مقایسه اثربخشی درمان ترکیبی فراتشخیصی، ذهن‌آگاهی، رفتاردرمانی دیالکتیکی با CBT بر انعطاف‌ناپذیری روانشناختی درد افراد مبتلا به درد مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی،گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه اصفهان، اصفهان، ایران.

2 دانشگاه اصفهان-دانشکده روانشناسی و علوم تربیتی

3 دکتری روان‌شناسی، استادیار، گروه روان‌شناسی بالینی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه اصفهان، اصفهان، ایران.

4 دکتری روان‌شناسی، دانشیار، گروه روان‌شناسی و آموزش کودکان با نیازهای خاص، دانشکده روان‌شناسی و علوم تربیتی، دانشگاه اصفهان، اصفهان، ایران.

چکیده

هدف: پژوهش حاضر با هدف مقایسة اثربخشی درمان ترکیبی فراتشخیصی، ذهن‌آگاهی و رفتاردرمانی دیالکتیکی با درمان شناختی رفتاری بر انعطاف‌ناپذیری روانشناختی درد در افراد مبتلا به درد مزمن همبود با مشکلات هیجانی انجام شد.
 
روش: روش پژوهش از نوع نیمه آزمایشی با طرح پیش‌‌آزمون- پس‌‌آزمون- پیگیری با گروه گواه بود. روش نمونه‌گیری، هدفمند بود. بدین ترتیب که از میان افراد مبتلا به اختلال درد مزمن همبود با مشکلات هیجانی، تعداد 45 نفر انتخاب شد و سپس در سه گروه درمان ترکیبی، رفتاردرمانی شناختی و گروه گواه گمارده شد. از مقیاس انعطاف‌ناپذیری روانشناختی درد استفاده شد. از روش تحلیل واریانس با اندازه‌گیری مکرر استفاده شد.
 
یافته‌ها: نتایج نشان داد که تأثیر زمان اندازه‌گیری، اثر متقابل بین زمان اندازه‌گیری و گروه، و تأثیر گروه بر میانگین نمرات اجتناب از درد، آمیختگی شناختی و انعطاف‌ناپذیری روانشناختی درد کل معنادار بود. میانگین نمرات اجتناب از درد و انعطاف‌ناپذیری درد کل در گروه‌های درمان ترکیبی و درمان شناختی رفتاری، به طور معناداری کمتر از گروه گواه شدند، اما گروه درمان ترکیبی با گروه درمان شناختی رفتاری تفاوت معناداری نداشت. میانگین نمرات آمیختگی شناختی گروه درمان ترکیبی به طور معناداری کمتر از گروه­‌های درمان شناختی رفتاری و گواه شد.
 
نتیجه‌گیری: درمان ترکیبی و درمان شناختی رفتاری را می‌توان به صورت درمان کاربردی برای کاهش انعطاف‌ناپذیری روانشناختی درد در افراد مبتلا به درد مزمن همبود با مشکلات هیجانی استفاده نمود. بنابراین، پیشنهاد می‌شود این درمان‌ها در بیماران مبتلا به درد مزمن به کار گرفته شود.
 

کلیدواژه‌ها

عنوان مقاله [English]

Comparing effectiveness of combined transdiagnostic, mindfulness, and DBT with CBT on psychological inflexibility of pain in people with chronic pain

نویسندگان [English]

  • Mostafa Mohseni 1
  • Mehrdad Kalantari 2
  • Kourosh Namdari 3
  • Ahmad Abedi 4
1 Ph.D. Student of Psychology, Department of Psychology, Faculty of Education and Psychology, University of Isfahan, Isfahan. Iran.
2 Department of Psychology, Faculty of Education and Psychologyو University of Isfahan
3 Assistant Professor of Psychology, Department of Clinical Psychology, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
4 Associate Professor of Psychology, Department of Psychology and Education of Children with Special Needs, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
چکیده [English]

Aim: The aim of this study was to compare the effectiveness of metadiagnostic therapy, mindfulness therapy, dialectical behavior therapy, and cognitive behavioral therapy on psychological inflexibility related to pain in individuals with chronic pain associated with emotional problems.
 
Method: This research employed a semi-experimental design with a pre-test, post-test, and follow-up plan, including a control group. The sampling method was purposive. In the quantitative analysis, repeated measures analysis of variance (ANOVA) was utilized.
 
Results: The results demonstrated significant effects of measurement time, the interaction between measurement time and group, and the group on average scores of pain avoidance, cognitive fusion, and total pain-related psychological inflexibility. The average scores of pain avoidance and total pain inflexibility in both the combined treatment and cognitive-behavioral therapy groups were significantly lower than those in the control group. However, the combined treatment group showed superior improvement compared to the cognitive-behavioral therapy group. Additionally, the mean cognitive fusion scores of the combined therapy group were significantly lower than those of the cognitive-behavioral therapy group.
 
Conclusion: Both combined therapy and cognitive-behavioral therapy were found to be effective in reducing the psychological inflexibility of pain in individuals with chronic pain and emotional problems. The combined therapy, which includes metadiagnostic therapy, mindfulness therapy, and dialectical behavior therapy, may be particularly beneficial for addressing cognitive fusion associated with pain. Therefore, these therapeutic approaches are recommended for individuals suffering from chronic pain.

کلیدواژه‌ها [English]

  • Chronic Pain Disorder
  • Psychological Inflexibility Of Pain
  • Combined Therapy
  • Cognitive Behavioral Therapy

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