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Comparison of the Effectiveness of Emotion-Focused Therapy and Cognitive-Behavioral Therapy on Coping Strategies and Pain Catastrophizing in Patients with Pain Disorder

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: The aim of this study was to compare the effectiveness of emotion-focused therapy and cognitivebehavioral therapy on pain coping strategies and pain catastrophizing in patients with pain disorder.
Method: The research method was a quasi-experimental with pretest-posttest design and a control group and a twomonth follow-up. The statistical population of the study included all women with psychosomatic problems and pain
who referred to Manoushan and Behsa counseling centers in Tehran. The sample size included 60 patients (three groups
of 20). The research instruments included the Rosenstileand Keefe (1983) Pain Coping Strategies Questionnaire and
the Bishop and Pivik (1995) Pain CatastropheScale. The emotion-focused experimental group received 12 training
sessions and the cognitive-behavioral experimental group received 10 sessions training, but the control group did not
receive any intervention during the study.
Results: The results of mixed variance analysis and Benferroni pairwise comparison test showed that both emotionfocused therapy and cognitive-behavioral therapy have significant impact on the components of pain reinterpretation,
pain catastrophizing, behavioral activity, and coping efficiency (P <0.05), but they do not have significant effect on
the components of return attention, ignoring pain, prayer and hope, and self-talking (P <0.05). The results also showed
that both treatments have significant effect on pain catastrophizing (P<0.05). Also, no significant difference was
observed between the two experimental groups (P <0.05).
Conclusion: Therefore, the results of the present study show that emotion-focused therapy, like cognitive-behavioral
therapy, can be used for patients with pain disorders and improve their cognitive factors.

Keywords

Article Title [Persian]

مقایسه اثربخشی درمان هیجان مدار و درمان شناختی رفتاری بر راهبردهای مقابله با درد و فاجعه سازی درد 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 استادیار، گروه‌ روانشناسی، ‌واحد ‌تهران مرکزی،‌ دانشگاه‌ آزاد اسلامی، تهران، ایران

3 استادیار دانشگاه پیام نور،تهران، ایران.

4 دانشیار دانشگاه ازاد اسلامی واحد تنکابن، رشت ،ایران.

Abstract [Persian]

هدف پژوهش حاضر مقایسه اثربخشی درمان هیجان‌مدار و درمان شناختی رفتاری بر راهبردهای مقابله با درد و فاجعه‌سازی درد در بیماران مبتلا به اختلال درد بود. روش پژوهش حاضر نیمه آزمایشی از نوع طرح پیش آزمون - پس آزمون با گروه کنترل و پیگیری دو ماهه بود. جامعه آماری پژوهش شامل کلیه زنان مراجعه کنندگان به مرکز مشاوره مانوشان و بهسا شهر تهران با مشکلات و دردهای روان تنی بود. حجم نمونه شامل 60 نفر از این بیماران بود (سه گروه 20 نفری). ابزار پژوهش شامل پرسشنامۀ راهبردهای مقابله با درد روزنشتایل و کیف (1983) و مقیاس فاجعه‌سازی درد بیشاپ و پیویک (1995) بود. برای گروه آزمایش هیجان مدار 12 جلسه و برای گروه آزمایش شناختی رفتاری 10 جلسه مداخله اجرا شد. ولی گروه کنترل مداخله ای در طول پژوهش دریافت نکرد.نتایج تحلیل واریانس آمیخته و آزمون مقایسه زوجی بن‌فرونی نشان داد که دو درمان هیجان مدار و درمان شناختی – رفتاری بر مولفه های تفسیر مجدد درد، فاجعه آفرینی درد، فعالیت رفتاری و کارآمدی مقابله اثربخشی معناداری دارند (05/0>P)، ولی بر مولفه های توجه برگردانی، نادیده انگاشتن درد، دعا و امیدواری و گفتگو با خود اثربخشی معناداری ندارند (05/0<P). همچنین نتایج نشان داد که هر دو درمان بر فاجعه‌سازی درد تاثیر معناداری دارند (05/0>P). همچنین تفاوت معناداری میان دو گروه آزمایش مشاهده نشد(05/0<P). بنابراین نتیجه پژوهش حاضر نشان می‌دهد که درمان هیجان‌مدار مانند درمان شناختی رفتاری می‌تواند برای بیماران با اختلال درد و بهبود عوامل شناختی آن مورد استفاده قرار گیرد.

