مقایسه اثربخشی معنویت‌درمانی مبتنی بر فرهنگ ایرانی با رویکرد شناختی -رفتاری با رویکرد ذهن‌آگاهی مبتنی بر کاهش استرس در کاهش افسردگی، اضطراب و استرس در بیماران مبتلا به درد مزمن

نویسندگان

1 دکترای تخصصی روان‌شناسی سلامت دانشگاه تهران

2 دانشگاه خوارزمی

3 استاد روان‌شناسی دانشگاه تهران

4 استاد بیهوشی دانشگاه علوم پزشکی ایران

چکیده

هدف پژوهش حاضر مقایسه اثر­بخشی معنویت­درمانی مبتنی بر فرهنگ ایرانی با رویکرد شناختی-رفتاری با رویکرد ذهن­آگاهی مبتنی بر کاهش استرس در کاهش افسردگی،اضطرابواسترس در بیماران مبتلا به درد مزمن بود. جامعه آماری پژوهش کلیه بیماران مبتلا به درد مزمن عضلانی­-اسکلتی مراجعه­کننده به بیمارستان حضرت­رسول­اکرم (ص) در شهر تهران بود. روش پژوهش از نوع شبه­آزمایشی با پیش­آزمون-پس­آزمون، گروه کنترل و دوره پیگیری بود. در این پژوهش تعداد 45 نفر با استفاده از روش نمونه­گیری داوطلبانه در سه گروه 15 نفره (معنویت­درمانی، ذهن­آگاهی و کنترل) طی 8 جلسه­ی 90 دقیقه­ای تحت مداخله­ قرار گرفتند. برای جمع­آوری داده­ها از پرسشنامه اطلاعات جمعیت­شناختی و مقیاسافسردگی،اضطرابواسترس استفاده شد. داده‌ها با استفاده از تحلیل واریانس با اندازه­گیری مکرر تحلیل شد. نتایج پژوهش نشان داد که میانگین­ افسردگی، اضطراب و استرس در دو گروه معنویت­درمانی مبتنی بر فرهنگ ایرانی با رویکرد شناختی-رفتاری و ذهن­آگاهی مبتنی بر کاهش استرس با یکدیگر تفاوت معناداری ندارند. به عبارت دیگر اثربخشی مداخله های­ درمانی در هر دو گروه یکسان می­باشد. مقایسه­های زوجی نشان می­دهد که بین افسردگی، اضطراب و استرس در سه مرحله پیش­آزمون، پس­آزمون و پیگیری تفاوت معناداری وجود دارد. افزون بر این میانگین افسردگی، اضطراب و استرس در بین گروه­های معنویت­درمانی و ذهن­آگاهی با گروه کنترل تفاوت معناداری دارند. میانگین افسردگی، اضطراب و استرس در گروه­های معنویت­درمانی و ذهن‌آگاهی پایین­تر از گروه کنترل می­باشد. به عبارت دیگر اثربخشی معنویت­درمانی و ذهن­آگاهی در کاهش افسردگی، اضطراب و استرس بیشتر از گروه کنترل در بیماران مبتلا به درد مزمن می­باشد. نتایج پژوهش نشان داد که مداخله معنویت­درمانی مبتنی بر فرهنگ ایرانی با رویکرد شناختی-رفتاری و مداخله ذهن­آگاهی مبتنی بر کاهش استرس در کاهش افسردگی، اضطراب و استرس در بیماران مبتلا به درد مزمن اثربخش بودند.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Spiritual Therapy Based on Iranian Culture with Mindfulness Based on Reduction Stress (MBSR) in Reducing Depression, Anxiety and Stress in Patients with Chronic Pain

نویسندگان [English]

  • Ali Akbar Haddadi Kuhsar 1
  • alireza moradi 2
  • Bagher Ghobari Bonab 3
  • Farnad Imani 4
1 Ph.D. in Health Psychology, University of Tehran, Tehran
2 kharazmi university
3 Professor, Department of Psychology, University of Tehran,
4 Professor, Department of Anesthesiology and Pain, Iran University of Medical
چکیده [English]

The main aim of the current study was to compare the effectiveness of spiritual therapy based on Iranian culture with mindfulness based on reduction stress (MBSR) in reducing depression, anxiety and stress in patients with chronic pain. All subjects who are suffer from Muscular-Skeletal disease were recruited from Hazrat-e-Rassoul Hospital, (Iran University of Medical Sciences, Tehran, Iran). Design of the study was quasi experimental pretest-posttest-control group design with follow-up stage. 45 patients randomly were assigned in three groups: Spiritual therapy, mindfulness therapy and control group. Each group constituted of intervention comprised of eight 90-minutes-sessions. Demographic information’s and depression, anxiety and stress scale were used to gather data. Data were analyzed with analysis of variance with repeated measurement. Analysis of data revealed that spiritual therapy and mindfulness therapy were not significantly different in reduction depression, anxiety and stress in patients with chronic pain (These treatment were equally effective). More ever, comparing pairs in groups revealed that depression, anxiety and stress were different in treatment and follow up stages. Both spiritual therapy and mindfulness therapy were different from the control group. Spiritual therapy and mindfulness therapy were lower in depression, anxiety and stress in compare to control group. In other word effectiveness of spiritual therapy and mindfulness therapy were more than control group in patients with chronic pain. Results showed that spiritual therapy and mindfulness therapy were effective in reduction of depression, anxiety and stress in patients with chronic pain.   

کلیدواژه‌ها [English]

  • Keywords: Spiritual Therapy
  • Mindfulness
  • Depression
  • Anxiety
  • stress
  • Chronic Pain
  • Patients

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