مقایسه اثربخشی رواندرمانی پویشی کوتاه‌مدت با طرحواره درمانی، درمان شناختی_رفتاری و دارودرمانی در کاهش درد بیماران مبتلا به آرتریت روماتویید دارای اضطراب و افسردگی
الموضوعات :پیمان آرامش صدیق 1 , مجید بحرینیان 2 , احمد منصوری 3
1 - دانشجوی دکتری گروه روانشناسی بالینی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران d95arameshpeyman@stumail.birjand.iau.ac.ir
2 - (نویسنده مسئول)، استاد گروه روانشناسی بالینی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران tell: 09127786737, bahrainian@birjand.iau.ac.ir
3 - استادیار، گروه روانشناسی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران a.mansouri@iau-neyshabur.ac.ir
الکلمات المفتاحية: آرتریت روماتوئید, اضطراب, افسردگی, دارودرمانی, درد, رواندرمانی پویشی کوتاه مدت, طرحواره‌درمانی,
ملخص المقالة :
چکیده مقدمه: آرتریت روماتوئید شایع‌ترین بیماری خود ایمنی التهابی مزمن است. درد مستمر و محدودیت حرکتی مزمن در این بیماران می تواند اضطراب و افسردگی ایجاد کند. هدف پژوهش حاضر بررسی مقایسه اثربخشی روان درمانی پویشی کوتاه مدت، طرحواره درمانی، درمان شناختی رفتاری با دارو درمانی درکاهش درد و ابعاد درد در بیماران مبتلا به آرتریت روماتوئید دارای اضطراب و افسردگی و راهبردهای مقابله ایی ناسازگار بود. روش پژوهش: روش پژوهش نیمه آزمایشی با طرح پیش‌آزمون و پس‌آزمون و پیگیری با گروه گواه بود. جامعه آماری کلیه بیماران مبتلا به آرتریت روماتوئید دارای اضطراب و افسردگی شهرتهران مراجعه کننده به کلینیک‌های روماتولوژی بیمارستان امام خمینی شهر تهران در سه ماهه بهار1400 بودند. 80 نفر داوطلب واجد شرایط طبق جدول کوهن در چهار گروه بیست نفر در هر گروه تقسیم شدند. برای جمع‌آوری داده‌ها از ویرایش دوم پرسشنامه افسردگی بک، پرسشنامه اضطراب بک و پرسشنامه درد مک‌گیل، استفاده شد. تحلیل داده‌ها با استفاده از آزمون تحلیل واریانس با اندازه گیری مکرر و آزمون تعقیبی بونفرونی در سطح معناداری 05/0 با نرم افزار SPSS نسخه 26 انجام شد. یافته‌ها: نتایج نشان داد، رواندرمانی ها در کاهش درد موثر هستند و طرحواره‌درمانی موثرترین روش در کاهش ادراک ارزیابی درد و دردهای متنوع بیماران مبتلا به آرتریت روماتوئید دارای اضطراب و افسردگی و راهبرهای مقابله‌ای ناسازگار بود (001/0>P). نتیجه‌گیری: استفاده از رواندرمانی ها در کنار دارو درمانی نسبت به دارودرمانی صرف، می‌تواند موثرتر واقع شود و به کاهش درد بیماران مبتلا به روماتوئید آرتریت، از طریق درمان اضطراب وافسردگی واصلاح راهبردهای مقابله ایی کمک کند.
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