مقایسه اثربخشی درمان متمرکز بر شفقت با درمان فراتشخیصی بر علائم میگرن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری‌، گروه روانشناسی واحد شهرکرد، دانشگاه آزاداسلامی، شهرکرد، ایران.

2 دانشیار، گروه روانشناسی واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.

3 استادیار، گروه روانشناسی واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.

چکیده

مقدمه: میگرن شایع­ترین نوع سردرد مزمن است که عوامل روان­شناختی در ایجاد و تشدید آن نقش اساسی دارند. درمان­های متمرکز بر شفقت و فراتشخیصی در طیف گسترده­ای از اختلالات هیجانی مؤثر بوده­اند. هدف پژوهش حاضر، مقایسه اثربخشی درمان متمرکز بر شفقت با درمان فراتشخیصی بر علائم میگرن بود.
مواد و روش­ ها: این مطالعه از نوع کارآزمایی بالینی آموزشی با پیش‌آزمون، پس‌آزمون و پیگیری با گروه گواه بود. جامعه آماری پژوهش افراد مبتلا به میگرن مراجعه‌کننده به کلینیک مغز و اعصاب صنعت نفت شاهین‌شهر در سال 1396 بودند. تعداد 45 بیمار در دو گروه آزمایش درمان متمرکز بر شفقت (15نفر)، درمان فراتشخیصی (15نفر) و گروه گواه (15نفر) گمارده شدند. گروه‌های آزمایش علاوه بر دارودرمانی، درمان‌های روان‌شناختی متمرکز بر شفقت و فراتشخیصی را در  طی 8 جلسه 90 دقیقه‌ای در دو ماه دریافت کردند و گروه گواه فقط دارودرمانی دریافت می‌کرد. آزمودنی‌ها با استفاده از پرسشنامه سردرد میگرن اهواز Najarian در مراحل پیش‌آزمون، پس‌آزمون و پیگیری ارزیابی شدند. داده­ها با استفاده از تحلیل واریانس دوطرفه با اندازه­گیری مکرر تجزیه‌وتحلیل گردیدند.
یافته­ ها: بین میانگین نمره­های پیش­آزمون _ پس­آزمون و پیگیری گروه­های آزمایش و گروه ­گواه تفاوت معنی­داری وجود داشت (001/0>p). مقایسه گروه­های درمانی نشان داد تفاوت معنی­داری بین اثربخشی درمان متمرکز بر شفقت با درمان فراتشخیصی بر علائم میگرن وجود ندارد.
نتیجه‌گیری: یافته‌های پژوهش حاکی از اثربخشی درمان‌های متمرکز بر شفقت و درمان فراتشخیصی بر کاهش علائم میگرن بود، به نظر می­رسد می­توان از این دو  روش درمان روان‌شناختی در کنار دارودرمانی برای اثربخشی بیشتر در تسکین علائم میگرن بهره برد. 

کلیدواژه‌ها

عنوان مقاله [English]

A Comparison of the Effectiveness of Compassion‌-Focused Therapy and Transdiagnostic Treatment on Symptoms of Migraine

نویسندگان [English]

  • M Ashharian dokht 1
  • A yarmohammadian 2
  • T Sharifi 3
  • A Ghazanfari 2
1 PhD Student, Dept of Psychology, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran.
2 Associate Prof, Dept of Psychology, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran.
3 Assistant Prof, Dept of Psychology, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran.
چکیده [English]

Introduction: Psychological factors play a large role in the formation and intensification of Migraine, which is the most common type of chronic headache. Compassion-focused therapy and transdiagnostic treatment have found to be effective in a wide range of emotional disorders. The purpose of the present study was to compare the effectiveness of compassion-focused therapy with transdiagnostic treatment on migraine symptoms.
Materials and Methods: The present study was of educational clinical trial type, with pre-test, post-test, follow up and control groups. Population was comprised of people with migraine referring to Shahin Shahr Oil Industry Clinic in 2017. A total of 45 migraine patients participated in this study, divided into the two experimental groups compassion-focused therapy (15 patients) and transdiagnostic (15 patients), and the control group (15 patients). Experimental groups received 8 weekly 90-minute sessions of psychotherapeutic treatments of compassion-focused and transdiagnostic in addition to drug therapy for two months, while control group only received drug therapy. Subjects were evaluated using Najarian migraine headache questionnaire in pre-test, post-test and follow-up. Data were analyzed using two-way repeated measures analysis of variance.
Results: The results showed that there was a significant difference between the mean scores of pretest and post-test in the experimental and control groups (p<0.01). Comparing therapeutic groups showed that there was no significant difference between the efficacy of compassion-focused and transdiagnostic treatment on migraine symptoms (p<0.05).
Conclusion: The results of this study indicated that compassion-focused and transdiagnostic treatments were effective on the reduction of migraine symptoms. It seems that the two methods can be used along with drug therapy to gain more efficiency in providing relief from migraine symptoms.

