مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد با درمان شناختی-رفتاری بر کیفیت زندگی بیماران مبتلا به کمردرد مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Ph.D. in clinical psychology, Assistant professor, Department of Psychology, University of Mazandaran, Mazandaran, Iran.

2 Ph.D. in clinical psychology, Assistant professor of clinical psychology, Department of Clinical Psychology, AJA University of Medical Sciences, Tehran, Iran.

3 Ph.D. in clinical psychology, Associate professor of clinical psychology, Tehran Institute of Psychiatry, Mental Health Research Center, University of Medical Sciences, Tehran, Iran.

4 Professor of Shahid Beheshti Medical Sciences University, Department of Anesthesiology and Pain, Shahid Beheshti Medical University, President of Iranian Pain Society (IASP), Tehran, Iran.

5 M.Sc. in clinical psychology, Tehran Institute of Psychiatry, Mental Health Research Center, University of Medical Sciences, Tehran, Iran.

چکیده

مقدمه: این مطالعه با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) با درمان شناختی-رفتاری (CBT) بر کیفیت زندگی بیماران مبتلا به کمردرد مزمن انجام شد.
روش کار: جامعه آماری شامل تمام بیماران مبتلا به کمردرد مزمن بود که به درمانگاه درد بیمارستان اختر تهران در سال 1400 مراجعه نمودند. تعداد 30 بیمار انتخاب و به صورت تصادفی در یک از دو گروه ACT یا CBT قرار گرفتند. بعد ریزش نمونه ها، در نهایت تعداد 10 نفر در هر گروه باقی ماندند. داده ها توسط شاخص بهزیستی شخصی-بزرگسال جهت بررسی کیفیت زندگی، جمع آوری و با کمک آمار توصیفی، و تستهای ویلکاکسون و یو من-ویتنی غیر پارامتریک تحلیل شدند.
یافته ها: بر اساس نتایج، هر دو مداخله کیفیت زندگی را افزایش دادند اما تفاوت بین دو مداخله معنی دار نبود (05/0; P> 17/1- Z=). اگر چه با توجه به نمرات Z  (84/1- در برابر 17/1-)، ACT موثرتر بوده است.
نتیجه گیری: بر اساس نتایج، هر دو مداخله درمان شناختی-رفتاری و درمان مبتنی بر پذیرش و تعهد بهزیستی و کیفیت زندگی را در بیماران مبتلا به کمردرد مزمن، بهبود می بخشند.

کلیدواژه‌ها

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مجله اصول بهداشت روانی
دوره 26، شماره 2
فروردین و اردیبهشت 1403
صفحه 133-139

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