مقایسه درمان شناختی - رفتاری، حساسیت‌زدایی با حرکات چشم و پس‌خوراند زیستی بر حملات میگرن، حساسیت اضطرابی، کیفیت خواب و زندگی
الموضوعات :الهه مهرمنش 1 , فریبا حافظی 2 , پروین احتشام زاده 3 , سعید بختیارپور 4
1 - گروه روانشناسی سلامت، واحد بین‌المللی خرمشهر، دانشگاه آزاد اسلامی، خرمشهر، ایران
2 - استادیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
3 - دانشیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
4 - دانشیار گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
الکلمات المفتاحية: حساسیت‌زدایی با حرکات چشم, حملات میگرن, حساسیت اضطرابی, کیفیت خواب و زندگی, درمان شناختی - رفتاری, پس‌خوراند زیستی,
ملخص المقالة :
مقدمه: با توجه به پیامدهای روانشناختی منفی میگرن، پژوهش حاضر با هدف مقایسه درمان شناختی - رفتاری، حساسیت‌زدایی با حرکات چشم و پس‌خوراند زیستی بر حملات میگرن، حساسیت اضطرابی، کیفیت خواب و زندگی زنان مبتلا به میگرن انجام شد. روش پژوهش: پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری همراه با گروه گواه بود. جامعه پژوهش همه زنان مبتلا به سردردهای میگرنی مراجعه‌کننده به کلینیک چشم‌آنداز آینده شهر تهران در سال 1399 بودند که تعداد 60 نفر از آنها با نمونه‌گیری تصادفی ساده انتخاب و به‌صورت تصادفی در چهار گروه مساوی گمارده شدند. گروه درمان شناختی - رفتاری 11 جلسه 90 دقیقه‌ای به‌صورت گروهی، گروه حساسیت‌زدایی با حرکات چشم و بازپردازش 12 جلسه 90 دقیقه‌ای به‌صورت انفرادی، گروه پس‌خوراند زیستی 15 جلسه 45 دقیقه‌ای به‌صورت انفرادی آموزش دید و در این مدت گروه گواه آموزشی ندید. داده‌ها با فرم یادداشت روزانه سردرد، سیاهه حساسیت اضطرابی، شاخص کیفیت خواب پیتزبورگ و پرسشنامه کیفیت زندگی جمع‌آوری و با روش تحلیل واریانس چندگانه در نرم‌افزار SPSS نسخه 25 تحلیل شدند. یافته‌ها: یافته‌ها نشان داد که در هر دو مرحله پس‌آزمون و پیگیری در تعداد و شدت حملات میگرن تاثیر هر سه روش مداخله بیشتر از گروه گواه و تاثیر درمان شناختی - رفتاری بیشتر از حساسیت‌زدایی با حرکات چشم و بازپردازش و پس‌خوراند زیستی بود (0/05>p)، اما بین دو روش حساسیت‌زدایی با حرکات چشم و بازپردزاش و پس‌خوراند زیستی تفاوت معناداری وجود نداشت (0/05<p). در مدت حملات میگرن تاثیر هر سه روش مداخله بیشتر از گروه گواه و تاثیر درمان شناختی - رفتاری بیشتر از حساسیت‌زدایی با حرکات چشم و بازپردازش و پس‌خوراند زیستی و تاثیر حساسیت‌زدایی با حرکات چشم و بازپردازش بیشتر از پس‌خوراند زیستی بود (0/05>p). هم‌چنین، در هر دو مرحله پس‌آزمون و پیگیری در حساسیت اضطرابی و کیفیت خواب تاثیر هر سه روش مداخله بیشتر از گروه گواه بود (0/05>p)، اما بین روش‌ها تفاوت معناداری وجود نداشت (0/05<p). علاوه بر آن، در هر دو مرحله پس‌آزمون و پیگیری در کیفیت زندگی تاثیر هر سه روش مداخله بیشتر از گروه گواه و تاثیر درمان شناختی - رفتاری بیشتر از حساسیت‌زدایی با حرکات چشم و بازپردازش و پس‌خوراند زیستی بود (0/05>p)، اما بین دو روش حساسیت‌زدایی با حرکات چشم و بازپردزاش و پس‌خوراند زیستی تفاوت معناداری وجود نداشت (0/05<p). نتیجه‌گیری: با توجه به نتایج پژوهش حاضر، درمانگران و متخصصان سلامت می‌توانند از هر سه روش درمان شناختی - رفتاری، حساسیت‌زدایی با حرکات چشم و بازپردازش و پس‌خوراند زیستی به‌ویژه درمان شناختی - رفتاری برای بهبود حملات میگرن، حساسیت اضطرابی، کیفیت خواب و کیفیت زندگی زنان مبتلا به میگرن استفاده نمایند.