کلیدواژه‌ها [English]

  • Compassion-Focused Therapy
  • Transdiagnostic Treatment
  • Migraine

مراجع

  1. Negro A, Koverech A, Martelletti P. Serotonin receptor agonists in the acute treatment of migraine: a review on their therapeutic potential. Journal of pain research 2018; 11: 515-26.
  2. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet 2012;380(9859):2163-96.
  3. Guidetti V, Faedda N, Siniatchkin M. Migraine in childhood: biobehavioural or psychosomatic disorder? J Headache Pain 2016 ;17(1):82-89.
  4. Roy R, Sánchez-Rodríguez E, Galán S, Racine M, Castarlenas E, Jensen MP, et al. Factors Associated with Migraine in the General Population of Spain: Results from the European Health Survey 2014. Pain Medicine 2018;18(9):1-10.
  5. Nicholson RA, Houle TT, Rhudy JL, Norton PJ. Psychological Risk Factors in Headache: CME. Headache: The Journal of Head and Face Pain 2007;47(3):413-26.
  6. Ezzati M, Riboli E. Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals. science 2012;337(6101):1482-7.
  7. Almarzooqi S, Chilcot J, McCracken LM. The role of psychological flexibility in migraine headache impact and depression. JCBS 2017;6(2):239-43.
  8. MacBeth A, Gumley A. Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical psychology review 2012;32(6):545-52.
  9. Gilbert P. The origins and nature of compassion focused therapy. BJCP 2014;53(1):6-41.
  10. Lincoln TM, Hohenhaus F, Hartmann M. Can paranoid thoughts be reduced by targeting negative emotions and self-esteem? An experimental investigation of a brief compassion-focused intervention. Cognitive Therapy and Research 2013;37(2):390-402.
  11. Saeedi Z, Bahrami H, Alipour A. Self-Control And Health: The Moderating effect of Self Compassion. HPJ 2016; 5(19):88-102. [Persian]
  12. Barlow DH, Farchione TJ, Bullis JR, Gallagher MW, Murray-Latin H, Sauer-Zavala S, et al. The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA psychiatry 2017;74(9):875-84.
  13. Payne LA, Ellard KK, Farchione TJ, Fairholme CP, Barlow DH. Emotional disorders: A unified transdiagnostic protocol. 2nd ed. New York: Guilford Press; 2014: 237-75.
  14. Newby JM, McKinnon A, Kuyken W, Gilbody S, Dalgleish T. Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical psychology review 2015;40:91-110.
  15. Jette N, Patten S, Williams J, Becker W, Wiebe S. Comorbidity of migraine and psychiatric disorders—a national population‐based study. Headache: The Journal of Head and Face Pain 2008;48(4):501-16.
  16. Mansell W, Harvey A, Watkins ER, Shafran R. Cognitive behavioral processes across psychological disorders: A review of the utility and validity of the transdiagnostic approach. IJCT2008;1(3):181-91.
  17. Arnold M. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders. Cephalalgia 2018;38(1):1-211.
  18. Gall M, Gall J, Borg R. Educational research: An introduction. 8nd ed. New York: Pearson Education; 2007: 385- 9.
  19. Najarian B.Making and validating a questionnaire for measuring migraine headache symptoms in students. Education SCU 1997; 4(13):231-48. [Persian]
  20. Holroyd KA, O'donnell FJ, Stensland M, Lipchik GL, Cordingley GE, Carlson BW. Management of chronic tension-type headache with tricyclic antidepressant medication, stress management therapy, and their combination: a randomized controlled trial. Jama 2001;285(17):2208-15.
  21. Powers SW, Kashikar-Zuck SM, Allen JR, LeCates SL, Slater SK, Zafar M, et al. Cognitive behavioral therapy plus amitriptyline for chronic migraine in children and adolescents: a randomized clinical trial. Jama 2013;310(24):2622-30.
  22. Azizi M, Aghamohammadian SHHR, Mashhadi A, Asgari EMJ. A Meta-Analysis of Psychological Factors of Migraines in Iran. HPJ 2017; 6(2): 88-100.[Persian]
  23. Gilbert P. Introducing compassion-focused therapy. Advances in psychiatric treatment 2009;15(3):199-208.
  24. Kirby J, Gilbert P. The emergence of the compassion focused therapies. 1nd ed. London: Routledge; 2017:258-85.
  25. Allen AB, Goldwasser ER, Leary MR. Self-compassion and well-being among older adults. Self and Identity 2012;11(4):428-53.
  26. Fredrickson BL, Cohn MA, Coffey KA, Pek J, Finkel SM. Open hearts build lives: positive emotions, induced through loving-kindness meditation, build consequential personal resources. JPSP 2008;95(5):1045-1062
  27. Ashworth F, Clarke A, Jones L, Jennings C, Longworth C. An exploration of compassion focused therapy following acquired brain injury. Psychology and Psychotherapy: Theory, Research and Practice 2015;88(2):143-62.
  28. Sirois FM, Kitner R, Hirsch JK. Self-compassion, affect, and health-promoting behaviors. Health Psychology 2015;34(6):661-9.
  29. Rockliff H, Gilbert P, McEwan K, Lightman S, Glover D. A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychiatry 2008;5(3):132-9.
  30. Freitag FG. The cycle of migraine: patients' quality of life during and between migraine attacks. Clinical therapeutics. 2007;29(5):939-49.
  31. JoharifardR, BoroumandAR, Edward SC, Mehrabizadeh HM. Investigating the Role of Cognitive and Personality Factors in Patients with Migraine Headaches. JTBCP2017; 11 (42):67-76. [Persian]
  32. Barlow DH, Allen LB, Choate ML. Toward a unified treatment for emotional disorders. Behavior therapy 2004;35(2):205-30.
  33. Ellard KK, Fairholme CP, Boisseau CL, Farchione TJ, Barlow DH. Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice 2010;17(1):88-101.
  34. Mohammadi A, Birashk B, Gharraee B. Comparison of the Effect of Group Transdiagnostic Treatment and Group Cognitive Therapy on Emotion Regulation. IJPCP 2013;19(3) :187-94. [Persian]
  35. Sajadinezhad M, Mohammadi NE, Ashjazadeh N. Effect of cognitive-behavioral group therapy on perception of stressors in recurrent headache patients. SHUMSJ 2009;11(2):8-15. [Persian]

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