Keywords [Persian]

  • درمان هیجان مدار
  • درمان شناختی رفتاری
  • راهبردهای مقابله با درد
  • فاجعه سازی درد
  • اختلال درد
References
Adams, H., Thibault, P., Ellis, T., Moore, E., & Sullivan, M. (2017). The relation between catastrophizing and occupational disability in individuals with major depression: Concurrent and prospective associations. Journal of occupational rehabilitation, 27(3), 405-412.
Adler, G., Shahar, B., Dolev, T., &Zilcha-Mano, S. (2018). The development of the working alliance and its ability to predict outcome in emotion-focused therapy for social anxiety disorder. The Journal of nervous and mental disease, 206(6), 446-454.
Aghasizadeh, E. (2013). Comparison of the effectiveness of cognitive-behavioral therapy with and without medical treatment and medical treatment alone on complaints of muscle pain in psychosomatic patients. Master Thesis. Mashhad Ferdowsi University.
Allen, K. D., Somers, T. J., Campbell, L. C., Arbeeva, L., Coffman, C. J., Cené, C. W., ... & Keefe, F. J. (2019). Pain coping skills training for African Americans with osteoarthritis: results of a randomized controlled trial. Pain, 160(6), 1297.
Allen, L. B., Lu, Q., Tsao, J. C., Hayes, L. P., &Zeltzer, L. K. (2011). Depression partially mediates the relationship between alexithymia and somatization in a sample of healthy children. Journal of Health Psychology, 16(8), 1177-1186.
Allen, L. B., Lu, Q., Tsao, J. C., Hayes, L. P., &Zeltzer, L. K. (2011). Depression partially mediates the relationship between alexithymia and somatization in a sample of healthy children. Journal of Health Psychology, 16(8), 1177-1186.
AsemiZavareh, N., Asgari, K., Chitsaz, A., Mehrabi, H. &Jahanbazi, A. (2013a). The effectiveness of cognitive-behavioral stress management on reducing physicalization symptoms, obsessive-compulsive disorder, sensitivity in interpersonal relationships and symptoms of vertigo in female patients with psychosomatic vertigo. Scientific Journal of Zanjan University of Medical Sciences, 21 (88): 63-75.
Asghari M. A.& Golk, N. (2005). The role of pain management strategies in adapting to chronic pain. Behavior Scholar, 12 (10), 1-26.
Bernard, P., Romain, A. J., Caudroit, J., Chevance, G., Marion, C., Mathieu, G., ... &Moullec, G. (2018). Cognitive Behavioral Therapy combined with physical exercise for depression, anxiety, fatigue and pain in adults with chronic diseases: systematic review and meta-analysis.
Broderick, J. E., Keefe, F. J., Schneider, S., Junghaenel, D. U., Bruckenthal, P., Schwartz, J. E., ... & Gould, E. (2016). Cognitive behavioral therapy for chronic pain is effective, but for whom?.Pain, 157(9), 2115-2123.
Buck, R. (2019). Motivation, emotion, cognition, and communication: Definitions and notes toward a grand theory. In Advances in Motivation Science (Vol. 6, pp. 27-69). Elsevier.
Büssing, A., Ostermann, T., Neugebauer, E. A., &Heusser, P. (2010). Adaptive coping strategies in patients with chronic pain conditions and their interpretation of disease. BMC public health, 10(1), 507.
Chapin, H. L., Darnall, B. D., Seppala, E. M., Doty, J. R., Hah, J. M., & Mackey, S. C. (2014). Pilot study of a compassion meditation intervention in chronic pain. Journal of compassionate health care, 1(1), 4.
Creed, F., Henningsen, P., & Fink, P. (Eds.). (2011). Medically unexplained symptoms, somatisation and bodily distress: developing better clinical services. Cambridge University Press.
Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral therapy. Guilford Publications.
Everhart, J. S., Chafitz, A. J., Harris, K. M., Schiele, S. E., Emery, C. F., &Flanigan, D. C. (2020). Pain perception and coping strategies influence early outcomes following knee surgery in athletes. Journal of Science and Medicine in Sport, 23(1), 100-104.
Evers, A. W., Kraaimaat, F. W., Geenen, R., Jacobs, J. W., &Bijlsma, J. W. (2003). Pain coping and social support as predictors of long-term functional disability and pain in early rheumatoid arthritis. Behaviour research and therapy, 41(11), 1295-1310.
Fink, P., Toft, T., Hansen, M. S., Ørnbøl, E., &Olesen, F. (2007). Symptoms and syndromes of bodily distress: an exploratory study of 978 internal medicals, neurological, and primary care patients. Psychosomatic medicine, 69(1), 30-39.
Greenberg, L. J., Warwar, S. H., & Malcolm, W. M. (2008). Differential effects of emotion-focused therapy and psychoeducation in facilitating forgiveness and letting go of emotional injuries. Journal of Counseling Psychology, 55(2), 185.
Greenberg, L. S. (2011). Emotion-focused therapy. American Psychological Association.
Greenberg, L. S. (2015). Emotion-focused therapy: Coaching clients to work through their feelings. American Psychological Association.
Greenberg, L. S., Elliott, R., &Pos, A. (2007). Special topic: Emotion-focused therapy. European Psychotherapy, 7, 87-93.
Ho, L. Y. (2019). A concept analysis of coping with chronic pain in older adults. Pain Management Nursing.
Hofmann, S. G., Dozois, D. J., Rief, W. E., & Smits, J. A. (2014). The Wiley handbook of cognitive behavioral therapy, Vols. 1-3. Wiley-Blackwell.
Khodayari Fard, M., Sadeghi, Kh. &Abedini, Y. (2007). Cognitive-behavioral family therapy combined with chiropractic in the treatment of psychosomatic disorders. Research in mental health. 1 (1): 5-15.
Khojasteh Mehr, R., ShiraliNia, Kh., Rajabi, Gh. & Bashlideh, K. (2013). The effectiveness of emotion-focused couple therapy on reducing depressive symptoms and emotional regulation of disturbed couples. Practical advice. 3 (1): 1 - 18.
Kumar, K. H., &Elavarasi, P. (2016). Definition of pain and classification of pain disorders. Journal of Advanced Clinical and Research Insights, 3(3), 87-90.‏
Lazaridou, A., Kim, J., Cahalan, C. M., Loggia, M. L., Franceschelli, O., Berna, C., ... & Edwards, R. R. (2017). Effects of cognitive-behavioral therapy (CBT) on brain connectivity supporting catastrophizing in fibromyalgia. The Clinical journal of pain, 33(3), 215.
Lazaridou, A., Kim, J., Cahalan, C. M., Loggia, M. L., Franceschelli, O., Berna, C., ... & Edwards, R. R. (2017). Effects of cognitive-behavioral therapy (CBT) on brain connectivity supporting catastrophizing in fibromyalgia. The Clinical journal of pain, 33(3), 215.
Linton, S. J., Flink, I. K., &Vlaeyen, J. W. (2018). Understanding the etiology of chronic pain from a psychological perspective. Physical therapy, 98(5), 315-324.
Lu, Q., & Stanton, A. L. (2010). How benefits of expressive writing vary as a function of writing instructions, ethnicity and ambivalence over emotional expression. Psychology and Health, 25(6), 669-684.
McWilliams, L. A., &Asmundson, G. J. (2007). The relationship of adult attachment dimensions to pain-related fear, hypervigilance, and catastrophizing. Pain, 127(1-2), 27-34.
Meredith, P. J., Strong, J., & Feeney, J. A. (2016). The relationship of adult attachment to emotion, catastrophizing, control, threshold and tolerance, in experimentally-induced pain. Pain, 120(1-2), 44-52.
Meyer, K., Tschopp, A., Sprott, H., &Mannion, A. F. (2009). Association between catastrophizing and self-rated pain and disability in patients with chronic low back pain. Journal of rehabilitation medicine, 41(8), 620-625.
Meyer, K., Tschopp, A., Sprott, H., &Mannion, A. F. (2009). Association between catastrophizing and self-rated pain and disability in patients with chronic low back pain. Journal of rehabilitation medicine, 41(8), 620-625.
Mohammadi, S., Dehghani, M., Heidari, Ma., Sedaghat, M. &Khatibi, A. (2013). Evaluation of pain-related psychological similarities in patients with chronic musculoskeletal pain and their spouses. Journal of Behavioral Sciences, 7 (1): 66-57.
Munday, I., Kneebone, I., & Newton-John, T. (2019). The language of chronic pain. Disability and rehabilitation, 1-8.
Nasrallah, B., Dehghani, M., Ghasedi, M. &Mazaheri, M. (2012). The role of selective attention, ringing in the ears and ambivalence in expressing emotion in predicting pain intensity in patients with chronic musculoskeletal pain. Medical Journal, 18 (5), 385-395.
Nijs, J., Van de Putte, K., Louckx, F., Truijen, S., & De Meirleir, K. (2008). Exercise performance and chronic pain in chronic fatigue syndrome: the role of pain catastrophizing. Pain Medicine, 9(8), 1164-1172.
Rahimian Bogar, I. (2011). The effect of group cognitive-behavioral therapy on the improvement of multifaceted pain symptoms in patients with chronic low back pain; Quarterly follow-up. Yearbook of Health and Military Sciences Research. 9 (3): 199-208.