1- Dogruyol S, Gur STA, Akbas I, Kocak MB, Kocak AO, Ceylan M, Tekyol D. Intravenous ibuprofen versus sodium valproate in acute migraine attacks in the emergency department: A randomized clinical trial. The American Journal of Emergency Medicine, 2022; 55: 126-132. doi: 10.1016/j.ajem.2022.02.046
2- Ozturk M, Turan OE, Karaman K, Bilge N, Ceyhun G, Aksu U, et al. Evaluation of ventricular repolarization parameters during migraine attacks. Journal of Electrocardiology, 2019; 53: 66-70. doi: 10.1016/j.jelectrocard.2018.12.014
3- Chahine S, Wanna S, Salameh P. Migraine attacks among Lebanese university medical students: A cross sectional study on prevalence and correlations. Journal of Clinical Neuroscience, 2022; 100: 1-6. doi: 10.1016/j.jocn.2022.03.039
4- Gokdemir M, Nas C, Gokdemir GS. Pentraxin 3 level in acute migraine attack with aura: Patient management in the emergency department. The American Journal of Emergency Medicine, 2020; 38(1): 38-42. doi: 10.1016/j.ajem.2019.04.004
5- Banaeian A, Jabalameli Sh. Prediction of pain symptoms based on meta-cognitive beliefs in women with migraine in Isfahan city. Journal of Anesthesiology and Pain, 2020; 11(3): 14-27.
6- Balci B, Akdal G. Imbalance, motion sensitivity, anxiety and handicap in vestibular migraine and migraine only patients. Auris Nasus Larynx, 2020; 47(5): 747-751. doi: 10.1016/j.anl.2020.02.015
7- Olthuis JV, Thompson K, Watt MC, Stewart SH. Investigating pathways from anxiety sensitivity to impairment in a treatment-seeking sample. Journal of Affective Disorders, 2023; 324: 455-462. doi: 10.1016/j.jad.2022.12.032
8- Pan X, Palermo CA, Kaplan CS, Harnett NG, Winternitz SR, Kaufman ML, Lebois LAM. Anxiety sensitivity predicts depression severity in individuals with dissociative identity disorder. Journal of Psychiatric Research, 2022; 155: 263-268. doi: 10.1016/j.jpsychires.2022.09.003
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11- Danti R, Gayatri D. Relationship of psychological discomforts of stress, depression, and anxiety to sleep quality in HIV/AIDS patients. Enfermeria Clinica, 2021; 31(2): 428-431. doi: 10.1016/j.enfcli.2020.09.039
12- Lee SY, Ju YJ, Lee JE, Kim YT, Hong SC, Choi YJ, et al. Factors associated with poor sleep quality in the Korean general population: Providing information from the Korean version of the Pittsburgh Sleep Quality Index. Journal of Affective Disorders, 2020; 271: 49-58. doi: 10.1016/j.jad.2020.03.069
13- Sharma VM, Manjunath NK, Nagendra HR, Ertsey C. Combination of Ayurveda and Yoga therapy reduces pain intensity and improves quality of life in patients with migraine headache. Complementary Therapies in Clinical Practice, 2018; 32: 85-91. doi: 10.1016/j.ctcp.2018.05.010
14- Kumar DS, Prakash B, Subhash Chandra BJ, KadKol PS, Arun V, Thomas JJ. An android smartphone-based randomized intervention improves the quality of life in patients with type 2 diabetes in Mysore, Karnataka, India. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2020; 14(5): 1327-1332. doi: 10.1016/j.dsx.2020.07.025
15- Macfarlane VFH, Prentice DA, Walsh MS. The Auckland alcohol detoxification outcome study: Measuring changes in quality of life in individuals completing a medicated withdrawal from alcohol in a detoxification unit. Drug and Alcohol Dependence, 2019; 202: 156-161. doi: 10.1016/j.drugalcdep.2018.11.035
16- Fall E, Chakroun-Baggioni N, Bohme P, Maqdasy S, Izaute M, Tauveron I. Common sense model of self-regulation for understanding adherence and quality of life in type 2 diabetes with structural equation modeling. Patient Education and Counseling, 2021; 104(1): 171-178. doi: 10.1016/j.pec.2020.06.023
