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
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