F
maryam ketabi; seyyed ali mousavi asl
Abstract
Objective: The purpose of this study was to determine the effectiveness of stress management training based on cognitive-behavioral approach on reducing emotional problems, sleep quality and intensity of pain experience in women with chronic tension headaches. Method: According to the random assignment ...
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Objective: The purpose of this study was to determine the effectiveness of stress management training based on cognitive-behavioral approach on reducing emotional problems, sleep quality and intensity of pain experience in women with chronic tension headaches. Method: According to the random assignment of subjects and control comparison group, the research method is semi-experimental. The statistical population included all female clients suffering from chronic tension headaches to the specialized pain clinic of Khatam Al Anbia Hospital in Tehran in 2022, among whom 34 people were selected by convenience sampling and randomly assigned to two groups. 17 people were tested and controlled. In order to collect data, the chronic pain rating questionnaire (Van Kuroff et al., 1990), the sleep quality questionnaire (Bois et al., 1989) and the emotional regulation difficulties questionnaire (Gratz and Romer, 2004) were used. The experimental group received stress management therapy based on the cognitive-behavioral approach for two and a half months in 10 sessions 60-minutes. Data analysis was done with descriptive statistics, statistical assumptions test and multivariate covariance analysis with SPSS version 26. Results: The results show that there is a significant difference between the subjects of the experimental and control groups in terms of the post-test of the dependent variables (emotional dysregulation score - sleep quality - intensity of pain experience) with the pre-test control. The effect size shows that 69.5% of the difference between the two groups is related to the experimental program. he results of multivariate covariance analysis (MANCOVA) show that stress management training based on cognitive-behavioral theory (by controlling the effect of the pre-test as a confounding factor on the post-test) reduces the emotional dysregulation score (F=53.819, 000) P=0.0 and η=0.650), increased sleep quality (F=4.876, P=0.035 and η=0.444) and decreased intensity of pain experience (F=2.303, P=0.004 and η=0.377) had a significant effect. Conclusion: Stress management treatment based on cognitive-behavioral theory was effective and efficient in reducing emotional problems, sleep quality and intensity of pain experience in women with chronic tension headache. Stress management training based on cognitive-behavioral theory improves adaptive strategies and reduces the use of maladaptive strategies in female patients with headache and helps these people to reduce self-blame and blame others for suffering from the disease. This treatment can replace the control of positive emotions with negative emotions by informing and helping people's cognitive reconstruction. The cognitive-behavioral model helps the sick person to reduce negative emotional strategies and cope with pain and headache disease by correcting misplaced interpretations, guiding negative self-talk, correcting and reconstructing illogical thinking and ineffective and defective cognitions. and this cognitive reconstruction and reinterpretation of the pain and the existing situation causes less transfer of sensory-motor information of the headache and finally the perceived pain decreases.
ُSeyed Ali Musavi Asl; SADEGH PAROOIE
Abstract
Objective: positive psychology is a scientific approach with a focus on strengths instead of weaknesses, building the good in life instead of repairing the bad. Therefore, the present study aims to evaluate the effectiveness of positive psychotherapy. Orientation on sense of coherence, self-efficacy, ...
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Objective: positive psychology is a scientific approach with a focus on strengths instead of weaknesses, building the good in life instead of repairing the bad. Therefore, the present study aims to evaluate the effectiveness of positive psychotherapy. Orientation on sense of coherence, self-efficacy, psychological well-being and resilience was performed in nurses. Method: This study was an experimental study with pre-test-post-test design with control and follow-up group. 30 Nurses were selected through convenient sampling. Subsequently, the participants were randomly divided into two groups of 15 people. The experimental group received positive psychology training whereas the control group did not receive any treatment. Both groups were evaluated before and after the intervention and in the follow-up stage through Antonsky Coherence Questionnaire, Connor and Davidson Resilience Scale, Reef Psychological Welfare Questionnaire and General Self-Efficacy Scale.The Data were analyzed using repeated measure (ANOVA). Findings: The results of analysis showed that positive psychology training led to a significant increase in resilience, psychological well-being and sense of coherence in nurses. The results of follow-up test also showed that this method has enough stability and sustainability. However, no significant difference was observed between the intervention and control groups regarding self-efficacy. Conclusion: According to the findings of this study, positive psychology interventions can be used to promote sense of coherence, psychological well-being and resilience in nurses.