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اثربخشی درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی، شدت درد ادراک‌شده و مدیریت هیجان در زنان سالمند مبتلا به آرتریت روماتوئید

نوع مقاله : علمی- پژوهشی

نویسندگان

1 گروه علوم تربیتی و روانشناسی، دانشگاه پیام نور، تهران، ایران.

2 دانشیار، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی دانشگاه پیام نور، تهران، ایران

3 دانشیار، گروه تخصصی پژوهش و سنجش، دانشکده علوم تربیتی و روانشناسی، دانشگاه تهران، تهران، ایران.

چکیده

مقدمه: این پژوهش با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر حساسیت اضطرابی، ادراک درد و مدیریت هیجان در زنان سالمند مبتلا به آرتریت روماتوئید انجام شد.
روش: روش پژوهش حاضر، نیمه‏آزمایشی با طرح پیش- پس‌آزمون با دو گروه آزمایش و کنترل بود. جامعه آماری شامل تمامی زنان سالمند مبتلا به آرتریت روماتوئید مراجعه‏کننده به کلنیک درد وابسته به بیمارستان میلاد شهر تهران در سال 1401 بود، که با روش نمونه‏گیری در دسترس تعداد 28 نفر انتخاب و به روش تصادفی در دو گروه مساوی 14 نفری گمارش شدند. درمان پذیرش و طی 8 جلسه گروهی و هر جلسه به مدت 90 دقیقه (5/1 ساعته) برای افراد گروه آزمایش اجرا شد، اما گروه کنترل این برنامه مداخلاتی را دریافت نکردند. گردآوری داده‏ها با پرسشنامه حساسیت اضطرابی (پترسون و ریس، 1992)، پرسشنامه استاندارد شدت درد (کیوبک و همکاران، 1995) و پرسشنامه دشواری تنظیم هیجان (گرتز و رومر، 2004) انجام شد. به منظور تحلیل داده‌‏ها از آزمون‏های t مستقل و زوجی تحلیل کواریانس چندمتغیری با کمک نرم‌افزار آماری SPSS/26 استفاده شد.
یافته‌ها: نتایج پژوهش نشان داد که میانگین نمره حساسیت اضطرابی در گروه آزمایش در مرحله‏ پس‏آزمون نسبت به گروه کنترل تفاوت معناداری داشته است (05/0>P). همچنین، تحلیل کوواریانس نشان داد بین میانگین نمره شدت درد ادراک شده و مدیریت هیجان آزمودنی‏های دو گروه در مرحله‏ پس‏آزمون تفاوت از نظر آماری معنادار بوده است (05/0>P).
نتیجه‌گیری: نتایج این پژوهش می‏تواند تلویحات کاربردی برای درمانگران جهت کاهش مشکلات عاطفی-رفتاری مبتلایان به آرتریت روماتوئید به ویژه در زنان سالمند در کنار دارو درمانی ارایه دهد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy on Anxiety Sensitivity, Perceived Pain Intensity and Emotion Management in Elderly Women with Rheumatoid Arthritis

نویسندگان [English]

  • Hengameh Boloorsaz Mashhadi 1
  • Eisa Jafari 2
  • Ali Moghadamzadeh 3

1 Department of Psychology, Faculty of Educational Sciences and Psychology, Payame Noor University, Tehran, Iran.

2 Associate Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Payame Noor University, Tehran, Iran.

3 Associate Professor, Department of Curriculum Development & Instruction Methods, Faculty of Educational Sciences and Psychology, University of Tehran, Tehran, Iran.

چکیده [English]

Objective: Rheumatoid arthritis is one of the chronic diseases that affects various aspects of human life in old age and causes many problems, physical disabilities and negative psychological consequences. Therefore, it is important to investigate and identify educational and therapeutic protocols to reduce psychosocial problems in elderly people. This research was conducted with the aim of investigating the effectiveness of acceptance and commitment therapy on anxiety sensitivity, pain perception and emotion management in elderly women with Rheumatoid Arthritis. Method: The method of the current research was, semi-experimental with pre-post-test design, two experimental and control groups. The statistical population included all elderly women with Rheumatoid Arthritis who referred to Milad Hospital`s clinical centers in Tehran (1401). 28 people were selected by available sampling method and randomly assigned to two groups of 14 people. Consent and desire to participate, 60 years and older age range, gender (female) and ability to participate in treatment sessions were the inclusion criteria for the research. Individual's lack of consent and desire to cooperate, suffering from psychiatric disorders, receiving other psychological interventions at the same time or in the last 6 months were the exclusion criteria. Acceptance and commitment therapy was implemented according to Hayes and Strossal (2013) treatment protocol. This procedure was conducted with the aim of improving the psychological conditions of participants during 8 sessions of each 90 minutes (1.5 hours). The control group, did not receive any interventions. Data were collected by Anxiety Sensitivity Questionnaire (Peterson and Reiss, 1992), Standard Pain Intensity Questionnaire (Quebec et al., 1995) and Emotion Regulation difficulty Questionnaire (Gratz & Roemer, 2004). In order to analyze the data, independent and paired t-tests of multivariate analysis of covariance were used by SPSS/26 statistical software. Results: The results of the research showed that the mean score of anxiety sensitivity in the experimental group in the post-test stage had a significant difference compared to the control group (P<0.05). Also, the analysis of covariance showed that there was a statistically significant difference between the mean score of perceived pain intensity and emotional management of the two groups in the post-test stage (P<0.05). It can be said that Acceptance and Commitment therapy has reduced anxiety sensitivity and pain perception, as well as emotional management in elderly women with Rheumatoid Arthritis. Conclusion: The results indicated that Acceptance and Commitment Therapy is effective in reducing anxiety sensitivity, pain perception and emotion management of elderly women suffering Rheumatoid Arthritis. According to the obtained results, it is suggested, professionals who involve in the field of elderly mental health should provide the necessary platform for improving the mental health of these people. which it can be done by reducing the level of anxiety sensitivity and pain perception and emotion management. The results of this research can provide practical implications for therapists to reduce the patients emotional-behavioral problems who suffer Rheumatoid Arthritis, especially in elderly women. It must be said that these therapies would be effective along with drug therapy.

کلیدواژه‌ها [English]

  • acceptance and commitment therapy
  • anxiety sensitivity
  • pain perception
  • emotion management
  • rheumatoid arthritis
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روانشناسی سلامت
دوره 13، شماره 52
در حال تکمیل
اسفند 1403
صفحه 81-96
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هم رسانی
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