یکی از شایعترین بیماریهای مزمن، پرفشاری خون است. این پژوهش با هدف اثربخشی ذهنآگاهی بر مکانیزمهای دفاعی، سیستمهای مغزی رفتاری و زود انگیختگی در بیماران مبتلا به فشارخون انجام شد. روش: پژوهش حاضر از نظر هدف کاربردی و از نظر روش اجرا نیمهتجربی با گروه کنترل بود. جامعهآماری شامل کلیه بیماران مبتلا به فشار خون شهر آزادشهر و دارای پرونده سلامت در مراکز بهداشتی_درمانی شهری در سال 1401 بودند. با استفاده از روش نمونهگیری در دسترس 30 بیمار انتخاب و در دو گروه آزمایش و گواه (هر گروه 15 نفر) بصورت تصادفی جایگزین شدند. گروه آزمایش تحت 8 جلسه 90 دقیقهای درمان ذهنآگاهی قرار گرفت اما گروه گواه تا پایان پژوهش، مداخلهای دریافت نکرد. ابزار پژوهش پرسشنامه سبکهای دفاعی آندروز و همکاران (1993)، سیستمهای مغزی رفتاری کارور و وایت (1994) و تکانشگری بارت و همکاران (2004) بود. دادههای پژوهش با تحلیل کوواریانس چندمتغیره و نرمافزار spss نسخه 24 تجزیه و تحلیل شد. یافتهها: نتایج نشان داد که درمان ذهنآگاهی بر مکانیزمهای دفاعی، سیستمهای مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشار خون اثربخش است (05/0>p). نتیجهگیری: نتایج پژوهش حاکی از آن است که ذهنآگاهی با آگاهی فرد از چرخههای معیوب شناختی خود و کاهش افکار منفی منجر به بهبود مکانیزمهای دفاعی، سیستمهای مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشارخون میشود. | ||
| کلیدواژهها | ||
| ذهنآگاهی؛ زودانگیختگی؛ سیستم مغزی رفتاری؛ فشارخون؛ مکانیزمهای دفاعی | ||
| عنوان مقاله [English] | ||
| Effectiveness of Mindfulness on Defense Mechanisms, Behavioral Brain Systems and Impulsivity in Patients with Blood Pressure | ||
| نویسندگان [English] | ||
| Mojtaba Aghili1؛ Seyedeh Elham Seyedi2 | ||
| 1Assistant Professor, Department of Psychology, Payam Noor University, Tehran, Iran. | ||
| 2Master of Psychology, Payame Noor University, Golestan, Iran | ||
| چکیده [English] | ||
| Objective: Blood pressure is actually one of the most asymptomatic risk factors, which is usually discovered at the same time as irreversible complications such as heart and brain strokes occur. Considering the high prevalence of high blood pressure in Iran and since access to psychological treatments at least at the same time as drug treatments accelerates and makes the recovery more stable, this research aims to investigate the effectiveness of mindfulness on defense mechanisms, behavioral brain systems and early arousal in affected patients. Blood pressure was done. Method: The present study was applied in terms of its purpose and semi-experimental with a control group in terms of implementation method. The statistical population included all patients with blood pressure in Azadshahr and had health records in urban health-treatment centers in 2022. Using available sampling method, 30 patients were selected and randomly replaced in two experimental and control groups (15 people in each group). The experimental group underwent 8 90-minute sessions of mindfulness therapy, but the control group did not receive any intervention until the end of the study. The research tools were Andrews et al.'s defensive styles questionnaire (1993), Carver and White's behavioral brain systems (1994), and Barrett et al.'s (2004) impulsivity questionnaire. Research data were analyzed by multivariate covariance analysis and spss software version 24. Results: The mean and standard deviation of defense mechanisms, brain systems of behavior and impulsivity for the pre-test and post-test stages showed that after the mindfulness treatment, the scores of the experimental group had a significant difference. Also, the results showed that mindfulness treatment is effective on defense mechanisms,behavioral brain systems and impulsivity in patients with high