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مقایسه اثربخشی درمان شناختی مبتنی بر مدل فرانظری و فراشناخت درمانی بر کنترل فکر و کاهش درد در بیماران مبتلا به درد مزمن | ||
| روانشناسی بالینی: نوآوریها در پژوهش و عمل | ||
| مقاله 8، دوره 9، شماره 2 - شماره پیاپی 34، شهریور 1396، صفحه 83-96 اصل مقاله (1.04 M) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22075/jcp.2017.10308. | ||
| نویسندگان | ||
| علی مصطفائی* 1؛ حسین زارع2؛ احمد علی پور2؛ والی الله فرزاد3 | ||
| 1دانشجوی دکتری روانشناسی دانشگاه پیام نور، تهران، ایران | ||
| 2استاد، گروه روانشناسی دانشگاه پیام نور، تهران، ایران | ||
| 3دانشیار، گروه روانشناسی عمومی دانشگاه آزاد واحد تهران مرکز، تهران، ایران | ||
| تاریخ دریافت: 06 آذر 1395، تاریخ پذیرش: 08 آبان 1396 | ||
| چکیده | ||
| مقدمه: هدف این پژوهش مقایسه اثربخشی درمان شناختی مبتنی بر مدل فرانظری و فراشناخت درمانی بر کنترل فکر و کاهش درد در بیماران مبتلا به درد مزمن بود. روش: این پژوهش از نوع نیمهآزمایشی و با طرح پیشآزمون و پسآزمون با گروه کنترل بود. جامعه پژوهش شامل همه بیماران مبتلا به درد مزمن بالای 30 سال بود که در سال 1394 به مراکز درمانی تحت پوشش بیمارستان دکتر قلی پور بوکان مراجعه کردند. از میان مراجعهکنندگان به این مراکز 105 بیمار واجد ملاکهای ورود به صورت تصادفی در گروههای آزمایش و گروه کنترل قرار گرفتند. گروههای آزمایش هشت جلسه ی 90 دقیقهای دریافت نمودند. برای جمعآوری دادهها از مقیاس درد مکگیل و کنترل فکر ولز و دیوس استفاده شد. یافتهها: نتایج تحلیل کوواریانس چند متغیری نشان داد بین سه گروه در نمرات پسآزمون کنترل فکر و کاهش درد تفاوت معنیداری وجود داشت. نتایج آزمون تعقیبی بیانگر اثربخشی بیشتر و پایدارتر مدل فرانظری نسبت به مدل فراشناختی هم در پسآزمون و هم پیگیری دو ماهه بر کنترل فکر و کاهش درد بود. نتیجهگیری: برحسب نتایج حاصل از این پژوهش مداخله فرانظری کنترل فکر و کاهش درد بیماران مبتلا به درد مزمن را بیشتر افزایش داد. بنابراین متخصصان بهداشت روانی میتوانند از این درمان جهت ارتقا کنترل فکر و کاهش درد بیماران استفاده کنند. | ||
| کلیدواژهها | ||
| درمان شناختی مبتنی بر مدل فرانظری؛ فراشناخت درمانی؛ کنترل فکر؛ درد؛ بیماران مبتلا به درد مزمن | ||
| عنوان مقاله [English] | ||
| Appraisal of Effectiveness and Comparison of Cognitive Therapy Based on Meta-Theoretical Models and Meta-Cognitive Therapy on Thought Control and Reducing the Pain in Patients Suffering from Chronic Pain | ||
| نویسندگان [English] | ||
| A Mostafaie,1؛ H Zare,2؛ A Alipour,2؛ V Farzad,3 | ||
| 1دانشجوی دکتری روانشناسی دانشگاه پیام نور، تهران، ایران | ||
| 2استاد، گروه روانشناسی دانشگاه پیام نور، تهران، ایران | ||
| چکیده [English] | ||
| Introduction:Theaim of this study was to examin and compare the effectiveness of cognitive therapy Based on meta-theoretical models and meta-cognitive therapy on thought control and reducing the pain in patients suffering from chronic pain. Method: This study was quasi-experimental with pretest-posttest and control group. The statistical population included all chronic pain patients aged over 30 years old who referred to Shahid Gholipur Hospital’s centers of Bukan city for treatment in 2015. 105 patients with chronic pain were selected among those who referred to these centers and assigned into the experimental and control groups randomly. The experimental groups received eight sessions of 90-minutes. The McGill Pain Questionnaire and Wells Score were used to collect data. Results: The Results of multiple analysis of covariance indicated that there was a significant difference between three groups in posttest scores of thought control and reducing the pain. The results of post hoc test indicated more effective and more reliable effectiveness of meta-transtheoretical therapy rather than meta-cognitive model in post-test and follow-up of two months on thought control and reducing the pain. Conclusion: According to the results of this study, meta-transtheoretical therapy more increased in thought control and reducing the pain. Thus, mental health expert can use this treatment method for increasing patients’ thought control and reducing the pain | ||
| کلیدواژهها [English] | ||
| Cognitive Therapy Based on Transtheoretical model, Metacognition Therapy, Thought Control, Pain, Patients Suffering from Chronic Pain | ||
| مراجع | ||
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