17- Kuriakose S, Armand Y. Cognitive behavior therapy: Patient-centered, timely, and effective paradigm. Physician Assistant Clinics, 2021; 6(3): 371-379. doi: 10.1016/j.cpha.2021.02.002
18- Kutana S, Mao JJ, Garland SN. Acupuncture as an adjunct treatment to cognitive-behavioral therapy for insomnia. Sleep Medicine Clinics, 2023; 18(1): 113-122. doi: 10.1016/j.jsmc.2022.10.005
19- Agras WS. Cognitive behavior therapy for the eating disorders. Psychiatric Clinics of North America, 2019; 42(2): 169-179. doi: 10.1016/j.psc.2019.01.001
20- Wu Z, Wang C, Dai Y, Xiao C, Zhang N, Zhong Y. The effect of early cognitive behavior therapy for first-episode treatment-naive major depressive disorder. Journal of Affective Disorders, 2022; 308: 31-38. doi: 10.1016/j.jad.2022.04.008
21- Yunitri N, Kao CC, Chu H, Voss J, Chiu HL, Liu D, et al. The effectiveness of eye movement desensitization and reprocessing toward anxiety disorder: A meta-analysis of randomized controlled trials. Journal of Psychiatric Research, 2020; 123: 102-113. doi: 10.1016/j.jpsychires.2020.01.005
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23- Sykinioti S. The effectiveness of eye movement desensitisation and reprocessing with refugees experiencing symptoms of posttraumatic stress disorder. European Journal of Trauma & Dissociation, 2019; 3(1): 49-55. doi: 10.1016/j.ejtd.2018.08.001
24- Trznadel A, Grzybek P. Application of eye movement desensitization and reprocessing therapy for cancer patients: A case study. Polish Annals of Medicine, 2017; 24(2): 228-231. doi: 10.1016/j.poamed.2016.11.009
25- Jellestad L, Zeffiro T, Piccirelli M, Malamud J, Klimke BBM, Rauen K, et al. Interfering with fear memories by eye movement desensitization and reprocessing. International Journal of Psychophysiology, 2021; 166: 9-18. doi: 10.1016/j.ijpsycho.2021.04.006
26- Kremer S, Blue T. Biofeedback as an adjunct or alternative intervention to cognitive behavioral therapy for insomnia. Sleep Medicine Clinics, 2023; 18(1): 85-93. doi: 10.1016/j.jsmc.2022.10.003
27- Kopru B, Ergin G, Ebiloglu T, Kibar Y. Does biofeedback therapy improve quality of life in children with lower urinary tract dysfunction: parents' perspective. Journal of Pediatric Urology, 2020; 16(1): 1-38. doi: 10.1016/j.jpurol.2019.11.014
28- Stanton R, Ada L, Dean CM, Preston E. Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review. Journal of Physiotherapy, 2017; 63(1): 11-16. doi: 10.1016/j.jphys.2016.11.006
29- Ferreira S, Pego JM, Morgado P. The efficacy of biofeedback approaches for obsessive-compulsive and related disorders: A systematic review and meta-analysis. Psychiatry Research, 2019; 272: 237-245. doi: 10.1016/j.psychres.2018.12.096
30- Yetwin AK, Mahrer NE, Bell TS, Gold JI. Heart Rate Variability biofeedback therapy for children and adolescents with chronic pain: A pilot study. Journal of Pediatric Nursing, 2022; 66: 151-159. doi: 10.1016/j.pedn.2022.06.008
31- Kharazi Nutash H, Khademi A, Babapour J, Alivandi Vafa M. The effectiveness of cognitive-behavioral therapy on signs of migraine headaches and pathological worry in female nurses. Journal of Nursing Education, 2020; 8(6): 18-25. doi: 10.21859/jne-080603
32- Ahangari E, Bablkakami M. The effectiveness of virtual cognitive-behavioral group therapy on anxiety sensitivity and emotional regulation during the COVID-19 pandemic. Research in Clinical Psychology and Counseling, 2022; 12(1): 100-113. doi: 10.22067/tpccp.2022.67313.0
