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اثربخشی درمان مبتنی بر پذیرش و تعهد بر درد ادراک شده و پیروی از درمان در مبتلایان به فیبرومیالژیا | ||
| فصلنامه پژوهش های نوین روانشناختی | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 16 مرداد 1405 اصل مقاله (662.68 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22034/jmpr.2026.70025.6882 | ||
| نویسندگان | ||
| عنبر صدیقی1؛ علیرضا شکرگزار1؛ شیدا سوداگر* 1؛ مریم بهرامی هیدجی2؛ سیداحمد رئیس السادات3 | ||
| 1گروه روانشناسی سلامت و بالینی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران | ||
| 2گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران | ||
| 3گروه طب فیزیکی و توانبخشی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران | ||
| چکیده | ||
| فیبرومیالژیا، سندرم درد اسکلتی-عضلانی مزمنی است که با درد در سطح گسترده، نقاط حساس و خستگی مشخص میشود و با وجود اینکه جنبه روانی-رفتاری فرد را متأثر میسازد، اما برای آن درمان خاصی وجود ندارد. لذا این پژوهش با هدف تعیین اثربخشی درمان پذیرش و تعهد بر درد ادراک شده و پیروی از درمان در مبتلایان به فیبرومیالژیا انجام شد. پژوهش نیمهآزمایشی با طرح پیشآزمون و پسآزمون با گروه کنترل و دوره پیگیری سه ماهه بود. تمامی مبتلایان به فیبرومیالژیا مراجعهکننده به کلینیک توانبخشی بیمارستان مدرس تهران در سال 1403- 1402 جمعیت آماری پژوهش را تشکیل دادند، که با روش نمونهگیری هدفمند تعداد 30 نفر انتخاب و با انتصاب تصادفی در دو گروه مساوی 15 نفری گمارش شدند. گردآوری اطلاعات با پرسشنامه ادراک درد (مکگیل، 2009) و پرسشنامه پیروی از درمان (سیدفاطمی و همکاران، 1397) انجام شد. درمان پذیرش و تعهد طی 8 جلسه (یک جلسه در هفته و بهمدت 90 دقیقه) اجرا شد. تحلیل دادهها با روشهای آمار توصیفی و تحلیل واریانس آمیخته با اندازهگیری مکرر انجام شد. میانگین نمره درد ادراک شده و ابعاد آن (ادراک حسی، ادراک عاطفی، ارزیابی درد و دردهای متنوع) در گروه آزمایش پس از انجام مداخله نسبت به گروه کنترل بهطور معناداری بهبود یافت (0/05>p). درمان پذیرش و تعهد بر افزایش پیروی از درمان در آزمودنیهای گروه آزمایش برخلاف گروه کنترل سودمند بود (0/05>p)، و تأثیرات این برنامه بر متغیرهای وابسته در دوره پیگیری سه ماهه تداوم داشت (0/05>p). این یافتهها بیش از پیش نقش سازههای روانی-رفتاری را در فیبرومیالژیا روشن میسازد و لزوم استفاده از درمان مبتنی بر پذیرش و تعهد را به منظور بهبود وضعیت بیماران فیبرومیالژیا آشکار میسازد. | ||
| کلیدواژهها | ||
| ادراک درد؛ پیروی از درمان؛ درمان پذیرش و تعهد؛ فیبرومیالژیا | ||
| مراجع | ||
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Acceptance and commitment therapy for patients with chronic pain: A systematic review and meta-analysis on psychological outcomes and quality of life. PLoS One, 19(6), e0301226. https://doi.org/10.1371/journal.pone.0301226 | ||
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آمار تعداد مشاهده مقاله: 24 تعداد دریافت فایل اصل مقاله: 19 |
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