مقايسه اثربخشي درمان هيجان مدار و درمان مبتني بر پذيرش و تعهد بر كيفيت زندگي زنان مبتلا به سردرد مزمن

Comparison of the effectiveness of an emotion-based therapy and a treatment based on acceptance and commitment on the quality of life of women with chronic headache

ﺳﺎﺑﻘﻪ و ﻫﺪف: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﻣﻘﺎﻳﺴﻪ اﺛﺮﺑﺨﺸﻲ درﻣﺎن ﻫﻴﺠﺎن ﻣﺪار و درﻣﺎن ﻣﺒﺘﻨﻲ ﺑﺮ ﭘﺬﻳﺮش و ﺗﻌﻬﺪ ﺑﺮ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﺮدرد ﻣﺰﻣﻦ ﺻﻮرت ﮔﺮﻓﺖ. ﻣﻮاد و روش ﻫﺎ: روش اﻳﻦ ﭘﮋوﻫﺶ، ﻧﻴﻤﻪ ﺗﺠﺮﺑﻲ ﺑﺎ ﻃﺮح ﭘﻴﺶ آزﻣﻮن ﭘﺲ آزﻣﻮن و ﭘﻴﮕﻴﺮي ﺑﺎ ﮔﺮوه ﻛﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣـﺎري ﭘـﮋوﻫﺶ را زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﺮدرد ﻣﺰﻣﻦ ﻛﻪ در ﺳﺎل 1398 ﺑﺮاي درﻣﺎن ﺳﺮدرد ﺧﻮد ﺑﻪ ﻛﻠﻴﻨﻴﻚ ﻫﺎي دوﻟﺘﻲ ﻣﻐﺰ و اﻋﺼﺎب ﺷﻬﺮ ﭘﺎرس آﺑـﺎد ﻣﺮاﺟﻌـﻪ ﻛـﺮده ﺑﻮدﻧﺪ، ﺗﺸﻜﻴﻞ دادﻧﺪ. 30 ﻧﻔﺮ ﺑﺎ اﺳﺘﻔﺎده از ﻧﻤﻮﻧﻪ ﮔﻴﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﻲ در ﺳﻪ ﮔﺮوه ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﻧﺘﺎﻳﺞ: ﻣﻴﺎﻧﮕﻴﻦ و اﻧﺤﺮاف ﻣﻌﻴﺎر ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﮔﺮوه درﻣﺎن ﻫﻴﺠﺎن ﻣﺪار در ﭘﻴﺶ آزﻣﻮن )38/40±5/03(، ﮔﺮوه درﻣﺎن ﻣﺒﺘﻨﻲ ﺑﺮ ﭘﺬﻳﺮش و ﺗﻌﻬﺪ )39/30±4/43 و ﮔﺮوه ﻛﻨﺘﺮل 39/30±5/29 ﺑﻮد. درﻣﺎن ﻫﺎي ﻫﻴﺠﺎنﻣﺪار 51/50±6/86 و ﻣﺒﺘﻨﻲ ﺑﺮ ﭘﺬﻳﺮش و ﺗﻌﻬـﺪ 60/10±5/04 در ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﮔﺮوه ﻛﻨﺘﺮل )39/40±5/37(، ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺑﻴﻤﺎران را در ﭘﺲ آزﻣﻮن اﻓﺰاﻳﺶ دادﻧﺪ )0/001

This study aimed to compare the effectiveness of an emotion-based therapy and a treatment based on acceptance and commitment on the quality of life of women with chronic headache. Materials and Methods: This study used a quasi-experimental method with pre-test, posttest, follow up, and the control group. The population under consisted women were that they referred for the treatment of headache to the brain and neurology government clinic of Parsabad city in 2019. 30 women were selected by purposive sampling as the participants and randomly divided into three groups. Results: The mean and standard deviation quality of life for the emotion-based therapy group, the treatment based on acceptance and commitment group, and the control group on the posttest were (38.40±5.03), (39.30±4.43) and (39.30±5.29) respectively. The results showed that the emotion-based therapy (51.50±6.86) and treatment based on acceptance and commitment (60.10±5.04) compared to the control group (39.40±5.37) increased the quality of life in chronic headache patients on the posttest (P=0.001). Besides, the effect of emotionbased therapy (51.20±7.13) and treatment based on acceptance and commitment (60.00±4.96) on the quality of life (39.00±5.01) persisted in the follow-up phase (P<0.001). It was also shown that the effect of treatment based on acceptance and commitment on quality of life in post-test and follow-up was more evident than the effect of emotion-based therapy (P<0.006). Conclusion: Based on the findings of this study, emotion-focused therapy and acceptance and commitment-based therapy may decrease the stress and thus improve the quality of life of women with chronic headaches.