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_||_1- Dogruyol S, Gur STA, Akbas I, Kocak MB, Kocak AO, Ceylan M, Tekyol D. Intravenous ibuprofen versus sodium valproate in acute migraine attacks in the emergency department: A randomized clinical trial. The American Journal of Emergency Medicine, 2022; 55: 126-132. doi: 10.1016/j.ajem.2022.02.046
2- Ozturk M, Turan OE, Karaman K, Bilge N, Ceyhun G, Aksu U, et al. Evaluation of ventricular repolarization parameters during migraine attacks. Journal of Electrocardiology, 2019; 53: 66-70. doi: 10.1016/j.jelectrocard.2018.12.014
3- Chahine S, Wanna S, Salameh P. Migraine attacks among Lebanese university medical students: A cross sectional study on prevalence and correlations. Journal of Clinical Neuroscience, 2022; 100: 1-6. doi: 10.1016/j.jocn.2022.03.039
4- Gokdemir M, Nas C, Gokdemir GS. Pentraxin 3 level in acute migraine attack with aura: Patient management in the emergency department. The American Journal of Emergency Medicine, 2020; 38(1): 38-42. doi: 10.1016/j.ajem.2019.04.004
5- Banaeian A, Jabalameli Sh. Prediction of pain symptoms based on meta-cognitive beliefs in women with migraine in Isfahan city. Journal of Anesthesiology and Pain, 2020; 11(3): 14-27.
6- Balci B, Akdal G. Imbalance, motion sensitivity, anxiety and handicap in vestibular migraine and migraine only patients. Auris Nasus Larynx, 2020; 47(5): 747-751. doi: 10.1016/j.anl.2020.02.015
7- Olthuis JV, Thompson K, Watt MC, Stewart SH. Investigating pathways from anxiety sensitivity to impairment in a treatment-seeking sample. Journal of Affective Disorders, 2023; 324: 455-462. doi: 10.1016/j.jad.2022.12.032
8- Pan X, Palermo CA, Kaplan CS, Harnett NG, Winternitz SR, Kaufman ML, Lebois LAM. Anxiety sensitivity predicts depression severity in individuals with dissociative identity disorder. Journal of Psychiatric Research, 2022; 155: 263-268. doi: 10.1016/j.jpsychires.2022.09.003
9- Wearne TA, Lucien A, Trimmer EM, Logan JA, Rushby JA, Wilson E, et al. Anxiety sensitivity moderates the subjective experience but not the physiological response to psychosocial stress. International Journal of Psychophysiology, 2019; 141: 76-83. doi: 10.1016/j.ijpsycho.2019.04.012
10- Garrigos-Pedron M, Segura-Orti E, Gracia-Naya M, La Touche R. Predictive factors of sleep quality in patients with chronic migraine. Neurologia, 2022; 37(2): 101-109. doi: 10.1016/j.nrleng.2018.11.009
11- Danti R, Gayatri D. Relationship of psychological discomforts of stress, depression, and anxiety to sleep quality in HIV/AIDS patients. Enfermeria Clinica, 2021; 31(2): 428-431. doi: 10.1016/j.enfcli.2020.09.039
12- Lee SY, Ju YJ, Lee JE, Kim YT, Hong SC, Choi YJ, et al. Factors associated with poor sleep quality in the Korean general population: Providing information from the Korean version of the Pittsburgh Sleep Quality Index. Journal of Affective Disorders, 2020; 271: 49-58. doi: 10.1016/j.jad.2020.03.069
13- Sharma VM, Manjunath NK, Nagendra HR, Ertsey C. Combination of Ayurveda and Yoga therapy reduces pain intensity and improves quality of life in patients with migraine headache. Complementary Therapies in Clinical Practice, 2018; 32: 85-91. doi: 10.1016/j.ctcp.2018.05.010
14- Kumar DS, Prakash B, Subhash Chandra BJ, KadKol PS, Arun V, Thomas JJ. An android smartphone-based randomized intervention improves the quality of life in patients with type 2 diabetes in Mysore, Karnataka, India. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2020; 14(5): 1327-1332. doi: 10.1016/j.dsx.2020.07.025
15- Macfarlane VFH, Prentice DA, Walsh MS. The Auckland alcohol detoxification outcome study: Measuring changes in quality of life in individuals completing a medicated withdrawal from alcohol in a detoxification unit. Drug and Alcohol Dependence, 2019; 202: 156-161. doi: 10.1016/j.drugalcdep.2018.11.035
