اثربخشی ذهن‌آگاهی در بهبود اختلال بی‌خوابی مزمن و الگوی امواج مغزی بیماران مرد مبتلا به دردهای مزمن مفصلی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه علوم شناختی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

2 استاد، گروه روانشناسی، دانشگاه تبریز، تبریز، ایران.

چکیده

مقدمه: بیماران مبتلا به دردهای مزمن مفصلی پریشانی و بی‌خوابی را به طور مکرر تجربه می‌کنند. پژوهش حاضر با هدف تعیین اثربخشی ذهن­آگاهی در بهبود اختلال بی‌خوابی مزمن و الگوی امواج مغزی بیماران مرد مبتلا به دردهای مزمن شهر تبریز انجام شد.
مواد و روش ­ها: این پژوهش از نوع نیمه­آزمایشی بود. جامعه آماری پژوهش، کلیه بیماران مرد مبتلا به اختلال بی‌خوابی مزمن با دردهای مزمن شهر تبریز در سال 1398 بودند. جهت جمع‌آوری اطلاعات از پرسشنامه‌های بی‌خوابی مزمن، درد مزمن، دستگاه الکتروآنسفالوگرافی کمی و پروتکل آموزشی ذهن­آگاهی استفاده شد. نمونه مورد نظر 30 نفر بود که به دو گروه 15 نفره به صورت تصادفی تقسیم شدند. داده­های به کمک روش‌های آماری توصیفی (میانگین و انحراف معیار) و تحلیل کوواریانس چند متغیره تجزیه و تحلیل شدند.
یافته‌ها: نتایج نشان داد که ذهن­آگاهی باعث بهبود بی‌خوابی مزمن و درد مزمن، و همچنین باعث تغییر الگوی امواج مغزی در فرکانس‌های دلتا و بتا در بیماران مرد مبتلا به دردهای مزمن می‌شود، به نحوی که دلتا را کاهش و بتا را افزایش می دهد (001/0p<).
نتیجه‌گیری: آموزش ذهن­آگاهی می­تواند ختلال بی‌خوابی مزمن را کاهش دهد و امواج مغزی در بیماران مبتلا به دردهای مزمن را در وضعیت بهینه قرار دهد.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Mindfulness on the Improvement of Chronic Insomnia Disorder and Brain Wave Patterns of Male Patients with Chronic Pain

نویسندگان [English]

  • R Jafari 1
  • M Bayrami 2
1 MSc, Dept of Cognitive Science, Azerbaijan Shahid Madani University, Tabriz, Iran.
2 Prof, Dept of Psychology, Tabriz University, Tabriz, Iran.
چکیده [English]

Introduction: Patients with chronic joint pain experience frequent anxiety and insomnia. This study aims to determine the effectiveness of mindfulness in improving chronic insomnia disorder and brain wave patterns of male patients with chronic pain in Tabriz.
Materials and Methods: This study was a semi-experimental project. The statistical population of the study was all male patients with chronic insomnia and pain in Tabriz in 2019. The sample of people eligible according to the diagnosis of a psychiatrist was selected from the psychiatric clinics of Tabriz. This sample consisted of 30 individuals who were randomly divided into two groups of 15 patients each. Fifteen people received mindfulness-based therapy in 8 sessions (1 weekly 90-minute session for 8 weeks), and no intervention was performed for 15 control group members. The collected information was analyzed using descriptive statistical methods of mean and standard deviation and inferential statistical methods of multivariate covariance analysis.
Results: According to the results, mindfulness improved chronic insomnia and pain, besides changing the brain wave patterns in delta and beta frequencies in these patients (p<0/001).
Conclusion: The findings of this study suggest that mindfulness training reduces chronic insomnia and improves brain waves in patients with chronic pain.

کلیدواژه‌ها [English]

