fa اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر کیفیت زندگی و شدت درد مردان مبتلا به میگرن مديريت درد مزمن Chronic pain managment 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 شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر کیفیت زندگی و شدت درد مردان مبتلا به میگرن 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 مردان مبتلا به میگرن شهر تبریز در سال 1401 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</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">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 هدفمند انتخاب</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">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 (هر کدام 15 نفر) 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. اعضای گروه آزمایش، در 8 جلسه 5/1 ساعته شناخت‌درمانی مبتنی بر ذهن‌آگاهی 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 شناخت‌درمانی مبتنی بر ذهن‌آگاهی برای کیفیت زندگی (79/4</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">33/39) و برای شدت درد (53/4</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">80/46)، و در گروه کنترل برای کیفیت زندگی (52/3</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">60/40) و برای شدت درد (80/3</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">80/45) بود. شناخت‌درمانی مبتنی بر ذهن‌آگاهی در مقایسه با گروه کنترل، کیفیت زندگی (19/5</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">40/45) و شدت درد (02/5</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">07/42) مردان مبتلا به میگرن 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 زندگی 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 شناخت‌درمانی مبتنی بر ذهن‌آگاهی موجب افزایش کیفیت زندگی و کاهش شدت درد مردان مبتلا به میگرن 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 mindfulness-based cognitive therapy (MBCT) on quality of life & intensity pain of men with migraine.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods</span></span></span></span></b><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><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. The statistical population of the research consisted of all men suffering from migraine in <st1:city w:st="on"><st1:place w:st="on">Tabriz</st1:place></st1:city> city in <st1:metricconverter productid="2023. In" w:st="on">2023. In</st1:metricconverter> 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 members of the experimental group received MBCT 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></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 MBCT for quality of life (39.33&plusmn;4.79) 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">(46.80&plusmn;4.53), and in the control group for quality of life (40.60&plusmn;3.52) 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">(45.80&plusmn;3.80) (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). MBCT compared to the control group the sleep quality (45.40&plusmn;5.19) and intensity pain (42.07&plusmn;5.02) of men with migraine increased and decreased respectively in the post-test (p<0.001). In the follow-up phase, the effect of treatment on the quality of life 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 mindfulness-based cognitive therapy has increased quality of life and reduced the intensity pain of men with migraine.</span></span></span></span></span></span></span><br> &nbsp; شناخت‌درمانی مبتنی بر ذهن‌آگاهی, کیفیت زندگی, شدت درد, میگرن Mindfulness-based Cognitive Therapy, Quality of Life, Intensity Pain, Migraine 47 57 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-13&slc_lang=fa&sid=1 Elaheh Mottagizadeh Soltanahmadi الهه متقی‌زاده سلطان‌احمدی Mottagizadeeh@gmail.com 100319475328460019287 0009-0006-2284-3289 No MA in Family Counseling, Islamic Azad University, Faculty of Science and Research, Tehran, Iran کارشناسی ارشد مشاوره خانواده، دانشگاه آزاد اسلامی واحد علوم و تحقیقات، تهران، ایران Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری‌نژاد hadiakbarinejhad@yahoo.com 100319475328460019288 100319475328460019288 Yes Dept of Psychology, University College of Nabi AKram, Tabriz, Iran گروه روان‌شناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران