A
sara soori; afshin salahian; bita nasrolahi
Abstract
Objective: Chronic musculoskeletal pain includes local pain and referred pain that causes pain in the joints of different parts of the body. Chronic pain has negative and detrimental effects on the psychological and physical performance of patients and causes physical and mental problems for patients. ...
Read More
Objective: Chronic musculoskeletal pain includes local pain and referred pain that causes pain in the joints of different parts of the body. Chronic pain has negative and detrimental effects on the psychological and physical performance of patients and causes physical and mental problems for patients. Inactivity, excessive mental stress, excessive mental stress, and prolonged poor posture can all cause muscle strain that directly affects nerve endings, causing chronic pain. Although pain as a general sensation has biological bases, but because pain is affected by psychological and social factors in addition to biochemical factors. Recent models have examined pain in a multidimensional way and have emphasized the role of psychological factors in the process of pain perception. In this regard, the present study was conducted with the aim of comparing the effectiveness of emotion-oriented therapy and mindfulness therapy in improving self-efficacy, conflict in emotional expression, and pain perception in patients with chronic musculoskeletal pain. Method: The research method in the present study was semi-experimental and a pre-test and post-test design was used along with the control group. The statistical population of the present study includes all patients suffering from chronic musculoskeletal pain in Tehran in 2022. Using the available sampling method, 60 people were randomly selected into 3 groups of 20 people: emotion-oriented treatment, mindfulness treatment and control were divided. Pain self-efficacy, emotional conflict and disease perception questionnaires were used to collect data. Analysis of covariance test and SPSS statistical software were used for data analysis. Results: The results showed that emotion-oriented and mindfulness therapy has a significant effect on improving self-efficacy, emotion expression conflict, and pain perception, and these results were still stable in the 3-month follow-up (p<0.05). Comparing the effect of the two intervention methods, the results of the Sheffeh test showed that the effect of emotion-oriented treatment on the conflict of emotion expression and pain perception was significantly higher than that of mindfulness treatment (p<0.05). The results of the Scheffe test show that there is no statistically significant difference between the two experimental groups and the control group in the pain self-efficacy scores (p<0.05), and in other words, the effect of the two methods was almost the same; However, the effect of the treatment on the emotional expression variable had a statistically significant difference (p<0.05). So, it can be said that the emotion-oriented treatment had a greater effect than the mindfulness treatment. Also, the results of the Shefeh test showed that the effect of emotion-oriented treatment on patients' pain perception had a statistically significant difference (p<0.05), in other words, the effect of emotion-oriented treatment on the pain perception variable was greater than that of mindfulness treatment. Conclusion: Based on the findings, it can be concluded to help improve self-efficacy, emotional expression conflict and pain perception of patients with chronic pain, emotion-oriented and pain mindfulness treatment is effective and it is recommended due to the higher effect of emotion-oriented treatment intervention in improving conflict expression Emotion and pain perception of chronic pain patients should use this intervention method.
F
zahra ghanbari
Abstract
Objective: Dyspepsia causes psychological problems and chronic pain in people. To solve these problems, interventions such as cognitive therapy based on mindfulness are needed. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on cognitive ...
