اثربخشی درمان تعهد و پذیرش و روانپویشی فشرده و کوتاه مدت بر سازمان شخصیت و تنظیم هیجان در افراد مبتلا به سردردتنشی
محورهای موضوعی : روانشناسی
کلید واژه: تنظیم هیجان تعهد و پذیرش, درمان پویشی فشرده و کوتاه مدت, سردردتنشی, سازمان شخصیت,
چکیده مقاله :
چکیده مقدمه: سردرد یکی از شایع ترین شکایات پزشکی و نوعی اختلال عصبی ناتوان کننده در درمانگاه های عصب شناختی است که سازمان شخصیت بیماران را تحت تأثیر قرار می‌دهد. لذا پژوهش حاضر با هدف تعیین اثربخشی درمان تعهد و پذیرش و پویشی فشرده و کوتاه‌مدت بر سازمان شخضیت، تنظیم هیجان در زنان مبتلا به سردرد تنشی انجام شد. روش پژوهش: این مطالعه به روش نیمهتجربی با طرح پیش‌آزمون، پس‌آزمون و پیگیری دو‌ماهه با گروه کنترل بود. جامعه مورد نظر تمامی بیماران مبتلا به سردرد تنشی مراجعه کننده به کلینیک تخصصی اعصاب و روان شهر تهران در سال 1402 بود. حجم نمونه مورد بررسی با مراجعه به جدول Cohen تعیین شد. از آنجایی که احتمال ریزش برخی نمونه ها وجود داشت و همچنین در جهت تعمیم‌پذیری بیشتر نتایج، حجم نمونه در هر گروه 15 نفر تعیین شد. در مرحله اول به شیوه نمونهگیری در دسترس 45 نفر انتخاب و این 45 نفر در گام دوم به صورت تصادفی ساده (به شیوه قرعه کشی) در 2 گروه آزمایش (15 نفر) و یک گروه کنترل (15 نفر) جایگزین شدند. یافته ها نتایج مطالعه حاکی از تأثیر روش تعهد و پذیرش و رواندرمانی پویشی فشرده و کوتاه مدت بر ابعاد سازمان شخصیت و تنظیم هیجان در مبتلایان به سردرد تنشی بود (001/0>P) و میزان اثربخشی هر دو روش مشابه بود (05/0<P). نتیجه گیری: با توجه به نتایج، متخصصین فعال در حوزه روانی – تنی به خصوص سردردتنشی میتوانند در درمان این افراد استفاده از روشهای تعهد و پذیرش و رواندرمانی پویشی فشرده و کوتاه مدت را در کنار سایر درمانها مدنظر قرار دهند.
Abstract: Introduction: Headache is one of the most common medical complaints and a debilitating neurological disorder in neurology clinics that affects the personality of patients. Therefore, the present study was conducted with the aim of determining the effectiveness of commitment and acceptance therapy and intensive and short-term screening on personality organization, emotion regulation in women with tension headaches. Research method: This study was a semi-experimental method with a pre-test, post-test and two-month follow-up plan with a control group. The target population was all patients with tension headaches who referred to the specialized neurology clinic in Tehran in 1402. The sample size was determined by referring to Cohen's table. Since there was a possibility of some samples dropping and also in order to generalize the results, the sample size was determined to be 15 people in each group. In the first step, 45 people were selected by available sampling method, and in the second step, these 45 people were replaced in 2 experimental groups (15 people) and a control group (15 people) in a simple random way (by lottery). Findings: The results of the study indicated the effect of commitment and acceptance method and intensive and short-term dynamic psychotherapy on the dimensions of personality organization and emotion regulation in tension headache sufferers (P<0.001) and the effectiveness of both methods was similar (0.5 0<P). Conclusion: According to the results, specialists active in the psycho-physical field, especially tension headaches, can consider the use of commitment and acceptance methods and intensive and short-term dynamic psychotherapy in the treatment of these people, along with other treatments.
(1) Headache Classification Committee of IHS. The international classification of headache disorders, 3rd edn (beta version). Cephalalgia; 2013
(2)Martin PR. Stress and Primary Headache: Review of the Research and Clinical Management. Curr Pain Headache Rep, 2016; 20(7): 45.
(3) Lacy BE, Patel NK. Rome criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med, 2017; 6(11): E99.
(4) Patel N, Shackelford K. Irritable Bowel Syndrome. StatPearls Treasure Island (FL) (Serial online), 2022; jan1: 1-8. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534810/. 12/10. 2022.
(5) Pashing S, Khosh Lahjeh Sedgh. A Comparison of effectiveness of acceptance commitment therapy and metacognitive therapy on reducing symptoms, psychological capital and quality of life of patients suffering from irritable bowel syndrom. Medical Sciences 2019; 29(2): 181-90.
