
تعداد نشریات | 41 |
تعداد شمارهها | 1,189 |
تعداد مقالات | 10,221 |
تعداد مشاهده مقاله | 19,265,230 |
تعداد دریافت فایل اصل مقاله | 13,311,458 |
اثربخشی درمان هیجانمحور و درمان ذهنآگاهی در بهبود خودکارآمدی، تعارض در ابراز هیجان و ادراکدرد در بیماران مبتلا به درد مزمن عضلانی اسکلتی | ||
روانشناسی سلامت | ||
دوره 14، شماره 53، خرداد 1404، صفحه 129-148 اصل مقاله (1.01 M) | ||
نوع مقاله: علمی- پژوهشی | ||
شناسه دیجیتال (DOI): 10.30473/hpj.2025.70957.6037 | ||
نویسندگان | ||
سارا سوری1؛ افشین صلاحیان* 2؛ بیتا نصر الهی3 | ||
1دانشجوی دکتری گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران | ||
2استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران. | ||
3استادیاردانشکده ادبیات ،علوم انسانی و اجتماعی ، دانشگاه آزاد اسلامی واحد علوم و تحقیقات، تهران ، ایران | ||
چکیده | ||
مقدمه: درد مزمن اختلال عضلانی-اسکلتی میباشد که موجب بروز درد در نواحی مفاصل نواحی مختلف بدن میشود و مشکلات جسمی و روانی برای بیماران به وجود میآورد بنابرین پژوهش حاضر به دنبال مقایسه اثربخشی درمان هیجانمحور و درمان ذهنآگاهی در بهبود خودکارآمدی، تعارض در ابراز هیجان و ادراکدرد در بیماران مبتلا به درد مزمن عضلانی اسکلتی میباشد. روش: روش پژوهش از نوع نیمه آزمایشی، با طرح پیشآزمون پسآزمون با گروه کنترل است. جامعه آماری پژوهش حاضر کلیه بیماران مبتلا به درد مزمن عضلانی اسکلتی شهر تهران در سال 1401 بودهاند که با استفاده از روش نمونه گیری دردسترس تعداد 60 نفر انتخاب و به صورت تصادفی به 3 گروه 20 نفره درمان هیجان محور، درمان ذهنآگاهی و کنترل تقسیم شدند. برای جمع آوری دادهها از پرسشنامه خودکارآمدی درد، پرسشنامه تعارض هیجانی و ادراک بیماری استفاده شد. برای تحلیل دادهها از تحلیل کوواریانس استفاده شده است. یافتهها: نتایج نشان داد درمان هیجانمحور و ذهنآگاهی بر بهبود خودکارآمدی، تعارض ابراز هیجان و ادراکدرد تاثیر معناداری دارد (0.05>p). آزمون شفه نشان داد تاثیر درمان هیجانمدار بر تعارض ابراز هیجان و ادراکدرد به طور معناداری بیشتر از درمان ذهنآگاهی بود (0.05>p). نتیجهگیری: بر اساس یافتهها میتوان نتیجه گرفت در بهبود خودکارآمدی درد بیماران مبتلا به درد مزمن، مداخله ذهنآگاهی و برای بهبود تعارض در ابراز هیجان و ادراکدرد بیماران درد مزمن درمان هیجانمدار تاثیر بیشتری دارند. | ||
کلیدواژهها | ||
ابراز هیجان؛ ادراکدرد؛ درد مزمن؛ ذهنآگاهی؛ خودکارآمدی؛ عضلانی-اسکلتی؛ هیجانمحور | ||
عنوان مقاله [English] | ||
Comparing the Effectiveness of Emotion-Oriented Therapy and Mindfulness Therapy in Improving Self-Efficacy, Conflict in Emotion Expression and Pain Perception in Patients with Chronic Musculoskeletal Pain | ||
نویسندگان [English] | ||
sara soori1؛ afshin salahian2؛ bita nasrolahi3 | ||
1Ph.D. Student, Department of Psychology, Science and Research Unit, Islamic Azad University, Tehran, Iran. | ||
2Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran | ||
3Graduate School of Literature, Humanities and Social Sciences, Islamic Azad University, Science and Research Branch, Tehran, Iran | ||
چکیده [English] | ||
Objective: Chronic musculoskeletal pain includes local pain and referred pain that causes pain in the joints of different parts of the body. Chronic pain has negative and detrimental effects on the psychological and physical performance of patients and causes physical and mental problems for patients. Inactivity, excessive mental stress, excessive mental stress, and prolonged poor posture can all cause muscle strain that directly affects nerve endings, causing chronic pain. Although pain as a general sensation has biological bases, but because pain is affected by psychological and social factors in addition to biochemical factors. Recent models have examined pain in a multidimensional way and have emphasized the role of psychological factors in the process of pain perception. In this regard, the present study was conducted with the aim of