مقایسه اثربخشی دارو درمانی و مدیریت استرس به شیوه ی شناختی- رفتاری بر اجتناب شناختی و ناگویی هیجانی در بیماران مبتلا به سردردهای تنشی.

فصلنامه علمی روش ها و مدل های روانشناختی

دوره 12، شماره 45، آبان 1400، صفحه 121-136   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.30495/jpmm.2021.27939.3389

نویسندگان

سید عبدالله امیری ارجمند^{* 1}؛ بهرام میرزاییان^{* 2}؛ سید محمد باغبانیان³

¹دانشجوی دکتری روانشناسی عمومی، گروه روان‌شناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

²دکتری روان‌شناسی، دانشیار و هیأت علمی گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

³متخصص مغز و اعصاب، عضو هیأت علمی، گروه علوم پزشکی، واحد ساری، دانشگاه علوم پزشکی مازندران، ساری، ایران

تاریخ دریافت: 14 اردیبهشت 1400،  تاریخ بازنگری: 22 شهریور 1400،  تاریخ پذیرش: 05 آبان 1400 

چکیده

مقدمه: هدف از این پژوهش مقایسه دارودرمانی و مدیریت شناختی رفتاری استرس بر کاهش اجتناب شناختی و ناگویی هیجانی (بعنوان دو سبک مقابله ای ناکارآمد در برابر استرس) در بیماران مبتلا به سردردهای تنشی می باشد.
روش: در این مطالعه کارآزمایی بالینی تعداد 40 نفر از افراد مبتلا به سردرد تنشی شهرستان ساری به شیوه نمونه گیری در دسترس انتخاب و بصورت تصادفی در چهار گروه 10 نفره تقسیم شدند. گروه اول صرفاً درمان با مدیریت شناختی رفتاری استرس دریافت نمودند. گروه دوم صرفاً درمان دارویی شدند، گروه سوم همزمان دو درمان مذکور را دریافت نمودند و گروه چهارم هیچ درمانی دریافت ننمودند. آزمودنی ها قبل و بعد از مداخله، پرسشنامه های اجتناب شناختی و ناگویی هیجانی را تکمیل نمودند.
یافته­ ها: نتایج با نرم‌افزار spss و آزمونهای ناپارامتریک تحلیل شدند. یافته ها نشان دادند، گروه اول (مدیریت استرس) و گروه سوم (مدیریت استرس و دارودرمانی) طی آزمون کروسکال والیس بیشترین رتبه را در کاهش اجتناب شناختی و ناگویی هیجانی کسب نمودند. گروه دوم (دارودرمانی) و گروه چهارم (بدون درمان) کمترین رتبه را در کاهش متغیرهای مذکور کسب نمودند. طبق آزمون مان ویتنی مشخص شد تفاوت نمرات دو گروه صدر جدول با گروه های پایین جدول معنادار می باشد.
نتیجه ­گیری: وجود مدیریت استرس در گروههای صدر جدول و وجود تفاوت معنادار بین گروه های صدر جدول و گروه های پایین جدول نشان دهنده تاثیر مثبت مدیریت استرس بر کاهش اجتناب شناختی و ناگویی هیجانی می باشد. این نتیجه برای روانشناسان و مبتلایان به سردردهای تنشی مهم است چراکه از روش مدیریت شناختی رفتاری استرس می توان به اصلاح برخی سبک های مقابله ای ناکارآمد درمقابل استرس پرداخت و از آن طریق به درمان سردردهای تنشی اقدام نمود

کلیدواژه‌ها

"اجتناب شناختی"؛ "ناگویی هیجانی"؛ "مدیریت استرس به شیوه شناختی رفتاری"

عنوان مقاله [English]

Comparison of the effectiveness of drug therapy and cognitive-behavioral stress management on cognitive avoidance and alexithymia in patients with tension headaches.

نویسندگان [English]

seyed abdollah amiri arjmand¹؛ BAHRAM mirzaiean²؛ Seyed Mohammad Baghbanian³

¹Ph.D. Student in General Psychology, Department of psychology, Sari Branch, Islamic Azad University, Sari, Iran

²Associated Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran

³Associated Professor, Department of Medical Sciences, Mazandaran University of Medical Sciences, Sari, , Iran

چکیده [English]

Introduction: The aim of this study was to compare drug therapy and cognitive-behavioral management of stress on reducing cognitive avoidance and alexithymia (as two inefficient coping styles against stress) in patients with tension headaches. Method: In this clinical trial study, 40 people with tension headache in Sari city were divided into four groups of 10 by convenience sampling. The first group received only cognitive-behavioral stress management, the second group received only medication, the third group received the two treatments together, and the fourth group received no treatment. They completed cognitive avoidance and alexithymia questionnaires before and after the intervention. Results: The results were analyzed by SPSS software and nonparametric tests. The results showed that the first group (stress management) and the third group (stress management and medication) had the highest rank in reducing cognitive avoidance and emotional distress during Kruskal-Wallis test. The second group (drug therapy) and the fourth group (without treatment) had the lowest rank. According to Mann-Whitney test, the difference between the scores of the two groups at the top of the table and the groups at the bottom of the table is significant. Conclusion: The presence of stress management in the top groups of the table shows its positive effect on reducing cognitive avoidance and emotional dysphoria. This result is important for psychologists because the method of cognitive-behavioral stress management can correct some inefficient coping styles against stress and through it to treat tension headaches.

کلیدواژه‌ها [English]

'cognitive avoidance', 'alexithymia', 'cognitive behavioral stress management'

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