مقایسه اثربخشی درمان تلفیقی هیجان مدار مبتنی بر شفقت با درمان مبتنی بر شفقت بر کمالگرایی و عدم تحمل بلاتکلیفی بیماران مبتلا به علائم سردرد اولیه
محورهای موضوعی :
تکتونواستراتیگرافی
ندا بهوندی
1
,
فلور خیاطان
2
,
محسن گل پرور
3
1 - دانشجوی دکتری گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
2 - استادیار گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
3 - دانشیار گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی،اصفهان، ایران
تاریخ دریافت : 1399/11/30
تاریخ پذیرش : 1400/04/27
تاریخ انتشار : 1400/03/01
کلید واژه:
کمالگرایی,
درمان تلفیقی هیجان مدار مبتنی بر شفقت,
درمان مبتنی بر شفقت,
عدم تحمل بلاتکلیفی,
علائم سردرد اولیه,
چکیده مقاله :
هدف: در مقیاس جهانی علائم سردرد اولیه کم توانی های روانشناختی بیشتری در مقایسه با سایر مشکلات نورولوژیک را سبب می شود. از شایع ترین کمتوانی های روانشناختی در بیماران با علائم سردرد اولیه کمال گرایی و عدم تحمل بلاتکلیفی می باشد. پژوهش حاضر با هدف مقایسه اثربخشی درمان تلفیقی هیجان مدار مبتنی بر شفقت با درمان مبتنی بر شفقت بر کمال گرایی و عدم تحمل بلاتکلیفی بیماران مبتلا به علائم سردرد اولیه انجام شد.
روش: مطالعه از نوع نیمه آزمایشی با طرح پیش آزمون، پس آزمون و پیگیری با گروه گواه بود. نمونه پژوهش شامل 45 نفر از بیماران مبتلا به علایم سردرد اولیه مراجعه کننده به درمانگاه مغز و اعصاب بیمارستان خاتم الانبیاء تهران بود که به روش نمونه گیری هدفمند انتخاب و به صورت تصادفی در دو گروه آزمایش و یک گروه گواه (هر گروه15 نفر) قرار داده شدند. گروه های آزمایش تحت درمان تلفیقی هیجان مدارمبتنی بر شفقت(10 جلسه 60 دقیقه ای) و درمان مبتنی بر شفقت(8 جلسه 60 دقیقه ای) قرار گرفتند. از پرسشنامه های کمال گرایی و عدم تحمل بلاتکلیفی به عنوان ابزار پژوهش استفاده شد. داده ها با استفاده از نرم افزار آماری spss نسخه 24 و آزمون تحلیل واریانس اندازه های تکرار شده تحلیل شدند.
یافتهها: یافتههای پژوهش نشان میدهد در متغیرکمال گرایی با توجه به عدم رعایت پیشفرض کرویت در بخش اثر درون گروهی و در عامل زمان(33/6=F، 001/1=df و 05/0>p) و تعامل عامل زمان و گروه(23/5=F، 003/2=df و 01/0>p) و منغیر عدم تحمل بلاتکلیفی با توجه به عدم رعایت پیشفرض کرویت در بخش اثر درون گروهی و در عامل زمان(86/134=F، 08/1=df و 01/0>p) و تعامل عامل زمان و گروه (72/30=F، 17/2=df و 01/0>p) بین مراحل پیشآزمون، پسآزمون و پیگیری و تعامل زمان با گروه(سه گروه پژوهش) تفاوت معناداری (01/0p<) وجود دارد. نتایج آزمون تعقیبی بونفرونی برای مقایسههای جفتی نشان داد متغیر کمال گرایی در مرحله پسآزمون و پیگیری گروه درمان تلفیقی هیجانمدار مبتنی بر شفقت و گروه درمان مبتنی بر شفقت با گروه گواه دارای تفاوت معنادار می باشد(01/0>p)، اما بین دو گروه درمان با یکدیگر تفاوت معناداری وجود ندارد (05/0<p) . متغیر عدم تحمل بلاتکلیفی در مرحله پسآزمون گروه درمان تلفیقی هیجانمدار مبتنی بر شفقت و گروه درمان مبتنی بر شفقت با یکدیگر و با گروه گواه دارای تفاوت معنادار می باشد(01/0>p). در مرحله پیگیری نیز بین دو گروه درمان با گروه گواه تفاوت معنادار وجود دارد(01/0>p) اما دو گروه درمان با یکدیگر تفاوت معناداری ندارد(05/0<p ). بر پایه نتایج به دست آمده، درمان تلفیقی هیجانمدار مبتنی بر شفقت، درمانی قابل استفاده برای کاهش عدم تحمل بلاتکلیفی افراد مبتلا به سردرد اولیه و درمان تلفیقی هیجان مدار مبتنی بر شفقت و درمان مبتنی بر شفقت به یک اندازه جهت کاهش کمال گرایی بیماران مبتلا به علائم سردرد اولیه مناسب هستند.
چکیده انگلیسی:
Introduction:Globally, the symptoms of primary headache cause more psychological disabilities than other neurological problems. One of the most common psychological disabilities in patients with primary headache symptoms is perfectionism and intolerance of uncertainty. The aim of this study was to compare the effectiveness of Compassionate emotion-based integrated therapy with compassion-based therapy on perfectionism and intolerance of uncertainty in patients with primary headache symptoms.
Methods:The study was a quasi-experimental study with pre-test, post-test and follow-up with a control group. The sample consisted of 45 patients with primary headache symptoms referred to the neurology clinic of Khatam Al-Anbia Hospital in Tehran who were selected by purposive sampling method and randomly divided into two experimental groups and a control group (15 people in each group). The experimental groups underwent a Compassionate emotion-based integrated therapy (10 sessions of 60 minutes) and compassion-based therapy (8 sessions of 60 minutes). Data were analyzed using SPSS software version 24 and repeated measures analysis of variance test.
Findings: The results showed that in the variable of perfectionism due to the non-observance of the spheric default in the intra group effect section and in the time factor (F = 6/33, df = 1/001 and p <0/05) and the time factor interaction and Group (F = 5/23, df = 2/003 and p <0/01) and uncertainty intolerance due to non-observance of spheric default in intra group effect and time factor (F = 134.86) , df = 1.08 and p <0/01) and time and group factor interaction (F = 30/72, df = 2/17 and p <0/01) between pre-test, post-test and There was a significant difference (p <0/01) with time tracking and interaction with the group (three research groups). Based on the results, Compassionate emotion-based integrated therapy, a treatment that can be used to reduce intolerance in people with primary headache, and a Compassionate emotion-based integrated therapy and compassion-based therapy to reduce patients' perfectionism to the same extent. Suitable for early headache symptoms.
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