comparing the effectiveness of emotion-oriented therapy and mindfulness therapy in improving self-efficacy, conflict in emotional expression, and pain perception in patients with chronic musculoskeletal pain. Method: The research method in the present study was semi-experimental and a pre-test and post-test design was used along with the control group. The statistical population of the present study includes all patients suffering from chronic musculoskeletal pain in Tehran in 2022. Using the available sampling method, 60 people were randomly selected into 3 groups of 20 people: emotion-oriented treatment, mindfulness treatment and control were divided. Pain self-efficacy, emotional conflict and disease perception questionnaires were used to collect data. Analysis of covariance test and SPSS statistical software were used for data analysis. Results: The results showed that emotion-oriented and mindfulness therapy has a significant effect on improving self-efficacy, emotion expression conflict, and pain perception, and these results were still stable in the 3-month follow-up (p<0.05). Comparing the effect of the two intervention methods, the results of the Sheffeh test showed that the effect of emotion-oriented treatment on the conflict of emotion expression and pain perception was significantly higher than that of mindfulness treatment (p<0.05). The results of the Scheffe test show that there is no statistically significant difference between the two experimental groups and the control group in the pain self-efficacy scores (p<0.05), and in other words, the effect of the two methods was almost the same; However, the effect of the treatment on the emotional expression variable had a statistically significant difference (p<0.05). So, it can be said that the emotion-oriented treatment had a greater effect than the mindfulness treatment. Also, the results of the Shefeh test showed that the effect of emotion-oriented treatment on patients' pain perception had a statistically significant difference (p<0.05), in other words, the effect of emotion-oriented treatment on the pain perception variable was greater than that of mindfulness treatment. Conclusion: Based on the findings, it can be concluded to help improve self-efficacy, emotional expression conflict and pain perception of patients with chronic pain, emotion-oriented and pain mindfulness treatment is effective and it is recommended due to the higher effect of emotion-oriented treatment intervention in improving conflict expression Emotion and pain perception of chronic pain patients should use this intervention method. | ||
کلیدواژهها [English] | ||
Emotional Expression, Pain Perception, Chronic Pain, Mindfulness, Self-Efficacy, Musculoskeletal, Emotion-Oriented | ||
مراجع | ||
Abbaslou, F & Abulqasemi, A. (2019). The effectiveness of cognitive therapy based on MBCT mindfulness on improving weight-related self-efficacy of students with neurological disorders, the first scientific research conference on psychology, counseling, educational sciences and social sciences. Adalatian Hosseini, S. F., Timuri, S & Yazdan Panah, F. (2021). The effectiveness of mindfulness-based psychotherapy on psychological helplessness, acceptance and pain intensity in people with back pain symptoms. Health Psychology, 10(38), 23-40. https://doi.org/10.30473/hpj.2021.52303.4775 Zarrinbakhsh, Z.-B., Zare, H., & Mahdavian, A.(2013). The effect of emotion expression styles on memory bias in recall and recognition, Journal of psychology. 17(1); 53-66. https://psycnet.apa.org/record/2013-16919-004 Asgarinejad F & Habibi Asgarabad M.