fa بررسی نقش پذیرش درد مزمن، فاجعه سازی درد و کیفیت خواب بر عملکرد حافظه کاری در افراد مبتلا به فیبرومیالژیا مديريت درد مزمن Chronic pain managment پژوهشي Original <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> سندرم فیبرومیالژیا</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">یک وضعیت درد عضلانی-اسکلتی مزمن است که با درد گسترده، مشکلات خواب، خستگی، دشواری‌های شناختی و عاطفی مشخص می‌شود.</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> هدف مطالعه حاضر به بررسی نقش پذیرش درد مزمن، فاجعه‌سازی درد و کیفیت خواب در پیش‌بینی عملکرد حافظه کاری در افراد مبتلا به فیبرومیالژیا پرداخت.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&nbsp;مواد و روش‌ها:</span></span></b> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پژوهش حاضر از نظر هدف کاربردی و از لحاظ روش توصیفی از نوع همبستگی (رگرسیون) می‌باشد جامعه آماری پژوهش را افراد بیمار مبتلا به فیبرومیالژیا که به مطب‌های خصوصی مراجعه کردند، تشکیل دادند که از میان آن‌ها 100 به صورت غیرتصادفی و &nbsp;هدفمند انتخاب شدند. داده ها از طریق پرسش‌نامه‌های پذیرش درد مزمن</span></span><b> </b><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(P-CPAQ)</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">، مقیاس فاجعه‌سازی </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">درد </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(PCS)</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">،</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پرسش‌نامه‌ کیفیت خواب پیتزبورگ </span></span>&nbsp;<span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(PSQI)</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> و آزمون حافظه کاری&nbsp; وکسلر</span></span> <b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span></b><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">WAIS-IV</span></span><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span></b><b> </b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جمع آوری شدند. سپس اطلاعات از طریق نرم افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">spss</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&nbsp;نسخه 27 و رگرسیون خطی تعمیم یافته</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">GLM</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مورد تجزیه و تحلیل قرار گرفتند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> نتایج حاصل از اجرای آزمون‌ همبستگی اسپیرمن &nbsp;با سطح معناداری 05/0 هیچ رابطه معناداری بین پذیرش درد مزمن (078/0-</span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">768</span></span><b> </b><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">r= </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">/۰</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p-value</span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">=</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">، فاجعه‌سازی درد (</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">152/0-</span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">r =</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">۲۸۹/۰</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p-value</span></span> <span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">=</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">وکیفیت خواب (</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">175/0- </span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">r=</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">۱۱۴/</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">۰</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p-value </span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">=</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">با عملکرد حافظه کاری نشان نداد. مدل</span></span><b> </b><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">GLM</span></span><b> </b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نیز هیچ تأثیر معناداری از این متغیرها بر عملکرد حافظه کاری را تأیید نکرد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:249.25pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></b> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بر اساس نتایج پژوهش حاضر پیشنهاد می‌شود که عوامل دیگری مانند التهاب عصبی یا اختلالات خلقی ممکن است نقش برجسته‌تری در اختلالات شناختی این بیماران داشته باشند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Aim and background: </b>Fibromyalgia syndrome is a chronic musculoskeletal pain condition characterized by widespread pain, sleep disturbances, fatigue, cognitive difficulties, and emotional challenges. The aim of the present study was to investigate the role of chronic pain acceptance, pain catastrophizing, and sleep quality in predicting working memory performance in individuals with fibromyalgia.</span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materia</span></span></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">l and Method</span></span>:</b><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The present research is applied in terms of purpose and descriptive in terms of method, of the correlational (regression) type. The statistical population consisted of patients with fibromyalgia who visited private offices, from which 100 were selected non-randomly and purposefully. Data were collected through the Chronic Pain Acceptance Questionnaire (P-CPAQ), the Pain Catastrophizing Scale (PCS), the Pittsburgh Sleep Quality Index (PSQI), and the Wechsler Working Memory Test (WAIS-IV). The data were then analyzed using SPSS software version 27 and generalized linear regression (GLM).</span></span><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></b></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Results: </b>The results of the Spearman&#39;s correlation test with a significance level of 0.05 showed no significant relationship between chronic pain acceptance (r <span style="font-size:9.0pt">= </span>-0.078, p-value <span style="font-size:9.0pt">=</span> 0.768), pain catastrophizing (r <span style="font-size:9.0pt">=</span> -0.152, p-value<span style="font-size:9.0pt"> =</span> 0.289), and sleep quality (r <span style="font-size:9.0pt">=</span> -0.175, p-value <span style="font-size:9.0pt">=</span> 0.114) with working memory performance. The GLM model also did not confirm any significant effect of these variables on working memory performance.</span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Based on the results of the present study, it is suggested that other factors, such as neuroinflammation or mood disorders, may play a more prominent role in the cognitive impairments of these patients.</span></span></span></span></span><br> &nbsp; سندروم فیبرومیالژیا, پذیرش درد, فاجعه‌سازی درد, کیفیت خواب, عملکرد حافظه کاری, رگرسیون خطی تعیم‌یافته Fibromyalgia syndrome, pain acceptance, pain catastrophizing, sleep quality, working memory performance, generalized linear regression 15 29 http://jap.iums.ac.ir/browse.php?a_code=A-10-917-1&slc_lang=fa&sid=1 Asghar Norouzi اصغر نوروزی Asg.noruzi@yahoo.com 100319475328460020183 100319475328460020183 No Assistant Professor, Department of Clinical Psychology, Islamic Azad University, Sari, Iran استادیار، گروه علمی روانشناسی بالینی، دانشگاه آزاد واحد ساری، ساری، ایران Maryam Zamani مریم زمانی zmnimaryam2@gmail.com 100319475328460020184 0009-0005-7664-4130 Yes Masters, Department of Clinical Psychology, Islamic Azad University, Sari, Iran کارشناسی ارشد، گروه علمی روانشناسی بالینی، دانشگاه آزاد واحد ساری، ساری، ایران Seyed Hamze Hosseini سید حمزه حسینی Hosseinish20@gmail.com 100319475328460020185 100319475328460020185 No Assistant Professor, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran استادیار، مرکز تحقیقات روانپزشکی و علوم رفتاری، موسسه اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران