اثربخشی درمان شناختی-رفتاری بر انعطاف‌پذیری روان‌شناختی و نشخوار فکری بیماران با درد غیرقلبی قفسه سینه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی عمومی، گروه روان‌شناسی، پردیس علوم و تحقیقات خوزستان، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

2 دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

3 دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

4 استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

چکیده

مقدمه: درد قفسه سینه از جمله شکایت‌های رایج افراد در مراجعه به مراکز درمانی ‌است که پس از بررسی مشخص می‌گردد اغلب این دردها منشأ غیر قلبی دارند. درمان شناختی-رفتاری یک روش روان‌درمانی مبتنی بر دو دیدگاه رفتاری و شناختی است که در این روش تأکید روی اصلاح رفتار و تغییر آن است. لذا هدف پژوهش حاضر بررسی اثربخشی درمان شناختی-رفتاری بر انعطاف‌پذیری روان‌شناختی و  نشخوار فکری بیماران با درد غیر قلبی قفسه سینه بود.
مواد و روش­ها: این پژوهش از نوع کار آزمایی آموزشی تصادفی با پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل بود. نمونه پژوهش40 بیمار بودند که به شکل هدفمند از بیماران مراجعه­کننده به بیمارستان مرکز قلب تهران در سال 1395 انتخاب گردیدند و به‌طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. آزمودنی‌ها به دو پرسشنامه انعطاف‌پذیری روان‌شناختی و نشخوار فکری پاسخ دادند. گروه آزمایش تحت 8 جلسه 90 دقیقه­ای درمان به شکل هفتگی قرار گرفتند و جهت گروه کنترل به شکل هفتگی ویزیت رایگان انجام گردید. داده­ها با آزمون­های­ t مستقل، آنالیز واریانس دو طرفه با اندازه‌گیری­های مکرر و آزمون تعقیبی بونفرونی بررسی شدند.
یافته­ ها: میانگین نمرات مقیاس نشخوار فکری کاهش و انعطاف‌پذیری روان‌شناختی در گروه آزمایش بر خلاف گروه کنترل افزایش یافت (001/0p<). این برتری در پیگیری دو ماه بعد نیز حفظ شده بود (001/0p<).
نتیجه ­گیری: آموزش درمان شناختی-رفتاری بر انعطاف‌پذیری روان‌شناختی و نشخوار فکری جهت بیماران با درد غیر قلبی قفسه سینه که دچار ناتوانی‌های جسمی شده‌اند، مؤثر است و نتایج درمان نیز پایدار می‌باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effects of Cognitive-Behavioral Therapy on Psychological Flexibility and Rumination in Patients with Non-Cardiac Chest Pains

نویسندگان [English]

  • F Heidari 1
  • P Askary 2
  • A Heidari 3
  • R Pasha 4
  • B Makvandi 4
1 PhD Student of Psychology, Dept of Psychology, Science and Research College of Khuzestan, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
2 Associate Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
3 Associate Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
4 Assistant Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
چکیده [English]

Introduction: Chest pain is from among the common complaints individuals make when referring to therapeutic centers, but often after examinations it becomes evident that the pain has a non-cardiac origin. The cognitive-behavioral therapy is a type of psychotherapy based on the two cognitive and behavioral perspectives, with an emphasis on correcting the behavior and changing it. Therefore, the current study was conducted aimed at investigating the effects of cognitive-behavioral therapy on psychological flexibility and rumination in patients with non-cardiac chest pains.
Materials and Methods: This is a randomized educational trial study with a pretest and posttest design, and a follow-up with the control group after two months. The research sample was selected purposively, including patients having referred to Tehran Heart Hospital, comprised of 40 patients with non-cardiac chest pains who were then randomly divided into experimental and control groups. The subjects responded to the psychological flexibility and rumination questionnaires. The experimental group was subjected to eight 90-minute weekly sessions of cognitive-behavioral therapy and regarding the control group, weekly visits were conducted free of charge. The results were analyzed using the independent t-test, the two-way analysis of variance with repeated measurements, and the Bonfe rroni method, making use of software.
Results: The results demonstrated that after performing 8 sessions of cognitive-behavioral therapy, the mean score of the rumination scale decreased and that of psychological flexibility increased in the treatment group, in contrast to the control group (p<0.001).
Conclusion: Providing trainings in cognitive-behavioral therapy is effective in psychological flexibility and rumination in patients with non-cardiac chest pains with physical disabilities.

کلیدواژه‌ها [English]

  • Cognitive-behavioral therapy
  • Psychological flexibility
  • Rumination
  • Non-cardiac chest pain

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