(2021). The Effectiveness of Mindfulness-based Cognitive Therapy on Increasing Resilience of Mothers with Autistic Children. JNIP; 10 (14) :1-10 http://jnip.ir/article-1-612-en.html Asghari Moghadam, M.A; Kerami, B & Rezaei, S.(2002). Examining the prevalence of pain throughout life, continuous chronic pain and some characteristics associated with it, Journal of psychology, 21, 13-24. https://sid.ir/paper/54593/fa Azizi A & mohamadi J.(2018). Mindfulness Efficacy on the Perception of the Disease and the Quality of Life of Patients with Irritable Bowel Syndrome . J. Ilam Uni. Med. Sci; 25 (6) :1-9. http://sjimu.medilam.ac.ir/article-1-3397-en.html Bandura, A., & Wessels, S. (1994). Self-efficacy (Vol. 4, pp. 71-81). na. Behfar, Zahra; Fetty, Laden; Kraskian, Addis and Fathi, Mehdi .(2018). The role of psychological factors in predicting daily dysfunction in patients with chronic pain, Journal of Principles of Mental Health, 20(6); 389-397. https://doi.10.22038/JFMH.2018.11777 Bruno S, Lutwaka N, Agina MA. (2009). Conceptualizations of guilt and the corresponding relationships to emotional ambivalence self-disclosure, loneliness and alienation. Pers Individ Differ. 2009;47(5):487-91 https://doi.org/10.1016/j.paid.2009.04.023 Chan, S. H., Yu, C. K. C., & Li, A. W. (2021). Impact of mindfulness-based cognitive therapy on counseling self-efficacy: A randomized controlled crossover trial. Patient Education and Counseling, 104(2), 360-368.https://doi.org/10.1016/j.pec.2020.07.022 Chen, X., Liu, T., Li, P., Wei, W., & Chao, M. (2022). The relationship between media involvement and death anxiety of self-quarantined people in the COVID-19 outbreak in China: the mediating roles of empathy and sympathy. OMEGA-Journal of Death and Dying, 85(4), 974-985. Das, D., Kumar, A., & Sharma, M. (2018). A systematic review of work-related musculoskeletal disorders among handicraft workers. International Journal of Occupational Safety and Ergonomics.https://doi.org/10.1080/10803548.2018.1458487 Das, V., Kroin, J. S., Moric, M., McCarthy, R. J., & Buvanendran, A. (2020). Early treatment with metformin in a mice model of complex regional pain syndrome reduces pain and edema. Anesthesia & Analgesia, 130(2), 525-534. 10.1213/ANE.0000000000004057 Davoudi R, Manshaee G, Golparvar M.(2019). Comparing the Effectiveness of Adolescent-Centered Mindfulness with Cognitive Behavioral Therapy and Emotion-Focused Therapy on Emotion Regulation among Adolescents Girl with Nomo-Phobia. JHPM; 8 (4) :16-25. http://jhpm.ir/article-1-1014-en.html Day, M. A., & Thorn, B. E. (2016). The mediating role of pain acceptance during mindfulness-based cognitive therapy for headache. Complementary therapies in medicine, 25, 51-54.https://doi.org/10.1016/j.ctim.2016.01.002 De Veld, D. M., Riksen-Walraven, J. M., & de Weerth, C. (2012). The relation between emotion regulation strategies and physiological stress responses in middle childhood. Psychoneuroendocrinology, 37(8), 1309-1319. https://doi.org/10.1016/j.psyneuen.2012.01.004 Eccleston, C., Blyth, F. M., Dear, B. F., Fisher, E. A., Keefe, F. J., Lynch, M. E & de C Williams, A. C. (2020). Managing patients with chronic pain during the COVID-19 outbreak: considerations for the rapid introduction of remotely supported (eHealth) pain management services. Pain, 161(5), 889. Elbarbary, M., Oren, A., Goldberg, M., Freeman, B. V., Mock, D., Tenenbaum, H. C & Azarpazhooh, A. (2022). Masticatory myofascial pain syndrome: implications for endodontists. Journal of endodontics, 48(1), 55-69. https://doi.org/10.1016/j.joen.2021.10.004 Elliott, R., & Greenberg, L. S. (2007). The essence of process-experiential/ emotion-focused therapy. American Journal of Psychotherapy, 61 (3), 241-254.https://doi.org/10.1176/appi.psychotherapy.2007.61.3.241 Elliott, R., & Greenberg, L. S. (2016). Emotion-focused therapy. Mindfulness- Based Cognitive Therapy (MBCT) Ene, C. U., Ugwuanyi, C. S., Okeke, C. I., Nworgu, B. G., Okeke, A. O., Agah, J. J & Ekwueme, U. H. (2021). Factorial Validation of Teachers' Self-Efficacy Scale Using Pre-Service Teachers: Implications for Teacher Education Curriculum. International Journal of Higher Education, 10(1), 113-121. Farahzad Bourojeni S, ahmadi R, Ghazanfari A, Sharifi T. (2021). The effectiveness of mindfulness-based and motivational interviewing group therapy on pain self- efficacy and distress tolerance in patients with multiple sclerosis. Journal of Psychological Science. 20(100), 635-651. Firoozi M, Besharat M A, Souri Z.(2018). The predicting effect of attachment styles on pain catastrophizing, self-efficacy and acceptance in patients with chronic pain . JAP; 9 (1) :55-67 http://psychologicalscience.ir/article-1-310-en.html Furlaneto, M. E., & Garcez-Leme, L. E. (2007). Impact of delirium on mortality and cognitive and functional performance among elderly people with femoral fractures. Clinics, 62, 545-552. 10.1590/s1807-59322007000500003 Hamedi A, Shahidi S, Khademi A .(2014). Effectiveness of mindfulness-based stress reduction in drug relapse prevention. etiadpajohi; 7 (28): 101-118. Hayakawa, T., & Maeda, K. (2018). A collapsar model with disk wind: Implications for supernovae associated with Gamma-Ray Bursts. The Astrophysical Journal, 854(1), 43. https://doi.org/10.48550/arXiv.1801.09681 Holden, E., Linnerud, K., & Banister, D. (2014). Sustainable development: Our common future revisited. Global environmental change, 26, 130-139. https://doi.org/10.1016/j.gloenvcha.2014.04.006 Hosseinpoor, F., fazlollahi, S & Mohamadi, M.(2020).The Relationship between Professional Development and Job Performance and Self-Efficacy of High School Teachers in Qom Province. Teacher Professional Development, 4(4); 1-14. 20.1001.1.24765600.1398.4.4.1.6 Joern, L., Kongsted, A., Thomassen, L., Hartvigsen, J., & Ravn, S. (2022). Pain cognitions and impact of low back pain after participation in a self-management program: a qualitative study. Chiropractic & Manual Therapies, 30 (1), 1-8. 10.1186/s12998-022-00416-6 Kabirinasab, Y., & Abdollahzadeh, H. (2016). The Effectiveness of Mindfulness Training based on Acceptance and Commitment on Body Consciousness and Emotional Expression of The Elderly. Aging Psychology, 2(2), 132-125. https://sid.ir/paper/259382/en kazlou H, akbari M, jasisi H, senaei B.(2019). Compilation of the Relationship between Psychosocial Factors and Self-Efficacy of Pain by Mediating Optimism and Psychological Hardiness in Cancer Patients. IJPN; 7 (2) :74-82 http://ijpn.ir/article-1-1322-en.html Khojaste.Mehr, R; Parsi, E & Shiralynia, K. (2014). The moderating role of positive emotion in the relationship between negative emotion and destructive marital exchanges in women. Family Psychology, 2(1), 49-58.https://www.ijfpjournal.ir/article_245504.html?lang=en MacLeod, C., & Grafton, B. (2016). Anxiety-linked attentional bias and its modification: Illustrating the importance of distinguishing processes and procedures in experimental psychopathology research. Behaviour research and therapy, 86, 68-86. https://doi.org/10.1016/j.brat.2016.07.005 Martínez-Jiménez, E. M., Becerro-de-Bengoa-Vallejo, R., Losa-Iglesias, M. E., Rodríguez-Sanz, D., Díaz-Velázquez, J. I., Casado-Hernández, I., ... & López-López, D. (2020). Acute effects of myofascial induction technique in plantar fascia complex in patients with myofascial pain syndrome on postural sway and