Rahmati, N. AsghariMoghadam, M. A., Shairi, M. R., Paknezad, M., Rahmati, Z., Ghasami, M. &Maroofi, N. (2017). Evaluation of psychometric properties of catastrophic pain scale in Iranian patients with chronic pain. Scientific Journal of Ilam University of Medical Sciences, 25 (1), 79-63.
Rezaei, F. (2013). Comparison of the effect of emotion-focused, cognitive-behavioral therapy and schema therapy on pain levels, catastrophic perceptions, difficulty in regulating emotions, and quality of life in patients with rheumatoid arthritis. PhD Thesis. University of Esfahan.
Riahi, M. E. (2009). Supervisors’ knowledge of hospital infections control in one of the medical sciences universities related hospitals. Journal Mil Med, 11(3), 175-182.
Riddle, D. L., Jensen, M. P., Ang, D., Slover, J., Perera, R., &Dumenci, L. (2018). Do pain coping and pain beliefs associate with outcome measures before knee arthroplasty in patients who catastrophize about pain? A cross-sectional analysis from a randomized clinical trial. Clinical orthopaedics and related research, 476(4), 778.
Rieffe, C., Oosterveld, P., Terwogt, M. M., Novin, S., Nasiri, H., &Latifian, M. (2010). Relationship between alexithymia, mood and internalizing symptoms in children and young adolescents: Evidence from an Iranian sample. Personality and Individual Differences, 48(4), 425-430.
Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain, 17(1), 33-44.
Sanderson, C. A. (2012). Health psychology. Wiley Global Education.
Shabbeh, Z., Feizi, A., Afshar, H., HassanzadeKashtali, A., &Adibi, P. (2016). Identifying the profiles of psychosomatic disorders in an iranian adult population and their relation to psychological problems. Journal of Mazandaran University of Medical Sciences, 26(137), 82-94.
Sharma, P., Sandhu, J. S., &Shenoy, S. (2011). Variation in the Response to Pain Between Athletes and Non-Athletes. Ibnosina Journal of Medicine & Biomedical Sciences, 3(5), 165-171.
SmariBardeh Zard, Y., Sabet, H., Aminzadeh, F & M. Dana. (2017). The effectiveness of emotion-based group therapy on the internalization symptoms of adolescent boys of bullying victim. Disciplinary medicine. 6 (3): 213 220.
Sullivan, M. J., Bishop, S. R., &Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological assessment, 7(4), 524.
Sullivan, M. J., Rodgers, W. M., Wilson, P. M., Bell, G. J., Murray, T. C., & Fraser, S. N. (2002). An experimental investigation of the relation between catastrophizing and activity intolerance. Pain, 100(1-2), 47-53.
Timulak, L., McElvaney, J., Keogh, D., Martin, E., Clare, P., Chepukova, E., & Greenberg, L. S. (2017). Emotion-focused therapy for generalized anxiety disorder: An exploratory study. Psychotherapy, 54(4), 361.
Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., &Cherkin, D. C. (2016). Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain, 157(11), 2434-2444.
Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., &Cherkin, D. C. (2016). Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain, 157(11), 2434-2444.
Van Damme, S., Becker, S., & Van der Linden, D. (2018). Tired of pain? Toward a better understanding of fatigue in chronic pain. Pain, 159(1), 7-10.
Wesner, A. C., Gomes, J. B., Detzel, T., Blaya, C., Manfro, G. G., &Heldt, E. (2014). Effect of cognitive-behavioral group therapy for panic disorder in changing coping strategies. Comprehensive psychiatry, 55(1), 87-92.
Wren, A. A., Somers, T. J., Wright, M. A., Goetz, M. C., Leary, M. R., Fras, A. M., ... & Keefe, F. J. (2012). Self-compassion in patients with persistent musculoskeletal pain: relationship of self-compassion to adjustment to persistent pain. Journal of pain and symptom management, 43(4), 759-770.
Zare, H., Mohammadi, N., Mottaqi, P., Afshar, H. &Pourkazem, L. (2014). The effect of mindfulness-based modified cognitive therapy on disaster perception, acceptance and pain intensity in patients with fibromyalgia. Health Psychology, 4 (12): 93 - 113
Iranian Journal of Health Psychology
Volume 4, Issue 1 - Serial Number 7
March 2021
Pages 29-46
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