بررسی اثربخشی درمان گروهی طرحواره های هیجانی بر میزان درد و افسردگی در بیماران مبتلا به آرتریت روماتویید
محورهای موضوعی : روش ها و مدل های روانشناختیماریه حسینی 1 , حسن احدی 2 , فرهاد جمهری 3 , آدیس کراسکیان موجمباری 4 , مروارید احدی 5
1 - گروه روانشناسی سلامت، واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران
2 - استاد و مدیر گروه روانشناسی سلامت دانشگاه آزاد اسلامی کرج، البرز، ایران
3 - استادیار، گروه روان شناسی، دانشکده روان شناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران
4 - استادیار گروه روانشناسی دانشگاه آزاد اسلامی کرج، البرز، ایران
5 - متخصص اعصاب و روان، بیمارستان معتمدی، تهران،ایران
کلید واژه: افسردگی, آرتریت روماتویید, درمان طرحوارههای هیجانی, درد,
چکیده مقاله :
هدف این مطالعه بررسی اثربخشی درمان گروهی طرحوارههای هیجانی بر میزان درد و افسردگی در بیماران مبتلا به آرتریت روماتویید بوده است. جامعه آماری شامل تمامی بیماران مبتلا به آرتریت روماتویید مراجعهکننده به درمانگاههای روماتولوژی و بخشهای روماتولوژی بیمارستانهای شهر شیراز بود. 45 بیمار مبتلا به بیماری آرتریت روماتویید که مبتلا به افسردگی هم بودند، بهصورت تصادفی در 3 گروه آزمایشی، پلاسیبو و کنترل قرار گرفتند. پرسشنامههای مورد استفاده در این مطالعه، پرسشنامههای درد مک گیلو افسردگی بک بودند. برای تجزیه و تحلیل دادهها از روشهای تحلیل کوواریانس و واریانس با اندازهگیری مکرر استفاده گردید. نتایج نشان داد که درمان گروهی طرحوارههای هیجانی برمیزان درد(مولفههای حسی، عاطفی، شناختی و نمره کل) و افسردگی در بیماران مبتلا به آرتریت روماتویید اثر معناداری داشت و موجب کاهش آنها گردید و این اثر پس از پیگیری 3 ماهه ماندگاری داشت(p<0/05). با استناد به یافتهها میتوان نتیجه گرفت که درمان گروهی طرحوارههای هیجانی میتواند یک مداخله روانشناختی اثربخش جهت کاهش درد و افسردگی در بیماران مبتلا به آرتریت روماتویید باشد.
Abstract
The aim of this study was to determine the effectiveness of emotional schemas group therapy on pain and depression in patients with rheumatoid arthritis. The statistical population included all patients with rheumatoid arthritis referring to rheumatology clinics and rheumatology departments of Shiraz hospitals. 45 patients with rheumatoid arthritis who were also afflicted with depression were randomly assigned into 3 experimental, placebo and control groups. The questionnaires were used in this study included McGill Pain Questionnaire and Beck Depression Inventory. Emotional schemas group therapy was conducted for 16 sessions of 2 hours and a half for experimental group only. For data analysis, covariance analysis and variance analysis with repeated measurements were used. The results showed that emotional schemas group therapy) had a significant effect on pain (sensory, emotional, cognitive, and general components), and depression in patients with rheumatoid arthritis and reduced them, and their effects remained after 3 months follow up (p Keywords: Rheumatoid arthritis, Emotional schemas therapy, Pain, depression.
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