plantar pressures: A quasi-experimental study. Physical Therapy in Sport, 43, 70-76. https://doi.org/10.1016/j.ptsp.2020.02.008 Mehdizadeh, S.; Mohammad Mousavi, A; Jalali, M.R & Kakavand, A.R. (2017). The effectiveness of mindfulness-based cognitive therapy on social self-efficacy and depression. Evolutionary psychology: Iranian psychologists 305-314. https://sid.ir/paper/101505/fa Melzack, R., & Wall, P. D. (1988). The challenge of pain (p. 15). London: Penguin. Mutakiffar, M., Bakhshipour, A & Ghasemi Mutlaq, M. (2022). Comparing the effectiveness of mindfulness-based cognitive therapy and emotion-based therapy on self-care behaviors and sexual performance in patients with type 2 diabetes. Journal of Sabzevar University of Medical Sciences, 29(1), 131-141. https://jsums.medsab.ac.ir/article_1455.html?lang=en Noureldin, M., & Melton, B. (2021). Validity evidence for a pharmacists’ patient care process self-efficacy scale among pharmacy students. American Journal of Pharmaceutical Education, 85(2), 8290.https://doi.org/10.5688/ajpe8290 Pak Nohad, N & Safarinia, M. (2023). The effectiveness of mindfulness-based stress reduction on perceived stress, negative mood, self-efficacy and pain perception in patients with rheumatoid arthritis. Health Psychology, 12(45), 129-146. https://doi.org/10.30473/hpj.2023.53231.4838 Pardos-Gascón, E. M., Narambuena, L., Leal-Costa, C., Ramos-Morcillo, A. J., Ruzafa-Martínez, M., & Van-der Hofstadt Roman, C. J. (2021). Effects of mindfulness-based cognitive therapy for chronic pain: a multicenter study. International Journal of Environmental Research and Public Health, 18(13), 6951.https://doi.org/10.3390/ijerph18136951 Pay.Pouzan, S.(2020). The effectiveness of Emotion-oriented cognitive therapy on self-efficacy and cognitive emotional regulation in obese women. JNIP; 4 (8): 1-13. https://doi.org/10.22038/mjms.2021.19462 Payandeh, F & Barjali, M. (2017). The effectiveness of emotional therapy on resilience and self-efficacy in dealing with problems in women with diabetes. The second international conference of psychology, counseling, education. Peters, K. M. (2015). Pilot study exploring chronic pudendal neuromodulation as a treatment option for pain associated with pudendal neuralgia. LUTS: Lower Urinary Tract Symptoms, 7(3), 138-142.https://doi.org/10.1111/luts.12066 Petrovic, J., Bastien, L., Mettler, J., & Heath, N. L. (2024). Mindfulness Receptivity, Dispositional Mindfulness, and Coping Self-Efficacy in University Students with and Without a History of Self-Injury. Journal of College Student Mental Health, 38(1), 57–76. https://doi.org/10.1080/87568225.2022.2127075 Raisi, M; Kehrazai, F & sanagoyeh.Mohrar, G. (2019). The effectiveness of mindfulness-based stress reduction training on pain self-efficacy in patients with thalassemia major. Cognitive Analytical Psychology Quarterly, 11(40), 59-68. https://sanad.iau.ir/Journal/psy/Article/866727 Rajpura, J., & Nayak, R. (2014). Medication adherence in a sample of elderly suffering from hypertension: evaluating the influence of illness perceptions, treatment beliefs, and illness burden. Journal of Managed Care Pharmacy, 20(1), 58-65. https://doi.org/10.18553/jmcp.2014.20.1.58 Salehi, S. (2018). The Relation between Self-compassion with Intensity, Catastrophizig, and Self-efficacy of Pain and affect in Women with Musculoskeletal Pain. Anesthesiology and Pain, 8(4), 72-83. https://sid.ir/paper/216313/fa Sarafraz, M. R., Badait, A & Derakhshan, Sh. (2021). The effectiveness of mindfulness-based stress reduction group therapy on self-morbidity and anxiety in men with chronic pain. Health Psychology, 10(38), 41-56 https://doi.org/10.30473/hpj.2021.52316.4776 Seyyedsharifi M, Navabi Nezhad S, farzad V. (2019). Comparison of the effectiveness of emotional - focused and schema therapy approach on the self-Efficacy of parenting in mothers of the household head. Journal of Psychological Science. 