fa اثربخشی درمان متمرکز بر شفقت بر کیفیت خواب و شدت درد زنان مبتلا به مولتیپل اسکلروزیس تخصصي Special پژوهشي Original <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">زمینه و هدف</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">: هدف پژوهش حاضر تعیین اثربخشی درمان متمرکز بر شفقت بر کیفیت خواب و شدت درد زنان مبتلا به مولتیپل اسکلروزیس بود.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">مواد و روش‌ها</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">: روش پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش را کلیه زنان مبتلا به ام اس شهر تبریز که در سال 1401 عضو انجمن ام اس این شهر بودند تشکیل داد. 30 نفر</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">با</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">داشتن</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">ملاک‌های</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">ورود</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">به مطالعه</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">با</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">روش</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">نمونه‌گیری</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">هدفمند انتخاب، و</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">به‌صورت</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">تصادفی در دو گروه</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">آزمایش و کنترل قرار</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">گرفتند (هر کدام 15 نفر). ابزارهای اندازه‌گیری، پرسشنامه‌های کیفیت خواب پیتزبورگ و شدت درد مک‌گیل بودند. اعضای گروه مداخله، در 8 جلسه 5/1 ساعته درمان متمرکز بر شفقت 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></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">یافته‌ها: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">در پیش‌آزمون، میانگین و انحراف معیار درمان متمرکز بر شفقت برای کیفیت خواب (49/2</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">67/17) و برای شدت درد (52/4</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">73/46)، و در گروه کنترل برای کیفیت خواب (73/1</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">00/17) و برای شدت درد (94/3</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">87/45) بود. درمان متمرکز بر شفقت در مقایسه با گروه کنترل، کیفیت خواب (28/2</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">33/14) و شدت درد (09/5</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">00/42) زنان مبتلا به مولتیپل اسکلروزیس را در پس‌آزمون به‌ترتیب افزایش و کاهش داد (001/0</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">). در مرحله پیگیری، اثر درمان بر کیفیت خواب و شدت درد ماندگار بود (001/0</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">نتیجه‌گیری</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">: براساس یافته‌های این پژوهش می‌توان نتیجه گرفت که درمان متمرکز بر شفقت موجب افزایش کیفیت خواب و کاهش شدت درد زنان مبتلا به مولتیپل اسکلروزیس شده است.</span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="unicode-bidi:embed"><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">Aims and background:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The aim of this study was to determine the effectiveness of compassion-focused therapy (CFT) on sleep quality & intensity pain of women with multiple sclerosis.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><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">Materials and Methods</span></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"> This study was semi-experimental with a pretest-posttest & follow up control group design. Thirty people with inclusion criteria were selected by purposive sampling method from all women with MS in <st1:place w:st="on"><st1:city w:st="on">Tabriz</st1:city></st1:place> in 2023 who were members of the multiple sclerosis Association of this city. In total, 30 person meeting the inclusion criteria were selected by purposeful sampling, and The were randomly divided into the intervention and control groups (15 people each). The measurement tools were <st1:city w:st="on"><st1:place w:st="on">Pittsburgh</st1:place></st1:city> sleep quality and McGill pain intensity questionnaires. The members of the experimental group received CFT in 8 sessions of 1.5 hours; but the control group did not receive any treatment. Analysis of findings through repeated measures analysis of variance test.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><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">:<b> </b>In the pretest, mean and standard deviation of the CFT for sleep quality (17.67&plusmn;2.49) and for </span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">intensity pain </span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">(46.73&plusmn;4.52), and in the control group for sleep quality (17.00&plusmn;1.73) and for </span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">intensity pain </span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">(45.87&plusmn;3.94) (P</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">0.05). CFT compared to the control group the sleep quality (14.33&plusmn;2.28) and intensity pain (42.00&plusmn;5.09) of women with multiple sclerosis increased and decreased respectively in the post-test (p<0.001). In the follow-up phase, the effect of treatment on the sleep quality and intensity pain was lasting (p<0.001).</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><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">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">: Based on the findings of this research, it can be concluded that compassion-focused therapy has increased sleep quality and reduced the intensity pain of women with multiple sclerosis.</span></span></span></span></span></span></span><br> &nbsp; درمان متمرکز بر شفقت, کیفیت خواب, شدت درد, مولتیپل اسکلروزیس Compassion-focused Therapy, Sleep Quality, Intensity Pain, Multiple Sclerosis 36 46 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-11&slc_lang=fa&sid=1 Haniyee Eshagzadeh هانیه اسحق‌زاده Rezakeshvari39@gmail.com 100319475328460019284 0009-0007-0091-4047 No MA in General Psychology, University College of Nabi AKram, Tabriz, Iran کارشناسی ارشد روان‌شناسی عمومی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران Nesa Olfatykia نساء الفتی‌کیا Nesakia30@gmail.com 100319475328460019285 100319475328460019285 No MA in General Psychology, University College of Nabi AKram, Tabriz, Iran کارشناسی ارشد روان‌شناسی عمومی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری‌نژاد hadiakbarinejhad@yahoo.com 100319475328460019286 100319475328460019286 Yes Dept of Psychology, University College of Nabi AKram, Tabriz, Iran گروه روان‌شناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران