In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 MA Department of Clinical Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

2 Assistant Professor, Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran

Abstract

Objective: This study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on pain beliefs and dimensions of anger in women with rheumatoid arthritis.
Method: The research design was quasi-experimental with a pre-test-post-test and a control group. The statistical population of the study consisted of women with rheumatoid arthritis referred to medical centers in Tabriz City in 2022. The sample included 25 women with rheumatoid arthritis selected through convenience sampling based on inclusion and exclusion criteria, who were then randomly assigned to two groups. The research instruments used were Williams and Thorne's Belief in Pain Questionnaire and Spielberger's State-Trait Anger Questionnaire, which were provided to both groups to collect the required data. The control group remained on the waiting list, while the experimental group underwent MBSR training over eight weekly sessions (90 minutes per week) following Jon Kabat-Zinn's approach. The research data were analyzed using multivariate analysis of covariance (MANCOVA).
Results: The results indicated significant differences between the MBSR and control groups in pain beliefs and anger. Specifically, MBSR treatment led to a reduction in pain-related beliefs and anger in the experimental group (P<0.001). Eta-squared values showed that 76.3%, 71.8%, 74.4%, and 69.6% of the variance in pain beliefs and anger could be attributed to the effects of MBSR, respectively.
Conclusion: Based on the findings, mindfulness-based stress reduction (MBSR) training can be considered as a complementary and protective treatment technique for patients with chronic and painful conditions such as rheumatoid arthritis.

Keywords

Main Subjects

Article Title [Persian]

اثربخشی آموزش کاهش استرس مبتنی بر ذهن آگاهی بر باورهای مرتبط با درد و خشم در زنان مبتلا به آرتریت روماتوئید

Authors [Persian]

  • مهدیه رشید غلامی 1
  • آذر کیامرثی 2

1 MA Department of Clinical Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran

2 Assistant Professor, Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran

Abstract [Persian]


هدف: این مطالعه با هدف بررسی اثربخشی آموزش کاهش استرس مبتنی بر ذهن آگاهی (MBSR) بر باورهای درد و ابعاد خشم در زنان مبتلا به آرتریت روماتوئید انجام شد. روش: طرح پژوهش نیمه آزمایشی با پیش آزمون و پس آزمون با گروه کنترل بود. جامعه آماری پژوهش را زنان مبتلا به روماتیسم مفصلی مراجعه کننده به مراکز درمانی شهر تبریز در سال 1391 تشکیل دادند که نمونه شامل 25 نفر از زنان مبتلا به آرتریت روماتوئید بود که به روش نمونه گیری در دسترس بر اساس معیارهای ورود و خروج انتخاب شدند و سپس به صورت تصادفی در دو گروه قرار گرفتند. ابزار پژوهش پرسشنامه اعتقاد به درد ویلیامز و تورن و پرسشنامه خشم حالت خصلت اسپیلبرگر بود که برای جمع آوری داده های مورد نیاز در اختیار هر دو گروه قرار گرفت. گروه کنترل در لیست انتظار باقی ماند، در حالی که گروه آزمایش تحت آموزش MBSR طی هشت جلسه هفتگی (90 دقیقه در هفته) با رویکرد جان کابات زین قرار گرفتند. داده های پژوهش با استفاده از روش تحلیل کوواریانس چند متغیره (MANCOVA) مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: نتایج نشان داد که بین دو گروه MBSR و کنترل در باورهای درد و خشم تفاوت معناداری وجود دارد. به طور خاص، درمان MBSR منجر به کاهش باورهای مرتبط با درد و خشم در گروه آزمایش شد (001/0P<). مقادیر مربع اتا نشان داد که به ترتیب 76.3، 71.8، 74.4 و 69.6 درصد از واریانس در باورهای درد و خشم را می توان به اثرات MBSR نسبت داد. نتیجه‌گیری: بر اساس یافته‌ها، آموزش کاهش استرس مبتنی بر ذهن آگاهی (MBSR) می‌تواند به عنوان یک روش درمانی مکمل و محافظتی برای بیماران مبتلا به بیماری‌های مزمن و دردناک مانند آرتریت روماتوئید در نظر گرفته شود.

Keywords [Persian]

  • آموزش
  • کاهش استرس
  • مبتنی بر ذهن آگاهی
  • درد
  • خشم
  • آرتریت روماتوئید
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