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.
narges ebrahimi dastgerdi; sajjad rezaei; hamidreza nikyar
Abstract
Objective: The emergence of chronic diseases such as traumatic brain injuries brings about emotional and psychological damages in the patients. Therefore, the present study was conducted with the purpose of investigating the effectiveness of reflexive massage on the anxiety and pain intensity of the ...
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Objective: The emergence of chronic diseases such as traumatic brain injuries brings about emotional and psychological damages in the patients. Therefore, the present study was conducted with the purpose of investigating the effectiveness of reflexive massage on the anxiety and pain intensity of the patients with traumatic brain injury. Method: The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up design. The statistical population of the present study included the patients with traumatic brain injury who attended Ayatollah Kashani Esfahani Hospital in the third quarter of 2019. 30 patients with traumatic brain injury were selected through purposive sampling method and they were randomly accommodated into experimental and control groups (15patients in the experimental group and 15 in the control group). The experimental group received eight sessions of reflexive massage during a month. 3 patients from the experimental group and 2 patients from the control group quitted taking part in the study after starting the intervention. The applied questionnaires in this study included Beck et.al, 1988) and pain perception (Melzack, 1997). The data from the study were analyzed through repeated measurement ANOVA method. Findings: The results showed that reflexive massage has significant effect on the anxiety and pain intensity of the patients with traumatic brain injury (P<0.001) in a way that this method led to the decrease of anxiety and pain intensity of the patients with traumatic brain injury. Conclusion: According to the findings of the present study it can be stated that reflexive massage can be an efficient method to decrease anxiety and pain intensity of the patients with traumatic brain injury
Mohsen Akbarian; Fatemeh Mohammadi shir mahalleh; Ahmad Borjali; Hamidreza Hassanabadi; Shahla Abolghasemi
Abstract
Objective: The prevalence of fibromyalgia in women and comorbid psychological disorders such as anxiety and sleep disorders lead to disruption of physical therapy and reduced function of patients' healthy lives. The Purpose of this study was to investigate the effect of acceptance and commitment group ...
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Objective: The prevalence of fibromyalgia in women and comorbid psychological disorders such as anxiety and sleep disorders lead to disruption of physical therapy and reduced function of patients' healthy lives. The Purpose of this study was to investigate the effect of acceptance and commitment group therapy on anxiety, sleep and pain intensity in patients with fibromyalgia. Method: In this semi-experimental study with a pre-test, post-test and quarterly follow-up plan, 34 patients with fibromyalgia were selected by available sampling in 2018 at Bu Ali Hospital in Tehran and randomly assigned to two groups of 20 experimental and control (waiting list). Through 8 sessions, acceptance and commitment group therapy training was performed for experimental group. At the same time, the control group did not receive any intervention. Participants answered Beck Anxiety Questionnaire, McGill Pain, and Choline Spy Sleep Disorders before and after training. Analysis of covariance and repeated measures were used to analyze the data. Findings: The results of analysis of covariance and repeated measures showed that acceptance and commitment group therapy have a significant effect on reducing the symptoms of anxiety, sleep and pain intensity in patients with fibromyalgia (p-value <0.001). Conclusion: The results of the present study showed that acceptance and commitment therapy by creating and developing acceptance and psychological flexibility, can reduce patients' psychological damage and lead to a reduction in pain, sleep disorders and anxiety.
seyedeh fatemeh edalatian hoseini; saeed teimory; fereshteh yazdanpanah
Abstract
Objective: The aim of this study was to evaluate the effectiveness of mindfulness-based psychotherapy on psychological helplessness, acceptance and pain intensity in People with symptoms of back pain. Method: In order to achieve the research goal, 28 people suffered from chronic low back pain symptoms ...
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Objective: The aim of this study was to evaluate the effectiveness of mindfulness-based psychotherapy on psychological helplessness, acceptance and pain intensity in People with symptoms of back pain. Method: In order to achieve the research goal, 28 people suffered from chronic low back pain symptoms by sampling method were selected and randomly assigned to the control and experimental groups and were assessed using multidimensional pain questionnaires, pain acceptance questionnaire and Psychological helplessness questionnaires. The experimental group underwent 8 sessions of treatment intervention and the collected data were analyzed using multivariate analysis of covariance. Findings: The results of covariance analysis showed that mindfulness-based psychotherapy had a significant effect on pain severity, pain acceptance and Psychological helplessness of the experimental group compared to the control group. (p<0.05). Conclusion: The results of the study indicate that the effect of mindfulness-based psychotherapy on psychological helplessness, acceptance and pain intensity in people with back pain symptoms can be used as an effective method.
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, ...
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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.
