In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 PhD Student, Department of Health Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

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

3 Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran

4 Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Rasht, Iran

Abstract

Objective: Psychological factors play a decisive role in the occurrence and experience of pain disorders. This study aimed to compare the effectiveness of emotion-focused therapy and cognitive behavioral therapy on alexithymia and difficulty in emotion regulation in patients with pain disorder.
Method: The method of the present study was quasi-experimental with a pretest-posttest design and control group and a two-month follow-up. The statistical population of the study included all women who were referred to Manoushan and Behsa counseling centers in Tehran with psychosomatic problems and pain. Sixty people from this population were selected and randomly divided into three groups (20 people in each group). Research instruments included the Toronto Emotional Dysfunction Scale (Bugby et al., 1994) and the Difficulty in Emotion Regulation Scale (DERS) (Gertz & Roemer, 2004). One group received 12 one-hour sessions of emotion-focused therapy, and another group received 10 one-hour sessions of cognitive behavioral therapy. However, the control group did not receive any intervention during the study. In addition to descriptive statistics, mixed variance analysis and Ben Foroni post hoc test were used to analyze the research data.
 
Results: The results for alexithymia showed that the emotionally focused therapy group had a significantly lower mean than the cognitive behavioral group (P= 0.02) and the control group (P 0.001), and the cognitive-behavioral group had a significantly higher mean compared to the control group (P = 0.001). Also, the results for the difficulty in emotion regulation showed that the emotionally focused group and the cognitive-behavioral group have significantly lower means compared to the control group (P = 0.001).
Conclusions: The results of the present study, in addition to confirming the effectiveness of cognitive-behavioral therapy, indicated that emotion-focused therapy is a more effective treatment for alexithymia. As a result, emotion-focused therapy can be considered an effective treatment that can be used by health professionals to treat pain disorders.

Keywords

Main Subjects

Article Title [Persian]

مقایسه اثربخشی درمان هیجان مدار و طرحواره درمانی بر ناگویی هیجانی و دشواری تنظیم هیجان در بیماران مبتلا به اختلال درد

Authors [Persian]

  • فاطمه فاضلی ثانی 1
  • مهدیه صالحی 2
  • امین رفیعی پور 3
  • جواد خلعتبری 4

1 PhD Student, Department of Health Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

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

3 Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran

4 Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Rasht, Iran

Abstract [Persian]

هدف: عوامل روانشناختی نقش تعیین‌کننده‌ای در بروز و تجربه اختلالات درد دارند. این مطالعه با هدف مقایسه اثربخشی درمان هیجان‌مدار و درمان شناختی رفتاری بر الکسی‌تایمیا و دشواری در تنظیم هیجان در بیماران مبتلا به اختلال درد انجام شد.
روش: روش پژوهش حاضر از نوع نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل و پیگیری دو ماهه بود. جامعه آماری پژوهش شامل کلیه زنانی بود که با مشکلات روان‌تنی و درد به مراکز مشاوره مانوشان و بهسا در تهران مراجعه کرده بودند. شصت نفر از این جامعه انتخاب و به صورت تصادفی به سه گروه (هر گروه 20 نفر) تقسیم شدند. ابزارهای پژوهش شامل مقیاس اختلال عملکرد هیجانی تورنتو (باگبی و همکاران، 1994) و مقیاس دشواری در تنظیم هیجان (DERS) (گرتز و رومر، 2004) بود. یک گروه 12 جلسه یک ساعته درمان هیجان‌مدار و گروه دیگر 10 جلسه یک ساعته درمان شناختی رفتاری دریافت کردند. با این حال، گروه کنترل در طول مطالعه هیچ مداخله‌ای دریافت نکرد. علاوه بر آمار توصیفی، از تحلیل واریانس مختلط و آزمون تعقیبی بن فرونی برای تجزیه و تحلیل داده‌های پژوهش استفاده شد.

یافته‌ها: نتایج مربوط به الکسی‌تایمیا نشان داد که گروه درمان متمرکز بر هیجان میانگین به‌طور معناداری پایین‌تری نسبت به گروه شناختی رفتاری (0.02=P) و گروه کنترل (0.001=P) و گروه شناختی-رفتاری میانگین به‌طور معناداری بالاتری نسبت به گروه کنترل (0.001=P) داشتند. همچنین، نتایج مربوط به دشواری در تنظیم هیجان نشان داد که گروه متمرکز بر هیجان و گروه شناختی-رفتاری میانگین‌های به‌طور معناداری پایین‌تری نسبت به گروه کنترل دارند (0.001=P).
نتیجه‌گیری: نتایج مطالعه حاضر، علاوه بر تأیید اثربخشی درمان شناختی-رفتاری، نشان داد که درمان متمرکز بر هیجان، درمان مؤثرتری برای الکسی‌تایمیا است. در نتیجه، درمان متمرکز بر هیجان می‌تواند به‌عنوان یک درمان مؤثر در نظر گرفته شود که می‌تواند توسط متخصصان سلامت برای درمان اختلالات درد مورد استفاده قرار گیرد.

Keywords [Persian]

  • درمان متمرکز بر هیجان
  • درمان شناختی-رفتاری
  • آلکسی تایمیا
  • دشواری در تنظیم هیجان
  • اختلال درد
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