fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر خودکارآمدی درد و تاب‌آوری دانش‌آموزان دختر مبتلا به سردرد مزمن مديريت درد مزمن Chronic pain managment پژوهشي Original <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">بسیاری از بیماران مبتلا به سردردهای مزمن، علی‌رغم مداخلات دارویی همچنان درد را تجربه می‌کنند و اگر با سردردشان سازگار نشوند کیفیت زندگی‌شان به‌طور چشم‌گیری تحت تأثیر قرار می‌گیرد؛ بنابراین، هدف پژوهش حاضر تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر خودکارآمدی درد و تاب‌آوری دانش‌آموزان دختر مبتلا به سردرد مزمن بود. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مواد و روش‌ها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">روش پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش را کلیه دانش‌آموزان دختر مبتلا به سردرد مزمن دوره متوسطه دوم مدارس شهر تبریز در سال‌تحصیلی 05-1404 تشکیل داد. در مجموع 30 نفر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">با روش نمونه‌گیری هدفمند انتخاب</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">به‌صورت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">تصادفی در دو گروه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">آزمایش و کنترل (هر کدام 15 نفر) قرار</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">گرفتند. اعضای گروه آزمایش در 8 جلسه 5/1 ساعته درمان مبتنی بر پذیرش و تعهد را دریافت کردند؛ ولی گروه کنترل هیچ درمانی را دریافت نکردند. داده‌ها توسط آزمون تحلیل واریانس آمیخته با اندازه‌گیری مکرر تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">یافته‌ها: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">بین نمرات </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">خودکارآمدی درد و تاب‌آوری </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">در </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">گروه‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> آزمایش و کنترل در پیش‌آزمون تفاوت معنی‌داری وجود نداشت </span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">(05/0</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">)</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">. نتایج نشان داد که </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">درمان مبتنی بر پذیرش و تعهد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">در </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مقایسه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> با گروه کنترل منجر به افزایش </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">خودکارآمدی درد و تاب‌آوری دانش‌آموزان دختر مبتلا به سردرد مزمن </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">شده است </span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">(001/0</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">)</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">. در مرحله پیگیری، تأثیر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">درمان مبتنی بر پذیرش و تعهد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">بر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">خودکارآمدی درد و تاب‌آوری </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">ماندگار بود </span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">(001/0</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:">)</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نتیجه‌گیری: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">درمان مبتنی بر پذیرش و تعهد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">احتمالاً می‌توانند سبب بهبود </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">خودکارآمدی درد و تاب‌آوری دانش‌آموزان دختر مبتلا به سردرد مزمن </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">شود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Aim and background</span></span></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Many patients with chronic headaches continue to experience pain despite pharmacological interventions, and if they do not adapt to their headaches, their quality of life is significantly affected; therefore, the aim of the present study was to determine the effectiveness of acceptance and commitment therapy on pain self-efficacy and resilience in female students with chronic headaches.</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:red"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Material and Methods</span></span></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The method of this study was semi-experimental with pre-test, post-test and follow up with the control group. The population of the study consisted of female students with chronic headache in the <st1:place w:st="on"><st1:placetype w:st="on">secondary school</st1:placetype> of <st1:placename w:st="on">Tabriz</st1:placename></st1:place> in the academic year 2025-26. In total, 30 people were selected using purposive sampling and randomly assigned to two experimental and control groups (15 people each). Members of the experimental group received acceptance and commitment therapy in 8 1.5-hour sessions; while the control group did not receive any treatment. </span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Data were analyzed using a mixed analysis of variance test with repeated measures.</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Results</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span><b> </b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">There was no significant difference between the pain self-efficacy and resilience scores in the experimental and control groups at pre-test (P<0.05). The results showed that acceptance and commitment therapy increased pain self-efficacy and resilience in female students with chronic headache </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">compared</span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> to the control group (P<0.001). In the follow-up phase, the effect of acceptance and commitment therapy on pain self-efficacy and resilience was sustained (P<0.001).</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri"><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="">: </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Acceptance and commitment therapy may improve pain self-efficacy and resilience in female students with chronic headaches.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman""></span></span></span></span></span><br> &nbsp; درمان مبتنی بر پذیرش و تعهد, خودکارآمدی درد, تاب‌آوری, سردرد مزمن Acceptance &, Commitment Therapy, pain self-efficacy, Resilience, Chronic Headache 70 81 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-26&slc_lang=fa&sid=1 Masoumeh Mohammadalipour معصومه محمدعلیپور mmohammadalipour296@gmail.com 100319475328460020346 0009-0009-6204-1426 No University College of Mizan موسسه آموزش عالی میزان Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری نژاد hadiakbarinejhad@yahoo.com 100319475328460020347 100319475328460020347 Yes University College of Nabi Akram موسسه آموزش عالی نبی اکرم (ص)