مقایسه اثربخشی آموزش ذهن‌آگاهی و تحریک فراجمجمه‌ای مغز با استفاده از جریان مستقیم الکتریکی بر کیفیت زندگی زنان مبتلا به سردرد میگرنی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشگاه آزاد اسلامی واحد علوم و تحقیقات تهران، تهران، ایران.

2 دانشیار، گروه غدد و متابولیسم، معاونت سلامت، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران.

3 استاد، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبائی، تهران، ایران.

4 دانشیار، گروه روانشناسی، دانشگاه آزاد اسلامی واحد علوم و تحقیقات، تهران، ایران.

10.22123/chj.2020.226455.1482

چکیده

مقدمه: میگرن از مهمترین سردردهایی است که با سلامت افراد ارتباط دارد و کیفیت زندگی افراد را تحت تأثیر قرار می‌دهد. هدف پژوهش حاضر مقایسه اثربخشی آموزش ذهن‌آگاهی و تحریک فراجمجمه‌ای مغز با استفاده از جریان مستقیم الکتریکی بر کیفیت زندگی زنان دارای سردرد میگرنی بود.
مواد و روش‌ها: پژوهش حاضر از نوع نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه گواه بود. جامعه آماری پژوهش، کلیه زنان مراجعه‌کننده به کلینیک‌های تخصصی مغز و اعصاب غرب تهران در سال 1398 بودند. تعداد 45 نفر از افرادی که به تشخیص  پزشک مبتلا به میگرن بودند، به عنوان گروه‌های مطالعه به روش نمونه‌گیری هدفمند انتخاب شدند. شرکت­کنندگان قبل از اجرای مداخلات پرسشنامه کیفیت زندگی را تکمیل کردند. گروه‌های آزمایش مداخلات ذهن‌آگاهی و TDCS را دریافت کردند و گروه گواه مداخله‌ای دریافت نکرد. در نهایت از  هر سه گروه پس‌آزمون گرفته شد. داده­ها توسط آزمون تحلیل کوواریانس چندمتغیری تحلیل شدند.
یافته‌ها: در متغیر کیفیت زندگی و همه مؤلفه‌های آن بین دو گروه درمانی و گروه گواه تفاوت معنی‌داری مشاهده ‌شد. این میزان برای مؤلفه سلامت روانشناختی در سطح 05/0>p و برای سایر مؤلفه‌ها و نمره کل کیفیت زندگی در سطح 01/0>p معنی‌دار بود. بین گروه ذهن‌آگاهی با گروه گواه و بین گروه TDCS با گروه گواه تفاوت معنی­داری (01/0˂p) وجود دارد؛ این در حالی است که بین گروه TDCS و گروه ذهن‌آگاهی در متغیر کیفیت زندگی تفاوت معنی­داری مشاهده نشد.
نتیجه‌گیری: استفاده از روش‌های درمانی ذهن‌آگاهی و TDCS جهت درمان سردردهای میگرنی اثربخش بوده و آگاهی متخصصان حوزه‌های سلامت از این درمان‌ها می‌تواند کمک‌کننده باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effectiveness of Mindfulness Training and Transcranial Direct Current Stimulation on the Quality of Life of Women with Migraine Headache

نویسندگان [English]

  • M Afzali 1
  • F Ghaemi 2
  • F Dortaj 3
  • F Bagheri 4
1 Ph.D. Student, Dept of Psychology, Faculty of Literature, Humanities and Social Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2 Associate Prof, Prof, Dept of Endocrinology and Metabolism, Ministry of Health and Medical Education, Tehran, Iran.
3 Prof, Dept of Educational Psychology, College of Psychology and Educational Psychology, Allameh Tabataba’i University, Tehran, Iran.
4 Associate Prof, Dept of Psychology, Faculty of Literature, Humanities and Social Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.
چکیده [English]

Introduction: Migraine is one of the most important headaches related to health, affecting the quality of life. Therefore, it is essential to study this phenomenon and its treatment methods. Thus, this study aims to compare the effectiveness of mindfulness training and transcranial direct current stimulation on the quality of life of women with migraine headaches.
Materials and Methods: The present study was quasi-experimental with a pre-test-post-test design with a control group. The statistical population consisted of all women referring to specialized neurology clinics in the west of Tehran in 2020. Among this population, 45 people with migraine were selected as study groups by purposive sampling method. All of them completed the quality of life questionnaire before the interventions. The experimental groups then received mindfulness and TDCS interventions, and the control group did not receive any intervention. Finally, all three groups received post-test. After data collection, data were analyzed using multivariate analysis of covariance.
Results: The results showed a significant difference in the quality of life and all its components between the three groups of mindfulness therapy, TDCS, and the control group. This rate was significant for the component of mental health at the level of p < 0.05 and other components and the total quality of life score at the level of p < 0.01. A significant difference (p < 0.01) was observed between the mindfulness group and the control group and between the TDCS group and the control group; however, there was no significant difference between the TDCS group and the mindfulness group in the quality of life variable.
Conclusion: The mindfulness and TDCS therapies are effective in treating migraine headaches, and the knowledge of health professionals about these therapies can be helpful.

کلیدواژه‌ها [English]

  • Quality of Life
  • mindfulness therapy
  • TDCS treatment
  • migraine
  • Women
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