  • vulnerability
  • insomnia
  • Pain
  • Brain Wave

مراجع

  1. Schoth DE, Nunes VD, Liossi C. Attentional bias towards pain-related information in chronic pain; a meta-analysis of visual-probe investigations. Clinical psychology review 2012;32(1):13-25.
  2. Garland EL, Howard MO. Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain patients. Psychotherapy and psychosomatics 2013;82(5):311-8.
  3. Todd J, Sharpe L, Colagiuri B. Attentional bias modification and pain: The role of sensory and affective stimuli. Behaviour research and therapy 2016;83:53-61.
  4. Jackson T, Su L, Wang Y. Effects of higher versus lower threat contexts on pain-related visual attention biases: an eye-tracking study of chronic pain. The Journal of Pain 2018;19(6):649-59.
  5. Mahmoodi-Aghdam M, Dehghani M, Ahmadi M, Banaraki AK, Khatibi A. Chronic pain and selective attention to pain arousing daily activity pictures: Evidence from an eye tracking study. Basic and Clinical Neuroscience 2017;8(6):467.
  6. Chou R, Turner JA, Devine EB, Hansen RN, Sullivan SD, Blazina I, et al. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Annals of internal medicine 2015;162(4):276-86.
  1. Thomas EA, Garland EL. Mindfulness is associated with increased hedonic capacity among chronic pain patients receiving extended opioid pharmacotherapy. The Clinical journal of pain 2017;33(2):166-73.
  2. Schnoll RA, Martinez E, Tatum KL, Glass M, Bernath A, Ferris D, et al. Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment. Addictive behaviors 2011;36(1-2):144-7.
  3. Hiller RM, Johnston A, Dohnt H, Lovato N, Gradisar M. Assessing cognitive processes related to insomnia: a review and measurement guide for Harvey's cognitive model for the maintenance of insomnia. Sleep Medicine Reviews 2015;23:46-53.
  4. Taylor DJ, Gardner CE, Bramoweth AD, Williams JM, Roane BM, Grieser EA, et al. Insomnia and mental health in college students. Behavioral sleep medicine 2011;9(2):107-16.
  5. Alidosti M, Hemati Z. Relationship between quality of sleep and quality of life in dialysis patients of dialysis centers in Chaharmahal and Bakhtiari, Iran. Health System Research 2012; 8(3):515-21. [Persian]
  6. Ttaboli H, Shabani N. An investigation of the relationship between individual preparedness of workers in crisis management and their overall health and sleep quality. J Health Syst Res 2017;12(4):472-7.[Persian]
  7. Gellis LA, Park A, Stotsky MT, Taylor DJ. Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses. Behavior therapy 2014;45(6):806-16.
  8. Hemmati Sabet A. A comparative study of neurofeedback and mindfulness-based stress reduction on social anxiety. Shenakht journal of psychology & psychiatry 2017;4(1):51-65. [Persian]
  9. Chow T. (dissertation). Mindfulness meditation versus EEG-alpha neurofeedback: The role of EEG-alpha enhancement in attentional control. M.Sc. Canada: The University of Western Ontario, School of Graduate and Postdoctoral Studies; 2014: 27-31.
  10. Lomas T, Ivtzan I, Fu CH. A systematic review of the neurophysiology of mindfulness on EEG oscillations. Neuroscience & Biobehavioral Reviews 2015;57:401-10.
  11. Bayrami M, Movahedi Y, Kazimi Razai S, Esmaili S. The effect of mindfulness cognitive therapy on pathological worry and anxiety symptoms in students with generalized anxiety disorder. Iran J Rehabil Res Nurs 2015;2(1):79-90. [Persian]
  12. Bohlmeijer E, Prenger R, Taal E, Cuijpers P. The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of psychosomatic research 2010;68(6):539-44.
  13. Zeidan F, Johnson SK, Diamond BJ, David Z, Goolkasian P. Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and cognition 2010;19(2):597-605.
  14. Motahhari Z, Ahmadi K, Behzadpoor S, Azmoodeh F. Effectiveness of Mindfulness in Marital Burnout Among Mothers of ADHD Children. Journal of Family Counseling and Psychotherapy 2013;3(4):591-613. [Persian]
  15. Shapiro SL, Bootzin RR, Figueredo AJ, Lopez AM, Schwartz GE. The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: an exploratory study. Journal of psychosomatic research 2003;54(1):85-91.
  16. Shafiei F, Amini M. Efficacy of mindfulnessbased Stress reduction on reducing catastrophizing and pain intensity in patients suffering chronic musculoskeletal pain. Journal Anesthesiology and Pain. 2016; 7(3):1-12.
  17. Piet J, Hougaard E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical psychology review 2011;31(6):1032-40.
  18. Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep medicine 2001;2(4):297-307.
  19. Farnam A, Arfaei A, Nouhi S, AZAR M, SHAFIEI KA, Imani S, et al. Relationship between depression and degree of pain feeling in patients with migraine headache.IJBS 2008; 2(2): 143-8. [Persian]
  20. Shakeri R, Shaeiri M, Roshan R. The effect Neurofbiofeedback training on experimental painaccording to perfectionism. Psycology 2007; 11(1): 43-59.
  21. Sadoughi M, Akkashe G. Effectiveness of cognitive-behavioral therapy on reduction of chronic tension headache. JSUMS 2009;11(3): 85-92. [Persian]
  22. Crane B. Full catastrophe living; using the wisdom of your body and mind to face stress, pain and illness. Jon Kabat‐Zinn, 1996 Publisher: Piatkus, London ISBN: 0‐749‐915‐854. Spirituality and Health International 2002;3(2):52.
  23. Nazari MA, Darooneh AH, Ghaderi AH. Time estimation during mindfulness task: a study via electroencephalography. Advances in Cognitive Science 2017;19(4):1-9. [Persian]
  24. Teasdale JD, Segal Z, Williams JMG. How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and therapy 1995;33(1):25-39.

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