بررسی پیشایند حرکت هراسی در بیماران مبتلا به درد مزمن اسکلتی عضلانی بر اساس ابعاد کارکرد خانواده

نوع مقاله: علمی- پژوهشی

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی، دانشگاه علوم و تحقیقات تهران، تهران، ایران.

2 دانشجوی دکتری مشاوره دانشگاه شهید چمران اهواز، ایران.

3 استاد گروه مشاوره دانشگاه الزهرا، تهران، ایران.

چکیده

مقدمه: خانواده به‌عنوان یک عامل مهم اجتماعی مؤثر بر درد مزمن امروزه موردتوجه پژوهشگران حوزه درد قرارگرفته است زیرا این نهاد یکی از محیط‌های مؤثر بر سلامت جسمی و روانی افراد است که شرایط لازم برای رشد و رسیدن به تعادل جسمی، روانی، اجتماعی را فراهم می‌آورد. خانواده این شرایط را از طریق انجام یکسری اعمال مشترک انجام می‌دهد که به این اعمال کارکرد خانواده گفته می‌شود. روش: بر این اساس پژوهشی به‌منظور بررسی پیشایند حرکت هراسی بر اساس ابعاد کارکرد خانواده با تعداد 100 نفر بیمار مبتلا به دردهای اسکلتی عضلانی با روش نمونه‌گیری تصادفی در دسترس انجام شد. در این تحقیق برای بررسی ابعاد کارکرد خانواده و حرکت هراسی ناشی از درد مزمن به ترتیب از پرسشنامه‌های (FAD) و (TSK) استفاده شد. یافته ­ها: نتایج نشان داد رابطه بین کارکرد کلی خانواده و متغیر حرکت هراسی با مقدار (219/0) در سطح 05/.=α معنادار است و این رابطه به‌صورت مستقیم است و از میان ابعاد کارکرد خانواده حل مسئله، آمیختگی عاطفی، پاسخگویی عاطفی و ارتباطات بیشترین میزان ارتباط را با این متغیر نشان دادند. نتیجه­ گیری: ابعاد کارکرد خانواده میزان حرکت هراسی ناشی از درد مزمن اسکلتی عضلانی را تبیین می‌کند همچنین حل مسئله در خانواده با حدود 9.1 درصد، بیشترین تبیین را در پیش‌بینی متغیر میزان حرکت هراسی دارا است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The study of contribution of dimensions of family function in fear of movement at patients suffered by musculoskeletal chronic pain

نویسندگان [English]

  • M Nanegh 1
  • mehravar momeni javid 2
  • Simin Hosseinian 3
1 M.A in Clinical Psychology, Science and Research University, Tehran, Iran.
2 PhD Student of Counseling, Shahid Chamran University, Ahvaz, Iran.
3 Professor of Counseling, Alzahra University, Tehran, Iran.
چکیده [English]

Objective: Nowadays family as an important social factor that effects chronic pain is being considered by researchers. Family is an effective environment in physical and mental health of people that provides the necessary conditions for development and achieve physical, mental and social balance. Methods: Family provides this conditions through a series of common actions which named family function. The aim of present study was to exam the contribution of dimensions of family function in fear of movement at patients with musculoskeletal chronic pain selected randomly. Family Assessment Device (FAD) and TAMPA questionnaire for assessing fear of movement is completed by participants. Results: It was found that there was a relation with family function dimensions and fear of movement variables and this relation was direct and among family function dimensions, problem solving, affective involvement, and affective responsiveness. Conclusion: Communication were the most related dimensions with fear of movement and problem solving is the most related one (9.1).

کلیدواژه‌ها [English]

  • fear of movement
  • dimensions of family function
  • musculoskeletal chronic pain

خطیبی طباطبایی، م. ع. (1386). «توجه انتخابی بیماران مبتلا به دردهای مزمن در برابر چهره‌ای دردناک». پایان‌نامه چاپ‌نشده کارشناسی ارشد روان‌شناسی تربیتی. تهران: دانشگاه شهید بهشتی.

Almeida, O.P., Draper, B., Snowdon, J., Lautenschlager, N.T., Pirkis, J., Byrne, G. & Pfaff, J.J. (2012). "Factors associated with suicidal thoughts in large commiunity sample of older adults". The British Journal of Psychiatry, 201, 466-472.

Chenhall, P.J. (1998). "Family function and Marital Satisfaction Reported by Women with Fibromyalgia, their Spouses, and Control Group". Doctorial thesis at Manitoba University.

French, D.J., France, C.R., Vigneau, F., French, J.A. & Evans, T. (2007). "Fear of movement/ (re) injury in chronic pain: A psychometric assessment of original English version of the Tampa scale for kinesiophobia". Pain; 121(1&2): 42-51.

Hubscher, V., Schmidt, F. & Banzer, W. (2010). "Perceived pain, fear of falling and physical function in women with osteoprorosis". Gait & Posture, 32, 383,-385.

Gatchel, R.J. & Mayer, T.G. (2000). "Occupational Musculoskeletal Disorder: Introduction and Overview of Problem". Mayer, T. G., Gatchel, R. J., & Polatin, P. B. (Eds). (2000). Occupational Musculoskeletal Disorder: function, outcomes and evidence.pp (3.8) Philadelphia Lippincott Williams & Wilkins.

Glicher, Y., Croxford, R., Hochman, J. & Hawker, G. (2011). "A prospective study of mental health care comorbid depressed mood in older adults with painful osteoarthritis". BMC Psychiatry. 11, 147-157. doi:10.1186/ 1471-244X-11-147

Guidlines for the pharmalogical management of chronic pain in primary care (2012). Approved by: port smouth and Sought East Hampshire Aria prescribing commitlee.

Jensen, M. P., Moore, M. R., Bockow, T. B., Ehde, D. M., & Engel, J. M.  (2011). "Psychosocial factors & adjustment to persistent pain in persons with physical disabilities: A systematic review". Archives of phisycal medicine & rehabilitation. 92, 146-160.

Klenerman, L., Slade, P.D., Stanley, I.M., Pennie, B., Reilly, J.P., Atkinso, L.E., Troup, J.D.G. & Rose, M.J. (1995). "The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting". Spine; 4:478-484.

Kori S.H, Miller R.P. Todd D.D. (1990). "Kinesiophobia: anew view chronic pain behavior management". 3, 35-43.

Lang, P.J. (1995). "The emotion probe. Studies of motivation and attention". AmPsychologist; 50:372-385.

Linton, S.J. (1986). "Behavioral remediation of chronic pain: A status report". Pain, 24, 125-141.

Linton, S.J. & Buer, N. (1995). "Working despite pain: factors associated with work attendance versus dysfunction". Int J Behav Med 1995; 2(3):252-262.

Lum, T.Y., Parashuram, S., Shipee, T.P., Wysocki, A., Shipee, N.D., Homyak, P. & Kane, R.L. (2013). "Diagnosed prevalence and health care expenditures of mental health disorders among dual eligible older people". The Greontologist, 53, 334-344.

Lynch, M.E., Campbell F.A. & et al. (2008). "A systematic review of the effect of waiting for treatment for chronic pain". Pain 136 (1-2): 97-116.

Martin R.R., Hadjistavropoulos, T. & McCreary D.R. (2005). "Fear of pain and fear of falling among younger and older adults with musculoskeletal pain conditions". Pain Research & management, 10, 211-219.

McCracken, L.M., Gross, R.T., Aikens, J., & Carnkike, J.R. (1996). "The assessment of anxiety and fear in persons with chronic pain: a comparison of instruments". Behav Res Ther; 34:927-933.

McQuade, K.J, Turner, J.A & Buchner, D.M. (1988). "Physical fitness and chronic low back pain". Clin Orthop Rel Res; 233:198-204.

Miller, I.W., Ryan, C.E., Keitner, G.I., Bishop, D.S. & Epstein, N.B. (2000). "The McMaster Approach to Families: theory, assessment, treatment and research". Journal of Family Therapy, 22: 168–189.

Parkinson, L., Gibson, R., Robinson, I., & Byles, J. (2010). "Older women and arthritis: tracking impact over time". Australasian Journal on Aging, 29, 155-160.

Rachlin H. (1980). Behaviorism in everyday life. Englewood Cliffs, HJ: Prentice-Hall.

Roelofs, J., Sluiter, J.K., Frings-Dresen, M.W., Goossens, M., Thibault, T., Boersma, K. & Vlaeyen, J.S. (2007). "Fear of movement and (re) injury in chronic musculoskeletal pain: Evidence for an invariant two-factor model of Tampa Scale for Kinesiophobia across pain diagnoses and Dutch, Swedish, and Canadian Sample". Pain 2007; 131(1&2): 181-190.

Rowat, K.M., & Knafl, K.A. (1985). "Living with chronic pain: The spouse’s perspective". Pain, 23, 259-271.

Sperry, L. (2006). Psychological Treatment of Chronic Illness. Ohiladelphia: FA Davis.

Smith, A.A., & Friedmann, M. (1999). "Perceived family dynamics of perpns with chronic pain". Joumal of Advanced Nursing, 30, 543-551.

Tzun, E.H, Albayrak, G., Eker, et al. (2004). "A comparison study of quality of life in women with fibromyalgia and myofasical pain syndrome". Disability and Rehabilitation; 26: 198-202.

Vlaeyen, J.W.S., Kole-Snijders, A.M.J., Rotteveel, A., Ruesink, R. & Heuts P.H.T.G. (1995). "The role of fear of movement/ (re)injury in pain disability". J OccupRehabil; 5:235-252.

Vlaeyen, J.W.S., Kole- Snijders, A., Boeren, R. & Van Eek, H.  (1995). "Fear of movement/ (re) injury in chronic low back pain and its relationto behavioral performance". Pain, 62, 363-373.

Vlaeyen, J.W.S. & Linton, S.J. (2000). "Fear - avoidance and its consequences in chronic musculoskeletal pain: a state pf art". Pain, 85, 317-332.

Waddell, G., Newton, M., Henderson, L. & et al. (1993). "A Fear-Avoidance Beliefs Questionnaire (FAPQ) and the role of fear-avoidance beliefs in chronic low back pain disability". Pain; 52: 157-168

Woods, N.F. & Lewis, F.M. (1995). "Women with chronic illness: Their views of their family adoption". Health Care for Women International, 16, 135-148.