(6) Dehghan Manshadi Z, Neshat Doost HT, Talebi H. Coping strategies among Iranian children with experience of Sarpol-e-Zahab earthquake: factor structure of children’s Coping Strategies Checklist-revision1 (CCSC-R1). BMC Psychol 2020; 8(1): 92.
(7) Heshmati R, Lo C, Khooy MP, Naseri E. Pathway linking Emotional Suppression to Depression and Anxiety in Cancer Patients undergoing Chemotherapy: The Mediating Role of Ego-strength. Curr Aging Sci, 2022; 6(1): 105
(8) Messina I, Scottà F, Marchi A, Benelli E, Grecucci A, Sambin M. Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength. Front Psychol, 2021; 12(1): 1-12.
(9) Abbass A, Kisely S, Kroenke K .Short-Term Psychodynamic Psychodynamic Psychotherapy for somatic Disorders. Psychotherapy and psychosomatic, 2009; 78: 265-74.
(10) Russell L, Abbass A, Allder S. A review of the treatment of functional neurological disorder with intensive short-term dynamic psychotherapy. Epilepsy Behav, 2022; 130.
(11) Farzdi H, Heidarei A, Moradimanesh F, Naderi F. The Effectiveness of Short-Term Dynamic Psychotherapy on Symptoms Severity and Disease Perception among Patients with Irritable Bowel Syndrome: A Pilot study”. Community Health, 2021; 8 (2): 221-31. (Persian)
(12) Menzies R, O’Brian S, Lowe R, Packman A, Onslow M. International Phase II clinical trial of CBTPsych: A standalone Internet social anxiety treatment for adults who stutter. Journal of Fluency Disorders, 2016; 48: 35-43.
(13) Emami Meybodi A, Banijamali SH, Yazdi Seyede M, Moazeni A, Shafiei M. Effectiveness of Mindfulness-Based Stress Reduction Training on Improvement of Cognitive, Emotional and Behavioral Rions in Individuals with Stuttering. MEJDS, 2015; 5(11): 109-18. (Persian)
(14) Aghamohammadi F, Saed O, Ahmadi R, Kharaghani R. The effectiveness of adapted group mindfulness-based stress management program on perceived stress and emotion regulation in midwives: a randomized clinical trial. BMC Psychology, 2022; 10(1): 123.
(15) Emge G, Pellowski MW. Incorporating a mindfulness meditation exercise into a stuttering treatment program. Communication Disorders Quarterly, 2019; 40(2): 125-8.
(16) Garcia-Rubio C, Rodríguez-Carvajal R, Castillo-Gualda R, Moreno-Jiménez JE, Montero I. Long-term effectiveness of a mindfulness based intervention (MBI) program for stuttering: A case study. Clínica y Salud, 2021; 32(2): 55-63.
(17) Altafi Sh. Examining and comparing self-efficacy and personality traits of drug addicts and non-addicts. Master's thesis in clinical psychology: Tehran; Shahed University; 2009: 56-79 [Persian]
(18) Markstrom CA, Sabino VM, Turner BJ, Berman RC. The psychosocial inventory of ego strengths: Development and validation of a new Eriksonian measure. Journal of youth and adolescence, 1997; 26(6): 705-32
(19) Jafarpour H, Akbari B, Shakernia I, Asadi Mojreh S. Comparison of the effectiveness of emotion regulation training and mindfulness training on the reduction rumination in the mothers of children with mild intellectual disability. JCMH, 2021; 7(4): 76-94. (Persian)
(20) Ataabadi S, Yousefi Z, Khayatan F. Development and Validation of Mothers’ Anxiety Scale of Children with Stuttering Disorder. MEJDS, 2021; 11: 188. (Persian)
(21) Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther, 2006; 44(1): 1-25
(22) Babaie Z, Saeidmanesh M. The Effectiveness of Acceptance and Commitment Therapy on Stress and Depression in Adolescents Aged 14 to 18 Years with Stuttering: A Randomized Controlled Clinical Trial. JRRS, 2019; 15(5): 243-8. (in Persian)
(23) Naz H, Kausar R. Acceptance and Commitment Therapy Integrated with Stuttering Management: A Case Study. Bahria Journal of Professional Psychology, 2020; 19(2): 133-53.
(24) Hashemi SS, Sharifi Daramadi P, Dastjerdi Kazemi M, Rezaei S. The efficacy of acceptance and commitment group therapy program on social anxiety and speech fluency in adolescents with stuttering. JPS, 2022; 21(115): 1301-13. (in Persian)
(25) Erfani E, Rafiepoor A, Ahadi M, Serami G. The Effectiveness of Acceptance and Commitment Therapy on Emotion Regulation in Men with Bulimia Nervosa. Family and Health, 2021; 11(1): 91-104. (in Persian)