16- Fall E, Chakroun-Baggioni N, Bohme P, Maqdasy S, Izaute M, Tauveron I. Common sense model of self-regulation for understanding adherence and quality of life in type 2 diabetes with structural equation modeling. Patient Education and Counseling, 2021; 104(1): 171-178. doi: 10.1016/j.pec.2020.06.023
17- Kuriakose S, Armand Y. Cognitive behavior therapy: Patient-centered, timely, and effective paradigm. Physician Assistant Clinics, 2021; 6(3): 371-379. doi: 10.1016/j.cpha.2021.02.002
18- Kutana S, Mao JJ, Garland SN. Acupuncture as an adjunct treatment to cognitive-behavioral therapy for insomnia. Sleep Medicine Clinics, 2023; 18(1): 113-122. doi: 10.1016/j.jsmc.2022.10.005
19- Agras WS. Cognitive behavior therapy for the eating disorders. Psychiatric Clinics of North America, 2019; 42(2): 169-179. doi: 10.1016/j.psc.2019.01.001
20- Wu Z, Wang C, Dai Y, Xiao C, Zhang N, Zhong Y. The effect of early cognitive behavior therapy for first-episode treatment-naive major depressive disorder. Journal of Affective Disorders, 2022; 308: 31-38. doi: 10.1016/j.jad.2022.04.008
21- Yunitri N, Kao CC, Chu H, Voss J, Chiu HL, Liu D, et al. The effectiveness of eye movement desensitization and reprocessing toward anxiety disorder: A meta-analysis of randomized controlled trials. Journal of Psychiatric Research, 2020; 123: 102-113. doi: 10.1016/j.jpsychires.2020.01.005
22- Oledzka M, Gryglewicz A, Zaborowska K, Grzybek P, Kiebzak W. The eye movement desensitization and reprocessing approach in pain management – A case report of a patient with paraparesis. Polish Annals of Medicine, 2016; 23(1): 30-33. doi: 10.1016/j.poamed.2015.11.001
23- Sykinioti S. The effectiveness of eye movement desensitisation and reprocessing with refugees experiencing symptoms of posttraumatic stress disorder. European Journal of Trauma & Dissociation, 2019; 3(1): 49-55. doi: 10.1016/j.ejtd.2018.08.001
24- Trznadel A, Grzybek P. Application of eye movement desensitization and reprocessing therapy for cancer patients: A case study. Polish Annals of Medicine, 2017; 24(2): 228-231. doi: 10.1016/j.poamed.2016.11.009
25- Jellestad L, Zeffiro T, Piccirelli M, Malamud J, Klimke BBM, Rauen K, et al. Interfering with fear memories by eye movement desensitization and reprocessing. International Journal of Psychophysiology, 2021; 166: 9-18. doi: 10.1016/j.ijpsycho.2021.04.006
26- Kremer S, Blue T. Biofeedback as an adjunct or alternative intervention to cognitive behavioral therapy for insomnia. Sleep Medicine Clinics, 2023; 18(1): 85-93. doi: 10.1016/j.jsmc.2022.10.003
27- Kopru B, Ergin G, Ebiloglu T, Kibar Y. Does biofeedback therapy improve quality of life in children with lower urinary tract dysfunction: parents' perspective. Journal of Pediatric Urology, 2020; 16(1): 1-38. doi: 10.1016/j.jpurol.2019.11.014
28- Stanton R, Ada L, Dean CM, Preston E. Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review. Journal of Physiotherapy, 2017; 63(1): 11-16. doi: 10.1016/j.jphys.2016.11.006
29- Ferreira S, Pego JM, Morgado P. The efficacy of biofeedback approaches for obsessive-compulsive and related disorders: A systematic review and meta-analysis. Psychiatry Research, 2019; 272: 237-245. doi: 10.1016/j.psychres.2018.12.096
30- Yetwin AK, Mahrer NE, Bell TS, Gold JI. Heart Rate Variability biofeedback therapy for children and adolescents with chronic pain: A pilot study. Journal of Pediatric Nursing, 2022; 66: 151-159. doi: 10.1016/j.pedn.2022.06.008
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