blood pressure (p<0.05). Conclusion: The results of the research indicate that, since the use of underdeveloped and neurotic defense mechanisms are destructive and increase stress and cause the aggravation of mental disorders and increase stress and primary blood pressure, therefore, in order to reduce the use of these underdeveloped mechanisms, it is necessary for people Stay away from judgment and understand your feelings and accept them as they are. Mindfulness leads to the attitude that thoughts and feelings are transitory, and the above attitude makes it possible to see thoughts and feelings as just thoughts or just feelings, which eventually leads to a reduction in self-thoughts and rumination and a reduction in unpleasant states. and mindfulness with the person's awareness of their cognitive cycles and reducing negative thoughts plays an important role in improving defense mechanisms and brain-behavioral systems in patients with high blood pressure. Also, with the increase in mindfulness, the power of emotional control and self-management of patients with high blood pressure increases, and they are able to directly control their emotions caused by impulsivity. | ||
| کلیدواژهها [English] | ||
| blood pressure, brain-behavioral system, defense mechanisms, impulsivity, mindfulness | ||
| مراجع | ||
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Amckarti, M. Finocchiaro, R. & Canavesio, Y. (2015). Reward sensitivity (behavioral activation system), cognitive, and metacognitive control in gambling behavior: evidences from behavioral, feedback-related negativity, and P300 effect. The Journal of neuropsychiatry and clinical neurosciences, 27(3): 219-227.DOI: 10.1176/appi.neuropsych.14070165 Andrews, G. Singh, M. & Bond, M. (1993). The defense style questionnaire. Journal of Nervous and Mental disease, 181(1): 246-256. DOI: 10.1097/00005053-199304000-00006 Arslande, F. Azadfalah, P. Hasani, J. (2019). The relationship between the pattern of using defensive styles and the predominance of impulsive axes in students. Scientific Research Quarterly of Psychological Sciences, 18(81): 1018-1009. (in Persian) 20.1001.1.17357462.1398.18.81.11.2 Agili, M. & Malek, F. (2021). Comparing the effectiveness of therapy based on acceptance and commitment and cognitive therapy based on mindfulness on spiritual health and blood pressure of hemodialysis patients in Gorgan city, Journal of Cognitive Psychology and Psychiatry, 8(5): 81-94.(in Persian)10.32598/shenakht.8.5.81 Abedini, M. Akbari, B. Sadeghi, A. Asadi Majra, S. (2021). Relationship model of resilience and mindfulness with emotional well-being with the mediating role of emotion regulation in cancer patients. Health Psychology, 10(39): 67-84. https://doi.org/10.30473/hpj.2021.58344.5172 Barbee, B. & Gourley, S. (2022). Brain systems in cocaine abstinence-induced anxiety-like behavior in rodents: A review. Addiction Neuroscience, 2(6): 100-112.https://doi.org/10.1016/j.addicn.2022.100012 Babl, A. Holtforth, M. Perry, J. Schneider, N. Dommann, E. Heer, S. & Sonntag, M. (2019). Comparison and change of defense mechanisms over the course of psychotherapy in patients with depression or anxiety disorder: Evidence from a randomized controlled trial. Journal of Affective Disorders, 252(1): 212-220. DOI: 10.1016/j.jad.2019.04.021 Bahji, A. Mazhar, M. Hudson, C. Nadkarni, P. MacNeil, B. & Hawken, E. (2019). Prevalence of substance use disorder comorbidity among individuals with eating disorders: A systematic review and metaanalysis. Psychiatry Research, 273(1), 58-66. DOI: 10.1016/j.psychres.2019.01.007 