مقایسه اثربخشی کیفیت زندگی درمانی و درمان مبتنی بر معنویت اسلامی برتحمل پریشانی، استرس، اضطراب و افسردگی زنان مبتلا به سردرد تنشی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 استاد، گروه روانشناسی دانشگاه اصفهان، اصفهان، ایران

2 دانشجوی دکتری روانشناسی دانشگاه اصفهان، اصفهان، ایران

3 استادیار، گروه روانشناسی دانشگاه اصفهان، اصفهان، ایران

4 دانشیار، گروه نورلوژی دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

چکیده

مقدمه: سردرد تنشی یکی از انواع اختلالات روان­تنی است که شیوع زیادی دارد.استرس و خلق منفی، عامل تشدید کننده سردردهای تنشی است. هدف اصلی پژوهش حاضر مقایسه اثربخشی کیفیت زندگی درمانی و درمان مبتنی بر معنویت اسلامی بر تحمل پریشانی، استرس، اضطراب و افسردگی در زنان مبتلا به سر درد تنشی بود.
روش: طرح پژوهش حاضر به صورت نیمه تجربی و از نوع پیش آزمون، پس آزمون و پیگیری با گروه کنترل بود.جامعه آماری پژوهش مشتمل بر کلیه بیماران زن مبتلا به اختلال سردرد تنشی درشهر کرمانشاه بود. که در سال  1393 با استفاده از نمونه گیری در دسترس و با استفاده از ملاک های ورود و خروج، انتخاب شدند تعداد 39 نفر انتخاب شده به روش تصادفی در دو گروه آزمایش و کنترل( هر گروه 13 نفر) قرار گرفتند.گروه آزمایش کیفیت زندگی درمانی در 8 جلسه 90 دقیقه ای تحت کیفیت زندگی درمانی و گروه آزمایش معنویت درمانی نیز در 8 جلسه 100 دقیقه ای تحت درمان مبتنی بر معنویت اسلامی قرار گرفتند، در حالی که گروه کنترل هیچ درمانی را دریافت ننمود.ابزارهای پژوهش شامل مقیاس تحمل پریشانی و مقیاس افسردگی،اضطراب و استرس بودند که در هر سه گروه در مراحل پیش آزمون، پس آزمون و پیگیری بر روی شرکت گنندگان اجرا شدند.
یافته ها: نتایج حاصل از تحلیل کوواریانس چند متغیره نشان داد در دو گروه کیفیت زندگی درمانی و درمان مبتنی بر معنویت اسلامی،  مداخله صورت گرفته بر تحمل پریشانی، استرس، افسردگی و اضطراب در مراحل پس آزمون و پیگیری تأثیر معنی داری داشته. اما اثربخشی معنویت درمانی در کاهش اضطراب و افسردگی در پس آزمون بیشتر از کیفیت زندگی درمانی بود.در حالی که در تحمل پریشانی و افسردگی تفاوت دو گروه مداخله در پس آزمون معنی دار به دست نیامد.در مرحله پیگیری نیز در همه متغیرها تأثیر معنویت درمانی بیشتر از کیفیت زندگی درمانی بود.
نتیجه گیری: براساس یافته ها، هر دو درمان، کیفیت زندگی درمانی و درمان مبتنی بر معنویت اسلامی مداخلاتی مؤثر در بیماران مبتلا به سردرد تنشی است.اما تأثیر طولانی مدت درمان مبتنی بر معنویت اسلامی بیشتر است.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of Effectiveness of Quality of Life Therapy and Treatment Based on Islamic Spirituality on Distress Tolerance, Stress, Anxiety, and Depression in Women with Tension Headaches

نویسندگان [English]

  • M.B Kajbaf, 1
  • F. Hoseini, 2
  • A Ghamarani, 3
  • N. Razazian, 4
1 استاد، گروه روانشناسی دانشگاه اصفهان، اصفهان، ایران
2 دانشجوی دکتری روانشناسی دانشگاه اصفهان، اصفهان، ایران
3 استادیار، گروه روانشناسی دانشگاه اصفهان، اصفهان، ایران
4 دانشیار، گروه نورلوژی دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران
چکیده [English]

Introduction: Tension headache is one of the psychosomatic disorders and it is very common in throughout the world. Stress and bad moods are among the aggravating factors of tension headaches. The purpose of the study is to compare effectiveness of quality of life therapy and treatment based on Islamic spiritualty on distress tolerance, stress, anxiety, and depression in women with tension headaches.
Method: This is an experimental study with pre-test, post-test, follow-up and control group. The study population included all the female patients with tension headaches in Kermanshah city in 2014. 39 subjects were selected by random sampling method and inclusion-exclusion criteria, and randomly were divided into two experimental groups and one control group (n=13). The experimental group of quality of life therapy was under treatment within 8 sessions of 90-minute and the experimental group of spiritual therapy was also treated within 8 sessions of 100-minute while the control group received no treatment. The research tools included Distress Tolerance Scale, and Depression Anxiety Stress Scales which were conducted in pre-test, post-test, and follow-up.
Results: Data analysis by using multivariate covariance method and post hoc tests showed that both treatments; the quality of life therapy and treatment based on Islamic spirituality  had significant effects on improving distress, stress, anxiety, and depression tolerance in post-test and follow-up. But the efficiency of spiritual treatment in reducing anxiety and depression in post-test was more significant compared to quality of life therapy. Hence, there was no significant difference between the two groups in the post-test regarding improvement of distress and depression tolerance. In the follow-up stage, the effect of spiritual therapy was more than quality of life therapy in all variables.
Conclusion: According to the findings both treatments, the quality of life therapy and treatment based on Islamic spirituality are effective interventions for patients with tension headaches. But the long-term impacts of treatment based on Islamic spirituality are more significant.

کلیدواژه‌ها [English]

  • Quality of life therapy
  • treatment based on Islamic spirituality
  • distress tolerance
  • Stress
  • Anxiety
  • depression
  • tension headache
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