بررسی اثربخشی درمان گروهی طرحواره های هیجانی بر میزان درد و افسردگی در بیماران مبتلا به آرتریت روماتویید

فصلنامه علمی روش ها و مدل های روانشناختی

مقاله 7، دوره 10، شماره 35، خرداد 1398، صفحه 135-119   

نوع مقاله: مقاله پژوهشی

نویسندگان

ماریه حسینی^{* 1}؛ حسن احدی²؛ فرهاد جمهری³؛ آدیس کراسکیان موجمباری⁴؛ مروارید احدی⁵

¹گروه روانشناسی سلامت، واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

²استاد و مدیر گروه روانشناسی سلامت دانشگاه آزاد اسلامی کرج، البرز، ایران

³استادیار، گروه روان شناسی، دانشکده روان شناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

⁴استادیار گروه روانشناسی دانشگاه آزاد اسلامی کرج، البرز، ایران

⁵متخصص اعصاب و روان، بیمارستان معتمدی، تهران،‌ایران

تاریخ دریافت: 06 اسفند 1397،  تاریخ بازنگری: 07 خرداد 1398،  تاریخ پذیرش: 24 تیر 1398 

چکیده

هدف این مطالعه بررسی اثربخشی درمان گروهی طرحواره­های هیجانی بر میزان درد و افسردگی در بیماران مبتلا به آرتریت روماتویید بوده است. جامعه آماری شامل تمامی بیماران مبتلا به آرتریت روماتویید مراجعه­کننده به درمانگاه­های روماتولوژی و بخش­های روماتولوژی بیمارستان­های شهر شیراز بود. 45 بیمار مبتلا به بیماری آرتریت روماتویید که مبتلا به افسردگی هم بودند،    به­صورت تصادفی در 3 گروه آزمایشی، پلاسیبو و کنترل قرار گرفتند. پرسشنامه­های  مورد استفاده در این مطالعه، پرسشنامه­های درد مک گیلو  افسردگی بک بودند. برای تجزیه و تحلیل داده­ها از روش­های تحلیل کوواریانس و واریانس با اندازه­گیری مکرر استفاده گردید. نتایج نشان داد که درمان گروهی طرحواره­های هیجانی برمیزان درد(مولفه­های حسی، عاطفی، شناختی و نمره کل) و افسردگی در بیماران مبتلا به آرتریت روماتویید اثر معناداری داشت و موجب کاهش آنها گردید و این اثر پس از پیگیری 3 ماهه ماندگاری داشت(p<0/05). با استناد به یافته­ها میتوان نتیجه گرفت که درمان گروهی طرحواره­های هیجانی میتواند یک مداخله روانشناختی اثربخش جهت کاهش درد و افسردگی در بیماران مبتلا به آرتریت روماتویید باشد.

کلیدواژه‌ها

آرتریت روماتویید؛ درمان طرحواره‌های هیجانی؛ درد؛ افسردگی

عنوان مقاله [English]

The Effectiveness of Emotional Schemas Group Therapy on Pain and Depression in Patients with Rheumatoid Arthritis

نویسندگان [English]

Marieh Hosseini¹؛ Hassan Ahadi²؛ Farhad Jomehri³؛ Adid Kraskian-Mujembari⁴؛ Morvarid Ahadi⁵

¹Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

²Full Professor, Faculty member of Science and Research University of Tehran

³Assistant professor, Department of Psychology, School of Psychology and Educational Sciences, Allameh Tabatabai University, Tehran, Iran

⁴Assistant Professor, Department of Psychology, School of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

⁵Psychiatrist, , Department of Psychiatric, Moatamedi Hospital, Tehran, Iran

چکیده [English]

Abstract
The aim of this study was to determine the effectiveness of emotional schemas group therapy on pain and depression in patients with rheumatoid arthritis. The statistical population included all patients with rheumatoid arthritis referring to rheumatology clinics and rheumatology departments of Shiraz hospitals. 45 patients with rheumatoid arthritis who were also afflicted with depression were randomly assigned into 3 experimental, placebo and control groups. The questionnaires were used in this study included McGill Pain Questionnaire and Beck Depression Inventory. Emotional schemas group therapy was conducted for 16 sessions of 2 hours and a half for experimental group only. For data analysis, covariance analysis and variance analysis with repeated measurements were used. The results showed that emotional schemas group therapy) had a significant effect on pain (sensory, emotional, cognitive, and general components), and depression in patients with rheumatoid arthritis and reduced them, and their effects remained after 3 months follow up (p Keywords: Rheumatoid arthritis, Emotional schemas therapy, Pain, depression.

کلیدواژه‌ها [English]

Rheumatoid arthritis, Emotional Schemas Therapy, Pain, Depression

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