fa اثربخشی ‌درمان متمرکز بر شفقت بر شدت درد و سلامت روان‌شناختی زنان 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="">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> پژوهش حاضر با هدف تعیین اثربخشی درمان متمرکز بر شفقت بر شدت درد و سلامت روان‌شناختی بیماران مبتلا به میگرن انجام شد.</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="">مواد و روش‌ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> روش پژوهش حاضر نیمه‌تجربی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش را کلیه زنان مبتلا به میگرن شهر تبریز در سال 1402 تشکیل داد. 30 نفر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">داشتن</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">ملاک‌های</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">ورود</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">به</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">مطالعه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">روش</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نمونه‌گیری</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">هدفمند و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">از میان</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">کلیه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">زنان مبتلا به میگرن شهر تبریز در سال 1402 انتخاب</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">به‌صورت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تصادفی در دو گروه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">مداخله و کنترل،</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">هر کدام 15 نفر قرار گرفتند. اعضای گروه مداخله، در 8 جلسه 5/1 ساعته درمان متمرکز بر شفقت را دریافت کردند؛ ولی گروه کنترل هیچ درمان روان‌شناختی را دریافت نکردند. هر دو گروه، پیش، پس و 4 ماه پس از مداخله به‌پرسشنامه‌های 20 سوالی شدت درد مک‌گیل و 28 سوالی سلامت عمومی گلدبرگ پاسخ دادند. داده‌ها توسط آزمون آنالیز واریانس با اندازگیری مکرر تجزیه و تحلیل شدند.</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="">نتایج:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">بین</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نمرات</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">شدت </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">درد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> و سلامت روان‌شناختی در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">گروه آزمایش و کنترل</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">پیش</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">‌</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">آزمون</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تفاوت معنی‌داری</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">وجود</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نداشت (05/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><</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 lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">).</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتایج نشان داد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">که درمان متمرکز بر شفقت در مقایسه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با گروه کنترل، شدت درد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> و سلامت روان‌شناختی زنان مبتلا به میگرن را در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">پس‌آزمون به‌ترتیب کاهش و افزایش داده است (001/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">></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 lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">). تأثیر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">درمان متمرکز بر شفقت بر شدت درد و سلامت</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> روان‌شناختی در مرحله پیگیری ماندگار بود (001/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">></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 lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">).</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Zar""></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="">نتیجه‌گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> به‌نظر می‌رسد درمان متمرکز بر شفقت می‌تواند سبب کاهش شدت درد و افزایش سلامت روان‌شناختی زنان مبتلا به میگرن شود، از این&rlm;رو به احتمال زیاد می&rlm;تواند راهبرد درمانی مفیدی برای بهبود شدت درد و سلامت روان‌شناختی زنان مبتلا به میگرن باشد.</span></span></span></span></span></span></span></span> <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="">Aims and Background:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The present study was to determine the effectiveness of compassion-focused therapy on intensity pain and psychological health of women with migraine.</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="">Materials and Methods</span></span>:</b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This study was semi-experimental with a pretest-posttest & follow-up control group design. The statistical population of the research consisted of all women 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 CFT in 8 sessions of 1.5 hours; but the control group did not receive any psychological treatment. Both groups answered the 20-question McGill pain intensity and 28-question Goldberg&#39;s general health Questionnaires, before, after and 4 months after the intervention. Analysis of findings through repeated measures analysis of variance test.</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="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> There was no significant difference between the scores of intensity pain and psychological health in the experimental and control groups in the pre-test (P<0.05). The results showed that compassion-focused therapy reduced and increased intensity pain and psychological health of women with migraine in the post-test, compared to the control group, respectively (P<0.001). The effect of compassion-focused therapy on intensity pain and psychological health was lasting in the follow-up phase (P<0.001). </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="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> It seems that compassion-focused therapy can reduce intensity pain and increase psychological health in women with migraine, therefore it is likely to be a useful treatment strategy to improve the intensity pain and psychological health in women with migraine.</span></span></span></span></span></span> درمان متمرکز بر شفقت, شدت درد, سلامت روان‌شناختی, میگرن Compassion-focused Therapy, Intensity Pain, Psychological Health, Migraine 24 34 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-17&slc_lang=fa&sid=1 Beytullah Sadeghi بیت اله صادقی Sadegi1368@yahoo.com 100319475328460019559 0009-0001-3644-6480 No BS of Social Sciences, researcher orientation, Payam-e Noor University, Ahar, Iran کارشناسی علوم اجتماعی، گرایش پژوهشگری، دانشگاه پیام نور، اهر، ایران Behzad Asbaghi بهزاد اسبقی Asbaghi.behzad@yahoo.com 100319475328460019560 100319475328460019560 No MA of Clinical Psychology, Islamic Azad University, Ardabil, Iran کارشناسی ارشد روان‌شناسی بالینی، دانشگاه آزاد اسلامی، اردبیل، ایران Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری‌نژاد hadiakbarinejhad@yahoo.com 100319475328460019561 100319475328460019561 Yes Dept of Psychology, University College of Nabi AKram, Tabriz, Iran گروه روان‌شناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران