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

نوع مقاله : مقاله پژوهشی

نویسندگان

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

چکیده

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.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Compassionate Emotion-Based Integrated Therapy With Compassion Focused Therapy on Perfectionism and Intolerance of Uncertainty Irrational Beliefs in Patients With Early Headache Symptoms

نویسندگان [English]

  • neda behvandi 1
  • felor khayatan 2
  • mohsen gol parvar 3
1 PhD Student, Department of Psychology, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
2 Assistant Professor, Department of Psychology, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
3 Associate Professor, Department of Psychology, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
چکیده [English]

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.

کلیدواژه‌ها [English]

  • Compassionate emotion-based integrated therapy
  • compassion focused therapy
  • Perfectionism
  • intolerance of uncertainty
  • early headache symptoms
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