Barratt, E. Stanford, M. S. Kent, T. A. & Felthous, A. (1997). Neuropsychological and cognitive psycho physiological substrates of impulsive aggressions. Society of Biological Psychiatry, 41(1): 1045-1061. DOI: 10.1016/s0006-3223(96)00175-8 Bahmani, R. Oliya, N. Darvishi, S. & Sheikh Zikriai, N. (2021). Investigating the relationship between self-care, health literacy and social support in patients with hypertension referred to the specialized heart clinic of Tawheed Hospital in Sanandaj. Ibn Sina Journal of Nursing and Midwifery Care, 29(3): 190-200. (in Persian)10.30699/ajnmc.29.3.190 Beshrpour, S. Droodi, J. & Mahmoudzadeh, S. (2018). The role of behavioral brain systems and morning-evening types in predicting students' academic progress. Educational Psychology Quarterly, 14(49): 220-203.(in Persian) doi.org/10.22054/jep.2019.16671.1585 Castaldo, G. Flipkens, G. & Boeck, M. (2020). Antagonistic bioaccumulation of waterborne Cu (II) and Cd (II) in common carp (Cyprinus carpio) and effects on ion-homeostasis and defensive mechanisms. Aquatic Toxicology, 226(12): 55-61.DOI: 10.1016/j.aquatox.2020.105561 Chen, B. (2021). Chapter 9 - Essential functional modules for pathogenic and defensive mechanisms via host/pathogen crosstalk network by database mining and two-sided microarray data identification. Systems Immunology and Infection Microbiology, 421(3): 203-226.doi: 10.1155/2014/136130 Carver, C. & White, T. (1994). Behavioral inhibition, behavioral activation and affective responses to impendingreward and punishment: The BIS/BAS scales. Journal of Personality and Social psychology, 67(2): 319-333. https://psycnet.apa.org/record/1995-00067-001 Davodi, R. Manshai, G. & Golparor, M. (2018). Comparison of the effectiveness of adolescent-centered mindfulness with behavioral and emotion-oriented psychological therapy on emotion regulation of adolescent girls with non-mobile phobia symptoms. Journal of Health Promotion Management, 8(4): 16-25. (in Persian)http://jhpm.ir/article-1-1014-fa.html Delavar, A. (2012). Research method in psychology and educational sciences. Arsbaran Publications. (in Persian) Ekhtiari, H. Rizvan Fard, M. & Mokri, A. (2008). Impulsivity and various tools for its assessment: review of the views and studies done. Iranian Journal of Psychiatry and Clinical Psychology, 14(3): 257-247. (in Persian)http://ijpcp.iums.ac.ir/article-1-567-fa.html Eynipour, J. Bayat, M. & Pashang, S. (2021). Predicting students' internet addiction based on brain-behavioral systems. Journal of Health Faculty and Health Research Institute, 19(1): 85-98. (in Persian) http://sjsph.tums.ac.ir/article-۱-۵۹۹۵-fa.html Gallo, G. Curado, D. (2020). Impulsivity and mindfulness among inpatients with alcohol. use disorder, 141(2): 543-554. DOI: 10.1080/10826084.2020.1833924 Gray, J. A. (1991). Neural systems, emotion and personality. In J. Madden, IV (Ed.), Neurobiology of learning, emotion, and affect. New York: Raven Press. Ging Show. P. (2013). Determinants of Hypertension in the Urban Population Of Jaipor In Western India. Journal of Hypertension, 13(1): 1193-1200. DOI: 10.1097/00004872-199510000-00014 Ghodrati Isfahani, Z. & Moradi, A. (2020). Comparing the effectiveness of psychological capital training and behavioral activation on hope in female students of Isfahan University dormitories. Women in Development and Politics, 18(2): 293-312. (in Persian) doi.org/10.22059/jwdp.2020.296246.1007783 Heydari, R. (2020). Comparison of compassion fatigue, psychological distress and mindfulness skills among mothers of children with cerebral palsy and mothers of children without cerebral palsy. Development of Psychology, 9(1): 46-37. (in Persian) 20.1001.1.2383353.1399.9.1.5.8 Intarakamhang, U. Macaskill, A. & Prasittichok, P. (2020). Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis. Journal of Hypertension, 6(1): 38-44. doi: 10.1016/j.heliyon.2020.e03834 Kocka, A. & Gagnon, J. (2021). Definition of impulsivity and related terms following traumatic brain injury: A review of the different concepts and measures used to assess impulsivity, disinhibition and other related concepts. Behavioral Sciences, 4(4): 352- 370. doi: 10.3390/bs4040352 Kollias, A. Papadatos, S. Dominiczak, A. Parati, G. & Stergiou, G. (2020). Automated office blood pressure measurements in primary care are misleading in more than one third of treated hypertensives: The VALENTINE-Greece Home Blood Pressure Monitoring study. Hellenic Journal of Cardiology, 61(3): 174-177. DOI: 10.1016/j.hjc.2019.01.005 Kamran, A. Ghaffari Nahjiri, M. & Niazi Mirek, J. (2021). Comparison of the effectiveness of mindfulness and spiritual therapy on behavioral inhibition and activating systems in heroin users, Journal of Clinical Psychology, 4(5): 110-117.(in Persian(10.22126/JAP.2021.5945.1492 Kabat Zain, J. (2010). Returning home 108 lessons of mindfulness. Translated by Sahrtahbaz and Amirhossein Imani (2020). Tehran: Arjmand Publications. (in Persian) Kazemi Zahrani, H. & Researchers, M. (2019). Cognitive therapy based on mindfulness of impulsivity and self-inhibition of bipolar patients under drug treatment. Scientific Research Journal of Shahid Sadoughi University of Medical Sciences, Yazd, 27(7): 13-1701. (in Persian( 10.18502/ssu.v27i7.193 Kechoui, M. Parsa, W. & Swayze, R. (2014). A comparative study of defensive styles and personality traits in non-depressed and depressed people referring to medical centers affiliated to University of Welfare and Rehabilitation Sciences, Journal of Medical Sciences of Islamic Azad University, 24(3): 182-188.(in Persian) http://tmuj.iautmu.ac.ir/article-۱-۸۳۹-fa.html Maccallum, F. Blaszczynski, A. Ladouceur, R. & Nower, L. (2018). Functional and dysfunctional impulsivity in pathological gambling. Personality and Individual Differences, 43(7): 1829-1838. https://doi.org/10.1016/j.paid.2007.06.002 MacDonald, L. A. Oprescu, F. & Kean, B. M. (2018). An evaluation of the effects of mindfulness training from the perspectives of wheelchair basketball players. Psychology of Sport and Exercise, 37(1): 188-195. https://doi.org/10.1016/j.psychsport.2017.11.013 Muris, P. Meesters, C. & Spinder, M. (2005). Relationships between child and parent – reported behavioral inhibition and symptoms of anxiety and depression in normal adolscents. Personality and Individual Differences, 34(1): 759-771. https://doi.org/10.1016/S0191-8869(02)00069-7 Mikaili, N. Narimani, M. & Dorodi, J. (2020). The role of behavioral brain systems and temperament in predicting psychopathy in students with conduct disorder symptoms. School Psychology, 9(2): 168-149. (in Persian) 10.22098/JSP.2020.946 Napora, P. Kobrzycka, A. Koziec, K. & Wieczorek, M. (2022). Effect of selective cyclooxygenase inhibitors on animal behaviour and monoaminergic systems of the rat brain. Behavioural Brain Research, 438(2): 114-123. https://doi.org/10.1016/j.bbr.2022.114143 Nikan, A. Lotfi Kashani, F. Waziri, S. & Mojtabai, M. (2021). Comparison of paradoxical schedule and cognitive behavioral therapy on defense mechanisms and symptoms of people with social anxiety. Development of Psychology, 10(4): 154-143. (in Persian) 