اثربخشی تحریک مستقیم فراجمجمه‌ای و طرحواره درمانی بر اضطراب، درد، انعطاف‌پذیری شناختی و توجه انتخابی زنان مبتلا به واژینیسموس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشگاه لرستان، خرم آباد، ایران.

2 استاد، گروه روانشناسی، دانشگاه لرستان، خرم آباد، ایران.

3 دانشیار، گروه روانشناسی، دانشگاه لرستان، خرم آباد، ایران.

4 استادیار پژوهش، گروه سلامت روان، جهاد دانشگاهی علوم پزشکی شهید بهشتی، تهران، ایران.

10.22123/chj.2023.377447.1971

چکیده

مقدمه: امروزه، درمان بیماری­های جنسی زنان، از مسائل مهم تحکیم نظام خانواده و به طبع آن، تحکیم نظام جامعه به شمار می­رود. انجام درمان­های جسمی و روانی لازمه رسیدن به این مهم است. هدف پژوهش حاضر، تعیین اثربخشی تحریک­ ­مستقیم فراجمجمه­ای و طرحواره­ درمانی بر اضطراب، درد، انعطاف­پذیری شناختی و توجه انتخابی زنان مبتلا به واژینیسموس بود.
مواد و روش­ ها: پژوهش حاضر از نوع نیمه­تجربی با طرح پیش­آزمون-پس­آزمون با گروه کنترل بود. جامعه آماری، بیماران زن مبتلا به واژینیسموس شهر تهران در سال 1401 بودند. تعداد 30 نفر با روش نمونه­گیری هدفمند انتخاب و به طور تصادفی به دو گروه­­ آزمایش و کنترل، تقسیم شدند. از پرسشنامه اضطراب Kettle (1973)، پرسشنامه درد SF-MPQ-2 (2009) و آزمون استروپ ­معنایی (1935) برای جمع­آوری اطلاعات استفاده شد. گروه آزمایش تحت مداخله­ تحریک ­فراجمجمه­ای (10جلسه 20 دقیقه­ای) و مداخله­ طرحواره­ درمانی (10 جلسه 90 دقیقه­ای) قرار گرفتند. گروه کنترل مداخله­ای غیر­مرتبط دریافت کرد. داده­ها توسط آزمون تحلیل­ کواریانس چند متغیره تجزیه­و­تحلیل شدند.
یافته­ ها: نتایج نشان داد که در اثر مداخله­های تحریک مستقیم فراجمجمه­ای و طرحواره­درمانی، اضطراب، درد و توجه انتخابی کاهش یافته­اند (05/0>p). همچنین، در اثر مداخله­های تحریک مستقیم فراجمجمه­ای و طرحواره­درمانی، انعطاف­پذیری شناختی افزایش یافت (05/0>p).
نتیجه­ گیری: به نظر می­رسد یافته­های پژوهش حاضر، حمایتی تجربی برای این دو روش درمانی در جهت درمان اختلال واژینیسموس بود. آگاهی روان ­درمانگران حوزه سلامت از این درمان­ها احتمالاً می­تواند در راستای غلبه بر این اختلال کمک­ کننده باشد.
 

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Transcranial Direct Stimulation and Schema Therapy on Anxiety, Pain, Cognitive Flexibility, and Selective Attention in Women with Vaginismus

نویسندگان [English]

  • M nosratabadi 1
  • F ghazanfari 2
  • F Mirderikvand 3
  • M Sadeghi 3
  • N ganji 4
1 PhD Student, Dept. of Psychology, Lorestan University, Khorramabad, Iran.
2 Prof., Dept. of Psychology, Lorestan University, Khorramabad, Iran .
3 Associate Prof., Dept. of Psychology, Lorestan University, Khorramabad, Iran .
4 Research Assistant Prof., Dept. of Mental Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran .
چکیده [English]

Introduction: Today, treating women's sexual diseases is considered one of the essential issues of strengthening the family system and, by its very nature, the strengthening of the social system. Achieving this requires performing physical and psychological treatments. The present study aimed to determine the effectiveness of transcranial direct stimulation and schema therapy on anxiety, pain, cognitive flexibility, and selective attention in women with vaginismus.
Materials and Methods: The current research was quasi-experimental with a pretest-posttest design with a control group. The statistical population was female patients with vaginismus in Tehran in 2021. 30 people were selected by purposeful sampling and randomly divided into two experimental and control groups. The data collection tools were Kettle's Anxiety Questionnaire (1973), Short-form McGill Pain Questionnaire (SF-MPQ-2) (2009), and Semantic Stroop Test (1935). The experimental group underwent transcranial stimulation intervention (10 sessions of 20 minutes) and schema therapy intervention (10 sessions of 90 minutes). The control group did not receive any interventions. The data were analyzed by multivariate analysis of the covariance test.
Results: The results showed that anxiety, pain, and selective attention have decreased due to direct transcranial stimulation and schema therapy interventions (p<0.05). Also, due to transcranial direct stimulation and schema therapy interventions, cognitive flexibility has increased (p<0.05).
Conclusion: It seems that the present study's findings provide an empirical support for these two treatment methods in the treatment of vaginismus disorder. The awareness of health psychotherapists about these treatments can probably help overcome this disorder.
 

کلیدواژه‌ها [English]

  • Transcranial direct stimulation
  • Schema­ therapy
  • Anxiety
  • Pain
  • Cognitive flexibility
  • Selective attention

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سلامت جامعه
دوره 17، شماره 3
دی 1402
صفحه 37-46

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