Efficacy of Stress Management Intervention on Psychological, Immune Factors and Pain in Rheumatoid Arthritis Patients

Document Type: research


1 PHD student of Psycholog, Payam Noor University

2 Associate of Psychology, Tehran University

3 Professor of Psychology, Payam Noor University

4 Spatiality of Rheumatology Associate of Bagyat Allah University


Background: In this survey, the intervention of cognitive behavioral stress management (CBSM) on psychological and immune indices and pain in patients with Rheumatoid Arthritis is studied. Method: Statistical population of the study consisted of patients who referred to the rheumatology clinics in the northern parts of Tehran.  44 participants aged 25–60 using purposive sampling in accordance with inclusion and exclusion criteria selected and in two groups of 22 individuals were examined. Psychological, immune and pain evaluation tests of depression, anxiety and stress scale, blood sample, and McGill pain inventory were conducted in two stages of pretest and posttest using multiple covariance analysis. Results: The results showed a significant effect of the stress management intervention on depression (F1,37=4/318, P= 0/046, η=0/104) among patients with RA. The use of this intervention was effective in reducing the immune parameter (CRP) (F1,38= 17/593, P= 0/001, η=0/316) and their pain (F1,39= 4/885, P= 0/033, η=0/111)Conclusion: According to the results, employing this method for RA patients is very helpful and it can be suggested for improving their psychological and physical conditions.


Article Title [Persian]

اثر بخشی روش مداخله مدیریت استرس شناختی-رفتاری بر شاخص های ایمنی ، روانشناختی و میزان درد بیماران مبتلا به آرتریت روماتوئید

Authors [Persian]

  • فاطمه ناظمی 1
  • هادی بهرامی احسان 2
  • احمد علیپور 3
  • نوشین بیات 4
1 دانشجوی دکتری دانشگاه پیام نور
2 دانشیار دانشگاه تهران
3 استاد دانشگاه پیام نور
4 دانشیار دانشگاه بقیه الله
Abstract [Persian]

این پژوهش به بررسی اثربخشی مداخله مدیریت استرس شناختی- رفتاری برشاخص های ایمنی ، روانشناختی   و میزان درد، در بین بیماران مبتلا به آرتریت روماتوئید پرداخ است. جامعه آماری مطالعه مشتمل بر مراجعه کنندگان به دو کلینیک روماتولوژی در مرکز و شمال شهر تهران می باشد. در این بین 44 نفر از بیماران آرتریت روماتوئید با استفاده از نمونه گیری هدفمند با رعایت ملاک های ورود و خروج انتخاب شدند و در قالب دو گروه 22 نفره مورد مطالعه قرار گرفتند. ارزیابی شاخص های روان شناختی ، ایمنی و احساس درد در این دو گروه  به ترتیب با استفاده از آزمون افسردگی ،اضطراب و استرس(DASS) ، نمونه گیری خون و فرم کوتاه ارزیابی درد مکگیل در دو نوبت پیش آزمون و پس آزمون صورت گرفت. با بهره گیری از روش تحلیل کوواریانس چند متغیری ، نتایج حاکی از تأثیر معنی دار مدیریت استرس بر شاخص روان شناختی افسردگی و کاهش احساس درد بیماران RA بود. همچنین استفاده از این روش مداخله در کاهش شاخص ایمنیCRP نیز مؤثر شناخته شد. با توجه به نتایج بدست آمده، پرداختن و مطالعه کردن در این زمینه و تقویت این بعد از سلامت بسیار مهم و ضروری است.

Keywords [Persian]

  • مداخله مدیریت استرس شناختی-رفتاری
  • شاخص های روانشناختی
  • شاخص های ایمنی
  • درد و آرتریت روماتوئید
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