Read More
Objective: Dyspepsia causes psychological problems and chronic pain in people. To solve these problems, interventions such as cognitive therapy based on mindfulness are needed. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on cognitive flexibility and chronic pain in dyspepsia patients. Method: The research method was semi-experimental with a pre-test-post-test design with a control group and a two-month follow-up phase. The statistical population of the study included all patients up to 50 years of age diagnosed with indigestion without ulcers in the specialized and sub-specialized clinic of Besat of city of Kerman in 2022. Among them, 30 people were selected as the sample of the study by available sampling method and were randomly assigned to two experimental groups (15 people) and control group (15 people). The people of the experimental group received cognitive therapy based on mindfulness in 8 sessions of 90 minutes in a group. The questionnaires used in this research include the Cognitive Flexibility Questionnaire of Dennis and Vanderwaal (2010) and the McGill Pain Questionnaire (2010). 2009). The research data was analyzed by mixed analysis of variance and Benferroni post hoc test by SPSS-24 software. Results: The results showed that the average scores of cognitive flexibility and its components, including: alternatives, control and exploitation, of people in the experimental group increased in the post-test and follow-up stages compared to the pre-test. Is. Also, the average scores of chronic pain and its components, including: physical-sensual, emotional-emotional and cognitive-evaluative, of the people of the experimental group in the post-test and follow-up phase have decreased compared to the pre-test (0.001) P < ). Pairwise comparison showed that there is a significant difference between the average scores of the pre-test, post-test and follow-up stages in the variables of cognitive flexibility and chronic pain and their components. This means that the cognitive therapy based on mindfulness has been able to significantly change the post-test scores and follow-up variables of cognitive flexibility and chronic pain, their components compared to the pre-test stage. Another finding of this table showed that there is no significant difference between the average scores of the post-exam stage and follow-up. This finding can be explained by the fact that the scores of variables of cognitive flexibility and chronic pain of their components in patients with dyspepsia, which had undergone a significant change in the post-test phase, were able to change this change during Keep the follow-up period. Conclusion: Cognitive therapy helps dyspepsia patients by changing their behaviors, feelings, attitudes and beliefs, replacing irrational beliefs and non-adaptive behaviors with realism, sense of efficacy and increased activity, thus increasing flexibility, help in cognition and reducing the intensity of pain. Cognitive therapy based on mindfulness was effective and efficient in increasing cognitive flexibility and reducing chronic pain in dyspepsia patients.
A
MohammadReza Tamannaeifar; Azam Mansourinik; Freshteh Malekzadeh Kashani
Abstract
Objective: Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in ...
Read More
Objective: Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in chronic pain patients. Method: This study is a structural equation modeling. Among the chronic patients referred to Kashan therapeutic clinics in 2022, 188 patients were recruited through convenience sampling. In order to collect information, Revised Adult Attachment Scale (Collins & Reid, 1989), Toronto Alexithymia Scale (1992), Connor-Davidson Resilience Scale (2003) and Quality of Life Scale (WHOQOL- BREF) were used. Data were analyzed using SPSS and AMOS 24 software. Results: The results of correlation coefficients showed that there are significant negative correlation between the quality of life with anxious insecure attachment, dependency insecure attachment and alexithymia, while there are significant positive correlation between resilience and quality of life (P<0.01). The results showed that the proposed model of the present study has a good fit (x2/df=2.748, p<0.001, CFI= 0.91, RMSEA=0.06). In addition, the results showed that the direct effect of anxious attachment on alexithymia (β= 0.549, P<0.05) and the direct effect of alexithymia on quality of life is significant (β= -0.632, P<0.01). When alexithymia are included as mediator in the relationship between anxious attachment and quality of life, the indirect effect of anxious attachment on quality of life is -0.347, and this indirect effect is significant (P<0.01). Also, the direct effect of dependency attachment on alexithymia is significant (β= 0.297, P<0.05). When alexithymia are included as mediator in the relationship between dependency attachment and quality of life, the indirect effect of dependency attachment on quality of life is -0.188, and this indirect effect is significant (P<0.05). Therefore, The results showed that alexithymia mediates the relationship between anxious insecure attachment and quality of life (β=-0.347, p<0.01) and dependency insecure attachment and quality of life (β=-0.188, p<0.05) in chronic pain patients. Resilience also moderates the relationship between alexithymia and quality of life (β=-0.121, p<0.05). Conclusion: The insecure attachment may effect on quality of life through alexithymia and resilience can be a protective factor against the negative impact of this effect in chronic pain patients. These results have important implications for clinicians and researcher in the field of health psychology. Psycho-educational interventions to identify emotions and describe them and reduce alexithymia can help patients manage their emotions better and improve different aspects of their quality of life. Also, interventions based on resilience can lead to improving the quality of life in chronic pain patients.
MONA ABBASI; hayede saberi; Afsane Taheri
Abstract
Objective: Chronic pain affects a person's thinking, performance and feelings, causing various limitations in a person's life. The aim of this study was to determine the relationship between pain perception based on childhood trauma and mediated emotion regulation in people with chronic pain. Method: ...
Read More
Objective: Chronic pain affects a person's thinking, performance and feelings, causing various limitations in a person's life. The aim of this study was to determine the relationship between pain perception based on childhood trauma and mediated emotion regulation in people with chronic pain. Method: The method of the present study is a descriptive correlational method of structural equation modeling (path analysis). From patients referred to pain clinics in Tehran in 1399, 300 patients with chronic pain were selected by convenience sampling. The instruments used in this study included Granfsky and Craig's Cognitive Emotion Regulation Questionnaire (CERQ), Bernstein Childhood Trauma Questionnaire (CTQ) and Visual Pain Scale (VAS). SPSS and Amos software were used to analyze the data. Findings: The results indicate that each of the positive and negative emotion regulation strategies plays a mediating role in the relationship between pain perception and childhood trauma in patients with chronic pain. Conclusion: The tendency of individuals to use positive or negative cognitive emotion regulation strategies can be a determining factor in the impact of childhood trauma on the perception of chronic pain.
Mehdi reza sarafraz; ehsan bedayat; shahrzad Derakhshan
Abstract
Objective: The aim of this study was to evaluate the effectiveness of mindfulness based stress reduction therapy on hypochondriasis and anxiety in men suffering from chronic pain. Method: The research method was quasi-experimental with pre-test-post-test design and control group. The target population ...
Read More
Objective: The aim of this study was to evaluate the effectiveness of mindfulness based stress reduction therapy on hypochondriasis and anxiety in men suffering from chronic pain. Method: The research method was quasi-experimental with pre-test-post-test design and control group. The target population of this study consisted of male patients suffering from chronic musculoskeletal pain who previously received treatment from Shiraz rehabilitation centers in the second half of 2019. Based on initial evaluation and by use of targeted sampling 30 patients who scored highest in the McGill Pain Questionnaire were selected as the research sample and were randomly assigned to two experiment and control groups, )15 patients( control group and (15 patients) experiment group. For the purpose of data collection Ahwaz Hypochondriasis Questionnaire and Cattell Anxiety Scale questionnaire were administered in pre-test and post-test post stages of this study. Multivariate analysis of covariance was used to analyze the data. Findings: the analysis of research data showed that by controlling the effect of pre-test, there was a statistically significant difference between the mean of post-test scores of the experimental and control groups in both hypochondriasis and anxiety. Conclusion: it is recommended that mindfulness based stress reduction group therapy be used as an effective treatment strategy by mental health counselors, psychologists, and psychotherapists for the reduction of hypochondriasis and anxiety in patients suffering from chronic pain.
Siavash Kiani; Parviz Sabahi; Shahrokh Makvand Hosseini; Parvin Rafieinia; Mahmoudreza Alebouyeh
Abstract
Objective: The purpose of this study was to compare of the effectiveness of acceptance and commitment therapy and positive cognitive-behavioral therapy on the psychological disquietudes of patients with chronic pain. Method: The present study was semi-experimental with pretest, posttest, and follow-up ...
Read More
Objective: The purpose of this study was to compare of the effectiveness of acceptance and commitment therapy and positive cognitive-behavioral therapy on the psychological disquietudes of patients with chronic pain. Method: The present study was semi-experimental with pretest, posttest, and follow-up design with a three-month with control-group. The sample of thise study included of 45 people of patients with chronic pain referring to Rasool Akram Hospital of Tehran sity. selected by available sampling method and were assigned randomly into two experimental groups and one control group. three groups completed Depression, Anxiety, Stress Scall (DASS-21) in pre-test, post-test and follow-up. 2 group received intervention duration in 8 sessions of 90 minutes a week for 1 session, acceptance and commitment therapy and positive cognitive behavioral therapy. and did not received the control group any intervention. at the end was performed post-test of all three groups. Data were analyzed by SPSS- 25 and using descriptive statistics indices and repeated measure. Findings: There was significant difference between acceptance and commitment-based therapy and positive cognitive-behavioral therapy with control group on the psychological disquietudes of patients with chronic pain (p<0/001). But there was no significant difference between acceptance and commitment-based therapy and positive cognitive-behavioral therapy on the psychological disquietudes of patients with chronic pain (p> 0/05). Conclusion: acceptance and commitment-based therapy and positive cognitive-behavioral therapy can be used as a useful intervention method for decreasing on the psychological disquietudes of patients with chronic pain.
zeinab khajavi; Reza Rostami; maryam hadizadeh shaldehi; fatemeh pourkhaghan
Abstract
Objective: The purpose of the present study was to investigate the role of pain catastrophizing and neuroticism in the prediction of fear of movement in patients with rheumatoid arthritis. Method: This study was a correlational study. From patients with rheumatoid arthritisexperiencing chronic pain who ...
Read More
Objective: The purpose of the present study was to investigate the role of pain catastrophizing and neuroticism in the prediction of fear of movement in patients with rheumatoid arthritis. Method: This study was a correlational study. From patients with rheumatoid arthritisexperiencing chronic pain who referred to Gilan health centers, 100 patients were selected through convenience sampling method. Instruments used in this study included the Tampa scale of kinesiophobia (TSK), the Pain catastrophizing Scale (PCS), and the NEO five-factor inventory-short form (NEO-FFI). Findings: The results showed that pain catastrophizing and neuroticism significantly predicted fear of movement. The standardized regression coefficient for pain catastrophizing was 43.33 and for neuroticism was 0.278. Conclusion: neuroticism and pain catastrophizing can affect the quality of life by increasing the patient's fear of movement and avoiding activity, and increase chronic pain problems. Therefore, these factors need to be considered in the management and treatment of these patients
Elham Arabi; Masume Bagheri
Volume 6, Issue 22 , September 2017, , Pages 72-87
Abstract
Introduction: Evidence suggests that emotion regulation plays a key role in pain disorders long-term compatibility. The present study was carried out to examine the mediating role of emotion regulation strategies on the relationship between pain intensity and quality of life (QOL). Method: In this study, ...
Read More
Introduction: Evidence suggests that emotion regulation plays a key role in pain disorders long-term compatibility. The present study was carried out to examine the mediating role of emotion regulation strategies on the relationship between pain intensity and quality of life (QOL). Method: In this study, one hundred and twenty patients with chronic pain (32 males, 88 females) were asked to complete the short form of quality of life Questionnaires (SF-36), Emotion Regulation Questionnaires, and Multidimensional pain Questionnaires. The data were analyzed using correlation coefficient, regression analysis, and path analysis. Results: It was shown that reappraisal had significantly negative association with pain intensity and positive association with quality of life and suppression had significantly positive association with pain intensity and negative association with quality of life. Also, pain intensity was negatively correlated with quality of life. Furthermore, results showed that emotion regulation strategies played a mediating role on the relationship between pain intensity and QOL.Conclusion: Despite the direct and negative relation between pain intensity and QOL, variability of pain intensity determined indirectly the level of quality of life in patients with chronic pain by mediating emotion regulation strategies.
Alireza Aghayousefi; Morteza Tarkhan; Narges Mohammadi; Hamid Afshar
Volume 5, Issue 17 , July 2016, , Pages 23-38
Fateme Akbari; Mohsen Dehghani; Mojtaba Habibi
Volume 4, Issue 13 , February 2015, , Pages 73-88
Abstract
Objective: Although evidence suggests that pain catastrophizing and marital satisfaction are associated with chronic pain patient’s depression but whether this association remains significant after controlling for other variables, has not yet been studied. The aim of this study was to investigate ...
Read More
Objective: Although evidence suggests that pain catastrophizing and marital satisfaction are associated with chronic pain patient’s depression but whether this association remains significant after controlling for other variables, has not yet been studied. The aim of this study was to investigate the role of pain catastrophizing and marital satisfaction in predicting patient’s depression after controlling for severity of pain, fear of pain and pain-related disability. Methods: In a cross - correlation proposal among patients who had referred to orthopedic clinic and regarding to the inclusion and exclusion criteria, 121 patients were selected. They were asked to answer the visual pain scale, pain catastrophizing scale, fear of movement, pain-related disability, depression and marital satisfaction questionnaire. Results: Data analysis showed a significant negative correlation between marital satisfaction and depression. Also pain catastrophizing, fear of pain and disability were positively correlated with depression. In regression analysis, catastrophizing and marital satisfaction predicted patient’s depression beyond the effect of pain intensity, fear of pain and pain-related disability. Conclusion: Considering that lower marital satisfaction and catastrophic thoughts predict depression in chronic pain patients, using cognitive strategies to reduce catastrophic thoughts and couple therapy approaches to increase their marital satisfaction seems to be beneficial in reducing patient’s depressive symptoms