18(76), 407-415. http://dorl.net/dor/20.1001.1.17357462.1398.18.76.8.9 Shafiei F & Amini M.(2017). Efficacy of mindfulness-based Stress reduction on reducing catastrophizing and pain intensity in patients suffering chronic musculoskeletal pain. JAP; 8 (1) :1-10 http://ijpcp.iums.ac.ir/article-1-3307-fa.html Smith, F., Howie, L., Malsingh, J., O’Mant, A., Shakespeare, S., & Tunney, K. (2024). Effects of nature-based mindfulness on pain and wellbeing for adults with persistent pain: a systematic literature review. Physical Therapy Reviews, 29(1–3), 101–116. https://doi.org/10.1080/10833196.2024.2367814 Subhani, E; Babakhani, N & Al-Boye, M.R. (2018). The effectiveness of mindfulness-based stress reduction treatment on depression, anxiety, stress and perception of pain reduction in women with chronic back pain after childbirth. Iranian Journal of Psychiatry and Clinical Psychology, 25(3), 266-277. http://ijpcp.iums.ac.ir/article-1-2905-fa.html Sugawara, A. T., Lima, M. D. C., & Dias, C. B. (2018). Extracorporeal shockwave therapy for pain reduction of musculoskeletal diseases: Predictors and responders. Annals of Physical and Rehabilitation Medicine, 61, e171. https://doi.org/10.1016/j.rehab.2018.05.390 taherizadeh S, Samari A, ahi G.(2021). Structural modeling of pain perception in people with chronic pain syndrome based on behavioral inhibition system: mediated by pain catastrophe and perceived social support. JAP; 12 (2):19-31. https://sid.ir/paper/1015247/en Torabi, E.S & Arab.Shibani, K. (2015). The effectiveness of emotion-oriented couple therapy on marital coping strategies of couples, 4th National Counseling and Mental Health Conference, Qochan. Torabiyan, A., Gholipour, M., Yektaparast, S., Ghodsi, B., & Tarnas, G. (2024). Effectiveness of Emotion-Focused Therapy on Self-Efficacy and Posttraumatic Growth in Women with Breast Cancer. Applied Family Therapy Journal (AFTJ) , 5(3), 124-132. 10.22034/AFTJ.2023.349781.1678 van Middendorp, H., Lumley, M. A., Jacobs, J. W., van Doornen, L. J., Bijlsma, J. W., & Geenen, R. (2008). Emotions and emotional approach and avoidance strategies in fibromyalgia. Journal of psychosomatic research, 64(2), 159-167. https://doi.org/10.1016/j.jpsychores.2007.08.009 Watankhah Amjad, F; Ali Akbari Dehkordi, M & Akhundi, N. (2016). The effectiveness of cognitive therapy based on mindfulness on the psychological capital of people with chronic pain. International conference of social sciences, education, humanities and psychology. Yarns BC, Jackson NJ, Alas A, Melrose RJ, Lumley MA, Sultzer DL.(2024) Emotional Awareness and Expression Therapy vs Cognitive Behavioral Therapy for Chronic Pain in Older Veterans: A Randomized Clinical Trial. JAMA Netw Open. 2024;7(6):e2415842. https://doi.org/10.1001/jamanetworkopen.2024.15842 yavari F, aghayei A, gholparvar M.(2019). The Effectiveness of “Emotionally Focused -Meta Cognitive Couple Therapy” and “Mindfulness-Based Cognitive Therapy” on the Psychological Capital of Couples with Hyperactive Children. JHPM; 8 (3) :35-45 http://jhpm.ir/article-1-1021-fa.html Yi, K. H., Lee, J. H., & Kim, H. J. (2022). Intramuscular neural distribution of the serratus anterior muscle: regarding botulinum neurotoxin injection for treating myofascial pain syndrome. Toxins, 14(4), 271.https://doi.org/10.3390/toxins 14040271. | ||
آمار تعداد مشاهده مقاله: 41 تعداد دریافت فایل اصل مقاله: 37 |