20.1001.1.2383353.1400.10.4.18.4 Niroomand, P. Ali Akbari, M. & Ouraki, M. (2021). The effect of written emotional disclosure on aggression and precocity and the difficulty of emotional regulation in adolescents with oppositional defiant disorder: a single subject study. Social Cognition, 10(1): 44-79. (in Persian) https://doi.org/10.30473/sc.2021.55444.2609 Najransab, S. & Dasht Bozorgi, Z. (2019). The effect of motivational interviewing on health-promoting lifestyle and blood pressure of women with eating disorders. Health Psychology, 8(31), 103-118. (in Persian)https://doi.org/10.30473/hpj.2019.40367.4005 Ruuttu, T. Pelkonen, M. Holi, M. Karlsson, L. Kiviruusu, O. Hannele. H. Msocsc, V. T. Henriksson, A. Phil, L. & Marttunen, M. (2006). Psychometric Properties of the Defense Style Questionnaire (DSQ-40) in Adolescents. Journal of Nervous and Mental Disease, 2(194): 98-105. DOI: 10.1097/01.nmd.0000198141.88926.2e Ranjbaran, R. Ali Akbari Dehkordi, M. Safarinia, M. & Alipour, A. (2020). The effectiveness of mindfulness training on vitality, cognitive well-being and blood pressure in patients with cardiovascular disease. Journal of Community Health, 14(2): 66-77. (in Persian) http://journal.icns.org.ir/article-۱-۶۲۰-fa.html Selgi, Z. & Kamerkhani, A. (2022). The effectiveness of mindfulness training on psychological helplessness and sleep quality of girls with menstrual pain syndrome. Health Psychology, 11(43): 131-150. (in Persian) https://doi.org/10.30473/hpj.2022.60978.5348 Stanford, M. S. Mathias, C. W. Dougherty, D. M Lake, S. L. Anderson, N. E. & Patton J. H. (2009). Fifty years of the Barratt Impulsiveness Scale: An update and review. Personality and Individual Differences, 47(5): 385-395. https://doi.org/10.1016/j.paid.2009.04.008 Siraj Khorrami, A. Pasha, R. Hafizi, F. Bakhtiarpour, S. & Iftikhar, Z. (2018). The effectiveness of cognitive therapy based on mindfulness on the use of defense mechanisms in people with major depressive disorder. Journal of Disability Studies, 8(1): 106-116. (in Persian)20.1001.1.23222840.1397.8.0.64.9 Saadipour, I. Soltanizadeh, H. & Dartaj, F. (2020). The effectiveness of cognitive therapy based on mindfulness on self-control and academic performance of students with high and low levels of test anxiety. Children's Mental Health Quarterly, 7(2): 183-194. (in Persian).10.29252/jcmh.7.2.16 Salarian, B. Shamali Eskoui, A. & Arefnazari, M. (2019). The effectiveness of mindfulness on quality of life and chronic pain management. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 62(1): 506-497. (in Persian). 10.22038/MJMS.2019.15343 Sadeghian, S. Behrang, K. Gerdab, P. Khademion, S. & Villager, M. (2018). Investigating the activity of behavioral brain systems and defense mechanisms in people with high blood pressure and normal people. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 61(1): 132-125. (in Persian) . 10.22038/MJMS.2019.13771 Taban, M. Babapourkhairuddin, J. Aslan Abadi, N. Ezzati, D. & Alizadeh, J. (2012). The effect of stressful stimuli on blood pressure and heart rate of patients with primary hypertension based on brain-behavioral systems (BIS/BAS). Medical Journal of Tabriz University of Medical Sciences, 34(6): 33-28. (in Persian) https://mj.tbzmed.ac.ir/fa/Article/8167 Zhang, W. Xie, H. Li, Y. Jin, T. Li, J. (2019). Transcriptomic analysis of Anabas testudineus and its defensive mechanisms in response to persistent organic pollutants exposure. Science of the Total Environment, 669(15): 621-630. DOI: 10.1016/j.scitotenv.2019.02.440 | ||
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